3P Exam Study APEA questions with answers

3P Exam Study APEA questions with answers
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What would cause decrease in Digoxin levels? - CORRECT
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ANSWERS ✔✔Antacids |\




Taking Pyridium for UTI, what can Pyridium cause? - CORRECT
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ANSWERS ✔✔Hemolytic Anemia |\ |\




What can PCOS result in? - CORRECT ANSWERS ✔✔Increased
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insulin levels (Hyperinsulinemia), Androgens, Hirsutism
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What are the anti-hypertensives used in pregnancy? - CORRECT
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ANSWERS ✔✔Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine,
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Hydralazine
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What is a characteristic of Placenta Previa? - CORRECT ANSWERS
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✔✔Painless, red bleeding
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What is a chacteristic of Rheumatoid Arthritis? - CORRECT
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ANSWERS ✔✔Tender, warm, swollen joints
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Medications that can cause ototoxicity? - CORRECT ANSWERS
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✔✔Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal |\ |\ |\ |\ |\


decongestants
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,What is the treatment time for enterobiasis? - CORRECT
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ANSWERS ✔✔2 weeks |\ |\




What does MCV lab value measure? - CORRECT ANSWERS
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✔✔Mean Corpuscular Volume helps diagnose different types of
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anemia such as B12 & Folate (Macrocytic) and Fe anemia
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(Microcytic)


Rhogam is given at how many week gestation? - CORRECT
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ANSWERS ✔✔27-28 weeks |\ |\




What are Janeway lesions and what do they indicate? - CORRECT
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ANSWERS ✔✔They are irregular, non-tender hemorrhagic
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macules located on the hands and feet. Seen in Infective
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Endocarditis


What are Osler's Nodes and what do they indicate? - CORRECT
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ANSWERS ✔✔They are split pea-sized, erythematous, tender
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nodules located on the pads of the fingers and toes. Seen in
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Infective Endocarditis |\




What is the recommendation for Warfarin management when a
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patient misses a dose? - CORRECT ANSWERS ✔✔If within 12
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hours of the dose time, take it. If over 12 hours patient will need
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a INR redraw
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What do we need to know about ACEs and ARBs? - CORRECT
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ANSWERS ✔✔A dry hacking cough is a common side effect of
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ACEs and will go away within a week after discontinuing. ACEs &
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,ARBs are indicated for patients with DM, CKD, and HTN. Not
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recommended as 1st line agent with African Americans & can |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


cause angioedema. |\




Contraindications for Hydrochlorothiazide - CORRECT ANSWERS |\ |\ |\ |\ |\ |\


✔✔Sulfa allergy, PCN hypersensitivity, Asthma, Gout
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Systolic Murmurs (Benign) - CORRECT ANSWERS ✔✔MR = Mitral
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Regurge (SOB/Fatigue HF) |\ |\




Peyton Manning = Physiologic Murmur (Asymptomatic)
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AS = Aortic Stenosis (Angina, Syncope HF)
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MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations,
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Chest Pain |\




Diastolic Murmurs (Abnormal) - CORRECT ANSWERS ✔✔AR =
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Aortic Regurgitation (Angina, HF, Dizziness, Chest Pain)
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MS = Mitral Stenosis (Dyspnea, AFib)
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What does S1 indicate? - CORRECT ANSWERS ✔✔S1 Closure of
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the Atrioventricular Valves (Mitral & Tricuspid Valves)
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What does S2 indicate? - CORRECT ANSWERS ✔✔S2 Closure of
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the Semilunar Valves (Aortic & Pulmonic Valves)
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S3 is often heard in? - CORRECT ANSWERS ✔✔CHF, possibly
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normal for athletic adolescents |\ |\ |\

, S4 is often heard in? - CORRECT ANSWERS ✔✔Diastolic HF, Left
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Ventricular Hypertrophy (LVH), Poorly controlled HTN, MI
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Treatment of Peripheral Artery Disease (PAD) - CORRECT
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ANSWERS ✔✔Antiplatelets (Plavix, ASA), Pentoxifylline
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(Decreases blood viscosity) |\ |\




Diagnosing Peripheral Artery Disease (PAD) - CORRECT ANSWERS|\ |\ |\ |\ |\ |\ |\


✔✔Gold Standard = Angiography
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Ankle Brachial Index (ABI)
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Coronary Artery Disease (CAD) treatment - CORRECT ANSWERS
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✔✔Aotrvastatin/Rosuvastatin = If LDL>150 use high doses. |\ |\ |\ |\ |\ |\ |\


Watch for LFTs & arthralgia. Change type & dose if issues. Helps
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stabilize plaques. |\




What medications are indicated for HF treatment? - CORRECT
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ANSWERS ✔✔ACEs, ARBs, ARNI w/BBs, Aldosterone Recepter
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Antagonists


What is the treatment for Sarcopter Scabiei (Scabies)? -
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CORRECT ANSWERS ✔✔Topical Permetherin massaged from head
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to soles of feet and wash off with shower or bath after 8-14hrs.
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Treat again in 1 week.
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Names of skin lesions? - CORRECT ANSWERS ✔✔Macule: Flat
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<1cm i.e. freckle
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Papule: Raised <1cm i.e. acne
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