3P EXAM STUDY APEA |ACTUAL
QUESTIONS AND ANSWERS| LATEST
UPDATED 2024/2025 (GRADED A+)
WhatWwouldWcauseWdecreaseWinWDigoxinWlevels?W-WcorrectWanswer-Antacids
TakingWPyridiumWforWUTI,WwhatWcanWPyridiumWcause?W-WcorrectWanswer-HemolyticWAnemia
WhatWcanWPCOSWresultWin?W-WcorrectWanswer-
IncreasedWinsulinWlevelsW(Hyperinsulinemia),WAndrogens,WHirsutism
WhatWareWtheWanti-hypertensivesWusedWinWpregnancy?W-WcorrectWanswer-MethyldopaW(Alpha-2-
Agonist),WLabetalol,WNifedipine,WHydralazine
WhatWisWaWcharacteristicWofWPlacentaWPrevia?W-WcorrectWanswer-Painless,WredWbleeding
WhatWisWaWchacteristicWofWRheumatoidWArthritis?W-WcorrectWanswer-Tender,Wwarm,WswollenWjoints
MedicationsWthatWcanWcauseWototoxicity?W-WcorrectWanswer-
Aminoglycosides,WloopWdiuretics,WNSAIDs,Wantihistamines,WnasalWdecongestants
WhatWisWtheWtreatmentWtimeWforWenterobiasis?W-WcorrectWanswer-2Wweeks
WhatWdoesWMCVWlabWvalueWmeasure?W-WcorrectWanswer-
MeanWCorpuscularWVolumeWhelpsWdiagnoseWdifferentWtypesWofWanemiaWsuchWasWB12W&WFolateW(Macroc
ytic)WandWFeWanemiaW(Microcytic)
RhogamWisWgivenWatWhowWmanyWweekWgestation?W-WcorrectWanswer-27-28Wweeks
,WhatWareWJanewayWlesionsWandWwhatWdoWtheyWindicate?W-WcorrectWanswer-TheyWareWirregular,Wnon-
tenderWhemorrhagicWmaculesWlocatedWonWtheWhandsWandWfeet.WSeenWinWInfectiveWEndocarditis
WhatWareWOsler'sWNodesWandWwhatWdoWtheyWindicate?W-WcorrectWanswer-TheyWareWsplitWpea-
sized,Werythematous,WtenderWnodulesWlocatedWonWtheWpadsWofWtheWfingersWandWtoes.WSeenWinWInfective
WEndocarditis
WhatWisWtheWrecommendationWforWWarfarinWmanagementWwhenWaWpatientWmissesWaWdose?W-
WcorrectWanswer-
IfWwithinW12WhoursWofWtheWdoseWtime,WtakeWit.WIfWoverW12WhoursWpatientWwillWneedWaWINRWredraw
WhatWdoWweWneedWtoWknowWaboutWACEsWandWARBs?W-WcorrectWanswer-
AWdryWhackingWcoughWisWaWcommonWsideWeffectWofWACEsWandWwillWgoWawayWwithinWaWweekWafterWdiscon
tinuing.WACEsW&WARBsWareWindicatedWforWpatientsWwithWDM,WCKD,WandWHTN.WNotWrecommendedWasW1st
WlineWagentWwithWAfricanWAmericansW&WcanWcauseWangioedema.
ContraindicationsWforWHydrochlorothiazideW-WcorrectWanswer-
SulfaWallergy,WPCNWhypersensitivity,WAsthma,WGout
SystolicWMurmursW(Benign)W-WcorrectWanswer-MRW=WMitralWRegurgeW(SOB/FatigueWHF)
PeytonWManningW=WPhysiologicWMurmurW(Asymptomatic)
ASW=WAorticWStenosisW(Angina,WSyncopeWHF)
MVPW=WMitralWValveWProlapseW("Click",WWomenW14-30,WPalpitations,WChestWPain
DiastolicWMurmursW(Abnormal)W-WcorrectWanswer-
ARW=WAorticWRegurgitationW(Angina,WHF,WDizziness,WChestWPain)
MSW=WMitralWStenosisW(Dyspnea,WAFib)
WhatWdoesWS1Windicate?W-WcorrectWanswer-
S1WClosureWofWtheWAtrioventricularWValvesW(MitralW&WTricuspidWValves)
WhatWdoesWS2Windicate?W-WcorrectWanswer-
S2WClosureWofWtheWSemilunarWValvesW(AorticW&WPulmonicWValves)
, S3WisWoftenWheardWin?W-WcorrectWanswer-CHF,WpossiblyWnormalWforWathleticWadolescents
S4WisWoftenWheardWin?W-WcorrectWanswer-
DiastolicWHF,WLeftWVentricularWHypertrophyW(LVH),WPoorlyWcontrolledWHTN,WMI
TreatmentWofWPeripheralWArteryWDiseaseW(PAD)W-WcorrectWanswer-
AntiplateletsW(Plavix,WASA),WPentoxifyllineW(DecreasesWbloodWviscosity)
DiagnosingWPeripheralWArteryWDiseaseW(PAD)W-WcorrectWanswer-GoldWStandardW=WAngiography
AnkleWBrachialWIndexW(ABI)
CoronaryWArteryWDiseaseW(CAD)WtreatmentW-WcorrectWanswer-
Aotrvastatin/RosuvastatinW=WIfWLDL>150WuseWhighWdoses.WWatchWforWLFTsW&Warthralgia.WChangeWtypeW&
WdoseWifWissues.WHelpsWstabilizeWplaques.
