APEA 3P High Stakes Exam (Verified)
Horner's syndrome - When examining the eyes, the right pupil reacts briskly to light, near effort, and is
... [Show More] much smaller than the left pupil. This condition is most likely:
Paralysis of oculomotor cranial nerve (CN III) - Dilated pupil is fixed to light and near accommodation
Argyll Robertson pupils - Pupil appears small and irregular shaped and accommodate but do not react to light.
Seizure - uncontrolled electrical activity in brain, may produce minor physical signs, thought disturbances or disturbed motor activity or combination of symptoms.
Dystonia - neurological disorder, causes involuntary muscle spasms & twisting of limbs.
Bradykinesia - impaired ability to adjust to one's body position.
Femoral vein - The great saphenous vein enters the deep venous system via:
The Abduction (Valgus) stress test - Maneuver the evaluates function of medial collateral ligament (MCL)
Gray matter - The thalamus and basal ganglion are located in the:
Facial tics - brief, repetitive, stereotyped, coordinated movement occurring at irregular intervals (repetitive winking, grimacing and shoulder shrugging)
Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at high risk for developing: - columnar epithelium that covers most or all of cervix vaginal adenosis, circular collar or ridge of tissue between cervix & vagina.
Flexor group - Group of muscles that lie anteriorly and flex the thigh
Thymus, thyroid gland & anterior part of pericardium - The anterior mediastinal lymph nodes drain lymphatic fluid from the:
The breasts, upper part of the abdominal wall, upper part of back, pectoral region & upper limbs - Axillary lymph node drainage are includes:
trauma, surgery & intranasal use of cocaine or amphetamines. - Possible causes of nasal septum perforation:
the peau d'orange (orange peel) sign - thickened skin with enlarged pores. First seen in lower portion of breast or areola. Visible sign of breast cancer.
Median Nerve - provides sensation to palm, palmar surface of most of thumb, second & third fingers & half of 4th digit.
Ulnar Nerve - Innervates half of 4th digit & 5th digit
Radial Nerve - innervates dorsal web space of thumb & index finger
Fibrous joints - Have intervening layers of fibrous tissue or cartilage holding bones together (sutures of skull)
Cartilaginous joints - Joints have bones connected by cartilage. (hyaline or fibrocartilage).
slightly movable.
Symphysis pubis & vertebrae - Examples of cartilaginous joints
Mechanical neck pain - Aching pain in the cervical paraspinal muscles and ligaments with associated muscle spasm, with associated stiffness and tightness in the upper back and shoulder, lasting up to 6 weeks.
No associated radiation, paresthesias, or weakness.
Headache may be present.
Mechanical Neck pain-Whiplash - Paracervical pain & stiffness begins day after injury. Accompanied by occipital headaches, dizziness & malaise
Cervical radiculopathy - nerve pain caused by pressure on the spinal nerve roots in the neck region
Symptoms: sharp burning or tingling pain in neck & one arm with assiciated paresthesias.
Cervical Myelopathy - cervical cord compression, neck pain associated with bilateral weakness & paresthesias in both upper & lower extremities.
Diastasis Recti - Rectus abdominis muscles separate at midline as tension on abdominal wall increases with pregnancy
10 days to 3 months - How long after exposure to syphilis will symptoms begin to present?
Cervicitis - Cervical erosion, erythema, discharge or irritation. Investigate for STI.
Located behind the ethmoid sinuses - Sphenoidal sinuses are located:
Between the eyes & frontal sinuses, located above the eyes. - Ethmoid sinuses are located
between 24 and 28 weeks of pregnancy - When should an oral glucose tolerance test be performed?
Overflow incontinence - small amounts of urine leak from a full bladder in absence of need to urinate
Hypertension - In older adults, presence of S4 heart sound suggests:
Aphasia - Inability to produce or understand language
Ankle fracture - point tenderness over posterior aspects of right malleolus, inability to bear weight after 4 steps
Vulvar cancer - An ulcerated or raised red vulvar lesion in elderly woman may indicate
Manifestation of cerebral palsy - presence of primitive reflexes, delayed gross motor development, lack of progression through developmental milestones.
