Fin, APEA, NUR 504 3P APEA, 3P
Practice Questions, APEA 3P, 3 P's
Exam, 3P, Exit Exam
+what is the importance of AV nicking? - ANS-that is indicative of longstanding hypertension
five alpha reductase inhibitor work to enhance symptoms of benign prostatic hyperplasia
through?
A. Decreasing the size of the prostate
B. Increasing blood waft to the prostate
C. Relaxing easy muscle inside the bladder neck
D. Relaxing easy muscle in the prostate tablet - ANS-A. Decreasing the scale of the prostate
15 y/o male has a hx of cryptorchidism which became surgically repaired. Because of this
records, it's far essential for the NP to teach him approximately
a. Testicular self-exam
b. Protection of the testes throughout sports activities activities
c. Risk of testicular torsion
d. Practicing safer sex - ANS-a. Testicular self-exam
15 years vintage pregnant affected person present to her first prenatal go to. On an bodily
examination, her uterus is approximately 24 weeks boom in length. She would not understand
when her final menstrual length became nor does she understand whilst she may have
conceived. Gestational age for this affected person can most accurately be assessed by using?
Ultrasonography - ANS-
23 year vintage female is having frequent migraines and needs a prophylactic remedy. She also
has allergies. The medication need to be avoided on this patient: - ANS-Propranolol (inderal);
can reason increase bronchospasm
24 y/o woman taking oral contraceptive has ignored her closing 2 tablets. What need to the NP
endorse her to do to decrease her chance of being pregnant?
A. Take latest dose and do now not pass over any more throughout this month
b. Double contemporary dose and use a barrier approach for the relaxation of this month
,c. Double ultra-modern dose and the following day's dose and use a barrier technique for the
rest of this month
d. Stop the pills and restart a brand new tablet percent in one week. - ANS-c. Double modern
dose and the next day's dose and use a barrier technique for the rest of this month
25 12 months antique lady with primary hypothyroidism, what hormone degree? - ANS-Elevated
or reduced TSH and reduced or elevated loose T4
28 yr antique woman has signs and symptoms of allergies daily and numerous nights per week.
She makes use of a SABA and might be beginning fluticasone/salmeterol (Advair). Advair: -
ANS-isn't effective throughout an acute asthma assault
30 years antique lady comes right into a clinic with conventional signs and symptoms and
symptoms of appendicitis. The NP fails to refer the affected person to a health care
professional. The appendix ruptures and the woman die. This is an instance of
a. Failure of diligence
b. Professional liability
c. Negligence
d. Malpractice - ANS-d. Malpractice
30 years old lady comes into a clinic with conventional symptoms and signs and symptoms of
appendicitis. The NP fails to refer the affected person to a health care provider. The appendix
ruptures and the woman die. This is an instance of - ANS-Malpractice
35-yr vintage girl with a history of mitral valve prolapse is scheduled for ordinary dental cleaning.
According to the 2007 American Association guildlines for endocarditis prophylaxis, what would
you propose this affected person? - ANS-She does not need prophylaxis for any dental tactics
40 y/o female with hx. Of common solar exposure gift with multicolored lesion on her returned it
has irregular borders and is set 11 mm in diameter. What ought to the NP suspect?
A. Squamous mobile carcinoma
b. Malignant cancer
c. Common Nevis
d. Basal mobile carcinoma - ANS-b. Malignant cancer
forty five y/o overweight pre-menopausal female complains of indigestion, flatulence, RUQ pain
and epigastric "crampy pain". Symptoms are exacerbated through excessive-fat meal. What is
the most likelydiagnosis?
