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APEA Predictor exam questions and answers a+ grade assured. Qs Treatment of subclinical hypothyroidism is generally not indicated unless the TSH is ___________. - n Ans✔ greater than 10 Qs In the presence of an elevated serum TSH, what is the next step in management? - n Ans✔ repeat TSH plus free T4 Qs Patients with a history of UC or Crohn's should have a colonoscopy how often? - n Ans✔ every 1-5 years due to the increased risk of colorectal cancer Qs What is the first line treatment for community acquired atypical pneumonia? - n Ans✔ macrolides such azithromycin. If the pt cannot take a macrolide, then they can do levofloxacin or doxycycline Qs What is metatarsus adductus? - n Ans✔ the medical term for in-toeing Qs What is true regarding older adults who are overweight? - n Ans✔ mortality in older adults related to overweight states declines over time Qs How do we manage rubella immunity in pregnant w
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Qs Treatment of subclinical hypothyroidism is generally not indicated unless the TSH is ___________. - n Ans✔ greater than 10 Qs In the presence of an elevated serum TSH, what is the next step in management? - n Ans✔ repeat TSH plus free T Qs Patients with a history of UC or Crohn's should have a colonoscopy how often? - n Ans✔ every 1-5 years due to the increased risk of colorectal cancer Qs What is the first line treatment for community acquired atypical pneumonia? - n Ans✔ macrolides such azithromycin. If the pt cannot take a macrolide, then they can do levofloxacin or doxycycline Qs What is metatarsus adductus? - n
Ans✔ the medical term for in-toeing Qs What is true regarding older adults who are overweight? - n Ans✔ mortality in older adults related to overweight states declines over time Qs How do we manage rubella immunity in pregnant women? - n Ans✔ 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 Qs How is permethrin applied to the skin for scabies? - n Ans✔ a one time application to all skin below the neck and then left on for 8-12 hours is sufficient Qs After exposure to HIV, when will the patient seroconvert and become positive? - n Ans✔ 3 months Qs Is age less than 18 years a risk factor for an ectopic pregnancy? - n
Ans✔ age Qs hey - n Ans✔ stopped at top of page 7 Qs What is the recommended treatment for blepharitis? - n Ans✔ erythromycin 1cm ribbon 5x daily for 7 days Qs What is the recommended treatment for severe anorexia with delusions? - n Ans✔ 2nd atypical antipsychotics Qs What lab values need to be monitored in a patient on Tizanidine? - n Ans✔ LFTs and BP at baseline and 1 month after the max dose is achieved (can cause hepatotoxicity and hypotension) Qs What class of drug is dabigatran (pradaxa)? - n Ans✔
direct thrombin inhibitor Qs The most effective treatments for acne related to increased sebum production are what? - n Ans✔ oral contraceptives and isotretinoin Qs Oral contraceptive regimen in which both the estrogen and progesterone concentrations vary throughout the cycle - n Ans✔ quadriphasic Qs Oral contraceptive regimen in which the estrogen and progestin doses are fixed throughout the cycle - n Ans✔ monophasic Qs 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 - n Ans✔ biphasic Qs
Qs What is the herbal, black kohosh, often used for? - n Ans✔ symptoms of menopause - hot flashes Qs What is the herbal, St. John's wart, often used for? - n Ans✔ depression Qs What are the intrauterine transplacental infections that can be passed from mother to infant? - n Ans✔ think TORCH; toxoplasmosis, Other (syphilis, varicella zoster, parvovirus) Rubella, Cytomegalovirus and Herpes simplex, as well as tuberculosis. Note that chlamydia is NOT transplacental, but rather transvaginal during childbirth Qs The antibiotic of choice for a dog bite - n Ans✔ augmentin; doxy if there is a penicillin allergy Qs Obese women should gain how much weight during pregnancy? - n Ans✔ 11-20 pounds
Qs Overweight women should gain how much weight during pregnancy? - n Ans✔ 15-25 pounds Qs Normal weight people should gain how much weight during pregnancy? - n Ans✔ 25-35 pounds Qs Underweight people should gain how much weight during pregnancy? - n Ans✔ 28-40 pounds Qs Pregnant women should increase their daily caloric intake by how many calories per day?
