3P APEA Exam Study Guide Questions with Correct Answers

3P APEA Exam Study Guide Questions with Correct Answers


Question 1:
What would cause decrease in Digoxin levels?
Answer:
Antacids


Question 2:
Taking Pyridium for UTI, what can Pyridium cause?
Answer:
Hemolytic Anemia


Question 3:
What can PCOS result in?
Answer:
Increased insulin levels (Hyperinsulinemia), Androgens, Hirsutism


Question 4:
What are the anti-hypertensives used in pregnancy?
Answer:
Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine


Question 5:
What is a characteristic of Placenta Previa?
Answer:
Painless, red bleeding


Question 6:
What is a chacteristic of Rheumatoid Arthritis?
Answer:
Tender, warm, swollen joints


Question 7:
Medications that can cause ototoxicity?
Answer:
Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal decongestants

,Question 8:
What is the treatment time for enterobiasis?
Answer:
2 weeks


Question 9:
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)


Question 10:
Rhogam is given at how many week gestation?
Answer:
27-28 weeks


Question 11:
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


Question 12:
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


Question 13:
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

,Question 14:
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.


Question 15:
Contraindications for Hydrochlorothiazide
Answer:
Sulfa allergy, PCN hypersensitivity, Asthma, Gout


Question 16:
Systolic Murmurs (Benign)
Answer:
MR = Mitral Regurge (SOB/Fatigue HF)


Question 17:
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest Pain
Answer:
AS = Aortic Stenosis (Angina, Syncope HF)


Question 18:
Diastolic Murmurs (Abnormal)
Answer:
AR = Aortic Regurgitation (Angina, HF, Dizziness, Chest Pain) MS = Mitral Stenosis (Dyspnea,
AFib)


Question 19:
What does S1 indicate?
Answer:
S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid Valves)

, Question 20:
What does S2 indicate?
Answer:
S2 Closure of the Semilunar Valves (Aortic & Pulmonic Valves)


Question 21:
S3 is often heard in?
Answer:
CHF, possibly normal for athletic adolescents


Question 22:
S4 is often heard in?
Answer:
Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly controlled HTN, MI


Question 23:
Treatment of Peripheral Artery Disease (PAD)
Answer:
Antiplatelets (Plavix, ASA), Pentoxifylline (Decreases blood viscosity)


Question 24:
Diagnosing Peripheral Artery Disease (PAD)
Answer:
Gold Standard = Angiography Ankle Brachial Index (ABI)


Question 25:
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.


Question 26:
What medications are indicated for HF treatment?
Answer:
ACEs, ARBs, ARNI w/BBs, Aldosterone Recepter Antagonists