APEA 3P PREDICTOR ITEMS COMPREHENSIVE TEST 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.
◉ Albuterol. Answer: Common SABA, brand name Ventolin.
◉ Levalbuterol. Answer: SABA, brand name Xopenex, less side
effects.
◉ Pirbuterol. Answer: SABA, brand name Maxair, used for asthma.
◉ Terbutaline. Answer: SABA, brand name Brethine, relaxes airway
muscles.
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.
◉ Albuterol. Answer: Common SABA, brand name Ventolin.
◉ Levalbuterol. Answer: SABA, brand name Xopenex, less side
effects.
◉ Pirbuterol. Answer: SABA, brand name Maxair, used for asthma.
◉ Terbutaline. Answer: SABA, brand name Brethine, relaxes airway
muscles.
