APEA QBank AANP Review Q&A 2022/2023

APEA QBank AANP Review

Gestational diabetes screening occurs between what weeks gestation? - Answer -24-48

When you ask the patient to take a deep breath in and then palpate over the RUQ

abdomen. Positive when pain is elicited. This is a sign of ___________. - Answer -

Murphy's sign; cholecystitis

What are names of LABA medications? - Answer -salmeterol

What is encopresis in children? - Answer -stool incontinence after the age of being toilet

trained

The medical term for being cross-eyed - Answer -strabismus

What is atopic dermatitis? - Answer -eczema

Tests used to diagnose developmental hip dysplasia - Answer -Barlow and Ortolani

maneuvers

What is the female athlete triad? - Answer -disordered eating, amenorrhea,

osteoporosis

How do patients with aortic regurgitation typically present? - Answer -they will have a

long asymptomatic period followed by exercise intolerance, then dyspnea at rest. The

left ventricle eventually fails unless the aortic valve is replaced.

What does the rash of fifth disease (a viral exanthem) look like? - Answer -

maculopapular rash that blanches easily and may be accompanied by joint aches

What cardiac abnormalities are expected to be heard on auscultation of a pregnant

patient? - Answer -a venous hum murmur and an S3

When a headache accompanies a stroke, is this most often hemorrhagic or ischemic? -

Answer -hemorrhagic

AV nicking is most commonly seen on retinal exam of which chronic condition? -

Answer -hypertension

Within 6 months of being started on a TCA or SSRI, what is a common side effect that

occurs? - Answer -weight gain

When does otitis media with effusion usually occur? - Answer -either before or after an

episode of acute otitis media. This effusion is not infected fluid but it is considered a

breeding ground for bacteria. This should not be treated with antibiotics.

The medical term for jock itch - Answer -tinea cruris

Tinea cruris "jock itch" is a common __________ infection and should be treated with

what? - Answer -fungal; OTC antifungal cream

What are teaching points for males to avoid contracting tinea cruris? - Answer -dry off

after swimming and don't stay in a wet bathing suit

Tinea cruris can affect the inner thighs but never what else? - Answer -the penis or

scrotum

On microscopic exam, what is most likely to be seen in the presence of a bacterial

infection? - Answer -cocci and rods

On microscopic exam, what is most likely to be seen in the presence of a candidal

infection? - Answer -yeasts

What are dermatophytes? - Answer -fungi

On microscopic exam, what is most likely to be seen in the presence of a dermatophytic

(fungal) infection? - Answer -hyphae that are long, thin, and branching (such as in the

case of tinea pedis, tinea cruris, and tinea corporis)

The medical term for ringworm - Answer -tinea corporis

What is the most common cause of viral pneumonia in peds? - Answer -RSV

Viral pneumonia is the most common type of pneumonia in children of what ages? -

Answer -6 months to 5 years

What is the simplest way to screen for nutritional adequacy in older adults? - Answer -

measure their weight

How are scabies treated? - Answer -via permethrin and good hygiene

What are common side effects of NSAIDs? - Answer -renal impairment, acute renal

failure, gastritis

What is the most common cause of pernicious anemias? - Answer -vitamin B12

deficiency

How should oral iron supplements be taken? - Answer -on an empty stomach with

something acidic and high in calcium such as orange juice

Group A strep pharyngitis can be accompanied by what symptoms other than the

classic Centor criteria? - Answer -abdominal pain, nausea, and vomiting

A stool specimen that is positive for WBCs is a sign of what? - Answer -a viral or

bacterial infection

The only type of incontinence that would not benefit from pelvic floor therapy is what? -

Answer -overflow incontinence

What do the skin manifestations of a penicillin allergy look like? - Answer -hives

What are symptoms that someone will experience as soon as they are started on a

SSRI and when will this resolve? - Answer -headache, nausea, insomnia, restlessness,

agitation; will resolve in 2 weeks

What causes the dry cough in people taking an ACEI? - Answer -the buildup of

bradykinin which is usually degraded by ACE

ACEI induced coughs usually begin how soon after starting the medication? - Answer -

within 2 weeks

COPD is often associated with what sequelae? - Answer -anxiety and depression

When should an antiviral be started in a patient with shingles? - Answer -within 72 hours

of the onset of symptoms

What is the drug of choice for treating UTIs in male patients? - Answer -bactrim for 7-10

days

What is the leading cause of CKD and ESRD in the united states? - Answer -diabetes

What is the usual recommendation about administering MMR and varicella

immunizations? - Answer -they should be given on the same day or at least one month

apart

What are the classic symptoms of an atopic pregnancy? - Answer -amenorrhea, vaginal

bleeding, abdominal pain

What is sideroblastic anemia? - Answer -when the bone marrow is unable to incorporate

iron into hemoglobin. This may be either inherited or acquired.

Can a pregnant woman get the MMR vaccine while pregnant? - Answer -yes

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