APEA 3P
APEA 3P High Stakes Exam Study Guide Qs & Ans to Pass the
Exam (), 100% Verified
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,Page 1
Question 1: Medications that can cause ototoxicity?
A) Statins, Antihistamines, Muscle Relaxants, Sedatives
B) Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal decongestants
C) Antibiotics, Antipsychotics, Antidepressants, Anticonvulsants
D) Beta-Blockers, Antidepressants, Antifungals, Antivirals
Correct Answer: B
Rationale: Aminoglycosides (e.g., gentamicin), loop diuretics (e.g., furosemide), and
high-dose NSAIDs are well-known ototoxins. Antihistamines and decongestants can also
affect the ear but are less commonly associated with permanent damage. Statins,
antipsychotics, and beta-blockers are not primary ototoxic agents.
Question 2: Dopaminergic agents, Carbidopa/levodopa (Do not give to patients with
narrow angle glaucoma) are used to treat which condition?
A) Alzheimer's Disease
B) Wilson's Disease
C) Huntington's Disease
D) Parkinson's Disease
,Correct Answer: D
Rationale: Carbidopa/levodopa is the mainstay of Parkinson's disease treatment. It
works by increasing dopamine levels in the brain. It is contraindicated in narrow-angle
glaucoma because it can increase intraocular pressure.
Question 3: Acute Gout - Colchicine; Chronic Gout (2 or more attacks/year) - Allopurinol
(decreases production of uric acid). This describes treatment for:
A) RA Treatment
B) Anxiety Treatment
C) Pain Treatment
D) Gout Treatment
Correct Answer: D
Rationale: Colchicine is used for acute gout flares. Allopurinol is a xanthine oxidase
inhibitor used for chronic gout management to lower uric acid levels.
Page 2
Question 4: Decongestant contraindication in Pediatrics?
A) Do not give over 12yrs old
B) Do not give during pregnancy
C) Do not give under 2yrs old
D) Do not give with antibiotics
Correct Answer: C
Rationale: Decongestants are contraindicated in children under 2 years of age due to
risk of serious side effects such as seizures, rapid heart rate, and death. The FDA
advises against use in this age group.
, Question 5: Testicular pain onset over a few days (gradual) and cremasteric reflex is
present. What is the diagnosis?
A) Epididymitis
B) Spermatocele
C) Trichomoniasis
D) Urethritis
Correct Answer: A
Rationale: Epididymitis typically presents with gradual onset of testicular pain over days,
and the cremasteric reflex remains intact. Testicular torsion, in contrast, has sudden
onset and loss of cremasteric reflex.
Question 6: Positive leukocytes and nitrates on UA with S&S of pain, burning, urgency,
frequency, fever, chills indicates:
A) UTI
B) GOUT
C) COPD
D) HPV
Correct Answer: A
Rationale: Leukocyte esterase and nitrites on urinalysis are classic findings in a urinary
tract infection. The symptoms (dysuria, urgency, frequency, fever) further support the
diagnosis.
Page 3
Question 7: Given at 28wks gestation, within 72hrs of delivery and any maternal
hemorrhage, ectopic pregnancy, and abortion:
A) Rhoqam
B) Breast Cancer
APEA 3P High Stakes Exam Study Guide Qs & Ans to Pass the
Exam (), 100% Verified
Gradegurus
➢
➢
➢
➢
,Page 1
Question 1: Medications that can cause ototoxicity?
A) Statins, Antihistamines, Muscle Relaxants, Sedatives
B) Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal decongestants
C) Antibiotics, Antipsychotics, Antidepressants, Anticonvulsants
D) Beta-Blockers, Antidepressants, Antifungals, Antivirals
Correct Answer: B
Rationale: Aminoglycosides (e.g., gentamicin), loop diuretics (e.g., furosemide), and
high-dose NSAIDs are well-known ototoxins. Antihistamines and decongestants can also
affect the ear but are less commonly associated with permanent damage. Statins,
antipsychotics, and beta-blockers are not primary ototoxic agents.
Question 2: Dopaminergic agents, Carbidopa/levodopa (Do not give to patients with
narrow angle glaucoma) are used to treat which condition?
A) Alzheimer's Disease
B) Wilson's Disease
C) Huntington's Disease
D) Parkinson's Disease
,Correct Answer: D
Rationale: Carbidopa/levodopa is the mainstay of Parkinson's disease treatment. It
works by increasing dopamine levels in the brain. It is contraindicated in narrow-angle
glaucoma because it can increase intraocular pressure.
Question 3: Acute Gout - Colchicine; Chronic Gout (2 or more attacks/year) - Allopurinol
(decreases production of uric acid). This describes treatment for:
A) RA Treatment
B) Anxiety Treatment
C) Pain Treatment
D) Gout Treatment
Correct Answer: D
Rationale: Colchicine is used for acute gout flares. Allopurinol is a xanthine oxidase
inhibitor used for chronic gout management to lower uric acid levels.
Page 2
Question 4: Decongestant contraindication in Pediatrics?
A) Do not give over 12yrs old
B) Do not give during pregnancy
C) Do not give under 2yrs old
D) Do not give with antibiotics
Correct Answer: C
Rationale: Decongestants are contraindicated in children under 2 years of age due to
risk of serious side effects such as seizures, rapid heart rate, and death. The FDA
advises against use in this age group.
, Question 5: Testicular pain onset over a few days (gradual) and cremasteric reflex is
present. What is the diagnosis?
A) Epididymitis
B) Spermatocele
C) Trichomoniasis
D) Urethritis
Correct Answer: A
Rationale: Epididymitis typically presents with gradual onset of testicular pain over days,
and the cremasteric reflex remains intact. Testicular torsion, in contrast, has sudden
onset and loss of cremasteric reflex.
Question 6: Positive leukocytes and nitrates on UA with S&S of pain, burning, urgency,
frequency, fever, chills indicates:
A) UTI
B) GOUT
C) COPD
D) HPV
Correct Answer: A
Rationale: Leukocyte esterase and nitrites on urinalysis are classic findings in a urinary
tract infection. The symptoms (dysuria, urgency, frequency, fever) further support the
diagnosis.
Page 3
Question 7: Given at 28wks gestation, within 72hrs of delivery and any maternal
hemorrhage, ectopic pregnancy, and abortion:
A) Rhoqam
B) Breast Cancer
