APEA QBank AANP Review Latest 2022

Gestational diabetes screening occurs between what weeks gestation? Correct answer- 24-48

When you ask the patient to take a deep breath in and then palpate over the RUQ
abdomen. Positive when pain is elicited. This is a sign of . Correct
answer- Murphy's sign; cholecystitis

What are names of LABA medications? Correct answer- salmeterol

What is encopresis in children? Correct answer- stool incontinence after the age of being toilet traine

The medical term for being cross-eyed Correct answer- strabismus

What is atopic dermatitis? Correct answer- eczema

Tests used to diagnose developmental hip dysplasia Correct answer- Barlow and Ortolani maneuver

What is the female athlete triad? Correct answer- disordered eating, amenorrhea, osteoporosis

How do patients with aortic regurgitation typically present? Correct answer- they will have a long asy

What does the rash of fifth disease (a viral exanthem) look like? Correct answer-
maculopapular rash that blanches easily and may be accompanied by joint aches

What cardiac abnormalities are expected to be heard on auscultation of a pregnant patient? Correct

When a headache accompanies a stroke, is this most often hemorrhagic or ischemic? Correct answe

AV nicking is most commonly seen on retinal exam of which chronic condition? Correct answer- hype

Within 6 months of being started on a TCA or SSRI, what is a common side effect that occurs? Corre
When does otitis media with effusion usually occur? Correct answer- either before or
after an episode of acute otitis media. This effusion is not infected fluid but it is
considered a breeding ground for bacteria. This should not be treated with antibiotics.

The medical term for jock itch Correct answer- tinea cruris

Tinea cruris "jock itch" is a common infection and should be treated with
what? Correct answer- fungal; OTC antifungal cream

What are teaching points for males to avoid contracting tinea cruris? Correct answer- dry off after sw

Tinea cruris can affect the inner thighs but never what else? Correct answer- the penis or scrotum

On microscopic exam, what is most likely to be seen in the presence of a bacterial infection? Correct

On microscopic exam, what is most likely to be seen in the presence of a candidal infection? Correct

What are dermatophytes? Correct answer- fungi

On microscopic exam, what is most likely to be seen in the presence of a dermatophytic (fungal) infe

The medical term for ringworm Correct answer- tinea corporis

What is the most common cause of viral pneumonia in peds? Correct answer- RSV

Viral pneumonia is the most common type of pneumonia in children of what ages? Correct answer- 6

What is the simplest way to screen for nutritional adequacy in older adults? Correct answer- measure

How are scabies treated? Correct answer- via permethrin and good hygiene

What are common side effects of NSAIDs? Correct answer- renal impairment, acute renal failure, ga

What is the most common cause of pernicious anemias? Correct answer- vitamin B12 deficiency
How should oral iron supplements be taken? Correct answer- on an empty stomach with something

Group A strep pharyngitis can be accompanied by what symptoms other than the classic Centor crite

A stool specimen that is positive for WBCs is a sign of what? Correct answer- a viral or bacterial infe

The only type of incontinence that would not benefit from pelvic floor therapy is what? Correct answe

What do the skin manifestations of a penicillin allergy look like? Correct answer- hives

What are symptoms that someone will experience as soon as they are started on a SSRI and when w

What causes the dry cough in people taking an ACEI? Correct answer- the buildup of bradykinin whi

ACEI induced coughs usually begin how soon after starting the medication? Correct answer- within 2

COPD is often associated with what sequelae? Correct answer- anxiety and depression

When should an antiviral be started in a patient with shingles? Correct answer- within 72 hours of the

What is the drug of choice for treating UTIs in male patients? Correct answer- bactrim for 7-10 days

What is the leading cause of CKD and ESRD in the united states? Correct answer- diabetes

What is the usual recommendation about administering MMR and varicella immunizations? Correct a

What are the classic symptoms of an atopic pregnancy? Correct answer- amenorrhea, vaginal bleed

What is sideroblastic anemia? Correct answer- when the bone marrow is unable to incorporate iron i

Can a pregnant woman get the MMR vaccine while pregnant? Correct answer- yes
 Why are the carotid arteries auscultated for bruits? Correct answer- this is indicative of generalized a

What is roseola? Correct answer- a viral exanthem characterized by a high fever for 3
days then abrupt stopping of the fever and a maculopapular rash that blanches. also
known as exanthem subitum.

