3p Exam Study Apea Latest
Update
What would cause decrease in Digoxin levels? - ✔✔✔ANSWER-Antacids
Taking Pyridium for UTI, what can Pyridium cause? - ✔✔✔ANSWER-Hemolytic
Anemia
,What can PCOS result in? - ✔✔✔ANSWER-Increased insulin levels
(Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - ✔✔✔ANSWER-Methyldopa
(Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - ✔✔✔ANSWER-Painless, red
bleeding
What is a chacteristic of Rheumatoid Arthritis? - ✔✔✔ANSWER-Tender, warm,
swollen joints
Medications that can cause ototoxicity? - ✔✔✔ANSWER-Aminoglycosides, loop
diuretics, NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - ✔✔✔ANSWER-2 weeks
What does MCV lab value measure? - ✔✔✔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? - ✔✔✔ANSWER-27-28 weeks
What are Janeway lesions and what do they indicate? - ✔✔✔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? - ✔✔✔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? - ✔✔✔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? - ✔✔✔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 - ✔✔✔ANSWER-Sulfa allergy, PCN
hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - ✔✔✔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) - ✔✔✔ANSWER-AR = Aortic Regurgitation
(Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
, What does S1 indicate? - ✔✔✔ANSWER-S1 Closure of the Atrioventricular
Valves (Mitral & Tricuspid Valves)
What does S2 indicate? - ✔✔✔ANSWER-S2 Closure of the Semilunar Valves
(Aortic & Pulmonic Valves)
S3 is often heard in? - ✔✔✔ANSWER-CHF, possibly normal for athletic
adolescents
S4 is often heard in? - ✔✔✔ANSWER-Diastolic HF, Left Ventricular Hypertrophy
(LVH), Poorly controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - ✔✔✔ANSWER-Antiplatelets
(Plavix, ASA), Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - ✔✔✔ANSWER-Gold Standard =
Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - ✔✔✔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? - ✔✔✔ANSWER-ACEs, ARBs,
ARNI w/BBs, Aldosterone Recepter Antagonists
Update
What would cause decrease in Digoxin levels? - ✔✔✔ANSWER-Antacids
Taking Pyridium for UTI, what can Pyridium cause? - ✔✔✔ANSWER-Hemolytic
Anemia
,What can PCOS result in? - ✔✔✔ANSWER-Increased insulin levels
(Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - ✔✔✔ANSWER-Methyldopa
(Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - ✔✔✔ANSWER-Painless, red
bleeding
What is a chacteristic of Rheumatoid Arthritis? - ✔✔✔ANSWER-Tender, warm,
swollen joints
Medications that can cause ototoxicity? - ✔✔✔ANSWER-Aminoglycosides, loop
diuretics, NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - ✔✔✔ANSWER-2 weeks
What does MCV lab value measure? - ✔✔✔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? - ✔✔✔ANSWER-27-28 weeks
What are Janeway lesions and what do they indicate? - ✔✔✔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? - ✔✔✔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? - ✔✔✔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? - ✔✔✔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 - ✔✔✔ANSWER-Sulfa allergy, PCN
hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - ✔✔✔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) - ✔✔✔ANSWER-AR = Aortic Regurgitation
(Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
, What does S1 indicate? - ✔✔✔ANSWER-S1 Closure of the Atrioventricular
Valves (Mitral & Tricuspid Valves)
What does S2 indicate? - ✔✔✔ANSWER-S2 Closure of the Semilunar Valves
(Aortic & Pulmonic Valves)
S3 is often heard in? - ✔✔✔ANSWER-CHF, possibly normal for athletic
adolescents
S4 is often heard in? - ✔✔✔ANSWER-Diastolic HF, Left Ventricular Hypertrophy
(LVH), Poorly controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - ✔✔✔ANSWER-Antiplatelets
(Plavix, ASA), Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - ✔✔✔ANSWER-Gold Standard =
Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - ✔✔✔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? - ✔✔✔ANSWER-ACEs, ARBs,
ARNI w/BBs, Aldosterone Recepter Antagonists
