NR 603 APEA 2025 WITH WELL-
STRUCTURED QUESTIONS AND
ANSWERS| RATED 100% ACCURATE.
A major difference between varicose veins and arteriosclerosis - ANSWER ✔✔ Arteriosclerosis
affects the arteries and is more common in men after age 70 years.
Varicose veins affect the veins. and is more common in women.
A pt had poorly controlled hypertension for more than 10 years Where would the PMI point of
maximal impulse be - ANSWER ✔✔ Correct 5th ICS left of MCL-This is because of certain
diseases like heart failure or cardiomyopathy or hypertension can displace the apical impulse to
the left laterally.
The normal PMI is at 5th intercostal space midclavicular.
43 yr old male has audible murmur best heard in the mitral listening point. There is not audible
click. His status has been monitored for the past 2 years. The murmur is probably heard: -
ANSWER ✔✔ Correct- Mitral Stenosis because it produces only diastolic murmur listed
- Mitral Prolapse is a systolic murmur with a mid to late systolic click
- Acute Mitral Regurgitation- usually develops after rupture of the chordae tendineae, rupture
papillary muscle after an MI or secondary to bacterial endocarditis. This pt would abruptly
deteriate.
Pt with diabetes present with pain in his lower legs when he walks and pain resolution with rest.
When asked about pain in his lower leg he like with will report pain - ANSWER ✔✔ He will
have pain in the CALF muscle. This is symptoms of ARTERIOSCLEROSIS- symptoms are
intermittent claudication.
A pt with hypertension described a previous allergic reaction to sulfa antibiotics as sloughing of
skin and hospitalized. Which medication is contraindicated in this pt. - ANSWER ✔✔
Hydrochlorothiazide- has a sulfonamide ring which makes anyone allergic to sulfa drugs should
not take this medication
STRUCTURED QUESTIONS AND
ANSWERS| RATED 100% ACCURATE.
A major difference between varicose veins and arteriosclerosis - ANSWER ✔✔ Arteriosclerosis
affects the arteries and is more common in men after age 70 years.
Varicose veins affect the veins. and is more common in women.
A pt had poorly controlled hypertension for more than 10 years Where would the PMI point of
maximal impulse be - ANSWER ✔✔ Correct 5th ICS left of MCL-This is because of certain
diseases like heart failure or cardiomyopathy or hypertension can displace the apical impulse to
the left laterally.
The normal PMI is at 5th intercostal space midclavicular.
43 yr old male has audible murmur best heard in the mitral listening point. There is not audible
click. His status has been monitored for the past 2 years. The murmur is probably heard: -
ANSWER ✔✔ Correct- Mitral Stenosis because it produces only diastolic murmur listed
- Mitral Prolapse is a systolic murmur with a mid to late systolic click
- Acute Mitral Regurgitation- usually develops after rupture of the chordae tendineae, rupture
papillary muscle after an MI or secondary to bacterial endocarditis. This pt would abruptly
deteriate.
Pt with diabetes present with pain in his lower legs when he walks and pain resolution with rest.
When asked about pain in his lower leg he like with will report pain - ANSWER ✔✔ He will
have pain in the CALF muscle. This is symptoms of ARTERIOSCLEROSIS- symptoms are
intermittent claudication.
A pt with hypertension described a previous allergic reaction to sulfa antibiotics as sloughing of
skin and hospitalized. Which medication is contraindicated in this pt. - ANSWER ✔✔
Hydrochlorothiazide- has a sulfonamide ring which makes anyone allergic to sulfa drugs should
not take this medication
