3P COMPLETE EXAM STUDY APEA GRADED A+
2025/2026
What would cause decrease in Digoxin levels? - CORRECT ANSWER-Antacids
Taking Pyridium for UTI, what can Pyridium cause? - CORRECT ANSWER-Hemolytic Anemia
What can PCOS result in? - CORRECT ANSWER-Increased insulin levels (Hyperinsulinemia),
Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - CORRECT ANSWER-Methyldopa
(Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - CORRECT ANSWER-Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - CORRECT ANSWER-Tender, warm, swollen
joints
Medications that can cause ototoxicity? - CORRECT ANSWER-Aminoglycosides, loop
diuretics, NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - CORRECT ANSWER-2 weeks
What does MCV lab value measure? - CORRECT ANSWER-Mean Corpuscular Volume helps
diagnose different types of anemia such as B12 & Folate (Macrocytic) and Fe anemia
(Microcytic)
Rhogam is given at how many week gestation? - CORRECT ANSWER-27-28 weeks
,What are Janeway lesions and what do they indicate? - CORRECT ANSWER-They are
irregular, non-tender hemorrhagic macules located on the hands and feet. Seen in Infective
Endocarditis
What are Osler's Nodes and what do they indicate? - CORRECT ANSWER-They are split pea-
sized, erythematous, tender nodules located on the pads of the fingers and toes. Seen in
Infective Endocarditis
What is the recommendation for Warfarin management when a patient misses a dose? -
CORRECT ANSWER-If within 12 hours of the dose time, take it. If over 12 hours patient will
need a INR redraw
What do we need to know about ACEs and ARBs? - CORRECT ANSWER-A dry hacking cough
is a common side effect of ACEs and will go away within a week after discontinuing. ACEs &
ARBs are indicated for patients with DM, CKD, and HTN. Not recommended as 1st line agent
with African Americans & can cause angioedema.
Contraindications for Hydrochlorothiazide - CORRECT ANSWER-Sulfa allergy, PCN
hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - CORRECT ANSWER-MR = Mitral Regurge (SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest Pain
Diastolic Murmurs (Abnormal) - CORRECT ANSWER-AR = Aortic Regurgitation (Angina, HF,
Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - CORRECT ANSWER-S1 Closure of the Atrioventricular Valves (Mitral
& Tricuspid Valves)
, What does S2 indicate? - CORRECT ANSWER-S2 Closure of the Semilunar Valves (Aortic &
Pulmonic Valves)
S3 is often heard in? - CORRECT ANSWER-CHF, possibly normal for athletic adolescents
S4 is often heard in? - CORRECT ANSWER-Diastolic HF, Left Ventricular Hypertrophy (LVH),
Poorly controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - CORRECT ANSWER-Antiplatelets (Plavix, ASA),
Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - CORRECT ANSWER-Gold Standard =
Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - CORRECT ANSWER-Aotrvastatin/Rosuvastatin = If
LDL>150 use high doses. Watch for LFTs & arthralgia. Change type & dose if issues. Helps
stabilize plaques.
What medications are indicated for HF treatment? - CORRECT ANSWER-ACEs, ARBs, ARNI
w/BBs, Aldosterone Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - CORRECT ANSWER-Topical
Permetherin massaged from head to soles of feet and wash off with shower or bath after 8-
14hrs. Treat again in 1 week.
Names of skin lesions? - CORRECT ANSWER-Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
Vesicle: Blister <1cm i.e. HSV, Chickenpox
2025/2026
What would cause decrease in Digoxin levels? - CORRECT ANSWER-Antacids
Taking Pyridium for UTI, what can Pyridium cause? - CORRECT ANSWER-Hemolytic Anemia
What can PCOS result in? - CORRECT ANSWER-Increased insulin levels (Hyperinsulinemia),
Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - CORRECT ANSWER-Methyldopa
(Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - CORRECT ANSWER-Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - CORRECT ANSWER-Tender, warm, swollen
joints
Medications that can cause ototoxicity? - CORRECT ANSWER-Aminoglycosides, loop
diuretics, NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - CORRECT ANSWER-2 weeks
What does MCV lab value measure? - CORRECT ANSWER-Mean Corpuscular Volume helps
diagnose different types of anemia such as B12 & Folate (Macrocytic) and Fe anemia
(Microcytic)
Rhogam is given at how many week gestation? - CORRECT ANSWER-27-28 weeks
,What are Janeway lesions and what do they indicate? - CORRECT ANSWER-They are
irregular, non-tender hemorrhagic macules located on the hands and feet. Seen in Infective
Endocarditis
What are Osler's Nodes and what do they indicate? - CORRECT ANSWER-They are split pea-
sized, erythematous, tender nodules located on the pads of the fingers and toes. Seen in
Infective Endocarditis
What is the recommendation for Warfarin management when a patient misses a dose? -
CORRECT ANSWER-If within 12 hours of the dose time, take it. If over 12 hours patient will
need a INR redraw
What do we need to know about ACEs and ARBs? - CORRECT ANSWER-A dry hacking cough
is a common side effect of ACEs and will go away within a week after discontinuing. ACEs &
ARBs are indicated for patients with DM, CKD, and HTN. Not recommended as 1st line agent
with African Americans & can cause angioedema.
Contraindications for Hydrochlorothiazide - CORRECT ANSWER-Sulfa allergy, PCN
hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - CORRECT ANSWER-MR = Mitral Regurge (SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest Pain
Diastolic Murmurs (Abnormal) - CORRECT ANSWER-AR = Aortic Regurgitation (Angina, HF,
Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - CORRECT ANSWER-S1 Closure of the Atrioventricular Valves (Mitral
& Tricuspid Valves)
, What does S2 indicate? - CORRECT ANSWER-S2 Closure of the Semilunar Valves (Aortic &
Pulmonic Valves)
S3 is often heard in? - CORRECT ANSWER-CHF, possibly normal for athletic adolescents
S4 is often heard in? - CORRECT ANSWER-Diastolic HF, Left Ventricular Hypertrophy (LVH),
Poorly controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - CORRECT ANSWER-Antiplatelets (Plavix, ASA),
Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - CORRECT ANSWER-Gold Standard =
Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - CORRECT ANSWER-Aotrvastatin/Rosuvastatin = If
LDL>150 use high doses. Watch for LFTs & arthralgia. Change type & dose if issues. Helps
stabilize plaques.
What medications are indicated for HF treatment? - CORRECT ANSWER-ACEs, ARBs, ARNI
w/BBs, Aldosterone Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - CORRECT ANSWER-Topical
Permetherin massaged from head to soles of feet and wash off with shower or bath after 8-
14hrs. Treat again in 1 week.
Names of skin lesions? - CORRECT ANSWER-Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
Vesicle: Blister <1cm i.e. HSV, Chickenpox