Ans✔ mediterranean countries (greece and turkey), asia, africa Qs Is Meniere's disease most often unilateral or bilateral? - n Ans✔ unilateral Qs What type of hearing loss occurs in Meniere's disease? - n Ans✔ sensorineural Qs Dix Hallpike maneuver is the standard clinical test for _______ - n Ans✔ BPPV Qs How do we test cerebellar function? - n Ans✔ rapid alternating movements, finger to nose test, balance (romberg), gait Qs The first sign of puberty in girls - n Ans✔ thelarche (breast budding)
Qs When the uterine lining grows in to the uterine muscle wall - n Ans✔ adenomyosis; this is often asymptomatic and may result in heavier periods Qs What are the 4 components of Tetralogy of Fallot? - n Ans✔ VSD, pulmonic stenosis, overriding aorta, right ventricular hypertrophy Qs What does the murmur of Tet of Fallot sound like? - n Ans✔ harsh systolic murmur at the left upper sternal border Qs What is a tet spell? - n Ans✔ when the child turns blue during crying or feeding Qs How do we treat thrush in infants? - n Ans✔ application of nystatin to inside of the mouth, sterilize all pacifiers and bottle nipples; a topical antifungal may be applied to the nipples
an inflammation in the hip joint that causes pain, limp and sometimes refusal to bear weight. This occurs in pre-pubescent children and is the most common cause of hip pain. It occurs when a viral infection, such as an upper respiratory infection, moves to and settles in the hip joint. - n Ans✔ transient synovitis Qs HCTZ can cause _________, whereas ACEI can cause _________ - n Ans✔ hypokalemia; hyperkalemia Qs Hyperparathyroidism can cause what? - n Ans✔ hypercalcemia and thus, osteoporosis Qs PID should improve after ____ of the antibiotic course. - n Ans✔ 3 days Qs A loss of the central sulcus of the prostate on DRE is a sign of what? - n Ans✔ BPH Qs
A woman who gets the MMR vaccine should wait at least __________ before getting pregnant. - n Ans✔ 4 weeks Qs What is a major cause of cleft palate and lip? - n Ans✔ smoking during pregnancy Qs What is Auspitz sign? - n Ans✔ the appearance of small bleeding points after successive layers of scale have been removed from the surface of psoriatic papules or plaques Qs Treatment of choice for pyelonephritis - n Ans✔ ciprofloxacin Qs When should pediatrics be screened for hyperlipidemia? - n Ans✔ between 9 and 11 years old Qs
Ans✔ rheumatoid arthritis Qs What are the potassium sparing diuretics? - n Ans✔ spironolactone, triamterene, amiloride, eplenerone Qs What class of diuretic is bumetanide? - n Ans✔ a loop diuretic, same as lasix Qs What is Chovstek's sign? - n Ans✔ a contraction of ipsilateral facial muscles subsequent to percussion over the facial nerve, indicative of hypocalcemia Qs What is Trousseau's sign? - n Ans✔ a carpopedal spasm induced by ischemia secondary to the inflation of a sphygmomanometer cuff, indicative of hypocalcemia Qs Calcium is in an inverse relationship with what electrolyte? - n
Ans✔ phosphorous Qs When you see the trigger word "christmas tree", what rash should you consider? - n Ans✔ pityriasis rosea Qs What is the recommended treatment for pityriasis rosea? - n Ans✔ nothing; it is a viral rash and can last up to two months before clearing on it's own Qs Causing harm or damage - n Ans✔ deleterious Qs How do you calculate ideal body weight for men? - n Ans✔ start at 106 pounds and then add 6 for every inch above 5 feet Qs How is lichen sclerosus treated? - n Ans✔
unilateral Qs Where is the TMJ best palpated? - n Ans✔ anterior to the tragus Qs What are the primary bacteria in dog bites? - n Ans✔ staph, strep, and pasteurella Qs What is the gold standard treatment of giant cell arteritis? - n Ans✔ oral steroids and potential artery biopsy by rheum Qs Who is a candidate for Truvada for Prep? - n Ans✔ if you are an IV drug user, have had a sexual partner with HIV in the last 6 months, do not consistently use a condom and engage in anal or vaginal sex, or have been diagnosed with a STD in the last 6 months Qs Post exposure prophylaxis for someone with HIV should be completed when? - n Ans✔
within 72 hours of the exposure Qs Who should be screened for HIV? - n Ans✔ everyone at least once from age 13-64 if low risk, and then more frequently if high risk Qs Should patients undergo gonorrhea testing to confirm a cure after receiving treatment? - n Ans✔ only if they had pharyngeal gonorrhea, not vaginal or anal Qs Tanner stage 1 female breast developmental - n Ans✔ prepubertal Qs Tanner stage 2 female breast development - n Ans✔ thelarche; the breasts bud as a small mound and the areola increases in diameter Qs Tanner stage 3 female breast development - n Ans✔ the areola, breast, and nipple grow together in one mount