APEA PRACTICE SOLUTION 2026 QUESTIONS
WITH FULL SOLUTION GRADED A+
◉ Taking Pyridium for UTI, what can Pyridium cause? Answer:
Hemolytic Anemia
◉ What can PCOS result in? Answer: Increased insulin levels
(Hyperinsulinemia), Androgens, Hirsutism
◉ What are the anti-hypertensives used in pregnancy? Answer:
Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
◉ What is a characteristic of Placenta Previa? Answer: Painless, red
bleeding
◉ What is a chacteristic of Rheumatoid Arthritis? Answer: Tender,
warm, swollen joints
◉ Medications that can cause ototoxicity? Answer: Aminoglycosides,
loop diuretics, NSAIDs, antihistamines, nasal decongestants
◉ What is the treatment time for enterobiasis? Answer: 2 weeks
,◉ What does MCV lab value measure? Answer: Mean Corpuscular
Volume helps diagnose different types of anemia such as B12 &
Folate (Macrocytic) and Fe anemia (Microcytic)
◉ Rhogam is given at how many week gestation? Answer: 27-28
weeks
◉ What are Janeway lesions and what do they indicate? Answer:
They are irregular, non-tender hemorrhagic macules located on the
hands and feet. Seen in Infective Endocarditis
◉ What are Osler's Nodes and what do they indicate? Answer: They
are split pea-sized, erythematous, tender nodules located on the
pads of the fingers and toes. Seen in Infective Endocarditis
◉ What is the recommendation for Warfarin management when a
patient misses a dose? Answer: If within 12 hours of the dose time,
take it. If over 12 hours patient will need a INR redraw
◉ What do we need to know about ACEs and ARBs? Answer: A dry
hacking cough is a common side effect of ACEs and will go away
within a week after discontinuing. ACEs & ARBs are indicated for
patients with DM, CKD, and HTN. Not recommended as 1st line agent
with African Americans & can cause angioedema.
,◉ Contraindications for Hydrochlorothiazide Answer: Sulfa allergy,
PCN hypersensitivity, Asthma, Gout
◉ Systolic Murmurs (Benign) Answer: MR = Mitral Regurge
(SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations,
Chest Pain
◉ Diastolic Murmurs (Abnormal) Answer: AR = Aortic Regurgitation
(Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
◉ What does S1 indicate? Answer: S1 Closure of the Atrioventricular
Valves (Mitral & Tricuspid Valves)
◉ What does S2 indicate? Answer: S2 Closure of the Semilunar
Valves (Aortic & Pulmonic Valves)
◉ S3 is often heard in? Answer: CHF, possibly normal for athletic
adolescents
, ◉ S4 is often heard in? Answer: Diastolic HF, Left Ventricular
Hypertrophy (LVH), Poorly controlled HTN, MI
◉ Treatment of Peripheral Artery Disease (PAD) Answer:
Antiplatelets (Plavix, ASA), Pentoxifylline (Decreases blood
viscosity)
◉ Diagnosing Peripheral Artery Disease (PAD) Answer: Gold
Standard = Angiography
Ankle Brachial Index (ABI)
◉ Coronary Artery Disease (CAD) treatment Answer:
Aotrvastatin/Rosuvastatin = If LDL>150 use high doses. Watch for
LFTs & arthralgia. Change type & dose if issues. Helps stabilize
plaques.
◉ What medications are indicated for HF treatment? Answer: ACEs,
ARBs, ARNI w/BBs, Aldosterone Recepter Antagonists
◉ What is the treatment for Sarcopter Scabiei (Scabies)? Answer:
Topical Permetherin massaged from head to soles of feet and wash
off with shower or bath after 8-14hrs. Treat again in 1 week.
◉ Names of skin lesions? Answer: Macule: Flat <1cm i.e. freckle
WITH FULL SOLUTION GRADED A+
◉ Taking Pyridium for UTI, what can Pyridium cause? Answer:
Hemolytic Anemia
◉ What can PCOS result in? Answer: Increased insulin levels
(Hyperinsulinemia), Androgens, Hirsutism
◉ What are the anti-hypertensives used in pregnancy? Answer:
Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
◉ What is a characteristic of Placenta Previa? Answer: Painless, red
bleeding
◉ What is a chacteristic of Rheumatoid Arthritis? Answer: Tender,
warm, swollen joints
◉ Medications that can cause ototoxicity? Answer: Aminoglycosides,
loop diuretics, NSAIDs, antihistamines, nasal decongestants
◉ What is the treatment time for enterobiasis? Answer: 2 weeks
,◉ What does MCV lab value measure? Answer: Mean Corpuscular
Volume helps diagnose different types of anemia such as B12 &
Folate (Macrocytic) and Fe anemia (Microcytic)
◉ Rhogam is given at how many week gestation? Answer: 27-28
weeks
◉ What are Janeway lesions and what do they indicate? Answer:
They are irregular, non-tender hemorrhagic macules located on the
hands and feet. Seen in Infective Endocarditis
◉ What are Osler's Nodes and what do they indicate? Answer: They
are split pea-sized, erythematous, tender nodules located on the
pads of the fingers and toes. Seen in Infective Endocarditis
◉ What is the recommendation for Warfarin management when a
patient misses a dose? Answer: If within 12 hours of the dose time,
take it. If over 12 hours patient will need a INR redraw
◉ What do we need to know about ACEs and ARBs? Answer: A dry
hacking cough is a common side effect of ACEs and will go away
within a week after discontinuing. ACEs & ARBs are indicated for
patients with DM, CKD, and HTN. Not recommended as 1st line agent
with African Americans & can cause angioedema.
,◉ Contraindications for Hydrochlorothiazide Answer: Sulfa allergy,
PCN hypersensitivity, Asthma, Gout
◉ Systolic Murmurs (Benign) Answer: MR = Mitral Regurge
(SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations,
Chest Pain
◉ Diastolic Murmurs (Abnormal) Answer: AR = Aortic Regurgitation
(Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
◉ What does S1 indicate? Answer: S1 Closure of the Atrioventricular
Valves (Mitral & Tricuspid Valves)
◉ What does S2 indicate? Answer: S2 Closure of the Semilunar
Valves (Aortic & Pulmonic Valves)
◉ S3 is often heard in? Answer: CHF, possibly normal for athletic
adolescents
, ◉ S4 is often heard in? Answer: Diastolic HF, Left Ventricular
Hypertrophy (LVH), Poorly controlled HTN, MI
◉ Treatment of Peripheral Artery Disease (PAD) Answer:
Antiplatelets (Plavix, ASA), Pentoxifylline (Decreases blood
viscosity)
◉ Diagnosing Peripheral Artery Disease (PAD) Answer: Gold
Standard = Angiography
Ankle Brachial Index (ABI)
◉ Coronary Artery Disease (CAD) treatment Answer:
Aotrvastatin/Rosuvastatin = If LDL>150 use high doses. Watch for
LFTs & arthralgia. Change type & dose if issues. Helps stabilize
plaques.
◉ What medications are indicated for HF treatment? Answer: ACEs,
ARBs, ARNI w/BBs, Aldosterone Recepter Antagonists
◉ What is the treatment for Sarcopter Scabiei (Scabies)? Answer:
Topical Permetherin massaged from head to soles of feet and wash
off with shower or bath after 8-14hrs. Treat again in 1 week.
◉ Names of skin lesions? Answer: Macule: Flat <1cm i.e. freckle
