(Advanced Practice Education Associates)
APEA 3P Exam
Questions and Verified Answers with Explanation
2025\2026 update
1. .Which type of lesion is dark, raised, asymmetric, and has irregular borders?
- a) Nevus
- b) Actinic keratosis
- c) Keratoacanthoma
- d) Melanoma
Answer: d) Melanoma
Explanation: Melanoma is characterized by dark pigmentation, irregular
borders, and asymmetry, indicating potential malignancy.
2. .A 32-year-old woman presents with dull puffiness around her eyes,
showing pronounced non-pitting periorbital edema. What condition does this
suggest?.
- a) Nephrotic syndrome
- b) Myxedema
- c) Cushing syndrome
,3. .A 42-year-old woman with a history of migraines is requesting preventive
medication. Which medication should the nurse practitioner prescribe?.
- a) Sumatriptan (Imitrex)
- b) Amitriptyline (Elavil)
- c) Verapamil (Verelan)
- d) Metoprolol (Lopressor)
Answer: b) Amitriptyline (Elavil)
Explanation: Amitriptyline is an effective prophylactic treatment for
migraines.
4. .A pediatric patient has scaling areas on the scalp with round patches of hair
loss. What does this indicate?.
- a) Tinea capitis
- b) Seborrheic dermatitis
- c) Trichotillomania
- d) Alopecia areata
Answer: a) Tinea capitis
Explanation: Tinea capitis, a fungal infection, often presents with hair loss
and scaling.
5. .During a visual acuity test, the nurse practitioner notes 20/30 vision in the
left eye and 20/40 in the right eye. What should be done next?.
, Answer: c) Refer the patient to an ophthalmologist.
Explanation: Significant discrepancies in visual acuity warrant consultation
with a specialist.
6. .According to the DSM by the American Psychiatric Association, how is
Munchausen Syndrome by Proxy defined?.
- a) A self-inflicted injury to gain attention
- b) A caregiver fabricating or inducing illness in someone under their care
- c) An abusive behavior that doesn't involve the caregiver
- d) A situation where the abuser is inattentive and uncaring towards the
victim
Answer: b) A caregiver fabricating or inducing illness in someone under
their care.
Explanation: This syndrome involves caregivers causing symptoms in others
for attention.
7. .Which neurotransmitter medication can have depression as a side effect?.
- a) Dopamine
- b) Gabapentin
- c) Milnacipran
- d) Cortisol
Answer: a) Dopamine.
Explanation: Altered dopamine levels can lead to mood changes, including
depression.
APEA 3P Exam
Questions and Verified Answers with Explanation
2025\2026 update
1. .Which type of lesion is dark, raised, asymmetric, and has irregular borders?
- a) Nevus
- b) Actinic keratosis
- c) Keratoacanthoma
- d) Melanoma
Answer: d) Melanoma
Explanation: Melanoma is characterized by dark pigmentation, irregular
borders, and asymmetry, indicating potential malignancy.
2. .A 32-year-old woman presents with dull puffiness around her eyes,
showing pronounced non-pitting periorbital edema. What condition does this
suggest?.
- a) Nephrotic syndrome
- b) Myxedema
- c) Cushing syndrome
,3. .A 42-year-old woman with a history of migraines is requesting preventive
medication. Which medication should the nurse practitioner prescribe?.
- a) Sumatriptan (Imitrex)
- b) Amitriptyline (Elavil)
- c) Verapamil (Verelan)
- d) Metoprolol (Lopressor)
Answer: b) Amitriptyline (Elavil)
Explanation: Amitriptyline is an effective prophylactic treatment for
migraines.
4. .A pediatric patient has scaling areas on the scalp with round patches of hair
loss. What does this indicate?.
- a) Tinea capitis
- b) Seborrheic dermatitis
- c) Trichotillomania
- d) Alopecia areata
Answer: a) Tinea capitis
Explanation: Tinea capitis, a fungal infection, often presents with hair loss
and scaling.
5. .During a visual acuity test, the nurse practitioner notes 20/30 vision in the
left eye and 20/40 in the right eye. What should be done next?.
, Answer: c) Refer the patient to an ophthalmologist.
Explanation: Significant discrepancies in visual acuity warrant consultation
with a specialist.
6. .According to the DSM by the American Psychiatric Association, how is
Munchausen Syndrome by Proxy defined?.
- a) A self-inflicted injury to gain attention
- b) A caregiver fabricating or inducing illness in someone under their care
- c) An abusive behavior that doesn't involve the caregiver
- d) A situation where the abuser is inattentive and uncaring towards the
victim
Answer: b) A caregiver fabricating or inducing illness in someone under
their care.
Explanation: This syndrome involves caregivers causing symptoms in others
for attention.
7. .Which neurotransmitter medication can have depression as a side effect?.
- a) Dopamine
- b) Gabapentin
- c) Milnacipran
- d) Cortisol
Answer: a) Dopamine.
Explanation: Altered dopamine levels can lead to mood changes, including
depression.
