APEA 3P EXAM MASTERY 200 COMPREHENSIVE Q&A
WITH VERIFIED ANSWERS, IN-DEPTH RATIONALES, AND
FULL-SPECTRUM TOPIC COVERAGE FOR GUARANTEED
SUCCESS
1. When performing a visual acuity test the nurse practitioner notes
20/30 in the left eye and 20/40 in the right eye using the Snellen eye
chart. This means:
A. Vision is normal in both eyes
B. The left eye has poorer vision than the right
C. The right eye is legally blind
D. Refer the patient to an ophthalmologist
CORRECT ANSWER: D. Refer the patient to an ophthalmologist
Rationale: Visual acuity worse than 20/30 or asymmetry between eyes
requires further evaluation to identify refractive error or underlying
pathology.
2. The American Psychiatric Association's Diagnostic and Statistical
Manual of Mental Disorders defines Munchausen Syndrome By Proxy
as:
A. A patient exaggerating symptoms for financial gain
B. A caregiver making up or causing an illness or injury in a person
under his or her care
,C. A child with recurrent unexplained illness
D. A caregiver with excessive health anxiety
CORRECT ANSWER: B. A caregiver making up or causing an illness or
injury in a person under his or her care
Rationale: Munchausen syndrome by proxy (factitious disorder
imposed on another) involves intentional fabrication or induction of
illness by a caregiver, most commonly for psychological attention.
3. Symptoms of depression are a side effect of which neurotransmitter
medication?
A. Dopamine
B. GABA
C. Histamine
D. Acetylcholine
CORRECT ANSWER: A. Dopamine
Rationale: Reduced dopamine activity is associated with depressive
symptoms such as low motivation and anhedonia; serotonin and
norepinephrine are also key mood-regulating neurotransmitters.
4. Which lesion is dark, raised, and asymmetric with irregular border?
A. Actinic keratosis
B. Seborrheic keratosis
C. Basal cell carcinoma
D. Melanoma
CORRECT ANSWER: D. Melanoma
Rationale: Melanoma follows the ABCDE warning signs, including
asymmetry and irregular borders, and carries high malignant potential.
,5. A 32-year-old woman presents with dull puffiness of the eyes,
pronounced non-pitting periorbital edema. This finding is suggestive
of which condition?
A. Allergic reaction
B. Congestive heart failure
C. Myxedema
D. Nephrotic syndrome
CORRECT ANSWER: C. Myxedema
Rationale: Myxedema from hypothyroidism causes non-pitting edema
due to mucopolysaccharide accumulation, commonly seen around the
eyes.
6. A 42-year-old woman with a past medical history of migraine
headaches is requesting prophylactic medication treatment. Which
medication should the Nurse Practitioner prescribe?
A. Sumatriptan
B. Amitriptyline (Elavil)
C. Acetaminophen
D. Oxycodone
CORRECT ANSWER: B. Amitriptyline (Elavil)
Rationale: Amitriptyline is effective for migraine prevention; triptans
are used for acute attacks only.
7. A pediatric patient has areas of scaling on the scalp with round
patches of alopecia. This clinical finding is consistent with:
A. Alopecia areata
B. Seborrheic dermatitis
, C. Tinea Capitis
D. Trichotillomania
CORRECT ANSWER: C. Tinea Capitis
Rationale: Tinea capitis presents with scalp scaling and patchy hair loss
caused by dermatophyte infection, common in children.
8. What is the appropriate prophylactic medication for an 18-year-old
woman with a past medical history of migraine headaches?
A. Naproxen
B. Sumatriptan
C. Propranolol (Inderal)
D. Meclizine
CORRECT ANSWER: C. Propranolol (Inderal)
Rationale: Beta blockers such as propranolol are first-line agents for
migraine prophylaxis.
9. A 55-year-old male presents with a chief complaint of "heartburn"
that worsens after meals and when lying flat. He also reports a chronic
cough and hoarseness. Which assessment finding is most consistent
with gastroesophageal reflux disease (GERD)?