WhatWmedicationsWareWindicatedWforWHFWtreatment?W-WcorrectWanswer-
ACEs,WARBs,WARNIWw/BBs,WAldosteroneWRecepterWAntagonists
WhatWisWtheWtreatmentWforWSarcopterWScabieiW(Scabies)?W-WcorrectWanswer-
TopicalWPermetherinWmassagedWfromWheadWtoWsolesWofWfeetWandWwashWoffWwithWshowerWorWbathWafterW
8-14hrs.WTreatWagainWinW1Wweek.
NamesWofWskinWlesions?W-WcorrectWanswer-Macule:WFlatW<1cmWi.e.Wfreckle
Papule:WRaisedW<1cmWi.e.Wacne
Nodule:WRaisedW>1cmWi.e.Wlipoma
Vesicle:WBlisterW<1cmWi.e.WHSV,WChickenpox
Bulla:WBlisterW>1cmWi.e.W2ndWDegreeWBurn,WBullousWPemphigod
Plaque:WRaised,Wflat-topW>1cmWi.e.WPsoriasisW&WSeborrheicWKeratoses
Patch:WFlat,WdiscoloredW>1cmWi.e.WVitiligoW&WPort-WineWStains
Wheal:WRaisedW&WRedWAreaWi.e.WHivesW&WInsectWBiteWreaction
QUESTIONS AND ANSWERS| LATEST
UPDATED 2024/2025 (GRADED A+)
WhatWwouldWcauseWdecreaseWinWDigoxinWlevels?W-WcorrectWanswer-Antacids
TakingWPyridiumWforWUTI,WwhatWcanWPyridiumWcause?W-WcorrectWanswer-HemolyticWAnemia
WhatWcanWPCOSWresultWin?W-WcorrectWanswer-
IncreasedWinsulinWlevelsW(Hyperinsulinemia),WAndrogens,WHirsutism
WhatWareWtheWanti-hypertensivesWusedWinWpregnancy?W-WcorrectWanswer-MethyldopaW(Alpha-2-
Agonist),WLabetalol,WNifedipine,WHydralazine
WhatWisWaWcharacteristicWofWPlacentaWPrevia?W-WcorrectWanswer-Painless,WredWbleeding
WhatWisWaWchacteristicWofWRheumatoidWArthritis?W-WcorrectWanswer-Tender,Wwarm,WswollenWjoints
MedicationsWthatWcanWcauseWototoxicity?W-WcorrectWanswer-
Aminoglycosides,WloopWdiuretics,WNSAIDs,Wantihistamines,WnasalWdecongestants
WhatWisWtheWtreatmentWtimeWforWenterobiasis?W-WcorrectWanswer-2Wweeks
WhatWdoesWMCVWlabWvalueWmeasure?W-WcorrectWanswer-
MeanWCorpuscularWVolumeWhelpsWdiagnoseWdifferentWtypesWofWanemiaWsuchWasWB12W&WFolateW(Macroc
ytic)WandWFeWanemiaW(Microcytic)
RhogamWisWgivenWatWhowWmanyWweekWgestation?W-WcorrectWanswer-27-28Wweeks
,WhatWareWJanewayWlesionsWandWwhatWdoWtheyWindicate?W-WcorrectWanswer-TheyWareWirregular,Wnon-
tenderWhemorrhagicWmaculesWlocatedWonWtheWhandsWandWfeet.WSeenWinWInfectiveWEndocarditis
WhatWareWOsler'sWNodesWandWwhatWdoWtheyWindicate?W-WcorrectWanswer-TheyWareWsplitWpea-
sized,Werythematous,WtenderWnodulesWlocatedWonWtheWpadsWofWtheWfingersWandWtoes.WSeenWinWInfective
WEndocarditis
WhatWisWtheWrecommendationWforWWarfarinWmanagementWwhenWaWpatientWmissesWaWdose?W-
WcorrectWanswer-
IfWwithinW12WhoursWofWtheWdoseWtime,WtakeWit.WIfWoverW12WhoursWpatientWwillWneedWaWINRWredraw
WhatWdoWweWneedWtoWknowWaboutWACEsWandWARBs?W-WcorrectWanswer-
AWdryWhackingWcoughWisWaWcommonWsideWeffectWofWACEsWandWwillWgoWawayWwithinWaWweekWafterWdiscon
tinuing.WACEsW&WARBsWareWindicatedWforWpatientsWwithWDM,WCKD,WandWHTN.WNotWrecommendedWasW1st
WlineWagentWwithWAfricanWAmericansW&WcanWcauseWangioedema.
