APEA 2022 Predictor Test Exam Pack
externally rotated with the proximal hand resting on the join line. The knee is flexed and then
quickly straightened. If an audible or palpable click occurs during the this test, the outcome is
positive for medial meniscal injury.
29) A 20 y/o male patient complains of “scrotal swelling”. He states his scrotum feels heavy
but denies pain. On examination, the NP notes transillumination of the scrotum. What is the
most likely diagnosis?
c. Testicular torsion
d. Indirect inguinal hernia
Explanation: Hydrocele is common in newborns and usually disappears without treatment
within the first year. Older men can develop hydroceles, sometimes due to inflammation or
injury. Hydroceles are usually painless, but may become large and inconvenient. An ultrasound
may be needed to diagnose the condition.
30) A 15 y/o male has a hx of cryptorchidism which was surgically repaired. Because of this
information, it is essential for the NP to teach him about
a. Testicular self-examination
b. Protection of the testes during sports activities
c. Risk of testicular torsion
d. Practicing safer sex
Explanation: Cryptorchidism, even with surgical repair, is associated with increased risk for
31) A pt. present with classic symptoms of gastroesophageal reflux diseases’ (GERD). He is
instructed in lifestyle modification, and drug initialed. Two month later, he returns and report
that he still has symptoms. The next steps are to.
a) Refer for surgical interventions such as partial or complete fundoplication.
b) Refer for endoscopy, namometry, and/or PH testing
c) Repeat the 8*-week course of drug therapy while continuing lifestyles modifications. d)
Explanation: poor adherence is an importance cause of inadequate acid suppression and
refractory GERD. Determining adherence to proton pump inhibitor (PPI) therapy and
superficially timing in relation to meals, should be sought first alarm features such as iron
deficiency anemia, unexplained weight loss, and persistent vomiting would precipitate the need
for further diagnostic testing. Diagnostic testing procedures should proceed any surgical
intervention like fundoplication.
Review proper proton pump inhibitor dosing time and adherence with the