MSN 572 APEA 3P EXAM 3 2026 REVIEW
PAPER COMPLETE QUESTIONS WITH EXPERT
SOLUTIONS AND MARKING SCHEME
◉ 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
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
Vesicle: Blister <1cm i.e. HSV, Chickenpox
Bulla: Blister >1cm i.e. 2nd Degree Burn, Bullous Pemphigod
Plaque: Raised, flat-top >1cm i.e. Psoriasis & Seborrheic Keratoses
Patch: Flat, discolored >1cm i.e. Vitiligo & Port-Wine Stains
Wheal: Raised & Red Area i.e. Hives & Insect Bite reaction
◉ Keloid
Answer: Hyperthrophic scar that is invasive beyond point of original
injury
◉ What is Tinea Capitis and What is the treatment?
Answer: Scalp Ring-Worm. Round, scaly patches on scalp (Cradle
Cap). Treatment is Grisefulvin 500mg with high fat meals for 4-
6weeks
◉ What is Tinea Corporis and What is the treatment?
, Answer: Body Ring-Worm. Red, scaly plaques on the body or trunk
in a ring-like/circular pattern. Topical Azoles (I.E. Clotrimazole) for
2 weeks.
◉ How do you assess Melanoma?
Answer: ABCDE (Asymmetry, Border, Color, Diameter >6mm, and
Evolution/Elevation
◉ Signs & Symptoms of Psoriasis?
Answer: Silvery-White Scales, Pitted Nails, Positive Auspitz Sign
(Pinpoint bleeding when lesions/scales are scraped)
◉ Facts about Shingles (Herpes Zoster)
Answer: - Unilateral Dermatomal Rash which starts as a painful red
rash (patch) and progresses to blisters (vesicles).
- Post herpetic neuralgia pain is common and can last longer than 1
month after rash resolves.
- May transmit chickenpox virus to unvaccinated & susceptible
patients.
- Treatment consists of Acyclovir, Valacyclovir, or Famciclovir and
most effective if started within 48-72hrs of rash appearance.
◉ Facts about Contact Dermatitis (Eczema)
PAPER COMPLETE QUESTIONS WITH EXPERT
SOLUTIONS AND MARKING SCHEME
◉ 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
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
Vesicle: Blister <1cm i.e. HSV, Chickenpox
Bulla: Blister >1cm i.e. 2nd Degree Burn, Bullous Pemphigod
Plaque: Raised, flat-top >1cm i.e. Psoriasis & Seborrheic Keratoses
Patch: Flat, discolored >1cm i.e. Vitiligo & Port-Wine Stains
Wheal: Raised & Red Area i.e. Hives & Insect Bite reaction
◉ Keloid
Answer: Hyperthrophic scar that is invasive beyond point of original
injury
◉ What is Tinea Capitis and What is the treatment?
Answer: Scalp Ring-Worm. Round, scaly patches on scalp (Cradle
Cap). Treatment is Grisefulvin 500mg with high fat meals for 4-
6weeks
◉ What is Tinea Corporis and What is the treatment?
, Answer: Body Ring-Worm. Red, scaly plaques on the body or trunk
in a ring-like/circular pattern. Topical Azoles (I.E. Clotrimazole) for
2 weeks.
◉ How do you assess Melanoma?
Answer: ABCDE (Asymmetry, Border, Color, Diameter >6mm, and
Evolution/Elevation
◉ Signs & Symptoms of Psoriasis?
Answer: Silvery-White Scales, Pitted Nails, Positive Auspitz Sign
(Pinpoint bleeding when lesions/scales are scraped)
◉ Facts about Shingles (Herpes Zoster)
Answer: - Unilateral Dermatomal Rash which starts as a painful red
rash (patch) and progresses to blisters (vesicles).
- Post herpetic neuralgia pain is common and can last longer than 1
month after rash resolves.
- May transmit chickenpox virus to unvaccinated & susceptible
patients.
- Treatment consists of Acyclovir, Valacyclovir, or Famciclovir and
most effective if started within 48-72hrs of rash appearance.
◉ Facts about Contact Dermatitis (Eczema)
