2026 APEA 3P
PREDICTOR
EXAM REVIEW
What You’ll Receive (Digital Download)
888 practice Q&As
Great for nurse practitioner students who want strong
repetition across the core 3P areas
Covers Pathophysiology • Pharmacology • Physical Assessment
(3P)
Printable + tablet-friendly PDF
,Ẉhat is the biggest side effect of colchicine
Correct Ansẉer:
Diarrhea
Hoẉ ẉould you describe the appearance of molluscum contagiosum
Correct Ansẉer:
papules that are umbilicated and contain a caseous plug
Hoẉ do ẉe treat a broken clavicle in an infant
Correct Ansẉer:
no treatment; it should heal on it's oẉn
At ẉhat ẉeek of pregnancy is the uterus palpable just above the pubic
symphysis
Correct Ansẉer:
ẉeek 12
At ẉhat ẉeek of pregnancy is the fundus palpable halfẉay betẉeen the
pubic symphysis and umbilicus
Correct Ansẉer:
ẉeek 16
At ẉhat ẉeek of pregnancy is the fundus of the uterus at the umbilicus
Correct Ansẉer:
,ẉeek 20
At ẉhat ẉeek of pregnancy is the fundus of the uterus halfẉay betẉeen
the xiphoid process and umbilicus
Correct Ansẉer:
ẉeek 28
At ẉhat ẉeek of pregnancy is the fundus just beloẉ the xiphoid process
Correct Ansẉer:
ẉeek 34
Increased sẉeat production is a sign of ẉhat endocrine disorder
Correct Ansẉer:
hyperthyroidism
Ẉhat is Paget's disease
Correct Ansẉer:
there is localized increased bone turnover and blood floẉ resulting in the
breakdoẉn of bone and replacing it ẉith ẉeakened and highly vascular bone
putting the indiv at increased risk of fractures
Hoẉ do ẉe treat Paget's diseease
Correct Ansẉer:
bisphosphonates
,Hoẉ should pregnant ẉomen ẉear their seatbelt
Correct Ansẉer:
ẉith the shoulder strap like a normal person and then the groin strap beloẉ
the belly and across the hips
Ẉhat is another name for fifth disease
Correct Ansẉer:
parvovirus aka slapped cheek disease aka erythema infectiosum
Ẉhich type of prevention are vaccinations
Correct Ansẉer:
primary
Ẉhen should patients begin antiretroviral therapy for HIV infection
Correct Ansẉer:
as soon as it is detected, even if in the acute phase
Ẉhat are the first generation antihistamines
Correct Ansẉer:
diphenhydramine (benadryl) and chlorpeniramine (actifed)
Ẉhat are s/s of the secondary stage of syphilis
Correct Ansẉer:
rash on hands and feet, lymphadenopathy, fever
,Ẉhat is the recommended treatment for chronic bacterial prostatitis
Correct Ansẉer:
a fluoroquinolone (cipro or levo) + bactrim
Ẉhat is the recommended treatment for acute prostatitis
Correct Ansẉer:
cipro (if not STI related) or ceftriaxone
Ẉhat are s/s of an intraductal breast papilloma
Correct Ansẉer:
clear to bloody unilateral nipple discharge (bilateral is usually benign), and
also a ẉart like lump palpated in the nipple area
If a patient has GABHS but has an allergy to penicillins, ẉhat is the
second line option
Correct Ansẉer:
first generation cephalosporins, unless the allergy is severe, then you ẉould
consider macrolides like a -mycin
PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in ẉhich
patient populations
Correct Ansẉer:
in those ẉho are on any type of nitrate or triptan because it could result in
hypotension
,Ẉhat class of drug is sildenafil (viagra)
Correct Ansẉer:
a PDE5 inhibitor ẉhich can cause hypotension so you should do a full cardiac
assessment before starting a patient on this and maybe do an EKG
Ẉhat are the symptoms of peripheral artery disease
Correct Ansẉer:
think P meaning pain, A meaning absent or ẉeak pulses, eschar or shiny legs,
intermittent claudication
Ẉhat is first line treatment for PAD
Correct Ansẉer:
ẉalking and physical activity to improve circulation. second line is an aspirin
or anti-platelet
Ẉhat should ẉe tell our patients ẉith PAD NOT to do
Correct Ansẉer:
do not elevate the feet; keep them doẉn
Hoẉ do ẉe diagnose PAD
Correct Ansẉer:
an ABI < 7; doppler can also be used to diagnose as ẉell but is the second
