APEA 3P HIGH STAKES EXAM
QUESTIONS AND ANSWERS 2026\2027
UPDATED AND GRADED A+
When examining the eyes, the right pupil reacts briskly to light, near effort,
and is much smaller than the left pupil. This condition is most likely: -
CORRECT ANSWER Horner's syndrome
Dilated pupil is fixed to light and near accommodation - CORRECT
ANSWER Paralysis of oculomotor cranial nerve (CN III)
Pupil appears small and irregular shaped and accommodate but do not
react to light. - CORRECT ANSWER Argyll Robertson pupils
uncontrolled electrical activity in brain, may produce minor physical signs,
thought disturbances or disturbed motor activity or combination of
symptoms. - CORRECT ANSWER Seizure
neurological disorder, causes involuntary muscle spasms & twisting of
limbs. - CORRECT ANSWER Dystonia
impaired ability to adjust to one's body position. - CORRECT ANSWER
Bradykinesia
The great saphenous vein enters the deep venous system via: - CORRECT
ANSWER Femoral vein
Maneuver the evaluates function of medial collateral ligament (MCL) -
CORRECT ANSWER The Abduction (Valgus) stress test
The thalamus and basal ganglion are located in the: - CORRECT
ANSWER Gray matter
brief, repetitive, stereotyped, coordinated movement occurring at irregular
intervals (repetitive winking, grimacing and shoulder shrugging) -
CORRECT ANSWER Facial tics
columnar epithelium that covers most or all of cervix vaginal adenosis,
circular collar or ridge of tissue between cervix & vagina. - CORRECT
,ANSWER Daughters of women who took Diethylstilbestrol (DES) during
pregnancy are at high risk for developing:
Group of muscles that lie anteriorly and flex the thigh - CORRECT
ANSWER Flexor group
The anterior mediastinal lymph nodes drain lymphatic fluid from the: -
CORRECT ANSWER Thymus, thyroid gland & anterior part of pericardium
Axillary lymph node drainage are includes: - CORRECT ANSWER The
breasts, upper part of the abdominal wall, upper part of back, pectoral
region & upper limbs
Possible causes of nasal septum perforation: - CORRECT ANSWER
trauma, surgery & intranasal use of cocaine or amphetamines.
thickened skin with enlarged pores. First seen in lower portion of breast or
areola. Visible sign of breast cancer. - CORRECT ANSWER the peau
d'orange (orange peel) sign
provides sensation to palm, palmar surface of most of thumb, second &
third fingers & half of 4th digit. - CORRECT ANSWER Median Nerve
Innervates half of 4th digit & 5th digit - CORRECT ANSWER Ulnar Nerve
innervates dorsal web space of thumb & index finger - CORRECT
ANSWER Radial Nerve
Have intervening layers of fibrous tissue or cartilage holding bones together
(sutures of skull) - CORRECT ANSWER Fibrous joints
Joints have bones connected by cartilage. (hyaline or fibrocartilage).
slightly movable. - CORRECT ANSWER Cartilaginous joints
Examples of cartilaginous joints - CORRECT ANSWER Symphysis pubis &
vertebrae
Aching pain in the cervical paraspinal muscles and ligaments with
associated muscle spasm, with associated stiffness and tightness in the
upper back and shoulder, lasting up to 6 weeks.
,No associated radiation, paresthesias, or weakness.
Headache may be present. - CORRECT ANSWER Mechanical neck pain
Paracervical pain & stiffness begins day after injury. Accompanied by
occipital headaches, dizziness & malaise - CORRECT ANSWER
Mechanical Neck pain-Whiplash
nerve pain caused by pressure on the spinal nerve roots in the neck region
Symptoms: sharp burning or tingling pain in neck & one arm with assiciated
paresthesias. - CORRECT ANSWER Cervical radiculopathy
cervical cord compression, neck pain associated with bilateral weakness &
paresthesias in both upper & lower extremities. - CORRECT ANSWER
Cervical Myelopathy
Rectus abdominis muscles separate at midline as tension on abdominal
wall increases with pregnancy - CORRECT ANSWER Diastasis Recti
How long after exposure to syphilis will symptoms begin to present? -
CORRECT ANSWER 10 days to 3 months
Cervical erosion, erythema, discharge or irritation. Investigate for STI. -
CORRECT ANSWER Cervicitis
Sphenoidal sinuses are located: - CORRECT ANSWER Located behind
the ethmoid sinuses
Ethmoid sinuses are located - CORRECT ANSWER Between the eyes &
frontal sinuses, located above the eyes.
