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3P APEA Exam Practice
Questions and Answers | NP
Certification Exam Prep
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3P APEA EXAM
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1. Difference between varicose vein and arteriosclerosis Is the affected vessel
Arteriosclerosis affects ar-
teries whereas varicose
veins affects veins
2. A patient has poorly controlled hypertension for more 5th ICS, left of MCL
than 10 years. Indicate the most likely position of his
point of maximal impulse (PMI)
3. A 43 year old Hispanic male has an audible diastolic mitral stenosis
murmur best heard in the mitral listening point. There
is no audible click. His status has been monitored for
the past two years. This murmur is probably
4. A patient who has diabetes presents with pain in his in the calf muscle
lower legs when he walks and pain resolution with rest.
When specifically asked about his pain in his lower leg,
he likely will report pain
5. A patient with hypertension describes a previous aller- hydrochlorothiazide
gic reaction to a sulfa antibiotic as "sloughing of skin"
and hospitalization. Which medication is contraindicat-
ed in this patient?
6. shortness of breath and
syncope
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3P APEA EXAM
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A 75 year old patient who has aortic stenosis wants to
know what symptoms indicate worsening of his steno-
sis. the NP replies:
7. A 74 year old patient has PAD. Which item listed below diabetes
is an important nonmodifiable risk factor for PAD?
8. Benazepril should be d/c immediately if pregnancy occurs
9. aortic regurgitation characteristics long asymptomatic period
follow by exercise intoler-
ance, then dyspnea at rest
10. DVT classic symptoms swelling, pain, and discol-
oration of lower extremity
11. Characteristic of ACE-induced cough is that? usually begins two weeks
of starting therapy
12. Valve most commonly involved in chronic rheumatic mitral
heart disease
13. Medication that can exacerbate HF naproxen
14. Patient taking ACE inhibitors should avoid? potassium supplements
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15. Grade 3 murmur indication for a referral a fixed split
16. Group of meds used to treat HF fosinopril, HCTZ, verapamil
17. Mr. Smith is a 72-year-old patient who takes warfarin stop the warfarin today
for chronic A-fib. INR today is 4.0. the NP should: and repeat INR tomorrow
18. According to the NHLBI, which characteristic is a coro- diabetes mellitus
nary heart disease risk equivalent, that is, which risk
factor places the pt. as a CHD risk similar to a hx of
CHD
19. good drug to reduce morbidity and mortality in mild metoprolol
HF
20. A pt. taking atorvastatin newly diagnosed with dyslipi- Stop the atorvastatin im-
demia complaints of fatigue, weakness, and muscle mediately
aches in his lower back, arms, legs for the past 3 days.
it is not improved with rest How should this be evalu-
ated?
21. symptom not indicative of HF headache
22. What class of meds is preferred to normalized lipid HMG CoA reductase in-
levels and reduce risk of cardiac events hibitors
23. Highest sensitivity in diagnosing HF BNP
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