APEA 3P COMPREHENSIVE EXAM STUDY
GUIDE COMPLETE QUESTIONS AND
SOLUTIONS
●● Munchausen Syndrome By Proxy
Answer: A caregiver making up or causing an illness or injury in a
person under his or her care.
●● Symptoms of depression
Answer: Side effect of medications such as serotonin and
norepinephrine.
●● Lesion characteristics
Answer: A dark raised and asymmetric lesion with irregular border is
indicative of melanoma.
●● Puffiness of the eyes
Answer: Dull puffiness of the eyes pronounced not pitting periorbital
edema suggests nephrotic syndrome.
●● Prophylactic medication for migraines
Answer: Amitriptyline (Elavil) is considered off-label use for
prophylactic treatment of migraines.
,●● Scaling on the scalp
Answer: Areas of scaling on the scalp with round patches of alopecia are
consistent with tinea capitis.
●● Combined hormonal contraceptive contraindications
Answer: Contraindicated in women older than 45, breastfeeding,
smoking, hypertension, diabetes, or history of stroke.
●● Bloody nipple discharge
Answer: Bloody spontaneous discharge from the right nipple indicates
the need for further evaluation.
●● Rho (D) immunoglobulin administration
Answer: Rh negative women should receive Rho (D) immunoglobulin at
28 weeks' gestation.
●● Mean corpuscular volume (MCV)
Answer: MCV describes the size of the RBCs; small-sized RBCs result
in a lower MCV, while larger RBCs result in a higher MCV.
●● Avoided medication for headache prophylaxis
Answer: Venlafaxine (Effexor) should be avoided due to serious side
effects.
, ●● Prostaglandin E1 (PG1) mechanism
Answer: Maintains patency of the great arteries in a patient with
transposition of the great arteries.
●● Calf pain in peripheral artery disease
Answer: A dull pain or cramp describes lower extremity calf pain
associated with peripheral artery disease.
●● Hyperprolactinemia symptoms
Answer: Typical symptoms include infertility, oligomenorrhea, or
amenorrhea in premenopausal women.
●● Asthma treatment
Answer: Short-acting bronchodilators are used to relieve acute wheezing
in asthma patients.
●● Shingles vaccine
Answer: The shingles (herpes zoster) vaccine reduces the risk for
infection with the virus that causes painful localized blistering rash.
●● Short-Acting Beta Agonist (SABA)
Answer: Inhalers for acute asthma attacks, quickly relieve constriction.
GUIDE COMPLETE QUESTIONS AND
SOLUTIONS
●● Munchausen Syndrome By Proxy
Answer: A caregiver making up or causing an illness or injury in a
person under his or her care.
●● Symptoms of depression
Answer: Side effect of medications such as serotonin and
norepinephrine.
●● Lesion characteristics
Answer: A dark raised and asymmetric lesion with irregular border is
indicative of melanoma.
●● Puffiness of the eyes
Answer: Dull puffiness of the eyes pronounced not pitting periorbital
edema suggests nephrotic syndrome.
●● Prophylactic medication for migraines
Answer: Amitriptyline (Elavil) is considered off-label use for
prophylactic treatment of migraines.
,●● Scaling on the scalp
Answer: Areas of scaling on the scalp with round patches of alopecia are
consistent with tinea capitis.
●● Combined hormonal contraceptive contraindications
Answer: Contraindicated in women older than 45, breastfeeding,
smoking, hypertension, diabetes, or history of stroke.
●● Bloody nipple discharge
Answer: Bloody spontaneous discharge from the right nipple indicates
the need for further evaluation.
●● Rho (D) immunoglobulin administration
Answer: Rh negative women should receive Rho (D) immunoglobulin at
28 weeks' gestation.
●● Mean corpuscular volume (MCV)
Answer: MCV describes the size of the RBCs; small-sized RBCs result
in a lower MCV, while larger RBCs result in a higher MCV.
●● Avoided medication for headache prophylaxis
Answer: Venlafaxine (Effexor) should be avoided due to serious side
effects.
, ●● Prostaglandin E1 (PG1) mechanism
Answer: Maintains patency of the great arteries in a patient with
transposition of the great arteries.
●● Calf pain in peripheral artery disease
Answer: A dull pain or cramp describes lower extremity calf pain
associated with peripheral artery disease.
●● Hyperprolactinemia symptoms
Answer: Typical symptoms include infertility, oligomenorrhea, or
amenorrhea in premenopausal women.
●● Asthma treatment
Answer: Short-acting bronchodilators are used to relieve acute wheezing
in asthma patients.
●● Shingles vaccine
Answer: The shingles (herpes zoster) vaccine reduces the risk for
infection with the virus that causes painful localized blistering rash.
●● Short-Acting Beta Agonist (SABA)
Answer: Inhalers for acute asthma attacks, quickly relieve constriction.
