3P APEA EXAM
DifferenceVGbetweenVGvaricoseVGveinVGandVGarteriosclerosisVG-VGanswer--
IsVGtheVGaffectedVGvessel
ArteriosclerosisVGaffectsVGarteriesVGwhereasVGvaricoseVGveinsVGaffectsVGveins
AVGpatientVGhasVGpoorlyVGcontrolledVGhypertensionVGforVGmoreVGthanVG10VGyears.VGIndic
ateVGtheVGmostVGlikelyVGpositionVGofVGhisVGpointVGofVGmaximalVGimpulseVG(PMI)VG-
VGanswer--5thVGICS,VGleftVGofVGMCL
AVG43VGyearVGoldVGHispanicVGmaleVGhasVGanVGaudibleVGdiastolicVGmurmurVGbestVGheardV
GinVGtheVGmitralVGlisteningVGpoint.VGThereVGisVGnoVGaudibleVGclick.VGHisVGstatusVGhasVGbe
enVGmonitoredVGforVGtheVGpastVGtwoVGyears.VGThisVGmurmurVGisVGprobablyVG-VGanswer--
mitralVGstenosis
AVGpatientVGwhoVGhasVGdiabetesVGpresentsVGwithVGpainVGinVGhisVGlowerVGlegsVGwhenVGhe
VGwalksVGandVGpainVGresolutionVGwithVGrest.VGWhenVGspecificallyVGaskedVGaboutVGhisVGp
ainVGinVGhisVGlowerVGleg,VGheVGlikelyVGwillVGreportVGpainVG-VGanswer--
inVGtheVGcalfVGmuscle
AVGpatientVGwithVGhypertensionVGdescribesVGaVGpreviousVGallergicVGreactionVGtoVGaVGsulf
aVGantibioticVGasVG"sloughingVGofVGskin"VGandVGhospitalization.VGWhichVGmedicationVGisV
GcontraindicatedVGinVGthisVGpatient?VG-VGanswer--hydrochlorothiazide
AVG75VGyearVGoldVGpatientVGwhoVGhasVGaorticVGstenosisVGwantsVGtoVGknowVGwhatVGsympt
omsVGindicateVGworseningVGofVGhisVGstenosis.VGtheVGNPVGreplies:VG-VGanswer--
shortnessVGofVGbreathVGandVGsyncope
AVG74VGyearVGoldVGpatientVGhasVGPAD.VGWhichVGitemVGlistedVGbelowVGisVGanVGimportantV
GnonmodifiableVGriskVGfactorVGforVGPAD?VG-VGanswer--diabetes
BenazeprilVGshouldVGbeVGd/cVGimmediatelyVGifVG-VGanswer--pregnancyVGoccurs
aorticVGregurgitationVGcharacteristicsVG-VGanswer--
longVGasymptomaticVGperiodVGfollowVGbyVGexerciseVGintolerance,VGthenVGdyspneaVGatVGr
est
DVTVGclassicVGsymptomsVG-VGanswer--
swelling,VGpain,VGandVGdiscolorationVGofVGlowerVGextremity
CharacteristicVGofVGACE-inducedVGcoughVGisVGthat?VG-VGanswer--
usuallyVGbeginsVGtwoVGweeksVGofVGstartingVGtherapy
ValveVGmostVGcommonlyVGinvolvedVGinVGchronicVGrheumaticVGheartVGdiseaseVG-
VGanswer--mitral
, MedicationVGthatVGcanVGexacerbateVGHFVG-VGanswer--naproxen
PatientVGtakingVGACEVGinhibitorsVGshouldVGavoid?VG-VGanswer--
potassiumVGsupplements
GradeVG3VGmurmurVGindicationVGforVGaVGreferralVG-VGanswer--aVGfixedVGsplit
GroupVGofVGmedsVGusedVGtoVGtreatVGHFVG-VGanswer--fosinopril,VGHCTZ,VGverapamil
Mr.VGSmithVGisVGaVG72-year-oldVGpatientVGwhoVGtakesVGwarfarinVGforVGchronicVGA-
fib.VGINRVGtodayVGisVG4.0.VGtheVGNPVGshould:VG-VGanswer--
stopVGtheVGwarfarinVGtodayVGandVGrepeatVGINRVGtomorrow
AccordingVGtoVGtheVGNHLBI,VGwhichVGcharacteristicVGisVGaVGcoronaryVGheartVGdiseaseVGr
iskVGequivalent,VGthatVGis,VGwhichVGriskVGfactorVGplacesVGtheVGpt.VGasVGaVGCHDVGriskVGsi
milarVGtoVGaVGhxVGofVGCHDVG-VGanswer--diabetesVGmellitus
goodVGdrugVGtoVGreduceVGmorbidityVGandVGmortalityVGinVGmildVGHFVG-VGanswer--