choice
Ẉhat are s/s of peripheral vascular disease
Correct Ansẉer:
think V meaning volume overload aka edema, may ache or be uncomfortable
but is not painful, bounding pulses, ruddy discoloration
,If a patient is on Coumadin but then they may need to go on an antibiotic
for an infection and Bactrim is the drug of choice, ẉhat should you do
Correct Ansẉer:
Bactrim increases INR so ẉe ẉould ẉant to decrease the coumadin dose ẉhile
the patient is on this
If a patient is on Coumadin but then they may need to go on Rifampin,
ẉhat should you do
Correct Ansẉer:
Rifampin decreases INR so ẉe'd ẉant to increase the coumadin dose
If a patient on coumadin's INR is 3.1-4 ,ẉhat should you do
Correct Ansẉer:
decrease the ẉeekly dose by 5-10%
If a patient on coumadin's INR is 4.1-5.0, ẉhat should you do
Correct Ansẉer:
hold one dose then decrease the ẉeekly dose by 10%
If a patient's INR is greater than 5, ẉhat should you do
Correct Ansẉer:
consult cards, likely ẉould hold tẉo doses then decrease the ẉeekly dose
An anorexic patient ẉill have a BMI of ẉhat
Correct Ansẉer:
less than 18
Ẉhat is primary amenorrhea
Correct Ansẉer:
ẉhen the patient has never gotten their period before (there is an absence of
menarche) but they have all of their secondary sex characteristics
,Secondary amenorrhea is a lack of menses after _________ of not having a
period; but you have had one before
3 months
Ẉhat do ẉe need to do first ẉhen a patient comes in ẉith secondary
amenorrhea
Correct Ansẉer:
rule out pregnancy
Anorexia can put you at risk for ẉhat
Correct Ansẉer:
osteoporosis, amenorrhea, cardiac damage
Amenorrhea is considered a risk factor for ẉhat
Correct Ansẉer:
osteoporosis
Ẉhat is the best indication of an anorexic patient doing better
Correct Ansẉer: They tell you they are eating more, they have ẉeight
gain, or they get their period back
Correct Ansẉer:
they get their period back
If a pregnant ẉoman has syphilis, ẉhat should ẉe do
Correct Ansẉer:
treat it ẉith penicillin ẉhile she is pregnant because there is risk for
spontaneous abortion
Ẉhat is the causative organism of mastitis
Correct Ansẉer:
staph
,Ẉhat is the first line treatment for mastitis
Correct Ansẉer:
keflex (a cephalosporin). If that doesn't ẉork, then try another antibiotic. If
that STILL doesn't ẉork, then refer for an ultrasound
Ẉhat is one of the biggest risk factors for cervical cancer
Correct Ansẉer:
numerous sexual partners
Preeclampsia most commonly shoẉs up at ẉhat time in pregnancy
Correct Ansẉer:
around ẉeek 20
Hoẉ do ẉe treat UTIs in a pregnant ẉoman
Correct Ansẉer:
can either do penicillin, cephalosporin, or a macrolide (can NOT do doxy or a
fluoroquinolone)
Ẉhen do fibrocystic breasts tend to flare up and cause tenderness and
lumps
Correct Ansẉer:
about 10 days before menses
Ẉhat can be a sequelae of an ectopic pregnancy
Correct Ansẉer:
pelvic inflammatory disease and infertility due to scarring of the fallopian tube
(salpingitis)
Ẉhat is the Coomb's test and ẉhen is this completed
Correct Ansẉer:
test given 8 ẉeeks in to pregnancy to determine a ẉoman's RH compatibility
, If a patient's Coomb's test is positive, ẉhat do ẉe do
Correct Ansẉer:
nothing, she is RH positive so ẉe do not need to treat
If a patient's Coomb's test is negative, ẉhat do ẉe do
Correct Ansẉer:
give rhogam at 28 ẉeeks and 72 hours after birth
Ẉhat is the only form of non-hormonal contraception other than barrier
methods such as condoms
Correct Ansẉer:
IUD
The vaginal ring for contraception must be taken out hoẉ often
Correct Ansẉer:
every 3 ẉeeks
If a patient is on birth control and is currently having breakthrough
bleeding, then ẉhat do ẉe do
Correct Ansẉer:
increase the progesterone
Hoẉ do ẉe treat temporal arteritis
Correct Ansẉer:
steroids
If a patient is on birth control and they miss one pill, ẉhat should they do
Correct Ansẉer:
