APEA Study Guide 2025 update
APEA 3P STUDY MATERIAL 300+ QUESTIONS AND VERIFIED ANSWERS
A+ GUARANTEED 2025 UPDATE
1.Which headache sign does not warrant an immediate investigation?
relieved with use of common analgesics
2. During a migraine, what happens to the cerebral arteries?
They dilate
3. You would have a high suspicion for bipolar if which
symptom was present? He sleeps less than 4 hours nightly.
4. Which risk factor is not associated with breast cancer? Low
socioeconomic status.
5. A 26 year old woman with bulimia is likely to be: Of
average weight.
6. What medication is used to relieve acute wheezing in a
patient with asthma? Short acting beta agonist.
7. Which medication might be responsible for recent episodes
of incontinence and confusion in an 80 year old patient?
Tagamet (cimetidine).
8. What suggests hyperandrogenism in an adolescent female?
Hirsutism.
9. Which is a synovial joint? Shoulder.
pg. 1
,APEA Study Guide 2025 update
10. What could account for a drop in digoxin levels from 0.8-2
ng/dL to 0.4 ng/dL? Increased exercise.
11. Which medication is contraindicated in a child with acute
sinusitis? Decongestants.
12. Which best describes the lower extremity calf pain
associated with peripheral artery disease? Dull aching or
cramping.
13. Jugular venous distention accompanied by chest pain is
associated with: Heart failure.
14. Which immunization protects against a virus that can lead to
chronic liver disease? Hepatitis B.
15. A pediatric patient with areas of scaling on the scalp with
round patches of hair loss likely has: Tinea capitis.
16. A beefy red, glossy smooth tongue in a 70 year old patient
suggests: Pernicious anemia due to insufficient intrinsic
factor.
17. Leg pain and occasional numbness worse with ambulation
and improved with lumbar flexion is likely: Spinal stenosis.
18. Which is not a typical symptom of late stage HIV?
Persistent vomiting.
pg. 2
,APEA Study Guide 2025 update
19. What hemodynamic change is responsible for a reduction in
blood pressure during pregnancy? Decrease in systemic
vascular resistance.
20. If Griseofulvin is not effective for tinea capitis, what is the
next step? Continue the current therapy for 6-8 weeks.
21. Rapid HIV testing would be most appropriate for a patient
with complaints of: Fever, headache, and
lymphadenopathy.
22. What is a frequent side effect of SSRIs? Sexual
dysfunction.
23. You might suspect small bowel obstruction in a patient who
complains of: Vomiting and pain.
24. What finding would be suggestive of osteosarcoma in a
pediatric patient? Pain in the affected bone.
25. What clinical manifestation suggests primary syphilis? A
single painless genital lesion.
26. What medication is used first line for benign positional
vertigo? Meclizine.
27. Which symptom is most associated with testicular torsion?
Testicular pain.
pg. 3
, APEA Study Guide 2025 update
28. A clinical breast exam should include palpation at the tail of
Spence, which is located: Laterally across the anterior
axillary fold.
29. Which area does not drain to the right lymph duct? The
right leg.
30. Which presentation is most suspicious for penile cancer? A
nontender, indurated penile nodule.
31. What is important to consider before prescribing
metronidazole for giardiasis? Whether the patient drinks
alcohol.
32. In which condition would the use of triptans for migraine
headaches be contraindicated? Hypertension.
33. Which is a true statement about varicose veins?
They are usually diagnosed on clinical presentation.
34. When measuring fundal height at 32 weeks, which
measurement might prompt suspicion of fetal growth
restriction? 29 cm.
35. What is the term for excess fluid that accumulates in the
pleural cavity? Pleural effusion.
36. Which pathogen is associated with common UTIs? E coli.
pg. 4
APEA 3P STUDY MATERIAL 300+ QUESTIONS AND VERIFIED ANSWERS
A+ GUARANTEED 2025 UPDATE
1.Which headache sign does not warrant an immediate investigation?
relieved with use of common analgesics
2. During a migraine, what happens to the cerebral arteries?
They dilate
3. You would have a high suspicion for bipolar if which
symptom was present? He sleeps less than 4 hours nightly.
4. Which risk factor is not associated with breast cancer? Low
socioeconomic status.
5. A 26 year old woman with bulimia is likely to be: Of
average weight.
6. What medication is used to relieve acute wheezing in a
patient with asthma? Short acting beta agonist.
7. Which medication might be responsible for recent episodes
of incontinence and confusion in an 80 year old patient?
Tagamet (cimetidine).
8. What suggests hyperandrogenism in an adolescent female?
Hirsutism.
9. Which is a synovial joint? Shoulder.
pg. 1
,APEA Study Guide 2025 update
10. What could account for a drop in digoxin levels from 0.8-2
ng/dL to 0.4 ng/dL? Increased exercise.
11. Which medication is contraindicated in a child with acute
sinusitis? Decongestants.
12. Which best describes the lower extremity calf pain
associated with peripheral artery disease? Dull aching or
cramping.
13. Jugular venous distention accompanied by chest pain is
associated with: Heart failure.
14. Which immunization protects against a virus that can lead to
chronic liver disease? Hepatitis B.
15. A pediatric patient with areas of scaling on the scalp with
round patches of hair loss likely has: Tinea capitis.
16. A beefy red, glossy smooth tongue in a 70 year old patient
suggests: Pernicious anemia due to insufficient intrinsic
factor.
17. Leg pain and occasional numbness worse with ambulation
and improved with lumbar flexion is likely: Spinal stenosis.
18. Which is not a typical symptom of late stage HIV?
Persistent vomiting.
pg. 2
,APEA Study Guide 2025 update
19. What hemodynamic change is responsible for a reduction in
blood pressure during pregnancy? Decrease in systemic
vascular resistance.
20. If Griseofulvin is not effective for tinea capitis, what is the
next step? Continue the current therapy for 6-8 weeks.
21. Rapid HIV testing would be most appropriate for a patient
with complaints of: Fever, headache, and
lymphadenopathy.
22. What is a frequent side effect of SSRIs? Sexual
dysfunction.
23. You might suspect small bowel obstruction in a patient who
complains of: Vomiting and pain.
24. What finding would be suggestive of osteosarcoma in a
pediatric patient? Pain in the affected bone.
25. What clinical manifestation suggests primary syphilis? A
single painless genital lesion.
26. What medication is used first line for benign positional
vertigo? Meclizine.
27. Which symptom is most associated with testicular torsion?
Testicular pain.
pg. 3
, APEA Study Guide 2025 update
28. A clinical breast exam should include palpation at the tail of
Spence, which is located: Laterally across the anterior
axillary fold.
29. Which area does not drain to the right lymph duct? The
right leg.
30. Which presentation is most suspicious for penile cancer? A
nontender, indurated penile nodule.
31. What is important to consider before prescribing
metronidazole for giardiasis? Whether the patient drinks
alcohol.
32. In which condition would the use of triptans for migraine
headaches be contraindicated? Hypertension.
33. Which is a true statement about varicose veins?
They are usually diagnosed on clinical presentation.
34. When measuring fundal height at 32 weeks, which
measurement might prompt suspicion of fetal growth
restriction? 29 cm.
35. What is the term for excess fluid that accumulates in the
pleural cavity? Pleural effusion.
36. Which pathogen is associated with common UTIs? E coli.
pg. 4
