APEA Pre-Predictor Exam Questions and Answers 2026

APEA Pre-Predictor Exam Questions and Answers 2026/2027

2. When examining a pregnant patient, where should the fundal height be at 22 weeks?: Above the umbilicus Between 18 and 32 weeks, there is good correlation between fundal height and gestational age of the fetus. The expected heights are: 10-12 weeks: fundus slightly above the symphysis pubis 16 weeks: fundus midway between the symphysis pubis and umbilicus 20 weeks: fundus at the level of umbilicus 28 weeks: fundus 3 fingerbreadths above the umbilicus 36 weeks: fundus just below the xiphoid process 3. What intervention does the American College of Rheumatology recommend as first-line therapy for osteoarthritis?: Exercise and weight loss Exercise, weight loss, and rest are recommended by the American College of Rheumatology guidelines for the initial management of osteoarthritis (OA). Given the adverse effects of medications used to treat OA, it is best to minimize dosage and delay use as long as possible. An extensive diagnostic workup is not recommended unless the presentation is in question. Patients who have severe degenerative joint disease (DJD), joint fusion, or whose pain severity is not relieved by more conservative therapies may be candidates for joint replacement. Acetaminophen is recommended as a first-line medication. 4. A 63-year-old male retired accountant complains of pain and stiffness in his feet and hands of several years duration. He reports that the pain and stiffness become worse with activity. On examination, he is noted to have Heberden's nodes but no other bony deformities. Which of the following is the most probable diagnosis?: Osteoarthritis (OA) Although his vocation involved sedentary activity, this patient is not at great risk for osteoarthritis. Rheumatoid arthritis is characterized by several joint deformities, usually bilaterally symmetrical. RA is characterized by inflammatory processes, while OA is not. RA and OA are chronic conditions. Gout is characterized by acute exacerbations related to a defect in purine metabolism, increased uric acid production, or decreased uric acid excretion.