APEA QBank Practice Test Set #2 with Complete Solution

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What is the treatment of choice for community acquired, uncomplicated pneumonia? - ANSWER amoxicillin Vitamin B12 deficiency anemia is a type of ____________ anemia. - ANSWER pernicious; macrocytic... Prostate infection or inflammation can cause a sharp rise in PSA values. When should this value go back down to normal levels and be checked after an acute infection? - ANSWER 4 weeks The most common cause of atypical pneumonia in adults - ANSWER mycoplasma pneumoniae An herbal supplement thought to help BPH - ANSWER saw palmetto A male patient presents to your clinic with a lump in his breast. How should we work this up? - ANSWER clinical breast exam, mammogram, AND ultrasound If a patient with strep comes back after 48 hours with no improvement on antibiotics, what should you then prescribe? - ANSWER a penicillin or cephalosporin with beta lactamase coverage How long must a tick be attached to the skin in order for Lyme disease to be transferred? - ANSWER 48 hours When should kids be treated for hypertension? - ANSWER if they also have diabetes, are symptomatic, have hypertension > 95th percentile, or when end organ damage is present ACEIs can cause what electrolyte abnormality? - ANSWER hyperkalemia A positive "drop arm" test is a sign of what? - ANSWER torn rotator cuff The medical term for spoon shaped nails - ANSWER koilonychia Koilonychia is a sign of what? - ANSWER iron deficiency anemia How is influenza diagnosed? - ANSWER a nasal swab What finding would be most likely to differentiate gout from septic arthritis? - ANSWER fever would be indicative of septic arthritis Diphenhydramine has __________ properties and is contraindicated in which patient populations? - ANSWER anticholinergic; elderly and those with glaucoma The medical term for flat feet - ANSWER pes planus How does plantar fasciitis usually present? - ANSWER as pain in the morning with resolution after several steps, but as it worsens the patient will start to complain of heel pain throughout the day and with walking Scope of practice for NPs is not influenced by which entity? - ANSWER a court of law Used to establish a designated level of professional competence - ANSWER licensure Treatment of subclinical hypothyroidism is generally not indicated unless the TSH is ___________. - ANSWER greater than 10 In the presence of an elevated serum TSH, what is the next step in management? - ANSWER repeat TSH plus free T4 Patients with a history of UC or Crohn's should have a colonoscopy how often? - ANSWER every 1-5 years due to the increased risk of colorectal cancer What is the first line treatment for community acquired atypical pneumonia? - ANSWER macrolides such azithromycin. If the pt cannot take a macrolide, then they can do levofloxacin or doxycycline What is metatarsus adductus? - ANSWER the medical term for in-toeing What is true regarding older adults who are overweight? - ANSWER mortality in older adults related to overweight states declines over time How do we manage rubella immunity in pregnant women? - ANSWER we screen all pregnant women with a rubella titer. If they had a protective rubella titer in a previous pregnancy, then they do not need to be checked again. If they are found to not be immune when pregnant, then she should be vaccinated AFTER delivery How is permethrin applied to the skin for scabies? - ANSWER a one time application to all skin below the neck and then left on for 8-12 hours is sufficient After exposure to HIV, when will the patient seroconvert and become positive? - ANSWER 3 months Is age less than 18 years a risk factor for an ectopic pregnancy? - ANSWER no; but personal history of PID, an IUD, previous ectopic pregnancy, previous tubal surgery, pathology, or ligation all are risk factors What is Tanner stage 5 of breast development in females? - ANSWER projection of the nipple only What are two common classes of drugs that interact with grapefruit juice? - ANSWER statins and CCBs Ankle inversion is a common complaint from a patient with what? - ANSWER a lateral ankle sprain How can we best diagnose coarctation of the aorta? - ANSWER by comparing the upper and lower extremity blood pressures What is the most important risk factor for developing breast cancer in women of average risk? - ANSWER age hey - ANSWER stopped at top of page 7 What is the recommended treatment for blepharitis? - ANSWER erythromycin 1cm ribbon 5x daily for 7 days What is the recommended treatment for severe anorexia with delusions? - ANSWER 2nd atypical antipsychotics What lab values need to be monitored in a patient on Tizanidine? - ANSWER LFTs and BP at baseline and 1 month after the max dose is achieved (can cause hepatotoxicity and hypotension) What class of drug is dabigatran (pradaxa)? - ANSWER direct thrombin inhibitor The most effective treatments for acne related to increased sebum production are what? - ANSWER oral contraceptives and isotretinoin Oral contraceptive regimen in which both the estrogen and progesterone concentrations vary throughout the cycle - ANSWER quadriphasic Oral contraceptive regimen in which the estrogen and progestin doses are fixed throughout the cycle - ANSWER monophasic Oral contraceptive regimen in which in the estrogen dose remains the same for the first 21 days of the cycle, while progestin is lower in the first half and higher in the second half - ANSWER biphasic Oral contraceptive regimen in which the estrogen remains consistent and the progestin dose varies - ANSWER triphasic [Show More]

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