3P Exam Study Guide | Actual Questions and Answers Latest Updated
2024/2025 (Graded A+)
What would cause decrease in Digoxin levels - ✔✔Antacids
Taking Pyridium for UTI, what can Pyridium cause? - ✔✔Hemolytic Anemia
What can PCOS result in? - ✔✔increased insulin levels, Androgens, hirsutism
What is a hypertensive used in pregnancy - ✔✔Methyldopa
What is a characteristic of Placenta Previa? - ✔✔painless red bleeding
What is a characteristic of Rheumatoid arthritis ? - ✔✔Red hot joints
Medications that cause ototoxicity - ✔✔Aminoglycosides, nasal decongestants, antihistamines
Treatment period for enterobiasis - ✔✔2 weeks
CBC Interpretation - ✔✔MCV - mean corpuscular volume help diagnose different types of anemia
(High=macrocytic like B12, Low=microcytic like Fe anemia)
Rhogham given at how many weeks gestation? - ✔✔27 weeks
Janesway lesions - ✔✔Happen with endocarditis, non painful lesions seen on hands and feet, Osler same
but painful
Warfarin management - forgot a dose? - ✔✔If under 12 hours take missed dose, if over skip and need
INR redraw
,Taking an ACE or ARB what to know? - ✔✔ACE (dry hacking) cough starts 1-2 weeks after med started,
ACE (Lol) ARB (sartan) first line in HTN avoid initially in african americans, angioedema can occur
Contraindication for hydrochlorithiazide - ✔✔sulfa allergy, asthma, PCN hypersensitvity
Murmurs Systolic - ✔✔MR=Mitral regurge (SOB/Fatigue HF)
Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
Diastolic Murmurs (ABnormal) - ✔✔AR= Aortic Regurge (angina, HF, dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
Motivated - ✔✔Systole-S1 closure of AV Mitral/tricuspid valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples - ✔✔Diastole s2 closure of the aortic pulmonic valves (dub)
aortic pulmonic semilunar
Abnormal (extra) heart sounds - ✔✔S3- CHF; possible normal for adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD - ✔✔antiplatelets (Plavix, ASA), Pentoxifylline (decreases blood viscosity) to treat,
ankle brachial index to check, angiography gold standard to diagnose
Coronary artery Disease tx - ✔✔Atorvastatin/rovustatin- use high dose meds for LDL>150, watch for
LFTs and arthralgia. Change type and dose if problems. Stabilization of plaque with statins
, HF treatment - ✔✔ACEI, ARB, or ARNI with BB and aldosterone receptor antagonist
Scabies Treatment (Sarcopter Scabiei) - ✔✔Topical Permethrin massaged from head to soles of feet and
wach off with shower or bath after 8-14 hours. Treat again in 1 week
Names of skin findings - ✔✔Macule; freckle <1 cm, Papule Macule >1 cm chloasma, Papule <0.5cm
elevated nevi (molluscum wart), Plaque (psoriasis, lichen planus), Nodule 0.5-2 cm lipoma, vesicle
(herpes simplex contact derm,
Keloid - ✔✔hypertrophic scar that is invasive beyond point of original injury
Skin continued - ✔✔Bulla-second degree burn, friction burn
Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
Tinea - ✔✔Fungal infections; Tinea capitis-round patchy scales on scalp (cradle cap) treatment
Grisefulvin take with high fat meal 4-6 weeks 500 mg tinea corporis -red and scaly plaque on trunk (ring
worm) Treatment is an azole for 2 weeks
Melanoma How do you assess - ✔✔ABCDE Asymmetry, border, color, diameter >6 mm, elevation
Psoriasis - ✔✔silvery white scales, nails are pitted; positive Auspitz sign- pinpoint bleeding occurs when
lesions are scraped
Shingles (Herpes Zoster) - ✔✔Unilateral dermatomal rash- painful as it progresses to vesicles, Acyclovir
within 48-72 hours or symptoms. May only transmit chickenpox virus to susceptible patients that have
not gotten exposed or vaccinated yet.
Post herpetic neuralgia pain is longer than 1 month after rash has resolved.