What are signs indicative of a meningitis infection? Correct answer- Kernig and Brudzinski's signs

Cancer in the bone marrow that results in skeletal destruction Correct answer- multiple myeloma

What is the average age of diagnosis of multiple myeloma? Correct answer- 65

a skin disorder that causes the nose to enlarge and become red, bumpy, and bulbous Correct answe

What are physical exam findings common in alcohol abuse? Correct answer- tremors,
macrocytosis (due to vitamin B12 and folate deficiencies common in alcoholics),
hypertension, rhinophyma, peripheral neuropathy, teleangectasia, hepatosplenomegaly

What is the first sign of sexual maturation in a male? Correct answer- an increase in testicular size (t

The inability to name a familiar object Correct answer- anomia

What happens to a womans vital signs when she is in her second trimester of pregnancy? Correct an

What is the most common cause of acute pharyngitis in children? Correct answer- respiratory viruse

A depressed patient is started on an SSRI. When should another antidepressant be tried if there is n

If the number of bacteria on a urinalysis are greater than , this

is indicative of a UTI. Correct answer- 100,000

What are signs of a ruptured TM other than the obviously ruptured TM? Correct answer- muffled hea

Osgood Schlatter disease produces pain where? Correct answer- in the knees

Growing pains usually occur when? Correct answer- at nighttime

 Children with complaints of midbone pain should be worked for what MNM differential? Correct answ

NSAIDs should be used in caution with what patient population? Correct answer- anyone with hypert

What is the most common cause of secondary dysmenorrhea? Correct answer- endometriosis; symp

When should AAA screening be performed via US? Correct answer- once for all males age 65-75 wh

What is responsible for the transmission of poison ivy? Correct answer- the oils from the
plant itself. So the only way someone can pass it on to another person is if they still
have oil from the plant on their skin (like if they haven't bathed). Note that the fluid inside
the blisters is not contagious

Actinic keratosis is a precursor for what? Correct answer- squamos cell carcinoma

What is papilledema? Correct answer- swelling of the optic nerve and disc secondary to increased IC

Is sexual activity safe during pregnancy? Correct answer- it can expose someone to
STDs and it can also stimulate preterm labor due to stimulation of the lower uterine
segment and release of oxtocin

A report of "knee locking" is a classic complaint of what? Correct answer- a meniscal tear

Can a pregnant woman be on levothyroxine during pregnancy? Correct answer- yes, she should con

What characterizes mild persistent asthma? Correct answer- asthma where symptoms occur more th

People who do not have a spleen (asplenic) are at a greater risk of what? Correct answer- more sus

What 2 things put someone at the highest risk of developing pancreatitis? Correct answer- gallstones
 What are the RF for GI bleeding? Correct answer- age 75 or older, warfarin use, daily NSAID use, ch

When two or more RF for a GI bleed are present, we should not start a patient on aspirin without wha

What medication is first line for the treatment of asymptomatic bacteriuria or UTI in pregnancy? Corre

Athletic amenorrhea increases one's risk of developing what? Correct answer- osteoporosis; this is b

An intervention being performed to prevent the occurrence of the same event

happening again is an example of prevention. Give an example. Correct
answer- secondary; taking a daily aspirin to prevent another stroke after already having
one

What is Strattera (atomoxetine) used for? Correct answer- ADHD; side effect includes increased BP

What is the drug Danazol and what is it used for? Correct answer- an androgen used in the treatmen

Danazol, an androgen, has what potential side effects? Correct answer- edema, hirsutism, hair loss,

The Mirena (Levonorgestrol) IUD stays in for how long? Correct answer- 5 years

What is the most common reason for persistent gonorrhea infections? Correct answer- failure of the

What class of drug is theophylline? What does it do? Correct answer- methylxanthine; it's a bronchod

Beta blockers are contraindicated in which cardiovascular condition? Correct answer- variant (prinzm

What class of drug is Ropinirole (requip) and what is it used for? Correct answer- dopamine agonist;

Are males or females more likely to commit suicide? Correct answer- males
 How do depression vs. anxiety differ in the way that they affect sleep? Correct answer- anxiety usua

What is the most common cause of pneumonia in all ages? Correct answer- strep pneumo

What is the most common cause of hemorrhagic stroke? Correct answer- hypertension

