APEA 3P EXAM: KEY QUESTIONS
AND ANSWERS
Circumscribed-elevations-of-the-skin-filled-with-serous-fluid---ans-✔✔Lesions-measuring-
approximately-0.5cm,-seen-in-herpes-simplex-or-varicella.
Cranial-nerve-V---ans-✔✔The-cranial-nerve-that-innervates-the-principal-muscles-
involved-when-closing-the-mouth.
Transverse-Foramen---ans-✔✔The-structure-that-creates-a-channel-for-the-vertebral-
artery.
Polycythemia---ans-✔✔NOT-a-compliant-patient-with-type-1-diabetes.
Pediculosis-capitis---ans-✔✔The-chief-complaint-is-itching.
Ischial-tuberosity---ans-✔✔The-large-swelling-posteriorly-on-the-superior-ramus-of-the-
ischium-that-bears-most-of-the-weight-in-sitting.
Percussion-technique---ans-✔✔Percussing-areas-over-the-scapulae-would-be-omitted-
when-percussing-the-posterior-chest.
Tonic-pupil---ans-✔✔Condition-indicated-by-a-right-pupil-that-appears-larger-than-the-left-
and-reacts-much-slower-to-light.
Focal-seizure-that-becomes-generalized---ans-✔✔Type-of-seizure-activity-where-the-
patient-experiences-partial-seizures-resembling-tonic-clonic-seizures.
Symmetric-weakness-pattern---ans-✔✔Type-of-weakness-suggested-by-a-female-patient-
complaining-of-weakness-in-both-arms-when-transferring-wet-clothes.
Bimanual-vaginal-exam---ans-✔✔To-palpate-the-right-ovary,-the-pelvic-hand-needs-to-be-
in-the-right-lateral-fornix.
Delirium---ans-✔✔A-serious-disturbance-in-a-person's-mental-abilities-resulting-in-
decreased-awareness-of-one's-environment-and-confused-thinking.
, Weber-test---ans-✔✔A-screening-test-for-hearing-loss-that-can-detect-both-sensorineural-
and-conductive-hearing-loss.
Trochlear-groove---ans-✔✔The-groove-on-the-anterior-aspect-of-the-distal-femur-where-
the-patella-slides-during-knee-flexion-and-extension.
Abdominal-aortic-aneurysm-(AAA)---ans-✔✔Condition-associated-with-sudden,-intense-
left-lower-abdominal-pain-radiating-to-the-back-and-a-tearing-sensation.
Vitreous-floaters---ans-✔✔Dark-specks-noted-between-the-fundus-and-the-lens-during-an-
ophthalmoscopic-examination.
Transverse-lie---ans-✔✔Condition-of-the-fetus-when-buttocks-and-head-are-not-easily-
palpated-at-the-fundus-during-the-first-Leopold-maneuver.
Flexion---ans-✔✔Movement-of-the-shoulder-girdle-when-the-patient-moves-his-arm-in-
front-of-his-body-during-a-musculoskeletal-examination.
Twelfth-rib-location---ans-✔✔Palpate-between-the-spine-and-the-lateral-chest.
Distal-muscular-weakness---ans-✔✔May-be-revealed-by-walking-on-the-toes-and-heels.
Bimanual-exam-of-the-vagina---ans-✔✔The-examiner-should-lubricate-the-index-and-
middle-fingers-of-a-gloved-hand-and-insert-them-into-the-vagina-while-exerting-pressure-
primarily-posteriorly.
Erythropoietin---ans-✔✔Hormone-during-pregnancy-that-results-in-increased-blood-
viscosity.
Resting-tremors---ans-✔✔Tremors-that-disappear-with-voluntary-movement.
Bright-red-stools---ans-✔✔This-symptom-could-be-consistent-with-cancer-of-the-sigmoid-
colon.
Mydriasis---ans-✔✔Term-used-to-describe-dilation-of-the-pupils.
Stage-III-pressure-ulcer---ans-✔✔Consistent-with-findings-of-full-thickness-tissue-loss-and-
subcutaneous-fat-visible-with-mild-slough.
Lumbosacral-junction---ans-✔✔The-location-where-the-vertebral-column-angles-sharply-
posteriorly-and-becomes-immovable.
Highest-risk-for-suicide---ans-✔✔A-52-year-old-white-man.
Aortic-valve-heart-sounds---ans-✔✔Auscultate-between-the-2nd-and-3rd-intercostal-
spaces-at-the-right-upper-sternal-border.
