APEA PREDICTOR UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
◉ HTN drug of choice in pregnancy Answer: Labetalol, nifedipine,
methyldopa (avoid ACEI/ARB)
◉ Murmur Answer: systolic, radiates to carotids Aortic stenosis
◉ Murmur Answer: blowing systolic, radiates to axilla Mitral
regurgitation
◉ Murmur Answer: diastolic rumble with opening snap Mitral
stenosis
◉ CHF left-sided symptoms Answer: Dyspnea, orthopnea,
pulmonary crackles
◉ CHF right-sided symptoms Answer: JVD, edema, ascites
◉ Statin indications Answer: ASCVD, LDL ≥190, DM age 40-75, 10-yr
ASCVD risk ≥7.5%
, ◉ Asthma intermittent Answer: SABA PRN only
◉ Asthma persistent Answer: Add ICS, then LABA if needed (never
LABA alone)
◉ COPD "blue bloater" Answer: Chronic bronchitis (cyanosis,
edema)
◉ COPD "pink puffer" Answer: Emphysema (thin, barrel chest)
◉ CAP healthy adult tx Answer: Amoxicillin, doxycycline, or
macrolide
◉ CAP w/ comorbidities tx Answer: Augmentin or ceph +
doxy/macrolide OR respiratory fluoroquinolone
◉ TB hallmark symptoms Answer: Hemoptysis, weight loss, night
sweats
◉ Diabetes diagnostic Answer: A1c ≥6.5%
◉ First-line diabetes drug Answer: Metformin (unless GFR <30)
ANSWERS
◉ HTN drug of choice in pregnancy Answer: Labetalol, nifedipine,
methyldopa (avoid ACEI/ARB)
◉ Murmur Answer: systolic, radiates to carotids Aortic stenosis
◉ Murmur Answer: blowing systolic, radiates to axilla Mitral
regurgitation
◉ Murmur Answer: diastolic rumble with opening snap Mitral
stenosis
◉ CHF left-sided symptoms Answer: Dyspnea, orthopnea,
pulmonary crackles
◉ CHF right-sided symptoms Answer: JVD, edema, ascites
◉ Statin indications Answer: ASCVD, LDL ≥190, DM age 40-75, 10-yr
ASCVD risk ≥7.5%
, ◉ Asthma intermittent Answer: SABA PRN only
◉ Asthma persistent Answer: Add ICS, then LABA if needed (never
LABA alone)
◉ COPD "blue bloater" Answer: Chronic bronchitis (cyanosis,
edema)
◉ COPD "pink puffer" Answer: Emphysema (thin, barrel chest)
◉ CAP healthy adult tx Answer: Amoxicillin, doxycycline, or
macrolide
◉ CAP w/ comorbidities tx Answer: Augmentin or ceph +
doxy/macrolide OR respiratory fluoroquinolone
◉ TB hallmark symptoms Answer: Hemoptysis, weight loss, night
sweats
◉ Diabetes diagnostic Answer: A1c ≥6.5%
◉ First-line diabetes drug Answer: Metformin (unless GFR <30)