When should an oral glucose tolerance test be performed? - CORRECT
ANSWER between 24 and 28 weeks of pregnancy
small amounts of urine leak from a full bladder in absence of need to
urinate - CORRECT ANSWER Overflow incontinence
In older adults, presence of S4 heart sound suggests: - CORRECT
ANSWER Hypertension
, Inability to produce or understand language - CORRECT ANSWER
Aphasia
point tenderness over posterior aspects of right malleolus, inability to bear
weight after 4 steps - CORRECT ANSWER Ankle fracture
An ulcerated or raised red vulvar lesion in elderly woman may indicate -
CORRECT ANSWER Vulvar cancer
presence of primitive reflexes, delayed gross motor development, lack of
progression through developmental milestones. - CORRECT ANSWER
Manifestation of cerebral palsy
Group of muscles that pulls the shoulder backward - CORRECT ANSWER
Axioscapular group
When inspecting the shoulder & shoulder girdle, an elevation of right
shoulder was noted. This finding could be: - CORRECT ANSWER
Scoliosis
Which are of nervous system coordinates position sense? - CORRECT
ANSWER Sensory system
System consists of neurons that carry signals to skeletal muscles (muscle
strength) - CORRECT ANSWER Motor system
coordinates movement, maintains equilibrium, and helps maintain posture -
CORRECT ANSWER Cerebellar system
System responsible for balance & coordinating eye, head & body
movements - CORRECT ANSWER Vestibular system
To palpate the trochanteric bursa, position the patient: - CORRECT
ANSWER on one side, hip flexed & internally rotated
Pre-auricular nodes drain lymphatic fluid from the: - CORRECT ANSWER
Palpebral conjunctiva, skin adjacent to the ear within temporal region.
Deep tendon reflex abnormality in supinator & biceps correlated to lesion in
which segmented level of spine? - CORRECT ANSWER Cervical 5 & 6
QUESTIONS AND ANSWERS 2026\2027
UPDATED AND GRADED A+
When examining the eyes, the right pupil reacts briskly to light, near effort,
and is much smaller than the left pupil. This condition is most likely: -
CORRECT ANSWER Horner's syndrome
Dilated pupil is fixed to light and near accommodation - CORRECT
ANSWER Paralysis of oculomotor cranial nerve (CN III)
Pupil appears small and irregular shaped and accommodate but do not
react to light. - CORRECT ANSWER Argyll Robertson pupils
uncontrolled electrical activity in brain, may produce minor physical signs,
thought disturbances or disturbed motor activity or combination of
symptoms. - CORRECT ANSWER Seizure
neurological disorder, causes involuntary muscle spasms & twisting of
limbs. - CORRECT ANSWER Dystonia
impaired ability to adjust to one's body position. - CORRECT ANSWER
Bradykinesia
The great saphenous vein enters the deep venous system via: - CORRECT
ANSWER Femoral vein
Maneuver the evaluates function of medial collateral ligament (MCL) -
CORRECT ANSWER The Abduction (Valgus) stress test
The thalamus and basal ganglion are located in the: - CORRECT
ANSWER Gray matter
brief, repetitive, stereotyped, coordinated movement occurring at irregular
intervals (repetitive winking, grimacing and shoulder shrugging) -
CORRECT ANSWER Facial tics
columnar epithelium that covers most or all of cervix vaginal adenosis,
circular collar or ridge of tissue between cervix & vagina. - CORRECT
,ANSWER Daughters of women who took Diethylstilbestrol (DES) during
pregnancy are at high risk for developing:
Group of muscles that lie anteriorly and flex the thigh - CORRECT
ANSWER Flexor group
The anterior mediastinal lymph nodes drain lymphatic fluid from the: -
CORRECT ANSWER Thymus, thyroid gland & anterior part of pericardium
Axillary lymph node drainage are includes: - CORRECT ANSWER The
breasts, upper part of the abdominal wall, upper part of back, pectoral
region & upper limbs
Possible causes of nasal septum perforation: - CORRECT ANSWER
trauma, surgery & intranasal use of cocaine or amphetamines.