What helps prevent infection by maintaining the acidic environment of the ear canal? Correct answer

Mortality associated with Kawasaki disease is most likely related to what? Correct answer- coronary

What is Kawasaki disease? Correct answer- an acute febrile illness of early childhood characterized

Serial echos must be performed in a patient with Kawasaki disease in order to rule out
coronary artery aneurysms. When should these occur? Correct answer- at the time of
diagnosis, 1-2 weeks after onset of illness, 5-6 weeks after onset of illness

What is the most common cause of croup? Correct answer- parainfluenza virus

What are the two subsets of impetigo? Correct answer- bullous (fluid filled) or nonbullous (honey cru

Which protein is an important mediator of the inflammatory response and serves as a

messenger at the site of antigen (allergen) invasion? Correct answer- cytokines; they
are released by mast cells in response to an invading antigen and recruit leukocytes
and eosinophils

Paroxysmal events associated with abnormal electrical discharges of neurons in the brain Correct an

What is HELLP syndrome in pregnancy? Correct answer- stands for hemolysis, elevated liver enzym

HELLP syndrome in pregnancy is due to what? Correct answer- endothelial dysfunction

Patients with acute coronary syndrome typically have plaque erosion caused by what? Correct answ
Which diagnostic study is most helpful for differentiating Alzheimer's disease from dementia with Lew

ADHD is a risk factor for both depression and what else? Correct answer- substance abuse

Epididymitis with orchitis is commonly related to what? Correct answer- genitourinary infections

Mycoplasma genitalium is most commonly associated with which disease presentation in men? Corr

C. trachomatis stands for what common type of bacteria infection? Correct answer- chlamydia

Chlamydia passed from a mother to a newborn can result in which problems for the newborn? Corre

In a patient with patent ductus arteriosus, where is the murmur best heard? Correct answer- localize

What is the ductus arteriosus? Correct answer- provides the fetus with a pathway from the pulmonar

What are examples of some conditions that have multifactorial inheritance? Correct answer- diabete

Seborrheic dermatitis is basically the same thing as what? Correct answer- eczema of the scalp

The flow of air coming in and out of the lungs in one inhalation and one exhalation Correct answer- p

What does an incentive spirometer measure? Correct answer- peak expiratory flow

What happens in the luteal phase of the menstrual cycle? Correct answer- LH and FSH decrease, th

What is a sign of the initial appearance of measurable histamines in a patient with allergic rhinitis? C

The bacteria responsible for syphilis is called what? Correct answer- treponema pallidum
 The STI, chancroid, is caused by what responsible bacteria? Correct answer- haemophilus ducreyi

What is the most common cause of septic arthritis? Correct answer- staph aureus

The STI, mycoplasma genitalium, is unique in what way? Correct answer- it lacks a cell wall and has

What are the 3 secondary causes of type 2 diabetes? Correct answer- prolonged physical or emotion

How does hyperinsulinemia in PCOS work? Correct answer- insulin resistance occurs in all places e

Which drug classes are responsible for causing urinary retention? Correct answer-
antihistamines, TCAs, antispasmodics, bronchodilators, antipsychotics, carbidopa
levodopa

A 75 year old patient is experiencing progressive confusion and memory deterioration. Which conditi

Which hormones in late pregnancy can block insulin and cause gestational diabetes? Correct answe

Target shaped skin lesions as a result of a hypersensitivity reaction to certain infections and drugs C

An abnormal growth of squamos epithelium in the middle ear and mastoid Correct answer- cholestea

The cremasteric reflex is assessed in infants for what purpose? Correct answer- to assess for retract

Patient populations who may present atypically when having a MI include who? Correct answer- diab

A disorder that results in the destruction of platelets due to an autoimmune response Correct answer
Pelvic inflammatory disease is most commonly caused by what? Correct answer- chlamydia and gon

A protruding abdominal mass after bending over, lifting, or coughing, and is painful with coughing, is

Hiatal hernias cause what type of symptoms? Correct answer- GERD

What is the name of an immature female gamete? Correct answer- oocyte

The fused ovum and sperm once fertilization has occurred Correct answer- zygote

What are conditions that are often co-occurring with alopecia areata? Correct answer-
atopic dermatitis, vitiligo, thyroid disease, collagen-vascular diseases, Down syndrome