ContraindicationsWforWHydrochlorothiazideW-WcorrectWanswer-
SulfaWallergy,WPCNWhypersensitivity,WAsthma,WGout
SystolicWMurmursW(Benign)W-WcorrectWanswer-MRW=WMitralWRegurgeW(SOB/FatigueWHF)
PeytonWManningW=WPhysiologicWMurmurW(Asymptomatic)
ASW=WAorticWStenosisW(Angina,WSyncopeWHF)
MVPW=WMitralWValveWProlapseW("Click",WWomenW14-30,WPalpitations,WChestWPain
DiastolicWMurmursW(Abnormal)W-WcorrectWanswer-
ARW=WAorticWRegurgitationW(Angina,WHF,WDizziness,WChestWPain)
MSW=WMitralWStenosisW(Dyspnea,WAFib)
WhatWdoesWS1Windicate?W-WcorrectWanswer-
S1WClosureWofWtheWAtrioventricularWValvesW(MitralW&WTricuspidWValves)
WhatWdoesWS2Windicate?W-WcorrectWanswer-
S2WClosureWofWtheWSemilunarWValvesW(AorticW&WPulmonicWValves)
, S3WisWoftenWheardWin?W-WcorrectWanswer-CHF,WpossiblyWnormalWforWathleticWadolescents
S4WisWoftenWheardWin?W-WcorrectWanswer-
DiastolicWHF,WLeftWVentricularWHypertrophyW(LVH),WPoorlyWcontrolledWHTN,WMI
TreatmentWofWPeripheralWArteryWDiseaseW(PAD)W-WcorrectWanswer-
AntiplateletsW(Plavix,WASA),WPentoxifyllineW(DecreasesWbloodWviscosity)
DiagnosingWPeripheralWArteryWDiseaseW(PAD)W-WcorrectWanswer-GoldWStandardW=WAngiography
AnkleWBrachialWIndexW(ABI)
CoronaryWArteryWDiseaseW(CAD)WtreatmentW-WcorrectWanswer-
Aotrvastatin/RosuvastatinW=WIfWLDL>150WuseWhighWdoses.WWatchWforWLFTsW&Warthralgia.WChangeWtypeW&
WdoseWifWissues.WHelpsWstabilizeWplaques.
WhatWmedicationsWareWindicatedWforWHFWtreatment?W-WcorrectWanswer-
ACEs,WARBs,WARNIWw/BBs,WAldosteroneWRecepterWAntagonists
WhatWisWtheWtreatmentWforWSarcopterWScabieiW(Scabies)?W-WcorrectWanswer-
TopicalWPermetherinWmassagedWfromWheadWtoWsolesWofWfeetWandWwashWoffWwithWshowerWorWbathWafterW
8-14hrs.WTreatWagainWinW1Wweek.
NamesWofWskinWlesions?W-WcorrectWanswer-Macule:WFlatW<1cmWi.e.Wfreckle
Papule:WRaisedW<1cmWi.e.Wacne
Nodule:WRaisedW>1cmWi.e.Wlipoma
Vesicle:WBlisterW<1cmWi.e.WHSV,WChickenpox
Bulla:WBlisterW>1cmWi.e.W2ndWDegreeWBurn,WBullousWPemphigod
Plaque:WRaised,Wflat-topW>1cmWi.e.WPsoriasisW&WSeborrheicWKeratoses
Patch:WFlat,WdiscoloredW>1cmWi.e.WVitiligoW&WPort-WineWStains
Wheal:WRaisedW&WRedWAreaWi.e.WHivesW&WInsectWBiteWreaction