APEA 3P High Stakes Exam Study Guide
Qs & Ans () 100% Verified
graded A+
Syphilis - Answer- Treponema Pallidum
Primary - Chancre at site of infection
Secondary - Systemic Rash
Latent - Asymptomatic
Tertiary - Can occur MANY years after infection and affect multiple organs i.e. neuro,
cardiovascular, soft tissue
Trichomoniasis - Answer- Trichomonas Vaginalis - Protozoan
S&S - Copious pale yellow-to-grey/green discharge, petechiae on cervix.
Dx: NAAT
Tx: metronidazole (Flagyl)
Pediculosis Pubis - Answer- Tx: Permethrin (Nix)
HIV early signs - Answer- Fever, fatigue, swollen lymphnodes, sore throat
HIV late signs - Answer- Rapid weight loss, recurring fever, night sweats, fatigue, chronic
diarrhea, swollen glands
When does HIV progress to AIDs? - Answer- When the number of CD4 cells fall below 200
Overflow Incontinence - Answer- The bladder cannot empty properly r/t bladder
dysfunction, urinary tract blockage, or underactive bladder muscles.
Tx: Behavior Training i.e. Kegels, Bethanechol, Foley, Alpha-Blockers
,Urge Incontinence - Answer- Sudden and strong urge to urinate which is hard to control and
can lead to leakage.
Tx: Anticholinergics i.e. Oxybutynin
Stress Incontinence - Answer- Involuntary leakage of urine during physical activities or
movements that put pressure on the bladder... i.e. coughing, sneezing, laughing.
Tx: Psuedophedrine can help
UTI - Answer- Positive leukocytes and nitrates on UA
S&S - pain, burning, urgency, frequency, fever, chills
UTI first line treatment - Answer- Nitrofurantoin (Macrobid) for anti-infective
Pregnancy - Amoxicillin or Nitrofurantoin (1st & 2nd trimestor only)
Pyridium - for pain, don't use >3 days r/t hemolytic anemia
Adjust meds in kidney disease when? - Answer- If GFR is less than 60
Breast Cancer - Answer- painless, firm/fixed mass, skin or nipple changes, nipple discharge,
swelling, lymphnode enlargement.
Paget's Disease of Breast - Answer- Red, itchy, swollen rash of nipple/areola. Can be scaly.
Peau D'Orange Breast Cancer - Answer- Nipple retraction, redness, persistent itching, warm
skin
Combined Oral Contraceptive contraindications - Answer- Hx of breast/estrogen-related
cancers, migraine w/aura, female >35yrs & smoker.
, Dysmenorrhea - Answer- Painful cramping w/menstruation
Tx: Heating Pad, NSAIDs, Oral Contraceptives
PMS S&S - Answer- Depression, mood swings, anxiety, confusion, social withdrawal, breast
tenderness, bloating, headache, swelling
Estrogen HRT contraindications - Answer- Breast Cancer, Undiagnosed Vaginal Bleeding,
Pregnancy, Clots, active Liver Disease
Pediatric medications for Sinusitis, Enuresis, Lead Poisoning - Answer- Sinusitis - Augmentin
Enuresis - DDAVP
Lead Poisoning - Succimer
Decongestant contraindication in Pediatrics - Answer- Do not give under 2yrs old
Acromegaly Presentation - Answer- Bone overgrowth, big hands, face, and feet
Cause - Pituitary Gland overproduction
Gigantism = Pediatrics
Acromegaly/Giantism = Adults
Aortic Regurgitation presentation - Answer- Angina & Dyspnea
Endocarditis Treatment - Answer- Zosyn/Vancomycin
Prostaglandins in patients with Transposition of the great vessels - Answer- Provide
vasodilation & adequate oxygenation
What would cause decrease in Digoxin levels? - Answer- Antacids
Qs & Ans () 100% Verified
graded A+
Syphilis - Answer- Treponema Pallidum
Primary - Chancre at site of infection
Secondary - Systemic Rash
Latent - Asymptomatic
Tertiary - Can occur MANY years after infection and affect multiple organs i.e. neuro,
cardiovascular, soft tissue
Trichomoniasis - Answer- Trichomonas Vaginalis - Protozoan
S&S - Copious pale yellow-to-grey/green discharge, petechiae on cervix.
Dx: NAAT
Tx: metronidazole (Flagyl)
Pediculosis Pubis - Answer- Tx: Permethrin (Nix)
HIV early signs - Answer- Fever, fatigue, swollen lymphnodes, sore throat
HIV late signs - Answer- Rapid weight loss, recurring fever, night sweats, fatigue, chronic
diarrhea, swollen glands
When does HIV progress to AIDs? - Answer- When the number of CD4 cells fall below 200
Overflow Incontinence - Answer- The bladder cannot empty properly r/t bladder
dysfunction, urinary tract blockage, or underactive bladder muscles.
Tx: Behavior Training i.e. Kegels, Bethanechol, Foley, Alpha-Blockers
,Urge Incontinence - Answer- Sudden and strong urge to urinate which is hard to control and
can lead to leakage.
Tx: Anticholinergics i.e. Oxybutynin
Stress Incontinence - Answer- Involuntary leakage of urine during physical activities or
movements that put pressure on the bladder... i.e. coughing, sneezing, laughing.
Tx: Psuedophedrine can help
UTI - Answer- Positive leukocytes and nitrates on UA
S&S - pain, burning, urgency, frequency, fever, chills
UTI first line treatment - Answer- Nitrofurantoin (Macrobid) for anti-infective
Pregnancy - Amoxicillin or Nitrofurantoin (1st & 2nd trimestor only)
Pyridium - for pain, don't use >3 days r/t hemolytic anemia
Adjust meds in kidney disease when? - Answer- If GFR is less than 60
Breast Cancer - Answer- painless, firm/fixed mass, skin or nipple changes, nipple discharge,
swelling, lymphnode enlargement.
Paget's Disease of Breast - Answer- Red, itchy, swollen rash of nipple/areola. Can be scaly.
Peau D'Orange Breast Cancer - Answer- Nipple retraction, redness, persistent itching, warm
skin
Combined Oral Contraceptive contraindications - Answer- Hx of breast/estrogen-related
cancers, migraine w/aura, female >35yrs & smoker.
, Dysmenorrhea - Answer- Painful cramping w/menstruation
Tx: Heating Pad, NSAIDs, Oral Contraceptives
PMS S&S - Answer- Depression, mood swings, anxiety, confusion, social withdrawal, breast
tenderness, bloating, headache, swelling
Estrogen HRT contraindications - Answer- Breast Cancer, Undiagnosed Vaginal Bleeding,
Pregnancy, Clots, active Liver Disease
Pediatric medications for Sinusitis, Enuresis, Lead Poisoning - Answer- Sinusitis - Augmentin
Enuresis - DDAVP
Lead Poisoning - Succimer
Decongestant contraindication in Pediatrics - Answer- Do not give under 2yrs old
Acromegaly Presentation - Answer- Bone overgrowth, big hands, face, and feet
Cause - Pituitary Gland overproduction
Gigantism = Pediatrics
Acromegaly/Giantism = Adults
Aortic Regurgitation presentation - Answer- Angina & Dyspnea
Endocarditis Treatment - Answer- Zosyn/Vancomycin
Prostaglandins in patients with Transposition of the great vessels - Answer- Provide
vasodilation & adequate oxygenation
What would cause decrease in Digoxin levels? - Answer- Antacids