The medical term for eczema Correct answer- atopic dermatitis

The leading cause of death in infants under the age of 1 Correct answer- sudden unexplained infant

How is varicella zoster transmitted? Correct answer- via the respiratory tract

The presence of pruritic papules, macules, and vesicles in various stages of healing Correct answer-

What is presbycusis? Correct answer- age related hearing loss

Age is the most common cause of presbycusis, but what other conditions may play a role in quickeni

The fascia layer of the male anatomy that the anterior 2/3s of the testicle resides in Correct answer-

A subtype of strabismus that describes an inward turning of the eye Correct answer- esotropia

The abducens nerve (CN VI) is responsible for what? Correct answer- lateral movement of the eye o

The trochlear nerve is responsible for what extraocular movement? Correct answer- down and inwar

Why is primary open-angle glaucoma considered a chronic glaucoma? Correct answer- there is a SL
A benign epidermal tumor that is a well-demarcated, coin-like, pigmented lesion with a stuck on appe

The most common precancerous skin lesion that results from years of repeated sun exposure Correc

What happens during the follicular phase of the menstrual cycle? Correct answer- FSH and LH incre

A superficial dermatophyte/fungal infection of the skin of the scalp, eyebrows, and eyelashes Correc

Bacterial invasion of the renal parenchyma Correct answer- pyelonephritis

What is phimosis vs. paraphimosis? Correct answer- phimosis is tightening of the foreskin over the g

What is a common characteristic of a person with Graves disease? Correct answer- ophthalmopathy

Which phase of the menstrual cycle begins with a surge in LH and FSH? Correct answer- ovulatory p

What is the pathophys of HIV? Correct answer- causes destruction of the CD4 T cells resulting in ev

Cells within the epidermis that are primarily responsible for protecting the skin from UV rays in sunlig

Body lice primarily live where? Correct answer- on bedding and clothing, not people

Body lice are vectors for which diseases? Correct answer- epidemic typhus, trench fever, relapsing f

Fifth disease is spread via how? Correct answer- respiratory droplets

What are other names of fifth disease? Correct answer- parvovirus, slapped cheek disease

What is the life span of lice? Correct answer- 30 days

The hypersensitivity and pain crescendo experienced in conjunction with a migraine is thought to be
 neurotransmitter which functions as the pain transmitter of the dorsal horn and is responsible for cau

Where is the location of the tricuspid valve? Correct answer- separates the right atrium and ventricle

What does a tricuspid regurgitation murmur sound like? Correct answer- best heard at the left sterna

When can you hear the murmur associated with pulmonic stenosis? Correct answer- mid-late systoli

When can you hear the murmur associated with aortic regurg? Correct answer- diastole only

When can you hear the murmur associated with mitral valve stenosis? Correct answer- diastole only

What EKG changes may be present during episodes of angina? Correct answer- transient ST elevat

Children and teens present with depression most commonly how? Correct answer- irritability

Are the sickling of RBCS in sickle cell anemia reversible? Correct answer- initially, yes they are reve

When the brain is exposed to something rewarding, it responds by increasing the release of what? C

Where are T cells produced? Correct answer- in the thymus

Where are B cells produced? Correct answer- in the bone marrow

What is the pathophys behind a thyrotoxic crisis (aka thyroid storm)? Correct answer-
T3 and T4 are overproduced which leads to increased production of epinephrine and
severe hypermetabolism

What causes a reduction in the number of RBCs in pregnancy? Correct answer- iron deficiency anem

When should the ductus arteriosus close in an infant? Correct answer- within the first 1- 2 days of bi
The minimum arterial pressure exerted during relaxation and dilation of the ventricles Correct answe

Lyme disease is caused by what spirochete present on ticks? Correct answer- borrelia burgdorfei

What are the potential sequelae of strep pharyngitis? Correct answer- acute glomerulonephritis, peri

The medical term for pubic lice aka crabs Correct answer- phthirus pubis

Petechiae noted on the cervix during a pelvic exam is a sign of what disease process? Correct answ

What is the difference between a folliculitis and a furuncle? Correct answer- folliculitis is an inflamma

Urea is eliminated by the kidneys, but where does it come from originally? Correct answer- from the

What are the 5 primary structures of the immune system? Correct answer- lymph nodes, thymus, ton

