APEA Barkley 3Ps Competency Exam Master
Q&Bank (Latest 2026) | 980 Unique Q&As &
Clinical Rationales
Question 1
The ability of the lymphatic systems of elderly people to eliminate tumor
cells efficiently is decreased. Identify the reason behind the higher
incidence of cancers in the elderly population.
A) Increased antibody production
B) Decreased immune surveillance
C) Increased lymphocyte proliferation
D) Enhanced antigen presentation
Answer: B) Decreased immune surveillance
Explanation: The aging immune system exhibits decreased immune
surveillance, which is the ability to detect and eliminate abnormal
cells such as tumor cells. This decline contributes to the higher
incidence of cancers in the elderly.
Question 2
Recommend a method or test to help assess a patient's cerebellar
function.
A) Romberg test
,B) Finger-nose-finger testing
C) Heel-to-shin test
D) Both B and C
Answer: D) Both B and C
Explanation: Finger-nose-finger testing and heel-to-shin testing both
assess cerebellar function, specifically coordination and
proprioception. The Romberg test assesses proprioception and
vestibular function.
Question 3
Choose an accurate statement regarding deep tendon reflexes and their
location of assessment.
A) Achilles reflex corresponds to L2-S2
B) Brachioradialis reflex corresponds to C5-C6
C) Patellar reflex corresponds to L2-L4
D) All of the above
Answer: D) All of the above
Explanation: The Achilles reflex corresponds to L2-S2, the
brachioradialis reflex to C5-C6, and the patellar reflex to L2-L4.
Question 4
Determine a finding that would be abnormal in a motor assessment.
A) Muscle weakness
,B) Presence of tremor
C) Normal muscle tone
D) Full range of motion
Answer: B) Presence of tremor
Explanation: The presence of tremor is an abnormal finding in a
motor assessment. Muscle weakness is also abnormal, but tremor
specifically indicates a neurological issue. Normal muscle tone and
full range of motion are expected findings.
Question 5
Propose an accurate statement regarding the sensory assessment.
A) Tactile discrimination of fine touch assesses the sensory cortex
B) Pain sensation is assessed by light touch
C) Vibration sense is assessed with a cotton ball
D) Temperature sensation is assessed with a tuning fork
Answer: A) Tactile discrimination of fine touch assesses the sensory
cortex
Explanation: Tactile discrimination of fine touch assesses the
sensory cortex. Pain sensation is assessed with a sharp object.
Vibration sense is assessed with a tuning fork. Temperature
sensation is assessed with warm and cold objects.
, Question 6
Decide what should be considered in assessing a patient's appearance
and behavior.
A) Level of consciousness
B) Gait and posture
C) Personal hygiene
D) All of the above
Answer: D) All of the above
Explanation: Assessment of appearance and behavior includes level
of consciousness, gait, posture, personal hygiene, and other
observable characteristics.
Question 7
Determine the accurate description regarding the strength of reflex.
A) Hypoactive or diminished response is classified as 1+
B) Very brisk, hyperactive response is classified as 4+
C) Normal response is classified as 2+
D) All of the above
Answer: D) All of the above
Explanation: Reflex grading: 0 = absent, 1+ = hypoactive/diminished,
2+ = normal, 3+ = brisk/hyperactive, 4+ = very brisk/clonus.
Q&Bank (Latest 2026) | 980 Unique Q&As &
Clinical Rationales
Question 1
The ability of the lymphatic systems of elderly people to eliminate tumor
cells efficiently is decreased. Identify the reason behind the higher
incidence of cancers in the elderly population.
A) Increased antibody production
B) Decreased immune surveillance
C) Increased lymphocyte proliferation
D) Enhanced antigen presentation
Answer: B) Decreased immune surveillance
Explanation: The aging immune system exhibits decreased immune
surveillance, which is the ability to detect and eliminate abnormal
cells such as tumor cells. This decline contributes to the higher
incidence of cancers in the elderly.
Question 2
Recommend a method or test to help assess a patient's cerebellar
function.
A) Romberg test
,B) Finger-nose-finger testing
C) Heel-to-shin test
D) Both B and C
Answer: D) Both B and C
Explanation: Finger-nose-finger testing and heel-to-shin testing both
assess cerebellar function, specifically coordination and
proprioception. The Romberg test assesses proprioception and
vestibular function.
Question 3
Choose an accurate statement regarding deep tendon reflexes and their
location of assessment.
A) Achilles reflex corresponds to L2-S2
B) Brachioradialis reflex corresponds to C5-C6
C) Patellar reflex corresponds to L2-L4
D) All of the above
Answer: D) All of the above
Explanation: The Achilles reflex corresponds to L2-S2, the
brachioradialis reflex to C5-C6, and the patellar reflex to L2-L4.
Question 4
Determine a finding that would be abnormal in a motor assessment.
A) Muscle weakness
,B) Presence of tremor
C) Normal muscle tone
D) Full range of motion
Answer: B) Presence of tremor
Explanation: The presence of tremor is an abnormal finding in a
motor assessment. Muscle weakness is also abnormal, but tremor
specifically indicates a neurological issue. Normal muscle tone and
full range of motion are expected findings.
Question 5
Propose an accurate statement regarding the sensory assessment.
A) Tactile discrimination of fine touch assesses the sensory cortex
B) Pain sensation is assessed by light touch
C) Vibration sense is assessed with a cotton ball
D) Temperature sensation is assessed with a tuning fork
Answer: A) Tactile discrimination of fine touch assesses the sensory
cortex
Explanation: Tactile discrimination of fine touch assesses the
sensory cortex. Pain sensation is assessed with a sharp object.
Vibration sense is assessed with a tuning fork. Temperature
sensation is assessed with warm and cold objects.
, Question 6
Decide what should be considered in assessing a patient's appearance
and behavior.
A) Level of consciousness
B) Gait and posture
C) Personal hygiene
D) All of the above
Answer: D) All of the above
Explanation: Assessment of appearance and behavior includes level
of consciousness, gait, posture, personal hygiene, and other
observable characteristics.
Question 7
Determine the accurate description regarding the strength of reflex.
A) Hypoactive or diminished response is classified as 1+
B) Very brisk, hyperactive response is classified as 4+
C) Normal response is classified as 2+
D) All of the above
Answer: D) All of the above
Explanation: Reflex grading: 0 = absent, 1+ = hypoactive/diminished,
2+ = normal, 3+ = brisk/hyperactive, 4+ = very brisk/clonus.
