APEA Pre-Predictor Exam 2 – FNP Board Review
| 2026/ 2027 Update | Questions and Correct
Answers | Complete Exam Material
2026/2027 | QUESTIONS & CO
...
RRECT ANSWERS | 100% VERIFIED STUDY MATERIAL
200 Questions • 3-Hour Limit • Case-Based Scenarios • Board Ready
Specialties Included:
Pediatrics • Women’s Health • Adult/Gerontology • Pharmacology • Pathophysiology • Clinical Management
Exam Overview
Exam Structure
• 200 High-Yield Questions
• Multiple-Choice + Clinical Scenarios
• Timed: 3 Hours
• Identifies Knowledge Gaps
• Designed for Board-Style Mastery
Core Domains
• Advanced Pathophysiology
• Advanced Pharmacology
• Advanced Physical Assessment
• Clinical Management
• Diagnostic Reasoning
Introduction
The Premium Predictor Exam is designed for students in the final stages of their certification
preparation. This comprehensive, high-difficulty exam mirrors the exact style, complexity, and structure of
board-certification testing. Scoring above 80% predicts first-attempt success, helping learners
pinpoint weaknesses and master essential concepts with confidence.
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Answer Format
All questions are presented in bold for clarity.
Correct answers appear in bold green, followed by a concise, clinically focused rationale in italic,
emphasizing:
✔ Advanced clinical reasoning
✔ Diagnostic accuracy
✔ Pharmacologic relevance
✔ Provider-level judgment
This format reinforces the decision-making skills required to excel on predictor exams and certification
boards.
When should pediatrics be screened for
hyperlipidemia?
between 9 and 11 years old
What is the tell-tale symptom of endometriosis? progressive dysmenorrhea
What is treatment for first-line endometriosis? cyclic OCPs and NSAIDs
How is endometriosis diagnosed? via transvaginal ultrasound
What are risk factors for the development of cervical
cancer?
HIV, immunocompromised, low socioeconomic status, smoking, hispanic,
DES daughters, long term contraceptive use
What does the D in melanoma stand for? greater than 6mm in diameter or 1/4 of an inch
Boutonniere deformities are indicative of what
disease?
rheumatoid arthritis
What are the potassium sparing diuretics? spironolactone, triamterene, amiloride, eplenerone
What class of diuretic is bumetanide? a loop diuretic, same as lasix
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What is Chovstek's sign? a contraction of ipsilateral facial muscles subsequent to percussion over
the facial nerve, indicative of hypocalcemia
What is Trousseau's sign? a carpopedal spasm induced by ischemia secondary to the inflation of a
sphygmomanometer cuff, indicative of hypocalcemia
Calcium is in an inverse relationship with what
electrolyte?
phosphorous
When you see the trigger word "christmas tree", what
rash should you consider?
pityriasis rosea
What is the recommended treatment for pityriasis
rosea?
nothing; it is a viral rash and can last up to two months before clearing on
it's own
Causing harm or damage deleterious
How do you calculate ideal body weight for men? start at 106 pounds and then add 6 for every inch above 5 feet
How is lichen sclerosus treated? topical steroids, topical calcineuronin inhibitors to suppress the immune
system, topical or oral retinoids, phototherapy
What is the tell-tale sign of malignant hypertension? retinopathy and blurred vision; characterized by a diastolic BP of greater
than 130
What is the difference between a Parkinsonian tremor and a Parkinson tremor is also known as a resting tremor and is seen at
rest, may look an essential tremor? like pill-rolling. an essential tremor is bilateral, symmetric and seen when
the hands are doing something
What can worsen and improve an essential tremor? worsened by stress or fatigue, improved by alcohol
What is first-line treatment for trigeminal neuralgia? carbamazepine (tegretol) or amtriptyline
Are Parkinsonian tremors unilateral or bilateral at
first?
unilateral
Where is the TMJ best palpated? anterior to the tragus
What are the primary bacteria in dog bites? staph, strep, and pasteurella
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What is the gold standard treatment of giant cell
arteritis?
oral steroids and potential artery biopsy by rheum
Who is a candidate for Truvada for Prep? 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
Post exposure prophylaxis for someone with HIV
should be completed when?
within 72 hours of the exposure
Who should be screened for HIV? everyone at least once from age 13-64 if low risk, and then more
frequently if high risk
Should patients undergo gonorrhea testing to
confirm a cure after receiving treatment?
only if they had pharyngeal gonorrhea, not vaginal or anal
Tanner stage 1 female breast developmental prepubertal
Tanner stage 2 female breast development thelarche; the breasts bud as a small mound and the areola increases in
diameter
Tanner stage 3 female breast development the areola, breast, and nipple grow together in one mount
Tanner stage 4 female breast development the areola and nipple separate from the breast to form a secondary mound
Tanner stage 5 female breast development mature nipples project only
Tanner stage 1 male genital development prepubertal
Tanner stage 2 male genital development testicles and scrotum enlarge
Tanner stage 3 male genital development testicles continue to enlarge and the penis lengthens
Tanner stage 4 male genital development penis lengthens, testicles enlarge, and the scrotum darkens
Tanner stage 5 male genital development mature
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Antibiotic of choice for lyme disease doxycycline
Antibiotic of choice for cellulitis keflex or cefdinir
Antibiotic of choice for chlamydia azithromycin
Antibiotic of choice for syphilis penicillin G
Antibiotic of choice for bacterial vaginosis flagyl
Antibiotic of choice for trichomoniasis flagyl
Antibiotic of choice for acute prostatitis cipro (or ceftriaxone if STI related)
Antibiotic of choice for PID ceftriaxone and doxycycline
Antibiotic of choice for pyelonephritis cephalexin or bactrim
Antibiotic of choice for MRSA bactrim, clindamycin, doxycycline
Antibiotic of choice for dog or cat bite augmentin
Antibiotic of choice for mastitis keflex
Antibiotic of choice for chronic bacterial prostatitis bactrim plus cipro or levo
What is the earliest sign of diabetic nephropathy on
labwork?
microalbuminuria in the urine
Recommended treatment for verruca (warts) topical salicylic acid daily x 12 weeks
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Perineal pain is indicative of what in males? prostatitis