Bacteria most commonly responsible for pyelonephritis Correct answer- e coli

What causes back pain in pregnancy? Correct answer- curvature of the lumbosacral vertebrae

What is dacrocystitis? Correct answer- inflammation of the nasolacrimal duct due to duct obstruction

What are potential causes of blepharitis? Correct answer- bacterial infection, dry eyes, rosacea

What are s/s of croup? Correct answer- hoarseness, cough, inspiratory stridor, possible respiratory d

Women who become pregnant later in life have an increased risk of what? Correct answer- breast ca

What are things women can do to decrease their risk of breast cancer? Correct answer- regular phys
Does an increase or decrease in blood pH affect the rate and degree of sickling in sickle cell anemia

What is the difference between Prinzmetals and stable (classic angina)? Correct answer- Prinzmetal

Why may infection of the palatine tonsils become serious very quickly? Correct answer- the area is c

What are cutaneous xanthomas? Correct answer- localized lipid deposits caused by elevated lipids o

Uterine prolpase is caused by stretching of the uterine Correct answer-

ligaments

What causes bacterial vaginosis? Correct answer- a decrease in lactobacillus species within the vag

Where is acanthosis nigricans most likely to occur? Correct answer- axillae, neck, groin

What causes subjective tinnitus? Correct answer- abnormal neuronal activity

HIV produces cellular immunity deficiency by depleting what? Correct answer- helper T cells

What is the function of B cells in the immune system? Correct answer- development of antibodies

When does the male fetus begin to produce testosterone and how? Correct answer- around 9 weeks

What is the pathophys of Addison's disease? Correct answer- causes decreased or absent aldostero

What is the most serious complication of Addison's disease? Correct answer- acute adrenal insufficie

What are the 4 heart defects of Tetralogy of Fallot? Correct answer- VSD, right ventricular hypertrop

What are the s/s of Kawasaki disease? Correct answer- think CREAM; conjunctivitis, rash, erythema
 A palpable softening of the cervical isthmus during pregnancy Correct answer- Hegar's sign

A bluish tint to the vagina and cervix due to increased vascularity during pregnancy Correct answer-

What is Paget's disease? Correct answer- where there is abnormal bone destruction or growth of bo

Does Meniere's disease result in hearing loss? Correct answer- yes, gradual but progressive sensor

What is another term for chronic bladder pain syndrome? Correct answer- interstitial cystitis

What classifies someone as having "prediabetes"? Correct answer- hgba1c between

5.7 and 6.4

What classifies someone as having diabetes? Correct answer- hgba1c 6.5 or greater

A reduction in vision in one or both eyes causing loss of binocular vision Correct answer- amblyopia

What is Brudzinski's sign? Correct answer- the patient lies supine and the NP flexes the patients nec

A child presents with erythematous papules and vesicles, that are weeping, oozing, and crusty. They

In older adults, what is an audible S3 sound usually a sign of? Correct answer- left ventricular hypert

How is cervical radiculopathy different from cervical myelopathy? Correct answer- in

radiculopathy, there is nerve root compression that results in burning pain and n/t in the
neck and one arm. In myelopathy, there is pain with bilateral weakness and n/t in both
the upper and lower extremities

Other than scratching the medial aspect of the thigh, how else can we elicit the cremasteric reflex in

What is the Lachman's test and what does it identify? Correct answer- used to assess for ACL tear; t
 stabilizes the femur while the other applies a gentle anterior force to the proximal tibia. If it moves be

When should the testicles fully descend into the scrotum by in an infant? Correct
answer- 6 months of age. If not descended by this time, then refer to Urology at 6
months although surgical correction (orchipexy) may not be performed until 1 year

What is another name for the moro reflex? Correct answer- the startle reflex; both arms should exten

If a moro reflex in an infant is only positive in one arm, then what do you need to consider? Correct a

Which model is used to designate risk factors for melanoma? Correct answer- think HARMM; history

What is a sign of an ankle fracture on physical exam? Correct answer- point tenderness over the pos

What is an acoustic neuroma? Correct answer- something pressing, likely a tumor, on

the acoustic nerve that results in dizziness, loss of balance, facial numbness, hearing
loss, and tinnitus

The axillary lymph nodes drain lymphatic fluid from where? Correct answer- breast, upper abdomen,

International travelers to endemic areas are at a risk for what form of hepatitis? Correct answer- hep

