APEA 3P PRACTICE COMPLETE
QUESTIONS AND ANSWERS
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - CORRECT ANSWER-flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath
sounds are: - CORRECT ANSWER-vesicular with late inspiratory crackles in the
dependent portions of the lungs and resonant on percussion (looses ability to pump out
blood)
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he
has severe mood swings, is easily distracted, and constantly corrects his teachers. You
have the high suspicion for bipolar if which symptom was present? - CORRECT
ANSWER-he sleeps less than 4 hours nightly
Using GTPAL nomenclature, how would document a patient currently pregnant with a
hx of uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8
week elective abortion? - CORRECT ANSWER-G4 T1 P1 A1 L3 (mult births count as 1
pregnancy and 1 birth)
What is the most likely presenting symptom in a pediatric patient with croup? -
CORRECT ANSWER-barking cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is
contraindicated? - CORRECT ANSWER-Heart disease
Severe aortic regurgitation symptoms with dyspnea - CORRECT ANSWER-dry cough,
angina, hypotension, systolic murmur
Unipolar depression. What medications are not considered? - CORRECT ANSWER-
TCA (tricyclic antidepressants); Buspar, SSR, wellbutin are all okay
, Which of the following statements is most accurate about cough associated with ACEI?
- CORRECT ANSWER-Asthma
Conductive Hearing loss - CORRECT ANSWER-External ear, middle ear, or both
problem
Which of the following is a risk factor for the development of prostate enlargement? -
CORRECT ANSWER-Diabetes; Obesity, heart and circulatory disease, DM2
Patients with suspected PAD may be asymptomatic or may complain of which symptom
in the lower extremity? - CORRECT ANSWER-Pain during activity
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is
found to have ascites and JVD should be evaluated for: - CORRECT ANSWER-heart
failure
23 year old woman is having frequent migraines and needs a prophylactic medication.
She also has asthma. The medication should be avoided in this patient: - CORRECT
ANSWER-Propranolol (inderal); can cause increase bronchospasm
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is
safe to use with warfarin? - CORRECT ANSWER-Clarithromycin (PCN and
cephalosporins are okay)
On PA of 50 year old woman who has complains of joint pain, the NP finds swan neck
and boutoniere deformities which she knows are related to the diagnosis of - CORRECT
ANSWER-rheumatoid arthritis
28 year old woman has symptoms of asthma daily and several nights a week. She uses
a SABA and will be starting fluticasone/salmeterol (Advair). Advair: - CORRECT
ANSWER-is not effective during an acute asthma attack
The main lymphatic channel that drains lymph back to the systemic circulation from the
entire body, with the exception of the RT arm, thorax, head and neck is the - CORRECT
ANSWER-thoracic duct
Intrauterine growth restriction is suspected in an 18 year old pregnant patient at 35
weeks gestation if the fundal height measurement is - CORRECT ANSWER-32
A 22 year old patient presents with complaints of headaches with associated nausea
and vomitting. The LEAST likely differential diagnosis for this patient is - CORRECT
ANSWER-tension headaches
The symptoms that will help differentiate acute pyelonephritis from acute nephrolithiasis
is the presence of - CORRECT ANSWER-costovertebral pain
QUESTIONS AND ANSWERS
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - CORRECT ANSWER-flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath
sounds are: - CORRECT ANSWER-vesicular with late inspiratory crackles in the
dependent portions of the lungs and resonant on percussion (looses ability to pump out
blood)
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he
has severe mood swings, is easily distracted, and constantly corrects his teachers. You
have the high suspicion for bipolar if which symptom was present? - CORRECT
ANSWER-he sleeps less than 4 hours nightly
Using GTPAL nomenclature, how would document a patient currently pregnant with a
hx of uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8
week elective abortion? - CORRECT ANSWER-G4 T1 P1 A1 L3 (mult births count as 1
pregnancy and 1 birth)
What is the most likely presenting symptom in a pediatric patient with croup? -
CORRECT ANSWER-barking cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is
contraindicated? - CORRECT ANSWER-Heart disease
Severe aortic regurgitation symptoms with dyspnea - CORRECT ANSWER-dry cough,
angina, hypotension, systolic murmur
Unipolar depression. What medications are not considered? - CORRECT ANSWER-
TCA (tricyclic antidepressants); Buspar, SSR, wellbutin are all okay
, Which of the following statements is most accurate about cough associated with ACEI?
- CORRECT ANSWER-Asthma
Conductive Hearing loss - CORRECT ANSWER-External ear, middle ear, or both
problem
Which of the following is a risk factor for the development of prostate enlargement? -
CORRECT ANSWER-Diabetes; Obesity, heart and circulatory disease, DM2
Patients with suspected PAD may be asymptomatic or may complain of which symptom
in the lower extremity? - CORRECT ANSWER-Pain during activity
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is
found to have ascites and JVD should be evaluated for: - CORRECT ANSWER-heart
failure
23 year old woman is having frequent migraines and needs a prophylactic medication.
She also has asthma. The medication should be avoided in this patient: - CORRECT
ANSWER-Propranolol (inderal); can cause increase bronchospasm
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is
safe to use with warfarin? - CORRECT ANSWER-Clarithromycin (PCN and
cephalosporins are okay)
On PA of 50 year old woman who has complains of joint pain, the NP finds swan neck
and boutoniere deformities which she knows are related to the diagnosis of - CORRECT
ANSWER-rheumatoid arthritis
28 year old woman has symptoms of asthma daily and several nights a week. She uses
a SABA and will be starting fluticasone/salmeterol (Advair). Advair: - CORRECT
ANSWER-is not effective during an acute asthma attack
The main lymphatic channel that drains lymph back to the systemic circulation from the
entire body, with the exception of the RT arm, thorax, head and neck is the - CORRECT
ANSWER-thoracic duct
Intrauterine growth restriction is suspected in an 18 year old pregnant patient at 35
weeks gestation if the fundal height measurement is - CORRECT ANSWER-32
A 22 year old patient presents with complaints of headaches with associated nausea
and vomitting. The LEAST likely differential diagnosis for this patient is - CORRECT
ANSWER-tension headaches
The symptoms that will help differentiate acute pyelonephritis from acute nephrolithiasis
is the presence of - CORRECT ANSWER-costovertebral pain
