P APEA Exam Prep: Clinical Pharmacology & OB/GYN Study Guide

3P EXAM STUDY APEA EXAM QUESTIONS WITH DET
B B B B B B B



AILED VERIFIED ANSWERS (100% CORRECT ANSWER
B B B B B



S) A+ GRADE ASSURED
B B B




WhatB wouldB causeB decreaseB inB DigoxinB levels?B -B correctB answer-Antacids


TakingB PyridiumB forB UTI,B whatB canB PyridiumB cause?B -B correctB answer-HemolyticB Anemia


WhatB canB PCOSB resultB in?B -B correctB answer-
IncreasedB insulinB levelsB (Hyperinsulinemia),B Androgens,B Hirsutism


WhatBareBtheBanti-hypertensivesBusedBinBpregnancy?B-BcorrectBanswer-MethyldopaB(Alpha-2-
BAgonist),BLabetalol,BNifedipine,BHydralazine




WhatB isB aB characteristicB ofB PlacentaB Previa?B -B correctB answer-Painless,B redB bleeding


WhatB isB aB chacteristicB ofB RheumatoidB Arthritis?B -B correctB answer-Tender,B warm,B swollenB joints


MedicationsB thatB canB causeB ototoxicity?B -B correctB answer-
Aminoglycosides,BloopB diuretics,B NSAIDs,B antihistamines,B nasalB decongestants


WhatB isB theB treatmentB timeB forB enterobiasis?B -B correctB answer-2B weeks


WhatB doesB MCVB labB valueB measure?B -B correctB answer-
MeanB CorpuscularB VolumeB helpsB diagnoseB differentB typesB ofB anemiaB suchB asB B12B &B FolateB (Macrocyti
c
)B andB FeB anemiaB (Microcytic)


RhogamB isB givenB atB howB manyB weekB gestation?B -B correctB answer-27-28B weeks


WhatBareBJanewayBlesionsBandBwhatBdoBtheyBindicate?B-BcorrectBanswer-
TheyBareBirregular,Bnon-
BtenderBhemorrhagicBmaculesBlocatedBonBtheBhandsBandBfeet.BSeenBinBInfectiveBEndocarditis

,WhatB areB Osler'sB NodesB andB whatB doB theyB indicate?B -B correctB answer-TheyB areB splitB pea-
sized,Berythematous,BtenderBnodulesBlocatedBonBtheBpadsBofBtheBfingersBandBtoes.BSeenBinBInfectiveBEndoB
carditis


WhatBisBtheBrecommendationB forBWarfarinBmanagementB whenBaBpatientB missesBaBdose?B -
BcorrectB answer-

B IfB withinB 12B hoursB ofB theB doseB time,B takeB it.B IfB overB 12B hoursB patientB willB needB aB INRQredraw




WhatB doB weB needB toB knowB aboutB ACEsB andB ARBs?B -B correctB answer-
ABdryBhackingBcoughBisBaBcommonBsideBeffectBofBACEsBandBwillBgoBawayBwithinBaBweekBafterBdiscontinB
uing.B ACEsB &B ARBsB areB indicatedB forB patientsB withB DM,B CKD,B andB HTN.B NotB recommendedB asB 1stB l
inBeBagentBwithBAfricanBAmericansB&BcanBcauseBangioedema.


ContraindicationsBforBHydrochlorothiazideB-BcorrectBanswer-
BSulfaBallergy,BPCNBhypersensitivity,BAsthma,BGout




SystolicBMurmursB(Benign)B-BcorrectBanswer-
MRB=BMitralBRegurgeB(SOB/FatigueBHF)BPeytonBManningB=BPhysiologicBMurmurB(A
symptomatic)
ASB =B AorticB StenosisB (Angina,B SyncopeB HF)
MVPB =B MitralB ValveB ProlapseB ("Click",BWomenB 14-30,B Palpitations,B ChestB Pain


DiastolicB MurmursB (Abnormal)B -B correctB answer-
ARQ=BAorticBRegurgitationB(Angina,BHF,BDizziness,BChestBPain
)BMSB=BMitralBStenosisB(Dyspnea,BAFib)


WhatB doesB S1B indicate?B -B correctB answer-
S1B ClosureB ofBtheB AtrioventricularB ValvesB (MitralB &B TricuspidB Valves)


WhatB doesB S2B indicate?B -B correctB answer-
S2B ClosureB ofB theB SemilunarB ValvesB (AorticB &B PulmonicB Valves)


S3B isB oftenB heardB in?B -B correctB answer-CHF,B possiblyB normalB forB athleticB adolescents

, S4B isB oftenB heardB in?B -B correctB answer-
DiastolicBHF,BLeftB VentricularB HypertrophyB(LVH),BPoorlyBcontrolledBHTN,BMI


TreatmentBofBPeripheralBArteryBDiseaseB(PAD)B-BcorrectBanswer-
BAntiplateletsB(Plavix,BASA),BPentoxifyllineB(DecreasesBbloodBviscosity)




DiagnosingBPeripheralBArteryBDiseaseB(PAD)B-BcorrectBanswer-
GoldBStandardB=BAngiographyBAnkleBBrachialBIndexB(ABI)


CoronaryB ArteryB DiseaseB (CAD)B treatmentB -B correctB answer-
Aotrvastatin/RosuvastatinB=BIfBLDL>150BuseBhighBdoses.BWatchBforBLFTsB&Barthralgia.BChangeBtypeB&
BdoseBifBissues.BHelpsBstabilizeBplaques.




WhatBmedicationsBareBindicatedBforBHFBtreatment?B-BcorrectBanswer-
BACEs,BARBs,BARNIBw/BBs,BAldosteroneBRecepterBAntagonists




WhatB isB theB treatmentB forB SarcopterB ScabieiB (Scabies)?B -B correctB answer-
TopicalBPermetherinBmassagedBfromBheadBtoBsolesBofBfeetBandBwashBoffBwithBshowerBorBbathBafterB8-
B 14hrs.BTreatBagainBinB1Bweek.




NamesBofBskinBlesions?B-BcorrectBanswer-
Macule:BFlatB<1cmBi.e.BfreckleBPapule:BRaisedB<1cmBi.e.Bacne
Nodule:B RaisedB >1cmB i.e.B lipoma
Vesicle:BBlisterB<1cmBi.e.BHSV,BChickenpox
Bulla:BBlisterB>1cmBi.e.B2ndBDegreeBBurn,BBullousBPemphigodBPla
que:BRaised,Bflat-
topB>1cmBi.e.BPsoriasisB&BSeborrheicBKeratosesBPatch:BFlat,Bdiscolo
redB>1cmBi.e.BVitiligoB&BPort-
WineBStainsB Wheal:BRaisedB&BRedBAreaBi.e.BHivesB&BInsectBBiteBr
eaction


KeloidB -B correctB answer-HyperthrophicB scarQthatB isB invasiveB beyondB pointB ofB originalB injury