thickened skin with enlarged pores. First seen in lower portion of breast or
areola. Visible sign of breast cancer. - CORRECT ANSWER the peau
d'orange (orange peel) sign
provides sensation to palm, palmar surface of most of thumb, second &
third fingers & half of 4th digit. - CORRECT ANSWER Median Nerve
Innervates half of 4th digit & 5th digit - CORRECT ANSWER Ulnar Nerve
innervates dorsal web space of thumb & index finger - CORRECT
ANSWER Radial Nerve
Have intervening layers of fibrous tissue or cartilage holding bones together
(sutures of skull) - CORRECT ANSWER Fibrous joints
Joints have bones connected by cartilage. (hyaline or fibrocartilage).
slightly movable. - CORRECT ANSWER Cartilaginous joints
Examples of cartilaginous joints - CORRECT ANSWER Symphysis pubis &
vertebrae
Aching pain in the cervical paraspinal muscles and ligaments with
associated muscle spasm, with associated stiffness and tightness in the
upper back and shoulder, lasting up to 6 weeks.
,No associated radiation, paresthesias, or weakness.
Headache may be present. - CORRECT ANSWER Mechanical neck pain
Paracervical pain & stiffness begins day after injury. Accompanied by
occipital headaches, dizziness & malaise - CORRECT ANSWER
Mechanical Neck pain-Whiplash
nerve pain caused by pressure on the spinal nerve roots in the neck region
Symptoms: sharp burning or tingling pain in neck & one arm with assiciated
paresthesias. - CORRECT ANSWER Cervical radiculopathy
cervical cord compression, neck pain associated with bilateral weakness &
paresthesias in both upper & lower extremities. - CORRECT ANSWER
Cervical Myelopathy
Rectus abdominis muscles separate at midline as tension on abdominal
wall increases with pregnancy - CORRECT ANSWER Diastasis Recti
How long after exposure to syphilis will symptoms begin to present? -
CORRECT ANSWER 10 days to 3 months
Cervical erosion, erythema, discharge or irritation. Investigate for STI. -
CORRECT ANSWER Cervicitis
Sphenoidal sinuses are located: - CORRECT ANSWER Located behind
the ethmoid sinuses
Ethmoid sinuses are located - CORRECT ANSWER Between the eyes &
frontal sinuses, located above the eyes.
When should an oral glucose tolerance test be performed? - CORRECT
ANSWER between 24 and 28 weeks of pregnancy
small amounts of urine leak from a full bladder in absence of need to
urinate - CORRECT ANSWER Overflow incontinence
In older adults, presence of S4 heart sound suggests: - CORRECT
ANSWER Hypertension
, Inability to produce or understand language - CORRECT ANSWER
Aphasia
point tenderness over posterior aspects of right malleolus, inability to bear
weight after 4 steps - CORRECT ANSWER Ankle fracture
An ulcerated or raised red vulvar lesion in elderly woman may indicate -
CORRECT ANSWER Vulvar cancer
presence of primitive reflexes, delayed gross motor development, lack of
progression through developmental milestones. - CORRECT ANSWER
Manifestation of cerebral palsy
Group of muscles that pulls the shoulder backward - CORRECT ANSWER
Axioscapular group
When inspecting the shoulder & shoulder girdle, an elevation of right
shoulder was noted. This finding could be: - CORRECT ANSWER
Scoliosis
Which are of nervous system coordinates position sense? - CORRECT
ANSWER Sensory system
System consists of neurons that carry signals to skeletal muscles (muscle
strength) - CORRECT ANSWER Motor system
coordinates movement, maintains equilibrium, and helps maintain posture -
CORRECT ANSWER Cerebellar system
System responsible for balance & coordinating eye, head & body
movements - CORRECT ANSWER Vestibular system
To palpate the trochanteric bursa, position the patient: - CORRECT
ANSWER on one side, hip flexed & internally rotated
Pre-auricular nodes drain lymphatic fluid from the: - CORRECT ANSWER
Palpebral conjunctiva, skin adjacent to the ear within temporal region.
Deep tendon reflex abnormality in supinator & biceps correlated to lesion in
which segmented level of spine? - CORRECT ANSWER Cervical 5 & 6