AND ANSWERS
Circumscribed-elevations-of-the-skin-filled-with-serous-fluid---ans-✔✔Lesions-measuring-
approximately-0.5cm,-seen-in-herpes-simplex-or-varicella.
Cranial-nerve-V---ans-✔✔The-cranial-nerve-that-innervates-the-principal-muscles-
involved-when-closing-the-mouth.
Transverse-Foramen---ans-✔✔The-structure-that-creates-a-channel-for-the-vertebral-
artery.
Polycythemia---ans-✔✔NOT-a-compliant-patient-with-type-1-diabetes.
Pediculosis-capitis---ans-✔✔The-chief-complaint-is-itching.
Ischial-tuberosity---ans-✔✔The-large-swelling-posteriorly-on-the-superior-ramus-of-the-
ischium-that-bears-most-of-the-weight-in-sitting.
Percussion-technique---ans-✔✔Percussing-areas-over-the-scapulae-would-be-omitted-
when-percussing-the-posterior-chest.
Tonic-pupil---ans-✔✔Condition-indicated-by-a-right-pupil-that-appears-larger-than-the-left-
and-reacts-much-slower-to-light.
Focal-seizure-that-becomes-generalized---ans-✔✔Type-of-seizure-activity-where-the-
patient-experiences-partial-seizures-resembling-tonic-clonic-seizures.
Symmetric-weakness-pattern---ans-✔✔Type-of-weakness-suggested-by-a-female-patient-
complaining-of-weakness-in-both-arms-when-transferring-wet-clothes.
Bimanual-vaginal-exam---ans-✔✔To-palpate-the-right-ovary,-the-pelvic-hand-needs-to-be-
in-the-right-lateral-fornix.
Delirium---ans-✔✔A-serious-disturbance-in-a-person's-mental-abilities-resulting-in-
decreased-awareness-of-one's-environment-and-confused-thinking.
, Weber-test---ans-✔✔A-screening-test-for-hearing-loss-that-can-detect-both-sensorineural-
and-conductive-hearing-loss.
Trochlear-groove---ans-✔✔The-groove-on-the-anterior-aspect-of-the-distal-femur-where-
the-patella-slides-during-knee-flexion-and-extension.
Abdominal-aortic-aneurysm-(AAA)---ans-✔✔Condition-associated-with-sudden,-intense-
left-lower-abdominal-pain-radiating-to-the-back-and-a-tearing-sensation.
Vitreous-floaters---ans-✔✔Dark-specks-noted-between-the-fundus-and-the-lens-during-an-
ophthalmoscopic-examination.
Transverse-lie---ans-✔✔Condition-of-the-fetus-when-buttocks-and-head-are-not-easily-
palpated-at-the-fundus-during-the-first-Leopold-maneuver.
Flexion---ans-✔✔Movement-of-the-shoulder-girdle-when-the-patient-moves-his-arm-in-
front-of-his-body-during-a-musculoskeletal-examination.
Twelfth-rib-location---ans-✔✔Palpate-between-the-spine-and-the-lateral-chest.
Distal-muscular-weakness---ans-✔✔May-be-revealed-by-walking-on-the-toes-and-heels.
Bimanual-exam-of-the-vagina---ans-✔✔The-examiner-should-lubricate-the-index-and-
middle-fingers-of-a-gloved-hand-and-insert-them-into-the-vagina-while-exerting-pressure-
primarily-posteriorly.
Erythropoietin---ans-✔✔Hormone-during-pregnancy-that-results-in-increased-blood-
viscosity.
Resting-tremors---ans-✔✔Tremors-that-disappear-with-voluntary-movement.
Bright-red-stools---ans-✔✔This-symptom-could-be-consistent-with-cancer-of-the-sigmoid-
colon.
Mydriasis---ans-✔✔Term-used-to-describe-dilation-of-the-pupils.
Stage-III-pressure-ulcer---ans-✔✔Consistent-with-findings-of-full-thickness-tissue-loss-and-
subcutaneous-fat-visible-with-mild-slough.
Lumbosacral-junction---ans-✔✔The-location-where-the-vertebral-column-angles-sharply-
posteriorly-and-becomes-immovable.
Highest-risk-for-suicide---ans-✔✔A-52-year-old-white-man.
Aortic-valve-heart-sounds---ans-✔✔Auscultate-between-the-2nd-and-3rd-intercostal-
spaces-at-the-right-upper-sternal-border.
