3P EXAM STUDY APEA QUESTIONS
AND ANSWERS
What=would=cause=decrease=in=Digoxin=levels?=-=ans-✔✔Antacids
Taking=Pyridium=for=UTI,=what=can=Pyridium=cause?=-=ans-✔✔Hemolytic=Anemia
What=can=PCOS=result=in?=-=ans-
✔✔Increased=insulin=levels=(Hyperinsulinemia),=Androgens,=Hirsutism
What=are=the=anti-hypertensives=used=in=pregnancy?=-=ans-✔✔Methyldopa=(Alpha-2-
Agonist),=Labetalol,=Nifedipine,=Hydralazine
What=is=a=characteristic=of=Placenta=Previa?=-=ans-✔✔Painless,=red=bleeding
What=is=a=chacteristic=of=Rheumatoid=Arthritis?=-=ans-✔✔Tender,=warm,=swollen=joints
Medications=that=can=cause=ototoxicity?=-=ans-
✔✔Aminoglycosides,=loop=diuretics,=NSAIDs,=antihistamines,=nasal=decongestants
What=is=the=treatment=time=for=enterobiasis?=-=ans-✔✔2=weeks
What=does=MCV=lab=value=measure?=-=ans-
✔✔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?=-=ans-✔✔27-28=weeks
What=are=Janeway=lesions=and=what=do=they=indicate?=-=ans-
✔✔They=are=irregular,=non-
tender=hemorrhagic=macules=located=on=the=hands=and=feet.=Seen=in=Infective=Endoc
arditis
What=are=Osler's=Nodes=and=what=do=they=indicate?=-=ans-✔✔They=are=split=pea-
sized,=erythematous,=tender=nodules=located=on=the=pads=of=the=fingers=and=toes.=Se
en=in=Infective=Endocarditis
What=is=the=recommendation=for=Warfarin=management=when=a=patient=misses=a=dos
e?=-=ans-
,✔✔If=within=12=hours=of=the=dose=time,=take=it.=If=over=12=hours=patient=will=need=a=IN
R=redraw
What=do=we=need=to=know=about=ACEs=and=ARBs?=-=ans-
✔✔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,=an
d=HTN.=Not=recommended=as=1st=line=agent=with=African=Americans=&=can=cause=an
gioedema.
Contraindications=for=Hydrochlorothiazide=-=ans-
✔✔Sulfa=allergy,=PCN=hypersensitivity,=Asthma,=Gout
Systolic=Murmurs=(Benign)=-=ans-✔✔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)=-=ans-
✔✔AR===Aortic=Regurgitation=(Angina,=HF,=Dizziness,=Chest=Pain)
MS===Mitral=Stenosis=(Dyspnea,=AFib)
What=does=S1=indicate?=-=ans-
✔✔S1=Closure=of=the=Atrioventricular=Valves=(Mitral=&=Tricuspid=Valves)
What=does=S2=indicate?=-=ans-
✔✔S2=Closure=of=the=Semilunar=Valves=(Aortic=&=Pulmonic=Valves)
S3=is=often=heard=in?=-=ans-✔✔CHF,=possibly=normal=for=athletic=adolescents
S4=is=often=heard=in?=-=ans-
✔✔Diastolic=HF,=Left=Ventricular=Hypertrophy=(LVH),=Poorly=controlled=HTN,=MI
Treatment=of=Peripheral=Artery=Disease=(PAD)=-=ans-
✔✔Antiplatelets=(Plavix,=ASA),=Pentoxifylline=(Decreases=blood=viscosity)
Diagnosing=Peripheral=Artery=Disease=(PAD)=-=ans-✔✔Gold=Standard===Angiography
Ankle=Brachial=Index=(ABI)
Coronary=Artery=Disease=(CAD)=treatment=-=ans-✔✔Aotrvastatin/
Rosuvastatin===If=LDL>150=use=high=doses.=Watch=for=LFTs=&=arthralgia.=Change=typ
e=&=dose=if=issues.=Helps=stabilize=plaques.
What=medications=are=indicated=for=HF=treatment?=-=ans-✔✔ACEs,=ARBs,=ARNI=w/
BBs,=Aldosterone=Recepter=Antagonists
, What=is=the=treatment=for=Sarcopter=Scabiei=(Scabies)?=-=ans-
✔✔Topical=Permetherin=massaged=from=head=to=soles=of=feet=and=wash=off=with=sho
wer=or=bath=after=8-14hrs.=Treat=again=in=1=week.
