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3Ps High Stakes Exam Study Guide | Clinical Medicine Q&A for Nurse Practitioners

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Master high-yield clinical topics for the 3Ps high stakes exam. Covers pregnancy complications, cardiology murmurs, infectious diseases, dermatology, endocrinology, and more. Includes presentation, diagnosis, and treatment guidelines.

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APEA 3P High Stakes Study Guide Exam
Contains Questions with Verified Answers
Passing Score: Guarantee




1. What are the anti-hypertensives used in pregnancy

Answer> Methyldopa (Al- pha-2-Agonist), Labetalol, Nifedipine, Hydralazine




2. What is a characteristic of Placenta Previa


Answer> Painless, red bleeding




3. What is a chacteristic of Rheumatoid Arthritis

Answer> Tender, warm, swollen joints






4. Medications that can cause ototoxicity

Answer> Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal

decongestants

,5. What is the treatment time for enterobiasis

Answer> 2 weeks




6. What would cause decrease in Digoxin levels

Answer> Antacids




7. Taking Pyridium for UTI, what can Pyridium cause

Answer> Hemolytic Anemia




8. What can PCOS result in

Answer> Increased insulin levels (Hyperinsulinemia), Andro- gens, Hirsutism




9. What does MCV lab value measure

Answer> Mean Corpuscular Volume helps diag- nose different types of anemia such

as B12 & Folate (Macrocytic) and Fe anemia (Microcytic)





10. Rhogam is given at how many week gestation

Answer> 27-28 weeks

,11. 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




12. 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




13. 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




14. 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. ACEs3 /&
14 ARBs are indicated for patients with



DM, CKD, and HTN. Not recommended as 1st line agent with African Americans

& can cause angioedema.




15. Contraindications for Hydrochlorothiazide:

, Answer> Sulfa allergy, PCN hypersensitiv- ity, Asthma, Gout




16. 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




17. Diastolic Murmurs (Abnormal):

Answer> AR = Aortic Regurgitation (Angina, HF, Dizzi- ness, Chest Pain)

MS = Mitral Stenosis (Dyspnea, AFib)




18. What does S1 indicate

Answer> S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid Valves)

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