metoprolol
AVGpt.VGtakingVGatorvastatinVGnewlyVGdiagnosedVGwithVGdyslipidemiaVGcomplaintsVGofVGf
atigue,VGweakness,VGandVGmuscleVGachesVGinVGhisVGlowerVGback,VGarms,VGlegsVGforVGth
eVGpastVG3VGdays.VGitVGisVGnotVGimprovedVGwithVGrestVGHowVGshouldVGthisVGbeVGevaluate
d?VG-VGanswer--StopVGtheVGatorvastatinVGimmediately
symptomVGnotVGindicativeVGofVGHFVG-VGanswer--headache
WhatVGclassVGofVGmedsVGisVGpreferredVGtoVGnormalizedVGlipidVGlevelsVGandVGreduceVGris
kVGofVGcardiacVGeventsVG-VGanswer--HMGVGCoAVGreductaseVGinhibitors
HighestVGsensitivityVGinVGdiagnosingVGHFVG-VGanswer--BNP
TheVGNPVGisVGcaringVGforVGaVG74-year-
oldVGwhoVGhadVGanVGacuteVGcoronaryVGsyndromeVG6VGweeksVGago.VGWhatVGmedication
sVGshouldVGbeVGpartVGofVGhisVGregimenVGunlessVGcontraindicatedVG-VGanswer--
ACE,VGASA,VGbetaVGblockers,VGandVGstatin
patientVGwithVGtheVGhighestVGsystolicVGB/PVG-VGanswer--75-year-oldVGmale
testVGthatVGisVGmostVGcostVGeffectiveVGtoVGscreenVGforVGabdominalVGaorticVGaneurysmVG-
VGanswer--abdominal VGultrasound
aVG74-year-
oldVGpatientVGhasVGhadVGanVGincreaseVGinVGb/
pVGsinceVGtheVGlastVGexam.VGhisVGb/
pVGhasVGincreasedVGfromVG144/90VGtoVGreadingVGinVGtheVGupperVG160's/
upperVG80's.VGIfVGmedicationVGisVGtoVGbeVGstartedVGonVGthisVGpatient,VGwhatVGwouldVGbeV
GaVGgoodVGfirstVGchoice?VG-VGanswer--CalciumVGchannelVGblocker
FactorVGcontributingVGtoVGtheVGdevelopmentVGofVGAAAVG-VGanswer--cigaretteVGsmoking
DifferenceVGbetweenVGvaricoseVGveinVGandVGarteriosclerosisVG-VGanswer--
IsVGtheVGaffectedVGvessel
ArteriosclerosisVGaffectsVGarteriesVGwhereasVGvaricoseVGveinsVGaffectsVGveins
AVGpatientVGhasVGpoorlyVGcontrolledVGhypertensionVGforVGmoreVGthanVG10VGyears.VGIndic
ateVGtheVGmostVGlikelyVGpositionVGofVGhisVGpointVGofVGmaximalVGimpulseVG(PMI)VG-
VGanswer--5thVGICS,VGleftVGofVGMCL
AVG43VGyearVGoldVGHispanicVGmaleVGhasVGanVGaudibleVGdiastolicVGmurmurVGbestVGheardV
GinVGtheVGmitralVGlisteningVGpoint.VGThereVGisVGnoVGaudibleVGclick.VGHisVGstatusVGhasVGbe
enVGmonitoredVGforVGtheVGpastVGtwoVGyears.VGThisVGmurmurVGisVGprobablyVG-VGanswer--
mitralVGstenosis
AVGpatientVGwhoVGhasVGdiabetesVGpresentsVGwithVGpainVGinVGhisVGlowerVGlegsVGwhenVGhe
VGwalksVGandVGpainVGresolutionVGwithVGrest.VGWhenVGspecificallyVGaskedVGaboutVGhisVGp
ainVGinVGhisVGlowerVGleg,VGheVGlikelyVGwillVGreportVGpainVG-VGanswer--
inVGtheVGcalfVGmuscle
AVGpatientVGwithVGhypertensionVGdescribesVGaVGpreviousVGallergicVGreactionVGtoVGaVGsulf
aVGantibioticVGasVG"sloughingVGofVGskin"VGandVGhospitalization.VGWhichVGmedicationVGisV
GcontraindicatedVGinVGthisVGpatient?VG-VGanswer--hydrochlorothiazide
AVG75VGyearVGoldVGpatientVGwhoVGhasVGaorticVGstenosisVGwantsVGtoVGknowVGwhatVGsympt
omsVGindicateVGworseningVGofVGhisVGstenosis.VGtheVGNPVGreplies:VG-VGanswer--
shortnessVGofVGbreathVGandVGsyncope
AVG74VGyearVGoldVGpatientVGhasVGPAD.VGWhichVGitemVGlistedVGbelowVGisVGanVGimportantV