Names=of=skin=lesions?=-=ans-✔✔Macule:=Flat=<1cm=i.e.=freckle
Papule:=Raised=<1cm=i.e.=acne
Nodule:=Raised=>1cm=i.e.=lipoma
Vesicle:=Blister=<1cm=i.e.=HSV,=Chickenpox
Bulla:=Blister=>1cm=i.e.=2nd=Degree=Burn,=Bullous=Pemphigod
Plaque:=Raised,=flat-top=>1cm=i.e.=Psoriasis=&=Seborrheic=Keratoses
Patch:=Flat,=discolored=>1cm=i.e.=Vitiligo=&=Port-Wine=Stains
Wheal:=Raised=&=Red=Area=i.e.=Hives=&=Insect=Bite=reaction
Keloid=-=ans-✔✔Hyperthrophic=scar=that=is=invasive=beyond=point=of=original=injury
What=is=Tinea=Capitis=and=What=is=the=treatment?=-=ans-✔✔Scalp=Ring-
Worm.=Round,=scaly=patches=on=scalp=(Cradle=Cap).=Treatment=is=Grisefulvin=500mg=
with=high=fat=meals=for=4-6weeks
What=is=Tinea=Corporis=and=What=is=the=treatment?=-=ans-✔✔Body=Ring-
Worm.=Red,=scaly=plaques=on=the=body=or=trunk=in=a=ring-like/
circular=pattern.=Topical=Azoles=(I.E.=Clotrimazole)=for=2=weeks.
How=do=you=assess=Melanoma?=-=ans-
✔✔ABCDE=(Asymmetry,=Border,=Color,=Diameter=>6mm,=and=Evolution/Elevation
Signs=&=Symptoms=of=Psoriasis?=-=ans-✔✔Silvery-
White=Scales,=Pitted=Nails,=Positive=Auspitz=Sign=(Pinpoint=bleeding=when=lesions/
scales=are=scraped)
Facts=about=Shingles=(Herpes=Zoster)=-=ans-✔✔-
=Unilateral=Dermatomal=Rash=which=starts=as=a=painful=red=rash=(patch)=and=progress
es=to=blisters=(vesicles).
=-
=Post=herpetic=neuralgia=pain=is=common=and=can=last=longer=than=1=month=after=rash
=resolves.=
-=May=transmit=chickenpox=virus=to=unvaccinated=&=susceptible=patients.=
-
=Treatment=consists=of=Acyclovir,=Valacyclovir,=or=Famciclovir=and=most=effective=if=sta
rted=within=48-72hrs=of=rash=appearance.
Facts=about=Contact=Dermatitis=(Eczema)=-=ans-✔✔-
=Papules=or=Vesicles=typically=5mm=or=less=which=are=red,=raised=bumps
-
=Skin=becomes=dry,=scaly,=and=rough=leading=to=formation=of=crusts=or=flakes=on=skin=
surface
AND ANSWERS
What=would=cause=decrease=in=Digoxin=levels?=-=ans-✔✔Antacids
Taking=Pyridium=for=UTI,=what=can=Pyridium=cause?=-=ans-✔✔Hemolytic=Anemia
What=can=PCOS=result=in?=-=ans-
✔✔Increased=insulin=levels=(Hyperinsulinemia),=Androgens,=Hirsutism
What=are=the=anti-hypertensives=used=in=pregnancy?=-=ans-✔✔Methyldopa=(Alpha-2-
Agonist),=Labetalol,=Nifedipine,=Hydralazine
What=is=a=characteristic=of=Placenta=Previa?=-=ans-✔✔Painless,=red=bleeding
What=is=a=chacteristic=of=Rheumatoid=Arthritis?=-=ans-✔✔Tender,=warm,=swollen=joints
Medications=that=can=cause=ototoxicity?=-=ans-
✔✔Aminoglycosides,=loop=diuretics,=NSAIDs,=antihistamines,=nasal=decongestants
What=is=the=treatment=time=for=enterobiasis?=-=ans-✔✔2=weeks
What=does=MCV=lab=value=measure?=-=ans-
✔✔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?=-=ans-✔✔27-28=weeks
What=are=Janeway=lesions=and=what=do=they=indicate?=-=ans-
✔✔They=are=irregular,=non-
tender=hemorrhagic=macules=located=on=the=hands=and=feet.=Seen=in=Infective=Endoc
arditis
What=are=Osler's=Nodes=and=what=do=they=indicate?=-=ans-✔✔They=are=split=pea-
sized,=erythematous,=tender=nodules=located=on=the=pads=of=the=fingers=and=toes.=Se
en=in=Infective=Endocarditis
What=is=the=recommendation=for=Warfarin=management=when=a=patient=misses=a=dos
e?=-=ans-
,✔✔If=within=12=hours=of=the=dose=time,=take=it.=If=over=12=hours=patient=will=need=a=IN
R=redraw
What=do=we=need=to=know=about=ACEs=and=ARBs?=-=ans-
✔✔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,=an
d=HTN.=Not=recommended=as=1st=line=agent=with=African=Americans=&=can=cause=an
gioedema.
