APEA 3P PRACTICE COMPLETE QUESTIONS AND ANSWERS

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 ANSWERTCA (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 While assessing an 80 year old man, the NP considers the need to evaluate for depression based on the patient's - CORRECT ANSWER-poor motivation to participate in care Acute gout attack. What should not be initiated? - CORRECT ANSWER-Probenecid Serotonin syndrome is suspected. What symptoms? - CORRECT ANSWER-rapid heart rate and high blood pressure Which medication class is not recommended in the outpatient treatment of a pediatric patient with acute bacterial rhinosinusitis (ABRS) - CORRECT ANSWER-Antihistamines A 44 year old man presents with complaints of sudden pain in the right upper abdominal quadrant. The NP suspects pancreatitis due to historical findings. What assessment supports this? - CORRECT ANSWER-A positive Cullen's sign Old man with BPH, Benadryl and anticholinergic may cause: - CORRECT ANSWERUrinary retention 45 year old carpenter complains of a foreign body sensation in his LT eye with tearing and itching. During the ophthalmoscopic exam, a triangular thickening of the bulbar conductive is found at the outer surface of the cornea. This finding is consistent with: - CORRECT ANSWER-pterygium The medication with the best safety profile to treat HTN in a woman who is 20 weeks pregnant is - CORRECT ANSWER-methyldopa Meningitis is suspected in a patient who has complaints of fever, headache, and nuchal ridifity. The NP knows the initial presenting symptom are the result of - CORRECT ANSWER-meningeal inflammation Dabigatran Etexilate works by - CORRECT ANSWER-inhibiting factor II (thrombin) A factor that may increase the risk of contracting tinea corporis is - CORRECT ANSWER-poor hygiene measures To increase urine outflow in men with BPH, the NP should prescribe - CORRECT ANSWER-alpha blocker 25 year old female with primary hypothyroidism, what hormone level? - CORRECT ANSWER-Elevated or decreased TSH and decreased or elevated free T4 The ankle-brachial index is a screening test used to assess a person's risk for - CORRECT ANSWER-peripheral artery