APEA 3P Exam all questions answered 100% correct

APEA 3P Exam all questions answered 100% correct Which headache sign does not warrant an immediate investigation ✔✔ Relieved with use of common analgesics During a migraine what happens to the cerebral arteries? ✔✔ th ...

APEA 3P Exam all questions answered 100% correct Which headache sign does not warrant an immediate investigation ✔✔ Relieved with use of common analgesics During a migraine what happens to the cerebral arteries? ✔✔ they dilate You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe mood swings, is easily distracted, and constantly corrects his teachers. You would have a high suspicion for bipolar if which symptom was present? ✔✔ he sleeps less than 4 hours nightly Which risk factor is not associated with breast cancer? ✔✔ low socioeconomic status A 26 year old woman with bulimia is likely to be: ✔✔ of average weight What medication is used to relieve acute wheezing in a patient with asthma? ✔✔ short acting beta agonist You are evaluating an 80 year old patient for recent episodes of incontinence and confusion. His family states that this is unusual for him and he has become increasingly forgetful over the past two weeks. Which medication might be responsible for this? ✔✔ Tagamet (cimetidine) What suggests hyperandrogenism in an adolescent female? ✔✔ hirsutism Which is a synovial joint? ✔✔ shoulder A 67 year old woman with atrial fibrillation and an ejection fraction of 48% is on digoxin and has had normal digoxin levels of 0.8 to 2 ng/dL for the past 9 months. Today, the level is 0.4 ng/dL. What could account for this change? ✔✔ regular use of an antacid Which medication is contraindicated in a child with acute sinusitis? ✔✔ nasal steroids Which best describes the lower extremity calf pain associated with peripheral artery disease? ✔✔ dull aching or cramping Jugular venous distention accompanied by chest pain is associated with: ✔✔ heart failure Which immunization protects against a virus that is transmitted through blood and body fluids and can lead to chronic liver disease? ✔✔ Hepatitis CA pediatric patient has areas of scaling on the scalp with round patches of hair loss. What is the likely diagnosis? ✔✔ tinea capitis Your 70 year old patient complains of a sore mouth that prevents her from eating. On exam you note a beefy red, glossy smooth tongue. What do you suspect? ✔✔ pernicious anemia due to insufficient intrinsic factor A 62 year old male presents with leg pain and occasional numbness that is worse with ambulation and improved with lumbar flexion. What is the likely diagnosis? ✔✔ spinal stenosis Which is not a typical symptom of late stage HIV? ✔✔ persistent vomiting A pregnant patient presents for her 16 week prenatal visit. Her blood pressure had reduced from 118/79 to 109/68. Whathemodynamic change is responsible for this? ✔✔ decrease in systemic vascular resistance Your 62 year old patient has been taking Griseofulvin 500 mg po BID for 3 weeks to treat tinea capitis and has only had marginal improvement. What is your next step? ✔✔ continue the current therapy for 6-8 weeks Rapid HIV testing would be most appropriate for a patient with complaints of: ✔✔ painful urination, dyspareunia, and penile or vaginal discharge What is a frequent side effect of SSRIs? ✔✔ sexual dysfunction You might suspect small bowel obstruction in a patient who complains of: ✔✔ vomiting and pain What finding would be suggestive of osteosarcoma in a pediatric patient? ✔✔ pain in the affected bone What clinical manifestation suggests primary syphilis? ✔✔ Chancre What medication is used first line for a patient with benign positional vertigo? ✔✔ meclizine Which symptom is most associated with testicular torsion? ✔✔ testicular pain A clinical breast exam should include palpation at the tail of Spence. Where is this located? ✔✔ laterally across the anterior axillary fold Which area does not drain to the right lymph duct? ✔✔ the right legWhich presentation is most suspicious for penile cancer? ✔✔ a nontender, indurated penile nodule What is important to consider before prescribing metronidazole for giardiasis? ✔✔ whether the patient drinks alcohol In which condition would the use of triptans for migraine headaches be contraindicated? ✔✔ hypertension Which is a true statement about varicose veins? ✔✔ They are more symptomatic during ovulation.