APEA 3p / 3P Exam Study APEA Final Exam Questions and Answers 202 4 Study Guide What does MCV lab value measure? - ✔✔✔ANSWER -Mean Corpuscular Volume helps diagnose different types of anemia such as B12 & Folate (Macrocytic) and Fe anemia (Microcytic) Rhogam is given at how many week gestation? - ✔✔✔ANSWER -27-
28 weeks What would cause decrease in Digoxin levels? - ✔✔✔ANSWER -
Antacids Taking Pyridium for UTI, what can Pyridium cause? - ✔✔✔ANSWER -
Hemolytic Anemia What can PCOS result in? - ✔✔✔ANSWER -Increased insulin levels (Hyperinsulinemia), Androgens, Hirsutism What are the anti -hypertensives used in pregnancy? - ✔✔✔ANSWER -Methyldopa (Alpha -2-Agonist), Labetalol, Nifedipine, Hydralazine What is a characteristic of Placenta Previa? - ✔✔✔ANSWER -
Painless, red bleeding What is a chacteristic of Rheumatoid Arthritis? - ✔✔✔ANSWER -
Tender, warm, swollen joints Medications that can cause ototoxicity? - ✔✔✔ANSWER -
Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal decongestants What is the treatment time for enterobiasis? - ✔✔✔ANSWER -2 weeks Barlows Maneuver - ✔✔✔ANSWER -Feeling of a slip of the femoral head slips away from the Acetabulum (toward the butt) Meningitis assessment finding - ✔✔✔ANSWER -Positive Kernig or Brudzinski sign What are Janeway lesions and what do they indicate? - ✔✔✔ANSWER -They are irregular, non -tender hemorrhagic macules located on the hands and feet. Seen in Infective Endocarditis What are Osler's Nodes and what do they indicate? - ✔✔✔ANSWER -
They are split pea -sized, erythematous, tender nodules located on the pads of the fingers and toes. Seen in Infective Endocarditis What is the recommendation for Warfarin management when a patient misses a dose? - ✔✔✔ANSWER -If within 12 hours of the dose time, take it. If over 12 hours patient will need a INR redraw What do we need to know about ACEs and ARBs? - ✔✔✔ANSWER -A dry hacking cough is a common side effect of ACEs and will go away within a week after discontinuing. ACEs & ARBs are indicated for patients with DM, CKD, and HTN. Not recommended as 1st line agent with African Americans & can cause angioedema. Contraindications for Hydrochlorothiazide - ✔✔✔ANSWER -Sulfa allergy, PCN hypersensitivity, Asthma, Gout Systolic Murmurs (Benign) - ✔✔✔ANSWER -MR = Mitral Regurge (SOB/Fatigue HF) Peyton Manning = Physiologic Murmur (Asymptomatic) AS = Aortic Stenosis (Angina, Syncope HF) MVP = Mitral Valve Prolapse ("Click" , Women 14 -30, Palpitations, Chest Pain Diastolic Murmurs (Abnormal) - ✔✔✔ANSWER -AR = Aortic Regurgitation (Angina, HF , Dizziness, Chest Pain) MS = Mitral Stenosis (Dyspnea, AFib) What does S1 indicate? - ✔✔✔ANSWER -S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid Valves) What does S2 indicate? - ✔✔✔ANSWER -S2 Closure of the Semilunar Valves (Aortic & Pulmonic Valves) S3 is often heard in? - ✔✔✔ANSWER -CHF , possibly normal for athletic adolescents
28 weeks What would cause decrease in Digoxin levels? - ✔✔✔ANSWER -
Antacids Taking Pyridium for UTI, what can Pyridium cause? - ✔✔✔ANSWER -
Hemolytic Anemia What can PCOS result in? - ✔✔✔ANSWER -Increased insulin levels (Hyperinsulinemia), Androgens, Hirsutism What are the anti -hypertensives used in pregnancy? - ✔✔✔ANSWER -Methyldopa (Alpha -2-Agonist), Labetalol, Nifedipine, Hydralazine What is a characteristic of Placenta Previa? - ✔✔✔ANSWER -
Painless, red bleeding What is a chacteristic of Rheumatoid Arthritis? - ✔✔✔ANSWER -
Tender, warm, swollen joints Medications that can cause ototoxicity? - ✔✔✔ANSWER -
Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal decongestants What is the treatment time for enterobiasis? - ✔✔✔ANSWER -2 weeks Barlows Maneuver - ✔✔✔ANSWER -Feeling of a slip of the femoral head slips away from the Acetabulum (toward the butt) Meningitis assessment finding - ✔✔✔ANSWER -Positive Kernig or Brudzinski sign What are Janeway lesions and what do they indicate? - ✔✔✔ANSWER -They are irregular, non -tender hemorrhagic macules located on the hands and feet. Seen in Infective Endocarditis What are Osler's Nodes and what do they indicate? - ✔✔✔ANSWER -
They are split pea -sized, erythematous, tender nodules located on the pads of the fingers and toes. Seen in Infective Endocarditis What is the recommendation for Warfarin management when a patient misses a dose? - ✔✔✔ANSWER -If within 12 hours of the dose time, take it. If over 12 hours patient will need a INR redraw What do we need to know about ACEs and ARBs? - ✔✔✔ANSWER -A dry hacking cough is a common side effect of ACEs and will go away within a week after discontinuing. ACEs & ARBs are indicated for patients with DM, CKD, and HTN. Not recommended as 1st line agent with African Americans & can cause angioedema. Contraindications for Hydrochlorothiazide - ✔✔✔ANSWER -Sulfa allergy, PCN hypersensitivity, Asthma, Gout Systolic Murmurs (Benign) - ✔✔✔ANSWER -MR = Mitral Regurge (SOB/Fatigue HF) Peyton Manning = Physiologic Murmur (Asymptomatic) AS = Aortic Stenosis (Angina, Syncope HF) MVP = Mitral Valve Prolapse ("Click" , Women 14 -30, Palpitations, Chest Pain Diastolic Murmurs (Abnormal) - ✔✔✔ANSWER -AR = Aortic Regurgitation (Angina, HF , Dizziness, Chest Pain) MS = Mitral Stenosis (Dyspnea, AFib) What does S1 indicate? - ✔✔✔ANSWER -S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid Valves) What does S2 indicate? - ✔✔✔ANSWER -S2 Closure of the Semilunar Valves (Aortic & Pulmonic Valves) S3 is often heard in? - ✔✔✔ANSWER -CHF , possibly normal for athletic adolescents
