APEA 3P
EXAM PREP
KEY CLINICAL CONCEPTS
QUESTIONS AND VERIFIED ANSWERS| 100%
CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: APEA (Advanced Practice Education Associates)
COURSE NAME: APEA 3P
APEA 3P
KEY CLINICAL CONCEPTS
,1. Which headache sign does not warrant an immediate investigation?
relieved with use of common analgesics
Identifying a Headache Symptom That Does Not Require Immediate Investigation
A 29-year-old patient presents to a primary care clinic with a history of occasional headaches that occur
after long workdays. The patient reports that the headaches are mild to moderate in intensity, do not
interfere significantly with daily activities, and typically improve after taking an over-the-counter pain
reliever. The Nurse Practitioner reviews the patient's symptoms to determine whether further diagnostic
evaluation is necessary. Which headache characteristic is least likely to warrant immediate investigation?
A. A headache relieved with the use of common analgesics
B. A sudden severe headache described as the "worst headache of my life"
C. A headache associated with new neurological deficits
D. A headache accompanied by altered mental status
Correct Answer: A. A headache relieved with the use of common analgesics
2. During a migraine, what happens to the cerebral arteries?
They dilate
3. You would have a high suspicion for bipolar if which symptom was present?
He sleeps less than 4 hours nightly.
4. Which risk factor is not associated with breast cancer?
Low socioeconomic status.
5. A 26 year old woman with bulimia is likely to be:
Of average weight.
6. What medication is used to relieve acute wheezing in a patient with asthma?
Short acting beta agonist.
7. Which medication might be responsible for recent episodes of incontinence and confusion in an 80 year old
patient?
Tagamet (cimetidine).
8. What suggests hyperandrogenism in an adolescent female?
Hirsutism.
9. Which is a synovial joint?
Shoulder.
10. What could account for a drop in digoxin levels from 0.8-2 ng/dL to 0.4 ng/dL?
Increased exercise.
,11. Which medication is contraindicated in a child with acute sinusitis?
Decongestants.
12. Which best describes the lower extremity calf pain associated with peripheral artery disease?
Dull aching or cramping.
Recognizing Calf Pain Associated With Peripheral Artery Disease
A 67-year-old patient presents to the clinic complaining of discomfort in both calves that occurs while
walking and improves with rest. The patient reports that the pain develops after walking a short distance
and is relieved within a few minutes of sitting down. The Nurse Practitioner suspects peripheral artery
disease (PAD) and performs a vascular assessment. Which description best characterizes the lower
extremity calf pain commonly associated with peripheral artery disease?
A. Sharp, stabbing pain that occurs only at night
B. Burning pain accompanied by numbness and tingling
C. Dull aching or cramping pain during activity
D. Constant throbbing pain that worsens with elevation
Correct Answer: C. Dull aching or cramping pain during activity
13. Jugular venous distention accompanied by chest pain is associated with:
Heart failure.
14. Which immunization protects against a virus that can lead to chronic liver disease?
Hepatitis B.
15. A pediatric patient with areas of scaling on the scalp with round patches of hair loss likely has:
Tinea capitis.
16. A beefy red, glossy smooth tongue in a 70 year old patient suggests:
Pernicious anemia due to insufficient intrinsic factor.
, 17. Leg pain and occasional numbness worse with ambulation and improved with lumbar flexion is likely:
Spinal stenosis.
18. Which is not a typical symptom of late stage HIV?
Persistent vomiting.
19. What hemodynamic change is responsible for a reduction in blood pressure during pregnancy?
Decrease in systemic vascular resistance.
20. If Griseofulvin is not effective for tinea capitis, what is the next step?
Continue the current therapy for 6-8 weeks.
21. Rapid HIV testing would be most appropriate for a patient with complaints of:
Fever, headache, and lymphadenopathy.
22. What is a frequent side effect of SSRIs?
Sexual dysfunction.
Common Adverse Effects of SSRIs
A 34-year-old patient is started on a selective serotonin reuptake inhibitor (SSRI) for the treatment of
major depressive disorder. During a follow-up visit, the patient reports new concerns that began after
starting the medication and asks whether these symptoms are expected. The Nurse Practitioner reviews
common medication-related effects to provide patient education and reassurance. Which adverse effect is
most frequently associated with SSRIs?
A. Weight gain only
B. Sexual dysfunction
C. Hypertension
D. Severe hypoglycemia
Correct Answer: B. Sexual dysfunction
23. You might suspect small bowel obstruction in a patient who complains of:
Vomiting and pain.
Recognizing Signs of Small Bowel Obstruction
A 58-year-old patient presents to the emergency department with abdominal discomfort that has
progressively worsened over the past 24 hours. The patient reports nausea, repeated episodes of vomiting,
and inability to pass stool or flatus. The Nurse Practitioner suspects a possible intestinal obstruction based
on the clinical presentation. Which symptom is most consistent with a small bowel obstruction?