A. Epigastric pain that is relieved by eating
B. Substernal burning sensation that radiates to the back
C. Substernal burning sensation with regurgitation and relief with
antacids
D. Pain that is worsened by deep inspiration
CORRECT ANSWER: C. Substernal burning sensation with regurgitation
and relief with antacids
WITH VERIFIED ANSWERS, IN-DEPTH RATIONALES, AND
FULL-SPECTRUM TOPIC COVERAGE FOR GUARANTEED
SUCCESS
1. When performing a visual acuity test the nurse practitioner notes
20/30 in the left eye and 20/40 in the right eye using the Snellen eye
chart. This means:
A. Vision is normal in both eyes
B. The left eye has poorer vision than the right
C. The right eye is legally blind
D. Refer the patient to an ophthalmologist
CORRECT ANSWER: D. Refer the patient to an ophthalmologist
Rationale: Visual acuity worse than 20/30 or asymmetry between eyes
requires further evaluation to identify refractive error or underlying
pathology.
2. The American Psychiatric Association's Diagnostic and Statistical
Manual of Mental Disorders defines Munchausen Syndrome By Proxy
as:
A. A patient exaggerating symptoms for financial gain
B. A caregiver making up or causing an illness or injury in a person
under his or her care
,C. A child with recurrent unexplained illness
D. A caregiver with excessive health anxiety
CORRECT ANSWER: B. A caregiver making up or causing an illness or
injury in a person under his or her care
Rationale: Munchausen syndrome by proxy (factitious disorder
imposed on another) involves intentional fabrication or induction of
illness by a caregiver, most commonly for psychological attention.
3. Symptoms of depression are a side effect of which neurotransmitter
medication?
A. Dopamine
B. GABA
C. Histamine
D. Acetylcholine
CORRECT ANSWER: A. Dopamine
Rationale: Reduced dopamine activity is associated with depressive
symptoms such as low motivation and anhedonia; serotonin and
norepinephrine are also key mood-regulating neurotransmitters.
4. Which lesion is dark, raised, and asymmetric with irregular border?
A. Actinic keratosis
B. Seborrheic keratosis
C. Basal cell carcinoma
D. Melanoma
CORRECT ANSWER: D. Melanoma
Rationale: Melanoma follows the ABCDE warning signs, including
asymmetry and irregular borders, and carries high malignant potential.
,5. A 32-year-old woman presents with dull puffiness of the eyes,
pronounced non-pitting periorbital edema. This finding is suggestive
of which condition?
A. Allergic reaction
B. Congestive heart failure
C. Myxedema
D. Nephrotic syndrome
CORRECT ANSWER: C. Myxedema
Rationale: Myxedema from hypothyroidism causes non-pitting edema
due to mucopolysaccharide accumulation, commonly seen around the
eyes.
6. A 42-year-old woman with a past medical history of migraine
headaches is requesting prophylactic medication treatment. Which
medication should the Nurse Practitioner prescribe?
A. Sumatriptan
B. Amitriptyline (Elavil)
C. Acetaminophen
D. Oxycodone
CORRECT ANSWER: B. Amitriptyline (Elavil)
Rationale: Amitriptyline is effective for migraine prevention; triptans
are used for acute attacks only.
7. A pediatric patient has areas of scaling on the scalp with round
patches of alopecia. This clinical finding is consistent with:
A. Alopecia areata
B. Seborrheic dermatitis
, C. Tinea Capitis
D. Trichotillomania
CORRECT ANSWER: C. Tinea Capitis
Rationale: Tinea capitis presents with scalp scaling and patchy hair loss
caused by dermatophyte infection, common in children.
8. What is the appropriate prophylactic medication for an 18-year-old
woman with a past medical history of migraine headaches?
A. Naproxen
B. Sumatriptan
C. Propranolol (Inderal)
D. Meclizine
CORRECT ANSWER: C. Propranolol (Inderal)
Rationale: Beta blockers such as propranolol are first-line agents for
migraine prophylaxis.
9. A 55-year-old male presents with a chief complaint of "heartburn"
that worsens after meals and when lying flat. He also reports a chronic
cough and hoarseness. Which assessment finding is most consistent
with gastroesophageal reflux disease (GERD)?
A. Epigastric pain that is relieved by eating
B. Substernal burning sensation that radiates to the back
C. Substernal burning sensation with regurgitation and relief with
antacids
D. Pain that is worsened by deep inspiration
CORRECT ANSWER: C. Substernal burning sensation with regurgitation
and relief with antacids
