APEA 3P Exam LATEST VERSION 224 QUESTIONS AND ANSWERS WITH
STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS,
LATEST UPDATE 2025 GRADED A
How would you describe the appearance of molluscum contagiosum?
- CORRECT ANSWER papules that are umbilicated and contain a
caseous plug
How do we treat a broken clavicle in an infant? - CORRECT
ANSWER no treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic
symphysis? - CORRECT ANSWER week 12
At what week of pregnancy is the fundus palpable halfway between
the pubic symphysis and umbilicus? - CORRECT ANSWER week
16
At what week of pregnancy is the fundus of the uterus at the
umbilicus? - CORRECT ANSWER week 20
At what week of pregnancy is the fundus of the uterus halfway
between the xiphoid process and umbilicus? - CORRECT ANSWER
week 28
At what week of pregnancy is the fundus just below the xiphoid
process? - CORRECT ANSWER week 34
Increased sweat production is a sign of what endocrine disorder? -
CORRECT ANSWER hyperthyroidism
What is Paget's disease? - CORRECT ANSWER there is localized
increased bone turnover and blood flow resulting in the breakdown of
bone and replacing it with weakened and highly vascular bone putting
the indiv at increased risk of fractures
,How do we treat Paget's diseease? - CORRECT ANSWER
bisphosphonates
How should pregnant women wear their seatbelt? - CORRECT
ANSWER with the shoulder strap like a normal person and then the
groin strap below the belly and across the hips
What is another name for fifth disease? - CORRECT ANSWER
parvovirus aka slapped cheek disease aka erythema infectiosum
Which type of prevention are vaccinations? - CORRECT ANSWER
primary
When should patients begin antiretroviral therapy for HIV infection? -
CORRECT ANSWER as soon as it is detected, even if in the acute
phase
What are the first generation antihistamines? - CORRECT ANSWER
diphenhydramine (benadryl) and chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? - CORRECT
ANSWER rash on hands and feet, lymphadenopathy, fever
What is the recommended treatment for chronic bacterial prostatitis?
- CORRECT ANSWER a fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? -
CORRECT ANSWER cipro (if not STI related) or ceftriaxone
What are s/s of an intraductal breast papilloma? - CORRECT
ANSWER clear to bloody unilateral nipple discharge (bilateral is
usually benign), and also a wart like lump palpated in the nipple area
If a patient has GABHS but has an allergy to penicillins, what is the
second line option? - CORRECT ANSWER first generation
, cephalosporins, unless the allergy is severe, then you would consider
macrolides like a -mycin
PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which
patient populations? - CORRECT ANSWER in those who are on
any type of nitrate or triptan because it could result in hypotension
What class of drug is sildenafil (viagra)? - CORRECT ANSWER a
PDE5 inhibitor which can cause hypotension so you should do a full
cardiac assessment before starting a patient on this and maybe do an
EKG
What are the symptoms of peripheral artery disease? - CORRECT
ANSWER think P meaning pain, A meaning absent or weak pulses,
eschar or shiny legs, intermittent claudication
What is first line treatment for PAD? - CORRECT ANSWER
walking and physical activity to improve circulation. second line is an
aspirin or anti-platelet
What should we tell our patients with PAD NOT to do? - CORRECT
ANSWER do not elevate the feet; keep them down
How do we diagnose PAD? - CORRECT ANSWER an ABI < 7;
doppler can also be used to diagnose as well but is the second choice
What are s/s of peripheral vascular disease? - CORRECT ANSWER
think V meaning volume overload aka edema, may ache or be
uncomfortable but is not painful, bounding pulses, ruddy
discoloration
If a patient is on Coumadin but then they may need to go on an
antibiotic for an infection and Bactrim is the drug of choice, what
should you do? - CORRECT ANSWER Bactrim increases INR so
we would want to decrease the coumadin dose while the patient is on
this
STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS,
LATEST UPDATE 2025 GRADED A
How would you describe the appearance of molluscum contagiosum?
- CORRECT ANSWER papules that are umbilicated and contain a
caseous plug
How do we treat a broken clavicle in an infant? - CORRECT
ANSWER no treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic
symphysis? - CORRECT ANSWER week 12
At what week of pregnancy is the fundus palpable halfway between
the pubic symphysis and umbilicus? - CORRECT ANSWER week
16
At what week of pregnancy is the fundus of the uterus at the
umbilicus? - CORRECT ANSWER week 20
At what week of pregnancy is the fundus of the uterus halfway
between the xiphoid process and umbilicus? - CORRECT ANSWER
week 28
At what week of pregnancy is the fundus just below the xiphoid
process? - CORRECT ANSWER week 34
Increased sweat production is a sign of what endocrine disorder? -
CORRECT ANSWER hyperthyroidism
What is Paget's disease? - CORRECT ANSWER there is localized
increased bone turnover and blood flow resulting in the breakdown of
bone and replacing it with weakened and highly vascular bone putting
the indiv at increased risk of fractures
,How do we treat Paget's diseease? - CORRECT ANSWER
bisphosphonates
How should pregnant women wear their seatbelt? - CORRECT
ANSWER with the shoulder strap like a normal person and then the
groin strap below the belly and across the hips
What is another name for fifth disease? - CORRECT ANSWER
parvovirus aka slapped cheek disease aka erythema infectiosum
Which type of prevention are vaccinations? - CORRECT ANSWER
primary
When should patients begin antiretroviral therapy for HIV infection? -
CORRECT ANSWER as soon as it is detected, even if in the acute
phase
What are the first generation antihistamines? - CORRECT ANSWER
diphenhydramine (benadryl) and chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? - CORRECT
ANSWER rash on hands and feet, lymphadenopathy, fever
What is the recommended treatment for chronic bacterial prostatitis?
- CORRECT ANSWER a fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? -
CORRECT ANSWER cipro (if not STI related) or ceftriaxone
What are s/s of an intraductal breast papilloma? - CORRECT
ANSWER clear to bloody unilateral nipple discharge (bilateral is
usually benign), and also a wart like lump palpated in the nipple area
If a patient has GABHS but has an allergy to penicillins, what is the
second line option? - CORRECT ANSWER first generation
, cephalosporins, unless the allergy is severe, then you would consider
macrolides like a -mycin
PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which
patient populations? - CORRECT ANSWER in those who are on
any type of nitrate or triptan because it could result in hypotension
What class of drug is sildenafil (viagra)? - CORRECT ANSWER a
PDE5 inhibitor which can cause hypotension so you should do a full
cardiac assessment before starting a patient on this and maybe do an
EKG
What are the symptoms of peripheral artery disease? - CORRECT
ANSWER think P meaning pain, A meaning absent or weak pulses,
eschar or shiny legs, intermittent claudication
What is first line treatment for PAD? - CORRECT ANSWER
walking and physical activity to improve circulation. second line is an
aspirin or anti-platelet
What should we tell our patients with PAD NOT to do? - CORRECT
ANSWER do not elevate the feet; keep them down
How do we diagnose PAD? - CORRECT ANSWER an ABI < 7;
doppler can also be used to diagnose as well but is the second choice
What are s/s of peripheral vascular disease? - CORRECT ANSWER
think V meaning volume overload aka edema, may ache or be
uncomfortable but is not painful, bounding pulses, ruddy
discoloration
If a patient is on Coumadin but then they may need to go on an
antibiotic for an infection and Bactrim is the drug of choice, what
should you do? - CORRECT ANSWER Bactrim increases INR so
we would want to decrease the coumadin dose while the patient is on
this
