APEA 3P POST UNIVERSITY MSN FNP
CERTIFICATION PREPARATION STUDY
GUIDE 2026 THOROUGH COVERAGE OF
ASSESSMENT DIAGNOSIS AND
PHARMACOLOGY QUESTIONS PLUS
PRECISE ANSWERS ALREADY PASSED
GRADED A+
⩥ 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
⩥ 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)
⩥ 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.
CERTIFICATION PREPARATION STUDY
GUIDE 2026 THOROUGH COVERAGE OF
ASSESSMENT DIAGNOSIS AND
PHARMACOLOGY QUESTIONS PLUS
PRECISE ANSWERS ALREADY PASSED
GRADED A+
⩥ 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
⩥ 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)
⩥ 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.
