APEA 3P ACTUAL EXAM 2 COMPREHENSIVE
SCRIPT 2026 FULL QUESTIONS CORRECT
ANSWERS
◉ neurogenic claudication. Answer: pain with walking or prolonged
standing, radiating from the spinal area into the buttocks,
thighs,lower legs, or feet
pain relieved with squatting
◉ normal wet diapers per day for a child. Answer: 6-8
◉ if patient has elevated PSA test and abnormal digital rectal exam
next diagnostic is. Answer: MRI guides decision for biopsy
◉ when should one screen for prostate CA. Answer: 55-70
◉ scotomas. Answer: fixed specks or defects
◉ Rosving sign. Answer: RLQ pain intensified during LLQ palpation-
associated with peritoneal irritation & appendicitis
,◉ psoas sign. Answer: RLQ pain with extension of right thigh
indicative of appendicitis
◉ obturator sign. Answer: RLQ on internal rotation of right thigh
indicative of appendicitis
◉ cephalhematoma. Answer: collection of blood between
periosteum and skull bone that it covers
does not cross suture line
results from trauma during birth
caused by rupture of blood vessels and disappear
◉ acute pancreatitis symptoms. Answer: steady, severe epigastric
pain that radiates to the back and is worsened by any movement
◉ adult patient that comes in w new nipple inversion and areola
changes. Answer: nipple retraction can be a sign of underlying
tumor
◉ mitral regurgitation. Answer: harsh murmur heard at the apex w
radiation to the axilla
, ◉ enlarged liver w smooth tender edge. Answer: hepatitis caused by
R sided heart failure
◉ hep a. Answer: NOT associated with exposure to needlesticks
from travelling, drinking water, male-male partners, illicit drugs
◉ Meniere's disease. Answer: disorder of the middle ear with
excessive endolymphatic fluid accumulation in the membranous
labyrinth
causes vertigo, tinnitus, episodic hearing loss, type of sensorineural
hearing loss in low to mid frequencies
◉ white matter lesions in brain. Answer: more indicative of MS on
MRI
◉ primary vs central adrenal insufficency. Answer: central: caused
by underlying pituitary deficiency, causing delayed weight gain and
grwoth
primary: salt cravings, postural dizziness, hyperpigmentation of
elbows and knees due to mineralcoticoid deficiency
SCRIPT 2026 FULL QUESTIONS CORRECT
ANSWERS
◉ neurogenic claudication. Answer: pain with walking or prolonged
standing, radiating from the spinal area into the buttocks,
thighs,lower legs, or feet
pain relieved with squatting
◉ normal wet diapers per day for a child. Answer: 6-8
◉ if patient has elevated PSA test and abnormal digital rectal exam
next diagnostic is. Answer: MRI guides decision for biopsy
◉ when should one screen for prostate CA. Answer: 55-70
◉ scotomas. Answer: fixed specks or defects
◉ Rosving sign. Answer: RLQ pain intensified during LLQ palpation-
associated with peritoneal irritation & appendicitis
,◉ psoas sign. Answer: RLQ pain with extension of right thigh
indicative of appendicitis
◉ obturator sign. Answer: RLQ on internal rotation of right thigh
indicative of appendicitis
◉ cephalhematoma. Answer: collection of blood between
periosteum and skull bone that it covers
does not cross suture line
results from trauma during birth
caused by rupture of blood vessels and disappear
◉ acute pancreatitis symptoms. Answer: steady, severe epigastric
pain that radiates to the back and is worsened by any movement
◉ adult patient that comes in w new nipple inversion and areola
changes. Answer: nipple retraction can be a sign of underlying
tumor
◉ mitral regurgitation. Answer: harsh murmur heard at the apex w
radiation to the axilla
, ◉ enlarged liver w smooth tender edge. Answer: hepatitis caused by
R sided heart failure
◉ hep a. Answer: NOT associated with exposure to needlesticks
from travelling, drinking water, male-male partners, illicit drugs
◉ Meniere's disease. Answer: disorder of the middle ear with
excessive endolymphatic fluid accumulation in the membranous
labyrinth
causes vertigo, tinnitus, episodic hearing loss, type of sensorineural
hearing loss in low to mid frequencies
◉ white matter lesions in brain. Answer: more indicative of MS on
MRI
◉ primary vs central adrenal insufficency. Answer: central: caused
by underlying pituitary deficiency, causing delayed weight gain and
grwoth
primary: salt cravings, postural dizziness, hyperpigmentation of
elbows and knees due to mineralcoticoid deficiency