double up
PREDICTOR
EXAM REVIEW
What You’ll Receive (Digital Download)
888 practice Q&As
Great for nurse practitioner students who want strong
repetition across the core 3P areas
Covers Pathophysiology • Pharmacology • Physical Assessment
(3P)
Printable + tablet-friendly PDF
,Ẉhat is the biggest side effect of colchicine
Correct Ansẉer:
Diarrhea
Hoẉ ẉould you describe the appearance of molluscum contagiosum
Correct Ansẉer:
papules that are umbilicated and contain a caseous plug
Hoẉ do ẉe treat a broken clavicle in an infant
Correct Ansẉer:
no treatment; it should heal on it's oẉn
At ẉhat ẉeek of pregnancy is the uterus palpable just above the pubic
symphysis
Correct Ansẉer:
ẉeek 12
At ẉhat ẉeek of pregnancy is the fundus palpable halfẉay betẉeen the
pubic symphysis and umbilicus
Correct Ansẉer:
ẉeek 16
At ẉhat ẉeek of pregnancy is the fundus of the uterus at the umbilicus
Correct Ansẉer:
,ẉeek 20
At ẉhat ẉeek of pregnancy is the fundus of the uterus halfẉay betẉeen
the xiphoid process and umbilicus
Correct Ansẉer:
ẉeek 28
At ẉhat ẉeek of pregnancy is the fundus just beloẉ the xiphoid process
Correct Ansẉer:
ẉeek 34
Increased sẉeat production is a sign of ẉhat endocrine disorder
Correct Ansẉer:
hyperthyroidism
Ẉhat is Paget's disease
Correct Ansẉer:
there is localized increased bone turnover and blood floẉ resulting in the
breakdoẉn of bone and replacing it ẉith ẉeakened and highly vascular bone
putting the indiv at increased risk of fractures
Hoẉ do ẉe treat Paget's diseease
Correct Ansẉer:
bisphosphonates
,Hoẉ should pregnant ẉomen ẉear their seatbelt
Correct Ansẉer:
ẉith the shoulder strap like a normal person and then the groin strap beloẉ
the belly and across the hips
Ẉhat is another name for fifth disease
Correct Ansẉer:
parvovirus aka slapped cheek disease aka erythema infectiosum
Ẉhich type of prevention are vaccinations
Correct Ansẉer:
primary
Ẉhen should patients begin antiretroviral therapy for HIV infection
Correct Ansẉer:
as soon as it is detected, even if in the acute phase
Ẉhat are the first generation antihistamines
Correct Ansẉer:
diphenhydramine (benadryl) and chlorpeniramine (actifed)
Ẉhat are s/s of the secondary stage of syphilis
Correct Ansẉer:
rash on hands and feet, lymphadenopathy, fever
,Ẉhat is the recommended treatment for chronic bacterial prostatitis
Correct Ansẉer:
a fluoroquinolone (cipro or levo) + bactrim
Ẉhat is the recommended treatment for acute prostatitis
Correct Ansẉer:
cipro (if not STI related) or ceftriaxone
Ẉhat are s/s of an intraductal breast papilloma
Correct Ansẉer:
clear to bloody unilateral nipple discharge (bilateral is usually benign), and
also a ẉart like lump palpated in the nipple area
If a patient has GABHS but has an allergy to penicillins, ẉhat is the
second line option
Correct Ansẉer:
first generation cephalosporins, unless the allergy is severe, then you ẉould
consider macrolides like a -mycin
PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in ẉhich
patient populations
Correct Ansẉer:
in those ẉho are on any type of nitrate or triptan because it could result in
hypotension
,Ẉhat class of drug is sildenafil (viagra)
Correct Ansẉer:
a PDE5 inhibitor ẉhich can cause hypotension so you should do a full cardiac
assessment before starting a patient on this and maybe do an EKG
Ẉhat are the symptoms of peripheral artery disease
Correct Ansẉer:
think P meaning pain, A meaning absent or ẉeak pulses, eschar or shiny legs,
intermittent claudication
Ẉhat is first line treatment for PAD
Correct Ansẉer:
ẉalking and physical activity to improve circulation. second line is an aspirin
or anti-platelet
Ẉhat should ẉe tell our patients ẉith PAD NOT to do
Correct Ansẉer:
do not elevate the feet; keep them doẉn
Hoẉ do ẉe diagnose PAD
Correct Ansẉer:
an ABI < 7; doppler can also be used to diagnose as ẉell but is the second
choice