GnonmodifiableVGriskVGfactorVGforVGPAD?VG-VGanswer--diabetes
BenazeprilVGshouldVGbeVGd/cVGimmediatelyVGifVG-VGanswer--pregnancyVGoccurs
aorticVGregurgitationVGcharacteristicsVG-VGanswer--
longVGasymptomaticVGperiodVGfollowVGbyVGexerciseVGintolerance,VGthenVGdyspneaVGatVGr
est
DVTVGclassicVGsymptomsVG-VGanswer--
swelling,VGpain,VGandVGdiscolorationVGofVGlowerVGextremity
CharacteristicVGofVGACE-inducedVGcoughVGisVGthat?VG-VGanswer--
usuallyVGbeginsVGtwoVGweeksVGofVGstartingVGtherapy
ValveVGmostVGcommonlyVGinvolvedVGinVGchronicVGrheumaticVGheartVGdiseaseVG-
VGanswer--mitral
, MedicationVGthatVGcanVGexacerbateVGHFVG-VGanswer--naproxen
PatientVGtakingVGACEVGinhibitorsVGshouldVGavoid?VG-VGanswer--
potassiumVGsupplements
GradeVG3VGmurmurVGindicationVGforVGaVGreferralVG-VGanswer--aVGfixedVGsplit
GroupVGofVGmedsVGusedVGtoVGtreatVGHFVG-VGanswer--fosinopril,VGHCTZ,VGverapamil
Mr.VGSmithVGisVGaVG72-year-oldVGpatientVGwhoVGtakesVGwarfarinVGforVGchronicVGA-
fib.VGINRVGtodayVGisVG4.0.VGtheVGNPVGshould:VG-VGanswer--
stopVGtheVGwarfarinVGtodayVGandVGrepeatVGINRVGtomorrow
AccordingVGtoVGtheVGNHLBI,VGwhichVGcharacteristicVGisVGaVGcoronaryVGheartVGdiseaseVGr
iskVGequivalent,VGthatVGis,VGwhichVGriskVGfactorVGplacesVGtheVGpt.VGasVGaVGCHDVGriskVGsi
milarVGtoVGaVGhxVGofVGCHDVG-VGanswer--diabetesVGmellitus
goodVGdrugVGtoVGreduceVGmorbidityVGandVGmortalityVGinVGmildVGHFVG-VGanswer--
metoprolol
AVGpt.VGtakingVGatorvastatinVGnewlyVGdiagnosedVGwithVGdyslipidemiaVGcomplaintsVGofVGf
atigue,VGweakness,VGandVGmuscleVGachesVGinVGhisVGlowerVGback,VGarms,VGlegsVGforVGth
eVGpastVG3VGdays.VGitVGisVGnotVGimprovedVGwithVGrestVGHowVGshouldVGthisVGbeVGevaluate
d?VG-VGanswer--StopVGtheVGatorvastatinVGimmediately
symptomVGnotVGindicativeVGofVGHFVG-VGanswer--headache
WhatVGclassVGofVGmedsVGisVGpreferredVGtoVGnormalizedVGlipidVGlevelsVGandVGreduceVGris
kVGofVGcardiacVGeventsVG-VGanswer--HMGVGCoAVGreductaseVGinhibitors
HighestVGsensitivityVGinVGdiagnosingVGHFVG-VGanswer--BNP
TheVGNPVGisVGcaringVGforVGaVG74-year-
oldVGwhoVGhadVGanVGacuteVGcoronaryVGsyndromeVG6VGweeksVGago.VGWhatVGmedication
sVGshouldVGbeVGpartVGofVGhisVGregimenVGunlessVGcontraindicatedVG-VGanswer--
ACE,VGASA,VGbetaVGblockers,VGandVGstatin
patientVGwithVGtheVGhighestVGsystolicVGB/PVG-VGanswer--75-year-oldVGmale
testVGthatVGisVGmostVGcostVGeffectiveVGtoVGscreenVGforVGabdominalVGaorticVGaneurysmVG-
VGanswer--abdominal VGultrasound
aVG74-year-
oldVGpatientVGhasVGhadVGanVGincreaseVGinVGb/
pVGsinceVGtheVGlastVGexam.VGhisVGb/
pVGhasVGincreasedVGfromVG144/90VGtoVGreadingVGinVGtheVGupperVG160's/
upperVG80's.VGIfVGmedicationVGisVGtoVGbeVGstartedVGonVGthisVGpatient,VGwhatVGwouldVGbeV
GaVGgoodVGfirstVGchoice?VG-VGanswer--CalciumVGchannelVGblocker
FactorVGcontributingVGtoVGtheVGdevelopmentVGofVGAAAVG-VGanswer--cigaretteVGsmoking
