APEA 3P ACTUAL EXAM 2 FINAL STUDY GUIDE
2026 TESTED ITEMS SOLVED
◉ A caregiver making up or causing an illness or injury in a person
under his or her care. Answer: Munchausen Syndrome By Proxy
◉ Side effects of medications that affect neurotransmitters such as
dopamine, serotonin, and norepinephrine. Answer: Symptoms of
depression
◉ Melanoma, a type of skin cancer. Answer: Dark raised lesion with
irregular border
◉ Dull puffiness of the eyes, pronounced and non-pitting, suggestive
of conditions like Myxedema. Answer: Periorbital edema
◉ A deposition of mucopolysaccharides in the dermis, commonly
found in patients with advanced hypothyroidism. Answer:
Myxedema
◉ A tricyclic antidepressant considered off-label for prophylactic
treatment of migraines. Answer: Amitriptyline (Elavil)
,◉ A fungal infection of the scalp characterized by areas of scaling
and round patches of alopecia. Answer: Tinea capitis
◉ Contraindicated in women older than 45, breastfeeding, smoking,
HTN, diabetes, or hx of stroke. Answer: Combined hormonal
contraceptive contraindications
◉ Indicates the need for further evaluation, potentially for
conditions like intraductal papilloma. Answer: Bloody spontaneous
discharge from the nipple
◉ Usually solitary, smaller than 1 cm, located in large lactiferous
sinuses or ducts, and has a tendency to bleed. Answer: Intraductal
papilloma
◉ Amitriptyline (Elavil) is considered for prophylactic treatment.
Answer: Prophylactic medication for migraines
◉ A condition characterized by excessive cortisol production, which
can lead to various symptoms. Answer: Cushing syndrome
◉ A kidney disorder that causes the body to excrete too much
protein in the urine. Answer: Nephrotic syndrome
,◉ A type of skin tumor that appears as a dome-shaped nodule, often
mistaken for squamous cell carcinoma. Answer: Keratoacanthoma
◉ A rough, scaly patch on sun-exposed skin that can develop into
skin cancer. Answer: Actinic keratosis
◉ An autoimmune condition that causes hair loss in patches.
Answer: Alopecia areata
◉ Verapamil (verelan) and Metoprolol (Lopressor) are also options
for migraine prophylaxis. Answer: Migraine prophylactic treatment
◉ Can contribute to health risks, including the contraindication for
combined hormonal contraceptives. Answer: Sedentary lifestyle
effects
◉ Further evaluation is necessary to rule out serious conditions like
breast cancer. Answer: Bloody nipple discharge evaluation
◉ Generalized breast pain or tenderness, often benign. Answer:
Green or dark brown nonbloody nipple discharge
◉ A benign breast tumor that is usually painless and mobile.
Answer: Fibroadenoma
, ◉ A condition characterized by multiple cysts in the breast tissue.
Answer: Polycystic breast disease
◉ Should be administered to Rh negative women at 28 weeks'
gestation. Answer: Rho (D) immunoglobulin
◉ A measurement of the average size of the RBCs. Answer: Mean
corpuscular volume (MCV)
◉ Has the most serious side effect; patients should have a drug-free
period for 3-4 weeks after every 6 months of treatment. Answer:
Serotonin Norepinephrine Reuptake inhibitor
◉ Maintains patency of the great arteries in patients with
transposition of the great arteries. Answer: Prostaglandin E1 (PG1)
◉ Characterized by painful cramping in the hips, thighs, or calf
muscles after activities like walking or climbing stairs. Answer:
Peripheral artery disease
◉ Causes symptoms such as infertility and oligomenorrhea in
premenopausal women, but not in postmenopausal women. Answer:
Hyperprolactinemia
2026 TESTED ITEMS SOLVED
◉ A caregiver making up or causing an illness or injury in a person
under his or her care. Answer: Munchausen Syndrome By Proxy
◉ Side effects of medications that affect neurotransmitters such as
dopamine, serotonin, and norepinephrine. Answer: Symptoms of
depression
◉ Melanoma, a type of skin cancer. Answer: Dark raised lesion with
irregular border
◉ Dull puffiness of the eyes, pronounced and non-pitting, suggestive
of conditions like Myxedema. Answer: Periorbital edema
◉ A deposition of mucopolysaccharides in the dermis, commonly
found in patients with advanced hypothyroidism. Answer:
Myxedema
◉ A tricyclic antidepressant considered off-label for prophylactic
treatment of migraines. Answer: Amitriptyline (Elavil)
,◉ A fungal infection of the scalp characterized by areas of scaling
and round patches of alopecia. Answer: Tinea capitis
◉ Contraindicated in women older than 45, breastfeeding, smoking,
HTN, diabetes, or hx of stroke. Answer: Combined hormonal
contraceptive contraindications
◉ Indicates the need for further evaluation, potentially for
conditions like intraductal papilloma. Answer: Bloody spontaneous
discharge from the nipple
◉ Usually solitary, smaller than 1 cm, located in large lactiferous
sinuses or ducts, and has a tendency to bleed. Answer: Intraductal
papilloma
◉ Amitriptyline (Elavil) is considered for prophylactic treatment.
Answer: Prophylactic medication for migraines
◉ A condition characterized by excessive cortisol production, which
can lead to various symptoms. Answer: Cushing syndrome
◉ A kidney disorder that causes the body to excrete too much
protein in the urine. Answer: Nephrotic syndrome
,◉ A type of skin tumor that appears as a dome-shaped nodule, often
mistaken for squamous cell carcinoma. Answer: Keratoacanthoma
◉ A rough, scaly patch on sun-exposed skin that can develop into
skin cancer. Answer: Actinic keratosis
◉ An autoimmune condition that causes hair loss in patches.
Answer: Alopecia areata
◉ Verapamil (verelan) and Metoprolol (Lopressor) are also options
for migraine prophylaxis. Answer: Migraine prophylactic treatment
◉ Can contribute to health risks, including the contraindication for
combined hormonal contraceptives. Answer: Sedentary lifestyle
effects
◉ Further evaluation is necessary to rule out serious conditions like
breast cancer. Answer: Bloody nipple discharge evaluation
◉ Generalized breast pain or tenderness, often benign. Answer:
Green or dark brown nonbloody nipple discharge
◉ A benign breast tumor that is usually painless and mobile.
Answer: Fibroadenoma
, ◉ A condition characterized by multiple cysts in the breast tissue.
Answer: Polycystic breast disease
◉ Should be administered to Rh negative women at 28 weeks'
gestation. Answer: Rho (D) immunoglobulin
◉ A measurement of the average size of the RBCs. Answer: Mean
corpuscular volume (MCV)
◉ Has the most serious side effect; patients should have a drug-free
period for 3-4 weeks after every 6 months of treatment. Answer:
Serotonin Norepinephrine Reuptake inhibitor
◉ Maintains patency of the great arteries in patients with
transposition of the great arteries. Answer: Prostaglandin E1 (PG1)
◉ Characterized by painful cramping in the hips, thighs, or calf
muscles after activities like walking or climbing stairs. Answer:
Peripheral artery disease
◉ Causes symptoms such as infertility and oligomenorrhea in
premenopausal women, but not in postmenopausal women. Answer:
Hyperprolactinemia
