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APEA 3P Exam 2025/2026 | Correct and Verified Questions and Answers [NP Study Guide]

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Prepare confidently for your APEA 3P Exam 2025/2026 with this verified study guide featuring accurate and correctly written questions and answers. Designed for Nurse Practitioner (NP) students, this guide covers all core 3P exam areas — Pathophysiology, Physical Assessment, and Pharmacology. Each question is carefully verified to align with the latest APEA standards, helping you master advanced clinical decision-making, diagnostic reasoning, and medication management for primary care success

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APEA 3P 2025\2026 with correct and
verified answers



What is another name for fifth disease? - answer✔✔✨-parvovirus/slapped cheek disease/erythema
infectiosum



Which type of prevention are vaccinations? - answer✔✔✨-Primary



When should patients begin antiretroviral therapy for HIV infection? - answer✔✔✨-As soon as
detected, even if in the acute phase.



What are the first generation antihistamines? - answer✔✔✨-diphenhydramine (benadryl) and
chlorpeniramine (actifed)



What are the s/s of the secondary stage of syphilis? - answer✔✔✨-Non-itchy rash on hands and
feet, lymphadenopathy, fever, joint pain



Recommended treatment for chronic bacterial prostatitis? - answer✔✔✨-fluoroquinolone (cipro or
levo) and bactrim



Recommended treatment for acute prostatitis? - answer✔✔✨-Cipro (if not STI) or ceftriaxone



What are the s/s of an intraductal breast papilloma? - answer✔✔✨-Clear to bloody unilateral nipple
discharge (bilateral is usually benign) and also a wart like lump palpated in the nipple area



If a patient has GABHS but has an allergy to penicillin, what is the second line option? -
answer✔✔✨-First generation cephalosporins, unless the allergy is severe, then macrolides like a -
mycin

,PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? -
answer✔✔✨-In those who are on any type of nitrate or triptan because it could result in
hypotension



What class of drug is sildenafil (Viagra)? - answer✔✔✨-a PDE5 inhibitor which can cause
hypotension so you should do a full cardiac assessment before starting a patient on this and maybe do
an EKG



What are the symptoms of peripheral artery disease? - answer✔✔✨-pain, absent or weak pulses,
eschar or shiny legs, intermittent claudication



What is the first line treatment for PAD? - answer✔✔✨-Walking and physical activity to improve
circulation. Second line is aspirin or anti-platelet.



What should we tell our patients with PAD not to do? - answer✔✔✨-Do not elevate the feet, keep
them down.



What is the biggest side effect of colchicine? - answer✔✔✨-Diarrhea



How would you describe the appearance of molluscum contagiosum? - answer✔✔✨-Papules that
are umbilicated and contain a caseous plug.



How do we treat a broken clavicle in an infant? - answer✔✔✨-No treatment; it should heal on its
own.



At what week of pregnancy is the uterus palpable just above the pubic symphysis? - answer✔✔✨-
Week 12



At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus?
- answer✔✔✨-Week 16

, At what week of pregnancy is the fundus of the uterus at the umbilicus? - answer✔✔✨-Week 20



At what week of pregnancy is the fundus just below the xiphoid process? - answer✔✔✨-Week 34



At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and
umbilicus? - answer✔✔✨-28



Increased sweat production is a sign of what endocrine disorder? - answer✔✔✨-Hyperthyroidism



What is Paget's disease? - answer✔✔✨-Localized increased bone turnover and blood flow resulting
in the breakdown of bone and replacing it with weakened and highly vascular bone putting the person
at risk of fractures.



How do we treat Paget's disease? - answer✔✔✨-Bisphosphonates



How should pregnant women wear their seatbelts? - answer✔✔✨-With the shoulder strap like
normal and then the groin strap below the belly and across the hips.



How do we diagnose PAD? - answer✔✔✨-ABI<7, doppler can also be used to diagnose but that is
the second choice.



What are the s/s of peripheral vascular disease? - answer✔✔✨-Think V meaning volume overload
aka edema, may ache or be uncomfortable but is not painful, bounding pulses, ruddy discoloration



If a patient is on Coumadin but then may need an antibiotic for an infection and Bactrim is the drug of
choice, what should you do? - answer✔✔✨-Bactrim increases INR so we would want to decrease
Coumadin while patient is taking Bactrim.



If a patient is on Coumadin but then needs to be on Rifampin, what should you do? - answer✔✔✨-
Rifampin decreases INR, would need to increase Coumadin.

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