APEA PRE-PREDICTOR 2023 ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ What are the major
... [Show More] symptoms of rheumatic fever? - ANSWER-carditis, arthritis, chorea, erythema marginatum (rash), subcutaneous nodules What are the minor symptoms of rheumatic fever? - ANSWER-fever, elevated ESR, prolonged PR interval How do we treat rheumatic fever? - ANSWER- refer to the hospital What is chorea? - ANSWER- abnormal involuntary movements What are the main s/s of rubeiola (measles) - ANSWER- Koplick spots + the 3 c's cough, coryza, conjunctivitis GABHS infection puts individuals at the highest risk of developing what sequelae? ANSWER- peritonsillar abscess,glomerulonephritis, rheumatic fever
What is the diagnostic criteria for acute rheumatic fever? -ANSWER- 2 major criteria OR 1 major + 2 minor criteria PLUS evidence of a recent strep infection When can a breastfeeding mother breast feed again after drinking alcohol? ANSWER- wait 2-3 hours per drinkconsumed before breastfeeding again Can a mother take methadone while pregnant and breastfeeding?- ANSWER- yes Does subsequent mean before or after? - ANSWER- after What is the recommended treatment for Kawasaki disease? -ANSWER- refer to the ED, will likely need IVIG and high dose aspirin What are the s/s of Kawasaki disease? - ANSWER- fever + CREAM (conjunctivitis, rash, erythema of palms and soles, adenopathy cervical, mucous membranes) Kawasaki disease is caused by what? - ANSWER- an acutevasculitis of the small and medium blood vessels What is the recommended treatment for cat scratch disease? - Answer-usually selflimiting and presents with lymphadenopathy that goes away on it's own; severe cases may benefit from azithromycin
What is the most common cause of traveler's diarrhea? - Answer-e coli What bacteria is responsible for causing cat scratch disease? - Answer-bartonella henselae What are the 4 different components of tetralogy of fallot? - Answer-overriding aorta, pulmonary stenosis, right ventricular hypertrophy, and a ventricular septal defect What does the murmur auscultated in tetralogy of fallot sound like? - Answer-systolic murmur best heard at the left upper sternal border What does the murmur auscultated in a ventricular septal defect sound like? - Answersystolic murmur best heard at the left lower sternal border Where is the aorta best auscultated? - Answer-at the second ICS to to the right of the sternum Where is the pulmonary artery best auscultated? - Answer-at the second ICS to the left of the sternum What is a scotoma? - Answer-a blind spot or aura that obstructs part of your vision Is presbyopia nearsightedness or farsightedness? - Answer-farsightedness meaning it can be harder to see things up close, such as reading a newspaper and may need to hold it farther away or use reading glasses Is myopia nearsightedness or farsightedness? - Answer-nearsightedness meaning it is hard to see things far away Do cataracts cause myopia or presbyopia? - Answer-myopia; meaning nearsightedness and they make things blurry that are farther away which is why driving at night becomes difficult What is the USPSTF's recommendation on scoliosis screening for adolescents? Answer-insufficient When should adolescent girls be screened for scoliosis? - Answer-as early as 10 years old and then again at age 12 When should adolescent boys be screening for scoliosis? - Answer-between age 12-13 What is Auspitz sign? - Answer-the appearance of small bleeding points after successive layers of scale have been removed from the surface of psoriatic papules or plaques A positive Auspitz sign is indicative of what? - Answer-psoriasis When are pregnant women screening for gestational diabetes? - Answer-week 24-28
What is round ligament pain? - Answer-a deep, sharp, stabbing or stretching sensation that begins or worsens with movement and can be unilateral or bilateral. This is a normal and benign part of pregnancy What are the components of the fetal biophysical profile? - Answer-nonstress test (heart rate monitoring), amniotic fluid analysis, fetal movements, fetal tone, and fetal breathing How is the fetal biophysical profile performed? - Answer-via ultrasound and fetal heart rate monitoring When is the fetal biophysical profile often performed? - Answer-in the third trimester, often after week 28-32 What is a normal kick count in pregnancy? - Answer-at least 10 kicks in a consecutive two hour period How much weight should an underweight woman gain in pregnancy? - Answer-28-40 pounds How much weight should a normal weight woman gain in pregnancy? - Answer-2535 pounds How much weight should an overweight woman gain in pregnancy? - Answer-15-25 pounds How much weight should an obese woman gain in pregnancy? - Answer-11-20 pounds Underweight and normal weight woman should be gaining how much weight per week in their second and third trimesters? - Answer-1 pound Overweight and obese women should be gaining how much weight per week in their second and third trimesters? - Answer-0.5 pounds What is the biggest risk associated with scabies? - Answer-secondary infection due to itching What do scabies look like on the skin? - Answer-red papular bumps that have s shaped burrows on them; may have fluid coming from them Sickle cell anemia is what type of anemia? - Answer-normocytic How is sickle cell anemia diagnosed? - Answer-hemoglobin electrophoresis Which age group is rheumatic fever most common in? - Answer-children ages 5-15 What are the major symptoms of rheumatic fever? - Answer-carditis, arthritis, chorea, erythema marginatum (rash), subcutaneous nodules
What are the minor symptoms of rheumatic fever? - Answer-fever, elevated ESR [Show Less]