Contraindications=for=Hydrochlorothiazide=-=ans-
✔✔Sulfa=allergy,=PCN=hypersensitivity,=Asthma,=Gout
Systolic=Murmurs=(Benign)=-=ans-✔✔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)=-=ans-
✔✔AR===Aortic=Regurgitation=(Angina,=HF,=Dizziness,=Chest=Pain)
MS===Mitral=Stenosis=(Dyspnea,=AFib)
What=does=S1=indicate?=-=ans-
✔✔S1=Closure=of=the=Atrioventricular=Valves=(Mitral=&=Tricuspid=Valves)
What=does=S2=indicate?=-=ans-
✔✔S2=Closure=of=the=Semilunar=Valves=(Aortic=&=Pulmonic=Valves)
S3=is=often=heard=in?=-=ans-✔✔CHF,=possibly=normal=for=athletic=adolescents
S4=is=often=heard=in?=-=ans-
✔✔Diastolic=HF,=Left=Ventricular=Hypertrophy=(LVH),=Poorly=controlled=HTN,=MI
Treatment=of=Peripheral=Artery=Disease=(PAD)=-=ans-
✔✔Antiplatelets=(Plavix,=ASA),=Pentoxifylline=(Decreases=blood=viscosity)
Diagnosing=Peripheral=Artery=Disease=(PAD)=-=ans-✔✔Gold=Standard===Angiography
Ankle=Brachial=Index=(ABI)
Coronary=Artery=Disease=(CAD)=treatment=-=ans-✔✔Aotrvastatin/
Rosuvastatin===If=LDL>150=use=high=doses.=Watch=for=LFTs=&=arthralgia.=Change=typ
e=&=dose=if=issues.=Helps=stabilize=plaques.
What=medications=are=indicated=for=HF=treatment?=-=ans-✔✔ACEs,=ARBs,=ARNI=w/
BBs,=Aldosterone=Recepter=Antagonists
, What=is=the=treatment=for=Sarcopter=Scabiei=(Scabies)?=-=ans-
✔✔Topical=Permetherin=massaged=from=head=to=soles=of=feet=and=wash=off=with=sho
wer=or=bath=after=8-14hrs.=Treat=again=in=1=week.
Names=of=skin=lesions?=-=ans-✔✔Macule:=Flat=<1cm=i.e.=freckle
Papule:=Raised=<1cm=i.e.=acne
Nodule:=Raised=>1cm=i.e.=lipoma
Vesicle:=Blister=<1cm=i.e.=HSV,=Chickenpox
Bulla:=Blister=>1cm=i.e.=2nd=Degree=Burn,=Bullous=Pemphigod
Plaque:=Raised,=flat-top=>1cm=i.e.=Psoriasis=&=Seborrheic=Keratoses
Patch:=Flat,=discolored=>1cm=i.e.=Vitiligo=&=Port-Wine=Stains
Wheal:=Raised=&=Red=Area=i.e.=Hives=&=Insect=Bite=reaction
Keloid=-=ans-✔✔Hyperthrophic=scar=that=is=invasive=beyond=point=of=original=injury
What=is=Tinea=Capitis=and=What=is=the=treatment?=-=ans-✔✔Scalp=Ring-
Worm.=Round,=scaly=patches=on=scalp=(Cradle=Cap).=Treatment=is=Grisefulvin=500mg=
with=high=fat=meals=for=4-6weeks
What=is=Tinea=Corporis=and=What=is=the=treatment?=-=ans-✔✔Body=Ring-
Worm.=Red,=scaly=plaques=on=the=body=or=trunk=in=a=ring-like/
circular=pattern.=Topical=Azoles=(I.E.=Clotrimazole)=for=2=weeks.
How=do=you=assess=Melanoma?=-=ans-
✔✔ABCDE=(Asymmetry,=Border,=Color,=Diameter=>6mm,=and=Evolution/Elevation
Signs=&=Symptoms=of=Psoriasis?=-=ans-✔✔Silvery-
White=Scales,=Pitted=Nails,=Positive=Auspitz=Sign=(Pinpoint=bleeding=when=lesions/
scales=are=scraped)
Facts=about=Shingles=(Herpes=Zoster)=-=ans-✔✔-
=Unilateral=Dermatomal=Rash=which=starts=as=a=painful=red=rash=(patch)=and=progress
es=to=blisters=(vesicles).
=-
=Post=herpetic=neuralgia=pain=is=common=and=can=last=longer=than=1=month=after=rash
=resolves.=
-=May=transmit=chickenpox=virus=to=unvaccinated=&=susceptible=patients.=
-
=Treatment=consists=of=Acyclovir,=Valacyclovir,=or=Famciclovir=and=most=effective=if=sta
rted=within=48-72hrs=of=rash=appearance.
Facts=about=Contact=Dermatitis=(Eczema)=-=ans-✔✔-
=Papules=or=Vesicles=typically=5mm=or=less=which=are=red,=raised=bumps
-
=Skin=becomes=dry,=scaly,=and=rough=leading=to=formation=of=crusts=or=flakes=on=skin=
surface
