APEA Review Exam (2025) | Questions &
Answers (100% Correct)
Suppose his triglycerides were 550 mg/dL? How would you treat? - ANSWER - fibrates
lifestyle
If Mrs. Boudreaux were to develop heart failure, which medications would be most
beneficial to discontinue? Select all that apply - ANSWER - amlodopine
naproxine
Heart Failure Clinical Signs and Symptoms - ANSWER - Crackles
S3 and/or S4 • Peripheral edema may be present
AAA screening - ANSWER - -all men 65-75 who have ever smoked
-abdominal US
1 time only
statins - ANSWER - liver involvement
muscle cramps
What is the cutoff value when treatment for hyperlipidemia is recommended? -
ANSWER - 7.5 or higher
What type of murmur can radiate to the left axilla? - ANSWER - Mitral regurgitation
The murmur of mitral regurgitation occurs during systole (holosystolic) and is located in
the mitral area of the chest. The location of the mitral area (fifth intercostal space on the
left side of the midclavicular line) is near the left axilla, so that a loud murmur can
radiate to the left axilla. The causes can be congenital or it may a be sequela of
rheumatic fever, mitral valve prolapse, or papillary muscle dysfunction secondary to
acute or prior myocardial infarction.
pulse deficit - ANSWER - difference between the apical and radial pulse rates
radial - apical
The goal for patients aged 60 years or older is blood pressure less than - ANSWER -
150/90
shows a triglyceride level of 950 mg/dL, - ANSWER - Initiate a prescription of
fenofibrate (Tricor)
, Prophylaxis treatment for endocarditis is no longer recommended for patients with mitral
valve prolapse (MVP). - ANSWER -
During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur
grade 2/6 is auscultated. It is located on the fifth intercostal space (ICS) on the left side
of the midclavicular line. Which of the following identifications is correct? - ANSWER -
Mitral stenosis
Pulsus paradoxus is best described as: - ANSWER - A decrease in systolic blood
pressure on inspiration
digoxin (Lanoxin) for 10 years. Her EKG is showing a new onset of atrial fibrillation. Her
pulse is 64 beats/min - ANSWER - Order a serum thyroid-stimulating hormone (TSH),
digoxin level, and an electrolyte panel
Potential complications of mitral valve prolapse (MVP) include all of the following -
ANSWER -
MVP (mitral valve prolapse) - ANSWER - Severe mitral regurgitation
Endocarditis
Increased risk of stroke and transient ischemic attack
During cardiac murmur assessment, which is the first grade intensity that a thrill can be
palpated? - ANSWER - g4
Which of the following is correct regarding the best site to listen for mitral regurgitation?
- ANSWER - It is best heard at the apex during S1
You note a high-pitched and blowing pansystolic murmur while assessing a 70-year-old
male patient. It is grade 2/6 and is best heard at the apical area. Which of the following
is most likely? - ANSWER - mr
You notice a medium-pitched harsh systolic murmur during an episodic examination of
a 37-year-old woman. It is best heard at the right upper border of the sternum. What is
most likely? - ANSWER - Aortic stenosis
The S1 heart sound is caused by: - ANSWER - Closure of the atrioventricular valves
Black Patient With or Without DM - ANSWER - Thiazide diuretic
Calcium channel blocker
Nonblack Patient With or Without DM - ANSWER - Thiazide diuretic
Answers (100% Correct)
Suppose his triglycerides were 550 mg/dL? How would you treat? - ANSWER - fibrates
lifestyle
If Mrs. Boudreaux were to develop heart failure, which medications would be most
beneficial to discontinue? Select all that apply - ANSWER - amlodopine
naproxine
Heart Failure Clinical Signs and Symptoms - ANSWER - Crackles
S3 and/or S4 • Peripheral edema may be present
AAA screening - ANSWER - -all men 65-75 who have ever smoked
-abdominal US
1 time only
statins - ANSWER - liver involvement
muscle cramps
What is the cutoff value when treatment for hyperlipidemia is recommended? -
ANSWER - 7.5 or higher
What type of murmur can radiate to the left axilla? - ANSWER - Mitral regurgitation
The murmur of mitral regurgitation occurs during systole (holosystolic) and is located in
the mitral area of the chest. The location of the mitral area (fifth intercostal space on the
left side of the midclavicular line) is near the left axilla, so that a loud murmur can
radiate to the left axilla. The causes can be congenital or it may a be sequela of
rheumatic fever, mitral valve prolapse, or papillary muscle dysfunction secondary to
acute or prior myocardial infarction.
pulse deficit - ANSWER - difference between the apical and radial pulse rates
radial - apical
The goal for patients aged 60 years or older is blood pressure less than - ANSWER -
150/90
shows a triglyceride level of 950 mg/dL, - ANSWER - Initiate a prescription of
fenofibrate (Tricor)
, Prophylaxis treatment for endocarditis is no longer recommended for patients with mitral
valve prolapse (MVP). - ANSWER -
During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur
grade 2/6 is auscultated. It is located on the fifth intercostal space (ICS) on the left side
of the midclavicular line. Which of the following identifications is correct? - ANSWER -
Mitral stenosis
Pulsus paradoxus is best described as: - ANSWER - A decrease in systolic blood
pressure on inspiration
digoxin (Lanoxin) for 10 years. Her EKG is showing a new onset of atrial fibrillation. Her
pulse is 64 beats/min - ANSWER - Order a serum thyroid-stimulating hormone (TSH),
digoxin level, and an electrolyte panel
Potential complications of mitral valve prolapse (MVP) include all of the following -
ANSWER -
MVP (mitral valve prolapse) - ANSWER - Severe mitral regurgitation
Endocarditis
Increased risk of stroke and transient ischemic attack
During cardiac murmur assessment, which is the first grade intensity that a thrill can be
palpated? - ANSWER - g4
Which of the following is correct regarding the best site to listen for mitral regurgitation?
- ANSWER - It is best heard at the apex during S1
You note a high-pitched and blowing pansystolic murmur while assessing a 70-year-old
male patient. It is grade 2/6 and is best heard at the apical area. Which of the following
is most likely? - ANSWER - mr
You notice a medium-pitched harsh systolic murmur during an episodic examination of
a 37-year-old woman. It is best heard at the right upper border of the sternum. What is
most likely? - ANSWER - Aortic stenosis
The S1 heart sound is caused by: - ANSWER - Closure of the atrioventricular valves
Black Patient With or Without DM - ANSWER - Thiazide diuretic
Calcium channel blocker
Nonblack Patient With or Without DM - ANSWER - Thiazide diuretic
