Comprehensive 3P Exam Study Guide
2026/2027: 100% Complete
Questions and Correct Answers
(Latest Accurate Update).
1. Question: What would cause a decrease in Digoxin levels?
Answer: Antacids
2. Question: Taking Pyridium for a UTI, what can Pyridium cause?
Answer: Haemolytic Anaemia
3. Question: What can PCOS result in?
Answer: Increased insulin levels, Androgens, hirsutism
4. Question: What is a hypertensive used in pregnancy?
Answer: Methyldopa
5. Question: What is a characteristic of Placenta Previa?
Answer: Painless red bleeding
6. Question: What is a characteristic of Rheumatoid arthritis?
Answer: Red hot joints
1|Page
,7. Question: What medications cause ototoxicity?
Answer: Aminoglycosides, nasal decongestants, antihistamines
8. Question: What is the treatment period for enterobiasis?
Answer: 2 weeks
9. Question: How is a CBC interpreted in relation to MCV?
Answer: MCV (mean corpuscular volume) helps diagnose different
types of anemia. High MCV = macrocytic anemia (like B12 deficiency),
Low MCV = microcytic anemia (like iron deficiency anemia).
10. Question: At how many weeks gestation is Rhogam given?
Answer: 27 weeks
11. Question: What are Janeway lesions and how do they differ from
Osler nodes?
Answer: Janeway lesions happen with endocarditis; they are non-
painful lesions seen on hands and feet. Osler nodes are similar but
painful.
12. Question: How do you manage Warfarin if a dose is forgotten?
Answer: If under 12 hours, take the missed dose. If over 12 hours,
skip and need an INR redraw.
13. Question: What are the first-line treatments for hypertension and
what should be avoided initially in African Americans?
2|Page
,Answer: ACE inhibitors ("-pril") and ARBs ("-sartan") are first-line.
Avoid them initially in African Americans. Angioedema can occur.
14. Question: What is a contraindication for hydrochlorothiazide?
Answer: Sulfa allergy, asthma, PCN hypersensitivity
15. Question: What are the characteristics of systolic murmurs?
Answer:
• MR (Mitral Regurgitation): SOB/Fatigue, HF
• Peyton Manning (Physiologic murmur): Asymptomatic
• AS (Aortic Stenosis): Angina, syncope, HF
• MVP (Mitral Valve Prolapse): Palpitations, chest pain, "click"
16. Question: What are the characteristics of diastolic murmurs?
Answer: Diastolic murmurs are abnormal.
• AR (Aortic Regurgitation): Angina, HF, dizziness, chest pain
• MS (Mitral Stenosis): Dyspnea, Afib
17. Question: What are the "Motivated" and "Apples" mnemonics for
heart sounds?
Answer:
• Motivated (Systole): S1 closure of AV (Mitral/Tricuspid) valves =
"lub"
• Apples (Diastole): S2 closure of the aortic/pulmonic valves =
"dub"
3|Page
, 18. Question: What are abnormal (extra) heart sounds and what do
they indicate?
Answer:
• S3: CHF; possible normal for adolescent athletes
• S4: LVH, poorly controlled HTN, unstable angina
19. Question: What is the assessment and treatment for PAD
(Peripheral Artery Disease)?
Answer:
• Treatment: Antiplatelets (Plavix, ASA), Pentoxifylline (decreases
blood viscosity)
• Check: Ankle-brachial index
• Gold standard to diagnose: Angiography
20. Question: What is the treatment for Coronary Artery Disease?
Answer: Atorvastatin/Rosuvastatin – use high dose meds for LDL >
150. Watch for LFTs and arthralgia. Change type and dose if
problems. Focus on stabilization of plaque with statins.
21. Question: What is the treatment for Heart Failure?
Answer: ACEI, ARB, or ARNI with a Beta-Blocker and aldosterone
receptor antagonist
22. Question: What is the treatment for Scabies (Sarcoptes Scabiei)?
Answer: Topical Permethrin massaged from head to soles of feet and
4|Page
2026/2027: 100% Complete
Questions and Correct Answers
(Latest Accurate Update).