Adrenarche is the early presence of pubic hair in girls aged Correct

answer- 5-8 years old

A condition that presents with symptomatic limb ischemia upon exertion is termed: Correct answer- a

The largest salivary gland is the parotid gland, and where does it drain to? Correct
answer- Stensen's duct which has an opening on the buccal mucosa opposite the
second molar

The varus stress test assesses for a tear in which part of the lower extremities? Correct answer- late

The valgus stress test assesses for a tear in which part of the lower extremities? Correct answer- me
To evaluate the uterus during a bimanual exam, the examiner would lubricate the index
and middle fingers of one hand and insert them into the vagina. The other hand would
be placed on the abdomen where? Correct answer- about midway betwee the umbilicus
and symphysis pubis while elevating the cervix and uterus with the other hand

A feeling of constantly needing to pass stool Correct answer- tenesmus

Severe constipation resulting from intestinal obstruction Correct answer- obstipation

What does the vaginal discharge associated with trich look like? Correct answer- profuse, yellowish g

What does the discharge associated with bacterial vaginosis look like? Correct answer- gray or white

The nurse practitioner instructs the patient to place on hand behind his back and touch his shoulder

How do we test for flexion and extension of the shoulder? Correct answer- extension is asking the pa

Symptoms related to Shaken Baby Syndrome are due to what? Correct answer- uncontrollable cereb

What are the symptoms of Shaken Baby Syndrome? Correct answer- blindness, inability to perform

Koplik's spots are indicative of what disease? Correct answer- measles (rubeola)

The medical term for measles Correct answer- rubeola

What do Koplik's spots of measles look like? Correct answer- small white specks that resemble grain

Round or oval shaped lesions surrounded by erythematous mucosa found anywhere on the oral muc

Excessive or prolonged menstrual flow occurring at regular intervals Correct answer- menorrhagia

Intermenstrual bleeding (aka spotting in between periods) Correct answer- metrorrhagia

Polymenorrhea is when there are fewer than between periods Correct

answer- 21 days
 Oligomenorrhea is when there are more than between periods; or only 4-9
menstrual cycles per year Correct answer- 35 days

Retraction of the nipple and areola are suggestive of what? Correct answer- an underlying breast ma

What is the straight leg raise test? Correct answer- used to evaluate for sciatica; the NP
raises the straight leg while flexing the hip and then dorsiflexes the foot. Positive if pain
is elicited.

What is Tinel's sign? Correct answer- positive for carpal tunnel; the NP taps over the median nerve a

What is Phalen's sign? Correct answer- positive for carpal tunnel; patient holds their wrists together t

Test used to identify de Quervain's tenosynovitis Correct answer- Finkelsteins test

Test of thumb movement by instructing the patient to place his thumb in the palm and then move the

What does the murmur associated with mitral regurg sound like? Correct answer- pansystolic, harsh

When auscultating the apex of the heart in a child older than 7, the bell of the stethoscope should be

What is the main sign of Kaposi's sarcoma? Correct answer- raised or flat deep purple lesions in the

Where do lesions of Kaposi's sarcoma usually manifest? Correct answer- in the mouth, GI tract, or lu

A patient is experiencing a dull achy pain in the epigastric area with eating. This type of pain is consi

How is the pain of a gastric ulcer vs. a duodenal ulcer different? Correct answer- the pain is worsene

What are s/s of glaucoma? Correct answer- loss of peripheral vision, halos around lights, difficulty fo
Higher level functioning, such as using the telephone, doing laundry, taking medicine, etc. are consid

An inability to extend the knee is a sign of what? Correct answer- a partial or complete patellar tendo

Which part of the spine controls the ankle DTRs? Correct answer- sacral nerve 1

Which part of the spine controls the knee DTRs? Correct answer- lumbar nerves 2, 3, 4

Which part of the spine controls the biceps DTRs? Correct answer- cervical nerves 5 and 6

Which part of the spine controls the triceps DTRs? Correct answer- cervical nerves 6 and 7

What are s/s of carpal tunnel syndrome? Correct answer- dropping objects, unable to twist lids off of

Which movement indicates a nuchal rigidity sign when working a patient up for meningitis? Correct a

What is Kernig's sign? Correct answer- flex the patients leg at both the hip and the knee, then straigh

A patient who is unable to touch his left scapula with his right hand likely has what? Correct answer-

A widened pulse pressure greater than or equal to 60 in an older adult is a risk factor for what? Corre

The ethmoidal sinuses are located where? Correct answer- between the eyes

Where do the sphenoid sinuses lie? Correct answer- just behind the ethmoid sinuses

Where do the maxillary sinuses lie? Correct answer- around the nasal cavity

What describes a stage III pressure ulcer? Correct answer- full thickness tissue loss
and subcutanous fat may be present, but bone, tendon, or muscle are not exposed
Dislocation of the elbow joint caused by the sudden pull on the extended pronated forearm Correct a

Localized tenderness over the ankle joint is a sign of what? Correct answer- a ligamentous injury; po

Describe renal adaptation of the newborn Correct answer- the kidneys are structurally complete but p

Where is the best place to locate the twelfth rib? Correct answer- between the spine and lateral ches

What is biliary colic? Correct answer- pain in the epigastric region or RUQ that radiates to the right s

Costochondritis occurs when there is inflammation of the cartilage where? Correct answer- that conn

What aggravates costochondritis? Correct answer- movement of the chest, trunk, and arms

Which segments of the spine control the plantar reflexes? Correct answer- lumbar 5 and sacral 1

A softening of the skin at the angles of the mouth which may be due to nutritional deficiency Correct

Angular cheilitis can be caused by what? Correct answer- nutritional deficiency

What causes actinic cheilitis? Correct answer- excessive exposure to sunlight; most often affects the

Intention tremors appear with movement and worsen when? Correct answer- as the target gets close

Nausea, diaphoresis, and pallor triggered by a fearful or unpleasant event Correct answer- vasovaga

Which conditions are known to cause polyuria? Correct answer- lithium toxicity, uncontrolled diabete
Breath sounds heard over the periphery of the lung fields are what? Correct answer- vesicular; they

What do bronchovesicular breath sounds sound like? Correct answer- full inspiratory phase with a sh

Thenar atrophy suggests what? Correct answer- a median nerve disorder

Does the ulnar nerve innervate the pinky or the thumb? Correct answer- pinky

The pregnant woman who has a BMI of less than 18.5 should gain how many pounds in pregnancy?

The pregnant woman who has a BMI of 18.5-24.9 (normal) should gain how many pounds in pregnan

The pregnant woman who has a BMI of 25-29.9 (overweight) should gain how many pounds in pregn

The pregnant woman with a BMI over 30 should gain how many pounds in pregnancy? Correct answ

A BMI of less than is considered underweight Correct answer- 18.5

The term used to refer to skin that is peeling Correct answer- exfoliation

What will a basal cell carcinoma on the eyelid look like? Correct answer- papule with an ulcerated ce

What is Rovsing's sign? Correct answer- positive for appendicitis; palpation on the LLQ elicits pain in

What causes plantar warts? Correct answer- human papillomavirus; usually occur on the sole of the

In second degree uterine prolapse, where is the cervix located? Correct answer- at the introitus

In third degree uterine prolapse, where is the cervix located? Correct answer- both the cervix and va

The anterior cervical lymph node chain is located where? Correct answer- anterior and superficial to

How do we diagnose a migraine headache? Correct answer- if 3 of the 5 POUND

symptoms are present: pulsatile or throbbing, one day duration or 4-72 hours if left
 untreated, unilateral, nausea or vomiting, disabiling or intense causing interruption of daily activity

What causes the S4 sound? Correct answer- the atrium forcefully contracting against a stiffened ven

During the vaginal exam of a pregnant woman in her first trimester, an adnexal mass with tendernes

Stridor indicates a partial or complete obstruction of the and is best heard

where? Correct answer- larynx; neck

When assessing an african american person, black, dusky mucous membranes are related to what C

Persistent, sharp, and knife-like chest pain is indicative of what? Correct answer- pericarditis or pleur

Thin, pencil-like stool can be associated with what? Correct answer- a lesion in the sigmoid colon

An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is suggesti

The shiny, pink area located around the cervical os is known as what? Correct answer- squamos ep

Tenderness of the posterior medial malleolus may be a sign of what? Correct answer- tibial tendinitis

When performing a rectal exam on a female, a hard nodular rectal "shelf" is palpable at
the tip of the examiner's finger. What is this suggestive of? Correct answer- metastatic
tissue in the rectouterine pouch