APEA APEA Clinical Assessment Skills Questions and Answers

Question 1

A 58-year-old patient presents with sudden onset chest pain radiating to the jaw. Which initial assessment finding most strongly supports acute myocardial infarction?

Accepted Answer

Diaphoresis and nausea

Answer

Pleuritic chest pain worse with inspiration

Answer

Sharp pain relieved by leaning forward

Answer

Pain reproduced by palpation

Question 2

During a fundoscopic exam, you note arteriovenous nicking. This finding is most consistent with which condition?

Accepted Answer

Chronic hypertension

Answer

Diabetic retinopathy

Answer

Glaucoma

Answer

Papilledema

Question 3

A patient has a positive McMurray test during knee assessment. Which structure is most likely injured?

Accepted Answer

Meniscus

Answer

Anterior cruciate ligament

Answer

Medial collateral ligament

Answer

Patellar tendon

Question 4

When assessing a patient for appendicitis, which sign involves pain at McBurney's point with rebound tenderness?

Accepted Answer

Blumberg sign

Answer

Rovsing sign

Answer

Psoas sign

Answer

Obturator sign

Question 5

Which cranial nerve is assessed when the NP tests the patient's ability to identify familiar odors?

Accepted Answer

Cranial nerve I

Answer

Cranial nerve II

Answer

Cranial nerve V

Answer

Cranial nerve VII

Question 6

A 45-year-old presents with a thyroid nodule. Which physical exam characteristic most warrants urgent referral for possible malignancy?

Accepted Answer

Hard, fixed, non-tender nodule

Answer

Soft, mobile, tender nodule

Answer

Diffusely enlarged smooth gland

Answer

Multiple small bilateral nodules