APEA APEA Differential Diagnosis Questions and Answers 2

Question 1

A 68-year-old presents with sudden painless monocular vision loss described as a 'curtain coming down.' The priority diagnosis is:

Accepted Answer

Retinal detachment

Answer

Acute angle-closure glaucoma

Answer

Central retinal artery occlusion

Answer

Vitreous hemorrhage

Question 2

A patient presents with burning epigastric pain relieved by eating, nocturnal awakening with pain, and melena. The most likely diagnosis is:

Accepted Answer

Duodenal ulcer

Answer

Gastric ulcer

Answer

GERD

Answer

Gastritis

Question 3

A 25-year-old woman presents with dysmenorrhea, dyspareunia, and infertility. Which diagnosis should be investigated?

Accepted Answer

Endometriosis

Answer

Polycystic ovary syndrome

Answer

Uterine fibroids

Answer

Pelvic inflammatory disease

Question 4

A patient with known atrial fibrillation suddenly develops right arm weakness and expressive aphasia. The NP recognizes this as:

Accepted Answer

Cardioembolic stroke

Answer

Lacunar infarct

Answer

Hemorrhagic stroke

Answer

TIA

Question 5

An 18-year-old presents with pharyngitis, cervical lymphadenopathy, and splenomegaly. The most likely diagnosis is:

Accepted Answer

Infectious mononucleosis

Answer

Streptococcal pharyngitis

Answer

Lymphoma

Answer

Tonsil abscess

Question 6

A 72-year-old man with known BPH presents with inability to void, severe lower abdominal pain, and a palpable suprapubic mass. The diagnosis is:

Accepted Answer

Acute urinary retention

Answer

Bladder cancer

Answer

Renal calculus

Answer

Cystitis