A. Hepatitis
b. Chronic cholecystitis
c. Acute pancreatitis
d. Myocarditis - ANS-b. Chronic cholecystitis
,45 yr vintage chippie complains of a foreign body sensation in his LT eye with tearing and
itching. During the ophthalmoscopic examination, a triangular thickening of the bulbar
conductive is determined on the outer floor of the cornea. This finding is constant with: -
ANS-pterygium
forty five 12 months antique girl with first episode of DVT is being dealt with for CAP, which
antibiotic is safe to apply with warfarin? - ANS-Clarithromycin (PCN and cephalosporins are ok)
47 12 months antique girl put up overall hysterectomy and estrogen hormone remedy. Which is
contraindicated? - ANS-Heart sickness
59 years vintage put up-menopausal lady has atrophic vaginitis. She has a hx. Of breast
cancerat age forty years. What is the appropriate initial remedy for this patient?
A. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS-d. Topical conjugate estrogen cream
59 years antique post-menopausal lady has atrophic vaginitis. She has a hx. Of breast cancerat
age forty years. What is the right initial remedy for this affected person?
A. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS-d. Topical conjugate estrogen cream
59 years old submit-menopausal girl has atrophic vaginitis. She has a hx. Of breast cancerat
age forty years. What is the suitable preliminary treatment for this affected person?
A. Oran conjugated estrogens
b. Oral medroxyprogesterone aetate
c. Topical medroxyprogesterone aetate
d. Topical conjugate estrogen cream - ANS-d. Topical conjugate estrogen cream
A _ years vintage with kind 1 diabetes has had itching and buring lesions among her toes for six
months. Scrapings of the lesions confirm the analysis of tinea pedis. What is the first-class
remedy choice for this affected person ? - ANS-prescribe an anti-fungal powder for utility among
her ft and in her shoes and a topical prescription energy anti-fungal for other affected areas.
Monitor for a secondary bacterial contamination
A 1-month-antique gives with mentioned recurrent diarrhea, screaming, and drawing up of the
legs observed by means of intervals of lethargy. On physical exam, a "sausage-like" mass
inside the
top right quadrant of the distended stomach. Which of the subsequent is the maximum likely
prognosis?
A. Intussusception
, b. Volvulus
c. Crohn's ailment
d. Foreign frame inside the GI tract - ANS-A
A 1-month-old gives with suggested recurrent diarrhea, screaming, and drawing up of the legs
accompanied by means of intervals of lethargy. On physical exam, a "sausage-like" mass within
the top right quadrant of the distended stomach. Which of the subsequent is the most likely
diagnosis?
A. Intussusception
b. Volvulus
c. Crohn's disease
d. Foreign frame inside the GI tract - ANS-a. Intussusception
A 2-week old African American male infant has ecchymotic-like marks over his decrease lower
back and top buttocks. The most suitable intervention is to:
Reassure the little one's mother that this is a ordinary finding - ANS-
A 2-week-vintage toddler is delivered to the NP clinic after a difficult shipping. The mother says
the little one fusses while treated or picked up. On physical examination, the NP notes reduced
motion of the proper arm in the course of the Moro reflex, and crepitus on palpation of the right
clavicle. The analysis is fracture of the clavicle. The endorsed control is:
Instructions to the dad and mom to handle the neonate lightly. - ANS-
A 2-week-antique little one offers with projectile vomiting, weight reduction, dehydration,
constipation and history of insatiable urge for food. An olive formed mass is palpable to the right
epigastrium. The NP, suspecting pyloric stenosis, refers the infant for an higher GI collection.
The predicted finding is:
A Double bubble sample, secondary to air inside the belly, and a distended duodenum
B Dilated loops of bowel
C Bowel loops of varying width, with a grainy appearance
D The "sling sign," indicating a slender and elongated pyloric canal - ANS-D
A 2-week-antique infant gives with projectile vomiting, weight loss, dehydration, constipation,
and records of insatiable urge for food. An olive-form mass is palpable to the proper of the
epigastrium. The NP, suspecting pyloric stenosis, refers the toddler for an higher GI collection.
The predicted finding is:
The "string sign" indicating a slender and elongated pyloric canal - ANS-
A three y/o has enlarged, heat, smooth cervical lymph nodes, indicating: