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APEA 3P High-Stakes Exam Test Bank – 100 Multiple Choice Questions with Answers

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This document contains 100 multiple-choice practice questions with correct answers for the APEA 3P High-Stakes Exam. It covers endocrinology (diabetes management, thyroid disorders), cardiology (hypertension, chest pain, heart failure), geriatrics (vaccinations, fall risks), psychiatry (major depressive disorder, anxiety), and preventive care. The structured format makes it a focused resource for mastering testable content and preparing efficiently for the exam.

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APEA 3P High-Stakes Exam Practice Test Bank


100 Multiple-Choice Questions with Correct Answers




Question 1 (Endocrinology)
A patient with type 2 diabetes presents with polyuria, polydipsia, and blurred vision. Lab results show
fasting glucose = 295 mg/dL, HbA1c = 9.2%. Which of the following is the best initial management?
A. Lifestyle modification alone
B. Metformin initiation
C. Insulin therapy
D. Sulfonylurea initiation
E. DPP-4 inhibitor
Correct Answer: B (Metformin initiation)


Question 2 (Endocrinology)
A patient with type 2 diabetes presents with polyuria, polydipsia, and blurred vision. Lab results show
fasting glucose = 295 mg/dL, HbA1c = 9.2%. Which of the following is the best initial management?
A. Lifestyle modification alone
B. Metformin initiation
C. Insulin therapy
D. Sulfonylurea initiation
E. DPP-4 inhibitor
Correct Answer: B (Metformin initiation)


Question 3 (Geriatrics)
Which vaccines are recommended for a 70-year-old patient with COPD and diabetes? (Select all that
apply)
A. Pneumococcal polysaccharide vaccine (PPSV23)
B. Annual influenza vaccine
C. Tdap booster every 10 years
D. Live attenuated influenza vaccine
E. Zoster recombinant vaccine
Correct Answer: A, B, C, E


Question 4 (Cardiology)
A 62-year-old male presents with new-onset chest pain radiating to his left arm. Which of the following
are priority initial management steps? (Select all that apply)
A. Administer sublingual nitroglycerin
B. Order a CT scan of the chest
C. Place the patient on continuous cardiac monitoring

,D. Administer oxygen if saturation <90%
E. Begin antibiotic therapy immediately
Correct Answer: A, C, D


Question 5 (Cardiology)
A 62-year-old male presents with new-onset chest pain radiating to his left arm. Which of the following
are priority initial management steps? (Select all that apply)
A. Administer sublingual nitroglycerin
B. Order a CT scan of the chest
C. Place the patient on continuous cardiac monitoring
D. Administer oxygen if saturation <90%
E. Begin antibiotic therapy immediately
Correct Answer: A, C, D


Question 6 (Geriatrics)
Which vaccines are recommended for a 70-year-old patient with COPD and diabetes? (Select all that
apply)
A. Pneumococcal polysaccharide vaccine (PPSV23)
B. Annual influenza vaccine
C. Tdap booster every 10 years
D. Live attenuated influenza vaccine
E. Zoster recombinant vaccine
Correct Answer: A, B, C, E


Question 7 (Cardiology)
Which of the following medications are first-line treatments for hypertension in an otherwise healthy
48-year-old patient?
A. ACE inhibitors
B. Beta-blockers
C. Calcium channel blockers
D. Thiazide diuretics
E. Alpha-1 blockers
Correct Answer: A, C, D


Question 8 (Cardiology)
A 62-year-old male presents with new-onset chest pain radiating to his left arm. Which of the following
are priority initial management steps? (Select all that apply)
A. Administer sublingual nitroglycerin
B. Order a CT scan of the chest
C. Place the patient on continuous cardiac monitoring
D. Administer oxygen if saturation <90%
E. Begin antibiotic therapy immediately
Correct Answer: A, C, D


Question 9 (Cardiology)

, A 62-year-old male presents with new-onset chest pain radiating to his left arm. Which of the following
are priority initial management steps? (Select all that apply)
A. Administer sublingual nitroglycerin
B. Order a CT scan of the chest
C. Place the patient on continuous cardiac monitoring
D. Administer oxygen if saturation <90%
E. Begin antibiotic therapy immediately
Correct Answer: A, C, D


Question 10 (Cardiology)
Which of the following medications are first-line treatments for hypertension in an otherwise healthy
48-year-old patient?
A. ACE inhibitors
B. Beta-blockers
C. Calcium channel blockers
D. Thiazide diuretics
E. Alpha-1 blockers
Correct Answer: A, C, D


Question 11 (Endocrinology)
A patient with type 2 diabetes presents with polyuria, polydipsia, and blurred vision. Lab results show
fasting glucose = 295 mg/dL, HbA1c = 9.2%. Which of the following is the best initial management?
A. Lifestyle modification alone
B. Metformin initiation
C. Insulin therapy
D. Sulfonylurea initiation
E. DPP-4 inhibitor
Correct Answer: B (Metformin initiation)


Question 12 (Cardiology)
A 62-year-old male presents with new-onset chest pain radiating to his left arm. Which of the following
are priority initial management steps? (Select all that apply)
A. Administer sublingual nitroglycerin
B. Order a CT scan of the chest
C. Place the patient on continuous cardiac monitoring
D. Administer oxygen if saturation <90%
E. Begin antibiotic therapy immediately
Correct Answer: A, C, D


Question 13 (Cardiology)
A 62-year-old male presents with new-onset chest pain radiating to his left arm. Which of the following
are priority initial management steps? (Select all that apply)
A. Administer sublingual nitroglycerin
B. Order a CT scan of the chest
C. Place the patient on continuous cardiac monitoring
D. Administer oxygen if saturation <90%

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