1. Question: What would cause a decrease in Digoxin levels?
Answer: Antacids
2. Question: Taking Pyridium for a UTI, what can Pyridium cause?
Answer: Haemolytic Anaemia
3. Question: What can PCOS result in?
Answer: Increased insulin levels, Androgens, hirsutism
4. Question: What is a hypertensive used in pregnancy?
Answer: Methyldopa
5. Question: What is a characteristic of Placenta Previa?
Answer: Painless red bleeding
6. Question: What is a characteristic of Rheumatoid arthritis?
Answer: Red hot joints
1|Page
,7. Question: What medications cause ototoxicity?
Answer: Aminoglycosides, nasal decongestants, antihistamines
8. Question: What is the treatment period for enterobiasis?
Answer: 2 weeks
9. Question: How is a CBC interpreted in relation to MCV?
Answer: MCV (mean corpuscular volume) helps diagnose different
types of anemia. High MCV = macrocytic anemia (like B12 deficiency),
Low MCV = microcytic anemia (like iron deficiency anemia).
10. Question: At how many weeks gestation is Rhogam given?
Answer: 27 weeks
11. Question: What are Janeway lesions and how do they differ from
Osler nodes?
Answer: Janeway lesions happen with endocarditis; they are non-
painful lesions seen on hands and feet. Osler nodes are similar but
painful.
12. Question: How do you manage Warfarin if a dose is forgotten?
Answer: If under 12 hours, take the missed dose. If over 12 hours,
skip and need an INR redraw.
13. Question: What are the first-line treatments for hypertension and
what should be avoided initially in African Americans?
2|Page
,Answer: ACE inhibitors ("-pril") and ARBs ("-sartan") are first-line.
Avoid them initially in African Americans. Angioedema can occur.
14. Question: What is a contraindication for hydrochlorothiazide?
Answer: Sulfa allergy, asthma, PCN hypersensitivity
15. Question: What are the characteristics of systolic murmurs?
Answer:
• MR (Mitral Regurgitation): SOB/Fatigue, HF
• Peyton Manning (Physiologic murmur): Asymptomatic
• AS (Aortic Stenosis): Angina, syncope, HF
• MVP (Mitral Valve Prolapse): Palpitations, chest pain, "click"
16. Question: What are the characteristics of diastolic murmurs?
Answer: Diastolic murmurs are abnormal.
• AR (Aortic Regurgitation): Angina, HF, dizziness, chest pain
• MS (Mitral Stenosis): Dyspnea, Afib
17. Question: What are the "Motivated" and "Apples" mnemonics for
heart sounds?
Answer:
• Motivated (Systole): S1 closure of AV (Mitral/Tricuspid) valves =
"lub"
• Apples (Diastole): S2 closure of the aortic/pulmonic valves =
"dub"
3|Page
, 18. Question: What are abnormal (extra) heart sounds and what do
they indicate?
Answer:
• S3: CHF; possible normal for adolescent athletes
• S4: LVH, poorly controlled HTN, unstable angina
19. Question: What is the assessment and treatment for PAD
(Peripheral Artery Disease)?
Answer:
• Treatment: Antiplatelets (Plavix, ASA), Pentoxifylline (decreases
blood viscosity)
• Check: Ankle-brachial index
• Gold standard to diagnose: Angiography
20. Question: What is the treatment for Coronary Artery Disease?
Answer: Atorvastatin/Rosuvastatin – use high dose meds for LDL >
150. Watch for LFTs and arthralgia. Change type and dose if
problems. Focus on stabilization of plaque with statins.
21. Question: What is the treatment for Heart Failure?
Answer: ACEI, ARB, or ARNI with a Beta-Blocker and aldosterone
receptor antagonist
22. Question: What is the treatment for Scabies (Sarcoptes Scabiei)?
Answer: Topical Permethrin massaged from head to soles of feet and
4|Page