A. Vomiting and abdominal pain
B. Increased appetite and weight gain
C. Pain relieved after eating
D. Constipation only without nausea
EXAM PREP
KEY CLINICAL CONCEPTS
QUESTIONS AND VERIFIED ANSWERS| 100%
CORRECT| GRADED A+
EXAM COVER SHEET
PROGRAM: APEA (Advanced Practice Education Associates)
COURSE NAME: APEA 3P
APEA 3P
KEY CLINICAL CONCEPTS
,1. Which headache sign does not warrant an immediate investigation?
relieved with use of common analgesics
Identifying a Headache Symptom That Does Not Require Immediate Investigation
A 29-year-old patient presents to a primary care clinic with a history of occasional headaches that occur
after long workdays. The patient reports that the headaches are mild to moderate in intensity, do not
interfere significantly with daily activities, and typically improve after taking an over-the-counter pain
reliever. The Nurse Practitioner reviews the patient's symptoms to determine whether further diagnostic
evaluation is necessary. Which headache characteristic is least likely to warrant immediate investigation?
A. A headache relieved with the use of common analgesics
B. A sudden severe headache described as the "worst headache of my life"
C. A headache associated with new neurological deficits
D. A headache accompanied by altered mental status
Correct Answer: A. A headache relieved with the use of common analgesics
2. During a migraine, what happens to the cerebral arteries?
They dilate
3. You would have a high suspicion for bipolar if which symptom was present?
He sleeps less than 4 hours nightly.
4. Which risk factor is not associated with breast cancer?
Low socioeconomic status.
5. A 26 year old woman with bulimia is likely to be:
Of average weight.
6. What medication is used to relieve acute wheezing in a patient with asthma?
Short acting beta agonist.
7. Which medication might be responsible for recent episodes of incontinence and confusion in an 80 year old
patient?
Tagamet (cimetidine).
8. What suggests hyperandrogenism in an adolescent female?
Hirsutism.
9. Which is a synovial joint?
Shoulder.
10. What could account for a drop in digoxin levels from 0.8-2 ng/dL to 0.4 ng/dL?
Increased exercise.
,11. Which medication is contraindicated in a child with acute sinusitis?
Decongestants.
12. Which best describes the lower extremity calf pain associated with peripheral artery disease?
Dull aching or cramping.
Recognizing Calf Pain Associated With Peripheral Artery Disease
A 67-year-old patient presents to the clinic complaining of discomfort in both calves that occurs while
walking and improves with rest. The patient reports that the pain develops after walking a short distance
and is relieved within a few minutes of sitting down. The Nurse Practitioner suspects peripheral artery
disease (PAD) and performs a vascular assessment. Which description best characterizes the lower
extremity calf pain commonly associated with peripheral artery disease?
A. Sharp, stabbing pain that occurs only at night
B. Burning pain accompanied by numbness and tingling
C. Dull aching or cramping pain during activity
D. Constant throbbing pain that worsens with elevation
Correct Answer: C. Dull aching or cramping pain during activity
13. Jugular venous distention accompanied by chest pain is associated with:
Heart failure.
14. Which immunization protects against a virus that can lead to chronic liver disease?
Hepatitis B.
15. A pediatric patient with areas of scaling on the scalp with round patches of hair loss likely has:
Tinea capitis.
16. A beefy red, glossy smooth tongue in a 70 year old patient suggests:
Pernicious anemia due to insufficient intrinsic factor.
, 17. Leg pain and occasional numbness worse with ambulation and improved with lumbar flexion is likely:
Spinal stenosis.
18. Which is not a typical symptom of late stage HIV?
Persistent vomiting.
19. What hemodynamic change is responsible for a reduction in blood pressure during pregnancy?
Decrease in systemic vascular resistance.
20. If Griseofulvin is not effective for tinea capitis, what is the next step?
Continue the current therapy for 6-8 weeks.
21. Rapid HIV testing would be most appropriate for a patient with complaints of:
Fever, headache, and lymphadenopathy.
22. What is a frequent side effect of SSRIs?
Sexual dysfunction.
Common Adverse Effects of SSRIs
A 34-year-old patient is started on a selective serotonin reuptake inhibitor (SSRI) for the treatment of
major depressive disorder. During a follow-up visit, the patient reports new concerns that began after
starting the medication and asks whether these symptoms are expected. The Nurse Practitioner reviews
common medication-related effects to provide patient education and reassurance. Which adverse effect is
most frequently associated with SSRIs?
A. Weight gain only
B. Sexual dysfunction
C. Hypertension
D. Severe hypoglycemia
Correct Answer: B. Sexual dysfunction
23. You might suspect small bowel obstruction in a patient who complains of:
Vomiting and pain.
Recognizing Signs of Small Bowel Obstruction
A 58-year-old patient presents to the emergency department with abdominal discomfort that has
progressively worsened over the past 24 hours. The patient reports nausea, repeated episodes of vomiting,
and inability to pass stool or flatus. The Nurse Practitioner suspects a possible intestinal obstruction based
on the clinical presentation. Which symptom is most consistent with a small bowel obstruction?
A. Vomiting and abdominal pain
B. Increased appetite and weight gain
C. Pain relieved after eating
D. Constipation only without nausea