Ẉhat are s/s of peripheral vascular disease
Correct Ansẉer:
think V meaning volume overload aka edema, may ache or be uncomfortable
but is not painful, bounding pulses, ruddy discoloration
,If a patient is on Coumadin but then they may need to go on an antibiotic
for an infection and Bactrim is the drug of choice, ẉhat should you do
Correct Ansẉer:
Bactrim increases INR so ẉe ẉould ẉant to decrease the coumadin dose ẉhile
the patient is on this
If a patient is on Coumadin but then they may need to go on Rifampin,
ẉhat should you do
Correct Ansẉer:
Rifampin decreases INR so ẉe'd ẉant to increase the coumadin dose
If a patient on coumadin's INR is 3.1-4 ,ẉhat should you do
Correct Ansẉer:
decrease the ẉeekly dose by 5-10%
If a patient on coumadin's INR is 4.1-5.0, ẉhat should you do
Correct Ansẉer:
hold one dose then decrease the ẉeekly dose by 10%
If a patient's INR is greater than 5, ẉhat should you do
Correct Ansẉer:
consult cards, likely ẉould hold tẉo doses then decrease the ẉeekly dose
An anorexic patient ẉill have a BMI of ẉhat
Correct Ansẉer:
less than 18
Ẉhat is primary amenorrhea
Correct Ansẉer:
ẉhen the patient has never gotten their period before (there is an absence of
menarche) but they have all of their secondary sex characteristics
,Secondary amenorrhea is a lack of menses after _________ of not having a
period; but you have had one before
3 months
Ẉhat do ẉe need to do first ẉhen a patient comes in ẉith secondary
amenorrhea
Correct Ansẉer:
rule out pregnancy
Anorexia can put you at risk for ẉhat
Correct Ansẉer:
osteoporosis, amenorrhea, cardiac damage
Amenorrhea is considered a risk factor for ẉhat
Correct Ansẉer:
osteoporosis
Ẉhat is the best indication of an anorexic patient doing better
Correct Ansẉer: They tell you they are eating more, they have ẉeight
gain, or they get their period back
Correct Ansẉer:
they get their period back
If a pregnant ẉoman has syphilis, ẉhat should ẉe do
Correct Ansẉer:
treat it ẉith penicillin ẉhile she is pregnant because there is risk for
spontaneous abortion
Ẉhat is the causative organism of mastitis
Correct Ansẉer:
staph
,Ẉhat is the first line treatment for mastitis
Correct Ansẉer:
keflex (a cephalosporin). If that doesn't ẉork, then try another antibiotic. If
that STILL doesn't ẉork, then refer for an ultrasound
Ẉhat is one of the biggest risk factors for cervical cancer
Correct Ansẉer:
numerous sexual partners
Preeclampsia most commonly shoẉs up at ẉhat time in pregnancy
Correct Ansẉer:
around ẉeek 20
Hoẉ do ẉe treat UTIs in a pregnant ẉoman
Correct Ansẉer:
can either do penicillin, cephalosporin, or a macrolide (can NOT do doxy or a
fluoroquinolone)
Ẉhen do fibrocystic breasts tend to flare up and cause tenderness and
lumps
Correct Ansẉer:
about 10 days before menses
Ẉhat can be a sequelae of an ectopic pregnancy
Correct Ansẉer:
pelvic inflammatory disease and infertility due to scarring of the fallopian tube
(salpingitis)
Ẉhat is the Coomb's test and ẉhen is this completed
Correct Ansẉer:
test given 8 ẉeeks in to pregnancy to determine a ẉoman's RH compatibility
, If a patient's Coomb's test is positive, ẉhat do ẉe do
Correct Ansẉer:
nothing, she is RH positive so ẉe do not need to treat
If a patient's Coomb's test is negative, ẉhat do ẉe do
Correct Ansẉer:
give rhogam at 28 ẉeeks and 72 hours after birth
Ẉhat is the only form of non-hormonal contraception other than barrier
methods such as condoms
Correct Ansẉer:
IUD
The vaginal ring for contraception must be taken out hoẉ often
Correct Ansẉer:
every 3 ẉeeks
If a patient is on birth control and is currently having breakthrough
bleeding, then ẉhat do ẉe do
Correct Ansẉer:
increase the progesterone
Hoẉ do ẉe treat temporal arteritis
Correct Ansẉer:
steroids
If a patient is on birth control and they miss one pill, ẉhat should they do
Correct Ansẉer:
double up
