APEA 3P High Stakes
Exam Study Guide
Pass the Exam with Confidence
This\Document\contains:\
Integrate\all\3Ps:\Review\notes\and\study\guides\from\all\three\cours
es\(pathophysiology,\pharmacology,\and\physical\assessment),\as\the\
cumulative\exam\covers\material\from\each.
Provides\a\complete\set\of\verified\questions\with\Correct\Answers\al
igned\with\the\APEA\3P\exam\blueprint.
,What\would\cause\decrease\in\Digoxin\levels
Correct\Answer:\
Antacids
Taking\Pyridium\for\UTI,\what\can\Pyridium\cause
Correct\Answer:\
Hemolytic\Anemia
What\can\PCOS\result\in
Correct\Answer:\
Increased\insulin\levels\(Hyperinsulinemia),\Androgens,\Hirsutism
What\are\the\anti-hypertensives\used\in\pregnancy
Correct\Answer:\
Methyldopa\(Alpha-2-Agonist),\Labetalol,\Nifedipine,\Hydralazine
What\is\a\characteristic\of\Placenta\Previa
Correct\Answer:\
Painless,\red\bleeding
What\is\a\chacteristic\of\Rheumatoid\Arthritis
Correct\Answer:\
Tender,\warm,\swollen\joints
Medications\that\can\cause\ototoxicity
Correct\Answer:\
Aminoglycosides,\loop\diuretics,\NSAIDs,\antihistamines,\nasal\decongestants
,What\is\the\treatment\time\for\enterobiasis
Correct\Answer:\
2\weeks
What\does\MCV\lab\value\measure
Correct\Answer:\
Mean\Corpuscular\Volume\helps\diagnose\different\types\of\anemia\such\as\B12\&\Folate\(Macrocytic)\a
nd\Fe\anemia\(Microcytic)
Rhogam\is\given\at\how\many\week\gestation
Correct\Answer:\
27-28\weeks
What\are\Janeway\lesions\and\what\do\they\indicate
Correct\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
Correct\Answer:\
They\are\split\pea-
sized,\erythematous,\tender\nodules\located\on\the\pads\of\the\fingers\and\toes.\Seen\in\Infective\Endo
carditis
What\is\the\recommendation\for\Warfarin\management\when\a\patient\misses\a\dose
Correct\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
Correct\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\wit
h\African\Americans\&\can\cause\angioedema.
Contraindications\for\Hydrochlorothiazide:\
Sulfa\allergy,\PCN\hypersensitivity,\Asthma,\Gout
Systolic\Murmurs\(Benign):\
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):\
AR\=\Aortic\Regurgitation\(Angina,\HF,\Dizziness,\Chest\Pain)
MS\=\Mitral\Stenosis\(Dyspnea,\AFib)
What\does\S1\indicate
Correct\Answer:\
S1\Closure\of\the\Atrioventricular\Valves\(Mitral\&\Tricuspid\Valves)
What\does\S2\indicate
Correct\Answer:\
S2\Closure\of\the\Semilunar\Valves\(Aortic\&\Pulmonic\Valves)
Exam Study Guide
Pass the Exam with Confidence
This\Document\contains:\
Integrate\all\3Ps:\Review\notes\and\study\guides\from\all\three\cours
es\(pathophysiology,\pharmacology,\and\physical\assessment),\as\the\
cumulative\exam\covers\material\from\each.
Provides\a\complete\set\of\verified\questions\with\Correct\Answers\al
igned\with\the\APEA\3P\exam\blueprint.
,What\would\cause\decrease\in\Digoxin\levels
Correct\Answer:\
Antacids
Taking\Pyridium\for\UTI,\what\can\Pyridium\cause
Correct\Answer:\
Hemolytic\Anemia
What\can\PCOS\result\in
Correct\Answer:\
Increased\insulin\levels\(Hyperinsulinemia),\Androgens,\Hirsutism
What\are\the\anti-hypertensives\used\in\pregnancy
Correct\Answer:\
Methyldopa\(Alpha-2-Agonist),\Labetalol,\Nifedipine,\Hydralazine
What\is\a\characteristic\of\Placenta\Previa
Correct\Answer:\
Painless,\red\bleeding
What\is\a\chacteristic\of\Rheumatoid\Arthritis
Correct\Answer:\
Tender,\warm,\swollen\joints
Medications\that\can\cause\ototoxicity
Correct\Answer:\
Aminoglycosides,\loop\diuretics,\NSAIDs,\antihistamines,\nasal\decongestants
,What\is\the\treatment\time\for\enterobiasis
Correct\Answer:\
2\weeks
What\does\MCV\lab\value\measure
Correct\Answer:\
Mean\Corpuscular\Volume\helps\diagnose\different\types\of\anemia\such\as\B12\&\Folate\(Macrocytic)\a
nd\Fe\anemia\(Microcytic)
Rhogam\is\given\at\how\many\week\gestation
Correct\Answer:\
27-28\weeks
What\are\Janeway\lesions\and\what\do\they\indicate
Correct\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
Correct\Answer:\
They\are\split\pea-
sized,\erythematous,\tender\nodules\located\on\the\pads\of\the\fingers\and\toes.\Seen\in\Infective\Endo
carditis
What\is\the\recommendation\for\Warfarin\management\when\a\patient\misses\a\dose
Correct\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
Correct\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\wit
h\African\Americans\&\can\cause\angioedema.
Contraindications\for\Hydrochlorothiazide:\
Sulfa\allergy,\PCN\hypersensitivity,\Asthma,\Gout
Systolic\Murmurs\(Benign):\
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):\
AR\=\Aortic\Regurgitation\(Angina,\HF,\Dizziness,\Chest\Pain)
MS\=\Mitral\Stenosis\(Dyspnea,\AFib)
What\does\S1\indicate
Correct\Answer:\
S1\Closure\of\the\Atrioventricular\Valves\(Mitral\&\Tricuspid\Valves)
What\does\S2\indicate
Correct\Answer:\
S2\Closure\of\the\Semilunar\Valves\(Aortic\&\Pulmonic\Valves)
