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APEA Predictor Exam Missed Questions and Answers

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Chief complaint: 52-year-old African American male presented to the office with chief complaint of voiding difficulty and pain. HPI: “I been having some dribbling and discomfort pain after peeing for some time now. I h ...

Chief complaint: 52-year-old African American male presented to the office with chief complaint of voiding difficulty and pain. HPI: “I been having some dribbling and discomfort pain after peeing for some time now. I have been going to the bathroom more often since I do not feel like I have finish peeing all the way. The reason I am here today is because last night, I noticed a small amount of blood in my semen after having intercourse with my wife. I did not want to come, but this is really scaring me and my wife said this is not normal.” Patient Medical History: Current treatment for diabetes, hyperlipidemia, hypertension, erectile dysfunction Childhood illnesses: Varicella, common cold Patient surgical history: Hernia repair Hospitalizations: None Immunization: Up to date on all vaccinations Allergies: NKDA Current medications: Metformin 500 mg BID daily, Atorvastatin 20mg at bedtime, Amlodipine 10 mg daily and Cialis 10mg PRN. Family History: Children are healthy. Mother has diabetes and cholesterol. Father has HTN, BHP, and hyperlipidemia. Brother: BPH, PGM: Deceased unknown causes and PGF: erectile dysfunction died at 73 from heart attack. Lifestyle: In monogamous married relationship with his wife of 20 years. The patient works at the local High school as a math teacher. Due to the COVID-19 quarantine, he has been working from home, lives a sedentary lifestyle, increase his weight and food intakes. PE: Height 5’11’, Weight 234 pounds Vital signs: BP 151/94, Temp. 97.8, P 86, Oxygen sat 99% on room air. General: African-America male. Alert, oriented, cooperative. Pt appears unease and changing positions in chair every couple of minutes. Skin: Skin warm, moist, intact. Skin color dark brown skin tone without cyanosis or pallor. HEENT: Head norno-cephalic. Hair thin coarse hair with a bald circular spot on back of head. Eyes: Sclera clear, conjunctive: white, PERRLA. EOMs intact with no AV nicking noted. Nose: Nares patent without exudate. Sinuses non-tender to palpation. Nasal septum without

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