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Exam (elaborations)

APEA 3P EXAM QUESTIONS AND ANSWERS

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APEA 3P EXAM QUESTIONS AND ANSWERS Tail of Spence - CORRECT ANSWER-Located in the upper outer quadrant of the breast Uterine fundus - CORRECT ANSWER-Palpable at the level of the umbilicus at 12 weeks Pterygium - CORRECT ANSWER-Triangular thickening of the bulbar conjunctiva that covers the cornea Short-Acting Beta Agonist (SABA) inhalers - CORRECT ANSWER-Used for acute asthma attacks to quickly reduce airway constriction Varicella vaccine - CORRECT ANSWER-Reduces the risk of infection with the virus that causes chickenpox Headache warning signs - CORRECT ANSWER-Include new onset after age 50, precipitated by Valsalva maneuver Iron supplement - CORRECT ANSWER-Should be taken on an empty stomach for best absorption Headaches with symptoms of nausea and vomiting - CORRECT ANSWER-May be associated with migraine headache, brain tumors, or subarachnoid hemorrhage Low density lipoprotein (LDL) of 190 mg/dl - CORRECT ANSWER-Indicates a need for further evaluation in a cardiac patient Alpha-adrenergic blocker - CORRECT ANSWER-Increases urine outflow in males by relaxing prostate smooth muscle Scoliosis patient - CORRECT ANSWER-The 13 y/o female with a 100 curve would cause the greatest concern Diabetic retinopathy - CORRECT ANSWER-May present with papilledema, dot and blot hemorrhages, and microaneurysms Munchausen syndrome by proxy - CORRECT ANSWER-A caregiver making up or causing an illness or injury in a person under his or her care Visual acuity test - CORRECT ANSWER-20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart Munchausen Syndrome By Proxy - CORRECT ANSWER-A caregiver making up or causing an illness or injury in a person under his or her care Symptoms of depression - CORRECT ANSWER-A side effect of dopamine, serotonin, norepinephrine medications Melanoma - CORRECT ANSWER-A dark raised and asymmetric lesion with irregular border Myxedema - CORRECT ANSWER-Deposition of mucopolysaccharides in the dermis, commonly found in patients with advanced hypothyroidism Migraine prophylactic medication - CORRECT ANSWER-Amitriptyline (Elavil) is a tricyclic antidepressant used off-label Tinea capitis - CORRECT ANSWER-Scaling on the scalp with round patches of alopecia Combined hormonal contraceptive - CORRECT ANSWER-Contraindicated in a patient with type 2 diabetes, obesity, chronic smoking, and sedentary lifestyle Intraductal papilloma - CORRECT ANSWER-A bloody spontaneous discharge from the nipple during breast examination Rho (D) immunoglobulin - CORRECT ANSWER-Administered to Rh negative women at 28 weeks' gestation Mean corpuscular volume (MCV) - CORRECT ANSWER-Measurement of the average size of the RBCs Anticholinergics - CORRECT ANSWER-Used to treat urinary incontinence, overactive bladder, and COPD Heart failure - CORRECT ANSWER-Causes decreased cardiac output, dyspnea, orthopnea, and dependent edema Lindane - CORRECT ANSWER-Not considered first-line therapy for treating scabies Estrogen-progestin contraceptives - CORRECT ANSWER-Should be avoided in women with migraines with aura Phenazopyridine (Pyridium) - CORRECT ANSWER-Used for short-term relief of urinary tract pain and discomfort Atopic dermatitis - CORRECT ANSWER-Treated with topical corticosteroids Metronidazole (Flagyl) - CORRECT ANSWER-Used to treat trichomoniasis Aminoglycosides - CORRECT ANSWER-Antibiotics that can cause hearing loss Methyldopa - CORRECT ANSWER-Drug of first choice for control of mild to moderate hypertension in pregnancy Trichomoniasis - CORRECT ANSWER-Common chief complaint is vaginal discharge Fluid accumulation between the visceral and parietal pleural spaces - CORRECT ANSWER-Known as pleural effusion Down syndrome - CORRECT ANSWER-Requires evaluation of the cardiac system Meniscal tear - CORRECT ANSWER-May present with a positive McMurray's test Trichomoniasis - CORRECT ANSWER-Causes hemorrhagic vesiculopustular lesions over the hands and feet ACE inhibitor cough - CORRECT ANSWER-Resolves within a week after stopping the ACE inhibitor Metronidazole (Flagyl) - CORRECT ANSWER-Requires checking if the patient drinks alcohol before prescribing Atypical community acquired pneumonia - CORRECT ANSWER-May present with a low-grade fever, malaise, and clear lung fields on auscultation Idarucizumab (Praxbind) - CORRECT ANSWER-Used to reverse the anticoagulated effects of dabigatran etexilate Hypertrophy of smooth muscle - CORRECT ANSWER-A common pathological finding in patients with asthma

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