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APEA PRE-PREDICTOR LATEST 2024 EXAM
ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
What is the biggest side effect of colchicine? - Correct Answer - diarrhea
How would you describe the appearance of molluscum contagiosum? - Correct Answer - papules that are umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant? - Correct Answer - no treatment; it should heal on its own
How does the parathyroid gland regulate calcium? - Correct Answer - when parathyroid hormone is released, it pulls calcium out of the blood and into the circulation in response to hypocalcemia. it also increases absorption of calcium from the intestine
What is the first line treatment for trigeminal neuralgia? - Correct Answer - carbamazepine (Tegretol) or amitriptyline. also want to do gabapentin or something for nerve pain
What is the recommended treatment for Bell's palsy? - Correct Answer - steroids and anti-viral
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pg. 2 How is the pain of trigeminal neuralgia vs temporal arteritis different? - Correct Answer - in trigeminal neuralgia, the pain is like a shock hitting the side of your face whereas temporal arteritis is more like a headache
What are the preventative treatment options for migraines? - Correct Answer - beta blockers, amitriptyline, venlafaxine, Topamax, valproate
What is Addison's disease? - Correct Answer - adrenal insufficiency; the patient will be low in cortisol and sodium but their potassium will be high
What is s/s of Addison's disease? - Correct Answer - bronze or discolored skin, salt cravings
a rare complication of pregnancy characterized by the abnormal growth of trophoblasts, the cells that normally develop into the placenta - Correct Answer - molar pregnancy
What bacteria is the leading cause of urethritis? - Correct Answer - Neisseria gonorrhea
What is the most common cause of hypercortisolism? - Correct Answer - excessive ACTH production
How do we treat developmental hip dysplasia in a child under 6 months? - Correct Answer - Pavlik harness; if older than 6 months may need surgery
When should patients begin antiretroviral therapy for HIV infection? - Correct Answer - as soon as it is detected, even if in the acute phase
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pg. 3 What are the first-generation antihistamines? - Correct Answer - diphenhydramine (Benadryl) and chlorpheniramine (Actifed)
What is s/s of the secondary stage of syphilis? - Correct Answer - rash on hands and feet, lymphadenopathy, fever
What is the recommended treatment for chronic bacterial prostatitis? - Correct Answer - a fluoroquinolone (cipro or Levo) + Bactrim
What is the recommended treatment for acute prostatitis? - Correct Answer
- cipro (if not STI related) or ceftriaxone
What is s/s of an intraductal breast papilloma? - Correct Answer - clear to bloody unilateral nipple discharge (bilateral is usually benign), and also a wart like lump palpated in the nipple area
If a patient has GABHS but has an allergy to penicillin’s, what is the second line option? - Correct Answer - first generation cephalosporins, unless the allergy is severe, then you would consider macrolides like a -mien
PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? - Correct Answer - in those who are on any type of nitrate or triptan because it could result in hypotension
What class of drug is sildenafil (Viagra)? - Correct Answer - a PDE5 inhibitor which can cause hypotension so you should do a full cardiac assessment before starting a patient on this and maybe do an EKG
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