Axioscapular group - Group of muscles that pulls the shoulder backward
Scoliosis - When inspecting the shoulder & shoulder girdle, an elevation of right shoulder was noted. This finding could be:
Sensory system - Which are of nervous system coordinates position sense?
Motor system - System consists of neurons that carry signals to skeletal muscles (muscle strength)
Cerebellar system - coordinates movement, maintains equilibrium, and helps maintain posture
Vestibular system - System responsible for balance & coordinating eye, head & body movements
on one side, hip flexed & internally rotated - To palpate the trochanteric bursa, position the patient:
Palpebral conjunctiva, skin adjacent to the ear within temporal region. - Pre-auricular nodes drain lymphatic fluid from the:
Cervical 5 & 6 - Deep tendon reflex abnormality in supinator & biceps correlated to lesion in which segmented level of spine?
Sacral 1 - Deep tendon reflex abnormality in ankle correlated to lesion in which segmented level of spine?
Lumbar 2, 3 & 4 - Deep tendon reflex abnormality in patella correlated to lesion in which segmented level of spine?
Cervical 6 & 7 - Deep tendon reflex abnormality in triceps correlated to lesion in which segmented level of spine?
Epigastric area - Pain from pleurisy may be referred to the:
Chalazion - a nodule or cyst, painless, usually on the upper eyelid, caused by obstruction in a sebaceous gland
Hordeolum - (stye) red, painful pustule that is a localized infection of hair follicle at eyelid margin
Between 3rd & 4th intercostal space left of midclavicular line - Apical pulse in 13-month-old is auscultated:
An ectopic pregnancy - Adnexal tenderness or masses identified early in gestation could be consistent with:
Hypalgesia - decreased sensitivity to pain
Subscapular nodea - Lymph nodes that drain lymphatic fluid from posterior chest wall & portion of upper arms.
Chlamydia - Which genital infection can cause cervicitis, PID, tubal factor infertility & ectopic pregnancy in women if untreated
Glaucomatous cupping - A pale disc with backward depression in characteristic of
HPV type 6 & 11 - Which types of HPV causes most cases of genital warts?
HPV type 16 and 18 - Which types of HPV lead to majority of cervical cancer cases?
Upward & deep to the quadriceps muscle - Suprapatellar pouch of the knee lies:
Between the patella & overlying skin - The prepatellar bursa lies:
Ptosis - Lateral deviation of the eye
Cranial nerve III paralysis - Impaired movements when attempting to look upward, downward or inward
Extra-articular disease - This typically involves difficulty with selected regions of the joint & types of movement
Scapulohumeral muscle group - Group of muscles including supraspinatus, infraspinatus, teres minor & subscapularis:
35 to 37 weeks gestation - When should a vaginal swab of group B streptococcus be obtained in a pregnant woman?
External auditory canal & middle ear - The conductive phase of hearing involves the:
Cochlea & the cochlear nerve - Sensorineural phase of hearing involves the:
White matter - The part of brain tissue the consists of neuronal axons that are coated with myelin is the:
Histrionic personality disorder - A mental health condition characterized by over-the-top behavior like mental outbursts, noisy display of temper, compulsive attention seeking & self-centered actions is:
Bronchovesicular - Breath sounds heard on chest over the hilar region are:
vesicular breath sounds - Breath sounds heard over periphery of the lung field are:
Near apex of the heart between 5th & 6th intercostal space in the mid-clavicular line - In an adult patient, auscultate sounds from mitral valve:
Median Nerve - Nerve in the arm located in ventral forearm, medial to the brachial artery in the antecubital fossa
Ulnar Nerve - Nerve runs posteriorly in the ulnar groove between the medial epicondyle & olecranon process
Radial Nerve - originates in axilla, travels down the arm in a shallow depression (radial groove) on surface of humerus.
Wernicke's aphasia - Type of aphasia where articulation is good but sentences lack meaning
Broca's aphasia (expressive aphasia) - Type of aphasia where speech is confluent, slow with few words & laborious effort.
Frailty - A multifactorial geriatric condition or syndrome characterized by an age-related lack of adaptive physiological capacity without identifiable illness. [Show Less]