APEA APEA Patient Management Questions and Answers 2

Question 1

A 3-year-old child presents with sudden onset inspiratory stridor, drooling, and a toxic appearance, sitting in a tripod position. The NP's priority action is:

Accepted Answer

Transfer immediately to ED without examining throat

Answer

Perform throat exam and obtain lateral neck X-ray

Answer

Administer nebulized racemic epinephrine

Answer

Obtain throat culture for strep

Question 2

A patient with acute deep vein thrombosis has no contraindications. Which anticoagulation management is preferred per current guidelines?

Accepted Answer

Direct oral anticoagulant (DOAC) as outpatient therapy

Answer

Inpatient IV heparin bridge to warfarin only

Answer

Low-molecular-weight heparin indefinitely

Answer

Aspirin for 3 months

Question 3

A postmenopausal woman presents with vaginal bleeding. The NP's first priority diagnostic step is:

Accepted Answer

Endometrial biopsy or transvaginal ultrasound

Answer

Pap smear

Answer

Serum estrogen level

Answer

Pelvic MRI

Question 4

A 6-month-old is brought in with a bulging anterior fontanelle, fever, and irritability. The NP's immediate priority is:

Accepted Answer

Transfer to ED for lumbar puncture and empiric antibiotics

Answer

Obtain CT scan before lumbar puncture in office

Answer

Administer oral amoxicillin and recheck in 24 hours

Answer

Observe in office for 2 hours and reassess

Question 5

A patient with community-acquired MRSA skin infection has a fluctuant abscess with surrounding cellulitis. The primary treatment is:

Accepted Answer

Incision and drainage plus TMP-SMX

Answer

Oral clindamycin alone

Answer

IV vancomycin only

Answer

Topical mupirocin and warm compresses

Question 6

A patient with migraine with aura asks about contraceptive options. Which contraceptive is contraindicated due to increased stroke risk?

Accepted Answer

Combined oral contraceptive pills

Answer

Progestin-only pills

Answer

Copper IUD

Answer

Levonorgestrel IUD