3P Apea Exam Questions & Answers | Latest Update 2026 | Graded A+

3P APEA EXAM QUESTIONS & ANSWERS | LATEST UPDATE 2026 | GRADED A+ Difference between varicose vein and arteriosclerosis - answer-Is the affected vessel Arteriosclerosis affects arteries whereas varicose veins affects veins A patient has poorly controlled hypertension for more than 10 years. Indicate the most likely position of his point of maximal impulse (PMI) - answer-5th ICS, left of MCL A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral listening point. There is no audible click. His status has been monitored for the past two years. This murmur is probably - answer-mitral stenosis A patient who has diabetes presents with pain in his lower legs when he walks and pain resolution with rest. When specifically asked about his pain in his lower leg, he likely will report pain - answer-in the calf muscle A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as "sloughing of skin" and hospitalization. Which medication is contraindicated in this patient? - answer-hydrochlorothiazide A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of his stenosis. the NP replies: - answer-shortness of breath and syncope A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk factor for PAD? - answer-diabetesBenazepril should be d/c immediately if - answer-pregnancy occurs aortic regurgitation characteristics - answer-long asymptomatic period follow by exercise intolerance, then dyspnea at rest DVT classic symptoms - answer-swelling, pain, and discoloration of lower extremity Characteristic of ACE-induced cough is that? - answer-usually begins two weeks of starting therapy Valve most commonly involved in chronic rheumatic heart disease - answer-mitral Medication that can exacerbate HF - answer-naproxen Patient taking ACE inhibitors should avoid? - answer-potassium supplements Grade 3 murmur indication for a referral - answer-a fixed split Group of meds used to treat HF - answer-fosinopril, HCTZ, verapamil Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib. INR today is 4.0. the NP should: - answer-stop the warfarin today and repeat INR tomorrow According to the NHLBI, which characteristic is a coronary heart disease risk equivalent, that is, which risk factor places the pt. as a CHD risk similar to a hx of CHD - answer-diabetes mellitusgood drug to reduce morbidity and mortality in mild HF - answer-metoprolol A pt. taking atorvastatin newly diagnosed with dyslipidemia complaints of fatigue, weakness, and muscle aches in his lower back, arms, legs for the past 3 days. it is not improved with rest How should this be evaluated? - answer-Stop the atorvastatin immediately symptom not indicative of HF - answer-headache What class of meds is preferred to normalized lipid levels and reduce risk of cardiac events - answer-HMG CoA reductase inhibitors Highest sensitivity in diagnosing HF - answer-BNP The NP is caring for a 74-year-old who had an acute coronary syndrome 6 weeks ago. What medications should be part of his regimen unless contraindicated - answer-ACE, ASA, beta blockers, and statin patient with the highest systolic B/P - answer-75-year-old male test that is most cost effective to screen for abdominal aortic aneurysm - answer-abdominal ultrasound a 74-year-old patient has had an increase in b/p since the last exam. his b/p has increased from 144/90 to reading in the upper 160's/upper 80's. If medication is to be started on this patient, what would be a good first choice? - answer-Calcium channel blocker Factor contributing to the development of AAA - answer-cigarette smokingA 40-year-old African-American pt. has a b/p of 175/100 and 170/102. What is a reasonable plan of care for this pt today? - answer-initiate amlodipine 5mg daily Usual course of treatment for mitral valve prolapse - answer-is benign