2024/2025 (Graded A+)
What would cause decrease in Digoxin levels - ✔✔Antacids
Taking Pyridium for UTI, what can Pyridium cause? - ✔✔Hemolytic Anemia
What can PCOS result in? - ✔✔increased insulin levels, Androgens, hirsutism
What is a hypertensive used in pregnancy - ✔✔Methyldopa
What is a characteristic of Placenta Previa? - ✔✔painless red bleeding
What is a characteristic of Rheumatoid arthritis ? - ✔✔Red hot joints
Medications that cause ototoxicity - ✔✔Aminoglycosides, nasal decongestants, antihistamines
Treatment period for enterobiasis - ✔✔2 weeks
CBC Interpretation - ✔✔MCV - mean corpuscular volume help diagnose different types of anemia
(High=macrocytic like B12, Low=microcytic like Fe anemia)
Rhogham given at how many weeks gestation? - ✔✔27 weeks
Janesway lesions - ✔✔Happen with endocarditis, non painful lesions seen on hands and feet, Osler same
but painful
Warfarin management - forgot a dose? - ✔✔If under 12 hours take missed dose, if over skip and need
INR redraw
,Taking an ACE or ARB what to know? - ✔✔ACE (dry hacking) cough starts 1-2 weeks after med started,
ACE (Lol) ARB (sartan) first line in HTN avoid initially in african americans, angioedema can occur
Contraindication for hydrochlorithiazide - ✔✔sulfa allergy, asthma, PCN hypersensitvity
Murmurs Systolic - ✔✔MR=Mitral regurge (SOB/Fatigue HF)
Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
Diastolic Murmurs (ABnormal) - ✔✔AR= Aortic Regurge (angina, HF, dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
Motivated - ✔✔Systole-S1 closure of AV Mitral/tricuspid valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples - ✔✔Diastole s2 closure of the aortic pulmonic valves (dub)
aortic pulmonic semilunar
Abnormal (extra) heart sounds - ✔✔S3- CHF; possible normal for adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD - ✔✔antiplatelets (Plavix, ASA), Pentoxifylline (decreases blood viscosity) to treat,
ankle brachial index to check, angiography gold standard to diagnose
Coronary artery Disease tx - ✔✔Atorvastatin/rovustatin- use high dose meds for LDL>150, watch for
LFTs and arthralgia. Change type and dose if problems. Stabilization of plaque with statins
, HF treatment - ✔✔ACEI, ARB, or ARNI with BB and aldosterone receptor antagonist
Scabies Treatment (Sarcopter Scabiei) - ✔✔Topical Permethrin massaged from head to soles of feet and
wach off with shower or bath after 8-14 hours. Treat again in 1 week
Names of skin findings - ✔✔Macule; freckle <1 cm, Papule Macule >1 cm chloasma, Papule <0.5cm
elevated nevi (molluscum wart), Plaque (psoriasis, lichen planus), Nodule 0.5-2 cm lipoma, vesicle
(herpes simplex contact derm,
Keloid - ✔✔hypertrophic scar that is invasive beyond point of original injury
Skin continued - ✔✔Bulla-second degree burn, friction burn
Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
Tinea - ✔✔Fungal infections; Tinea capitis-round patchy scales on scalp (cradle cap) treatment
Grisefulvin take with high fat meal 4-6 weeks 500 mg tinea corporis -red and scaly plaque on trunk (ring
worm) Treatment is an azole for 2 weeks
Melanoma How do you assess - ✔✔ABCDE Asymmetry, border, color, diameter >6 mm, elevation
Psoriasis - ✔✔silvery white scales, nails are pitted; positive Auspitz sign- pinpoint bleeding occurs when
lesions are scraped
Shingles (Herpes Zoster) - ✔✔Unilateral dermatomal rash- painful as it progresses to vesicles, Acyclovir
within 48-72 hours or symptoms. May only transmit chickenpox virus to susceptible patients that have
not gotten exposed or vaccinated yet.
Post herpetic neuralgia pain is longer than 1 month after rash has resolved.
