APEA 3P High Stakes Exam Study Guide EXAM NEWEST
2026 WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
What is a characteristic of Placenta Previa? - ANSWER-Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - ANSWER-Tender, warm, swollen
joints
Medications that can cause ototoxicity? - ANSWER-Aminoglycosides, loop diuretics,
NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - ANSWER-2 weeks
What does MCV lab value measure? - ANSWER-Mean Corpuscular Volume helps
diagnose different types of anemia such as B12 & Folate (Macrocytic) and Fe
anemia (Microcytic)
What would cause decrease in Digoxin levels? - ANSWER-Antacids
,Taking Pyridium for UTI, what can Pyridium cause? - ANSWER-Hemolytic Anemia
What can PCOS result in? - ANSWER-Increased insulin levels (Hyperinsulinemia),
Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - ANSWER-Methyldopa (Alpha-
2-Agonist), Labetalol, Nifedipine, Hydralazine
Rhogam is given at how many week gestation? - ANSWER-27-28 weeks
What are Janeway lesions and what do they indicate? - ANSWER-They are irregular,
non-tender hemorrhagic macules located on the hands and feet. Seen in Infective
Endocarditis
What are Osler's Nodes and what do they indicate? - ANSWER-They are split pea-
sized, erythematous, tender nodules located on the pads of the fingers and toes.
Seen in Infective Endocarditis
What is the recommendation for Warfarin management when a patient misses a
dose? - ANSWER-If within 12 hours of the dose time, take it. If over 12 hours patient
will need a INR redraw
What do we need to know about ACEs and ARBs? - ANSWER-A dry hacking cough is a
common side effect of ACEs and will go away within a week after discontinuing.
ACEs & ARBs are indicated for patients with DM, CKD, and HTN. Not
recommended as 1st line agent with African Americans & can cause angioedema.
,Contraindications for Hydrochlorothiazide - ANSWER-Sulfa allergy, PCN
hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - ANSWER-MR = Mitral Regurge (SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest Pain
Diastolic Murmurs (Abnormal) - ANSWER-AR = Aortic Regurgitation (Angina, HF,
Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - ANSWER-S1 Closure of the Atrioventricular Valves (Mitral &
Tricuspid Valves)
What does S2 indicate? - ANSWER-S2 Closure of the Semilunar Valves (Aortic &
Pulmonic Valves)
S3 is often heard in? - ANSWER-CHF, possibly normal for athletic adolescents
S4 is often heard in? - ANSWER-Diastolic HF, Left Ventricular Hypertrophy (LVH),
Poorly controlled HTN, MI
, Treatment of Peripheral Artery Disease (PAD) - ANSWER-Antiplatelets (Plavix, ASA),
Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - ANSWER-Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - ANSWER-Aotrvastatin/Rosuvastatin = If
LDL>150 use high doses. Watch for LFTs & arthralgia. Change type & dose if
issues. Helps stabilize plaques.
What medications are indicated for HF treatment? - ANSWER-ACEs, ARBs, ARNI
w/BBs, Aldosterone Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - ANSWER-Topical
Permetherin massaged from head to soles of feet and wash off with shower or
bath after 8-14hrs. Treat again in 1 week.
Names of skin lesions? - ANSWER-Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
Vesicle: Blister <1cm i.e. HSV, Chickenpox
Bulla: Blister >1cm i.e. 2nd Degree Burn, Bullous Pemphigod
Plaque: Raised, flat-top >1cm i.e. Psoriasis & Seborrheic Keratoses
2026 WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
What is a characteristic of Placenta Previa? - ANSWER-Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - ANSWER-Tender, warm, swollen
joints
Medications that can cause ototoxicity? - ANSWER-Aminoglycosides, loop diuretics,
NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - ANSWER-2 weeks
What does MCV lab value measure? - ANSWER-Mean Corpuscular Volume helps
diagnose different types of anemia such as B12 & Folate (Macrocytic) and Fe
anemia (Microcytic)
What would cause decrease in Digoxin levels? - ANSWER-Antacids
,Taking Pyridium for UTI, what can Pyridium cause? - ANSWER-Hemolytic Anemia
What can PCOS result in? - ANSWER-Increased insulin levels (Hyperinsulinemia),
Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - ANSWER-Methyldopa (Alpha-
2-Agonist), Labetalol, Nifedipine, Hydralazine
Rhogam is given at how many week gestation? - ANSWER-27-28 weeks
What are Janeway lesions and what do they indicate? - ANSWER-They are irregular,
non-tender hemorrhagic macules located on the hands and feet. Seen in Infective
Endocarditis
What are Osler's Nodes and what do they indicate? - ANSWER-They are split pea-
sized, erythematous, tender nodules located on the pads of the fingers and toes.
Seen in Infective Endocarditis
What is the recommendation for Warfarin management when a patient misses a
dose? - ANSWER-If within 12 hours of the dose time, take it. If over 12 hours patient
will need a INR redraw
What do we need to know about ACEs and ARBs? - ANSWER-A dry hacking cough is a
common side effect of ACEs and will go away within a week after discontinuing.
ACEs & ARBs are indicated for patients with DM, CKD, and HTN. Not
recommended as 1st line agent with African Americans & can cause angioedema.
,Contraindications for Hydrochlorothiazide - ANSWER-Sulfa allergy, PCN
hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - ANSWER-MR = Mitral Regurge (SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest Pain
Diastolic Murmurs (Abnormal) - ANSWER-AR = Aortic Regurgitation (Angina, HF,
Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - ANSWER-S1 Closure of the Atrioventricular Valves (Mitral &
Tricuspid Valves)
What does S2 indicate? - ANSWER-S2 Closure of the Semilunar Valves (Aortic &
Pulmonic Valves)
S3 is often heard in? - ANSWER-CHF, possibly normal for athletic adolescents
S4 is often heard in? - ANSWER-Diastolic HF, Left Ventricular Hypertrophy (LVH),
Poorly controlled HTN, MI
, Treatment of Peripheral Artery Disease (PAD) - ANSWER-Antiplatelets (Plavix, ASA),
Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - ANSWER-Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - ANSWER-Aotrvastatin/Rosuvastatin = If
LDL>150 use high doses. Watch for LFTs & arthralgia. Change type & dose if
issues. Helps stabilize plaques.
What medications are indicated for HF treatment? - ANSWER-ACEs, ARBs, ARNI
w/BBs, Aldosterone Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - ANSWER-Topical
Permetherin massaged from head to soles of feet and wash off with shower or
bath after 8-14hrs. Treat again in 1 week.
Names of skin lesions? - ANSWER-Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
Vesicle: Blister <1cm i.e. HSV, Chickenpox
Bulla: Blister >1cm i.e. 2nd Degree Burn, Bullous Pemphigod
Plaque: Raised, flat-top >1cm i.e. Psoriasis & Seborrheic Keratoses
