APEA 3P EXAM 1 REVIEW QUESTIONS AND
ANSWERS; 100% PASS GUARANTEED; GRADED
A+
What would cause decrease in Digoxin levels? - ANS-Antacids
Taking Pyridium for UTI, what can Pyridium cause? - ANS-Hemolytic Anemia
What can PCOS result in? - ANS-Increased insulin levels (Hyperinsulinemia),
Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - ANS-Methyldopa (Alpha-2-
Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - ANS-Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - ANS-Tender, warm, swollen joints
Medications that can cause ototoxicity? - ANS-Aminoglycosides, loop diuretics,
NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - ANS-2 weeks
What does MCV lab value measure? - ANS-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? - ANS-27-28 weeks
What are Janeway lesions and what do they indicate? - ANS-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? - ANS-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? -
ANS-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? - ANS-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 - ANS-Sulfa allergy, PCN hypersensitivity,
Asthma, Gout
Systolic Murmurs (Benign) - ANS-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) - ANS-AR = Aortic Regurgitation (Angina, HF, Dizziness,
Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - ANS-S1 Closure of the Atrioventricular Valves (Mitral &
Tricuspid Valves)
What does S2 indicate? - ANS-S2 Closure of the Semilunar Valves (Aortic & Pulmonic
Valves)
S3 is often heard in? - ANS-CHF, possibly normal for athletic adolescents
S4 is often heard in? - ANS-Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly
controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - ANS-Antiplatelets (Plavix, ASA),
Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - ANS-Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - ANS-Aotrvastatin/Rosuvastatin = If
LDL>150 use high doses. Watch for LFTs & arthralgia. Change type & dose if issues.
Helps stabilize plaques.
What medications are indicated for HF treatment? - ANS-ACEs, ARBs, ARNI w/BBs,
Aldosterone Recepter Antagonists
, What is the treatment for Sarcopter Scabiei (Scabies)? - ANS-Topical Permetherin
massaged from head to soles of feet and wash off with shower or bath after 8-14hrs.
Treat again in 1 week.
Names of skin lesions? - ANS-Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
Vesicle: Blister <1cm i.e. HSV, Chickenpox
Bulla: Blister >1cm i.e. 2nd Degree Burn, Bullous Pemphigod
Plaque: Raised, flat-top >1cm i.e. Psoriasis & Seborrheic Keratoses
Patch: Flat, discolored >1cm i.e. Vitiligo & Port-Wine Stains
Wheal: Raised & Red Area i.e. Hives & Insect Bite reaction
Keloid - ANS-Hyperthrophic scar that is invasive beyond point of original injury
What is Tinea Capitis and What is the treatment? - ANS-Scalp Ring-Worm. Round,
scaly patches on scalp (Cradle Cap). Treatment is Grisefulvin 500mg with high fat
meals for 4-6weeks
What is Tinea Corporis and What is the treatment? - ANS-Body Ring-Worm. Red, scaly
plaques on the body or trunk in a ring-like/circular pattern. Topical Azoles (I.E.
Clotrimazole) for 2 weeks.
How do you assess Melanoma? - ANS-ABCDE (Asymmetry, Border, Color, Diameter
>6mm, and Evolution/Elevation
Signs & Symptoms of Psoriasis? - ANS-Silvery-White Scales, Pitted Nails, Positive
Auspitz Sign (Pinpoint bleeding when lesions/scales are scraped)
Facts about Shingles (Herpes Zoster) - ANS-- Unilateral Dermatomal Rash which starts
as a painful red rash (patch) and progresses to blisters (vesicles).
- Post herpetic neuralgia pain is common and can last longer than 1 month after rash
resolves.
- May transmit chickenpox virus to unvaccinated & susceptible patients.
- Treatment consists of Acyclovir, Valacyclovir, or Famciclovir and most effective if
started within 48-72hrs of rash appearance.
Facts about Contact Dermatitis (Eczema) - ANS-- Papules or Vesicles typically 5mm or
less which are red, raised bumps
- Skin becomes dry, scaly, and rough leading to formation of crusts or flakes on skin
surface
- If scratched or irritated, the skin may ooze
- Treatment consists of Corticosteroids, Antihistamines, Calcineurin Inhibitors
(Tacrolimus)
ANSWERS; 100% PASS GUARANTEED; GRADED
A+
What would cause decrease in Digoxin levels? - ANS-Antacids
Taking Pyridium for UTI, what can Pyridium cause? - ANS-Hemolytic Anemia
What can PCOS result in? - ANS-Increased insulin levels (Hyperinsulinemia),
Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - ANS-Methyldopa (Alpha-2-
Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - ANS-Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - ANS-Tender, warm, swollen joints
Medications that can cause ototoxicity? - ANS-Aminoglycosides, loop diuretics,
NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - ANS-2 weeks
What does MCV lab value measure? - ANS-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? - ANS-27-28 weeks
What are Janeway lesions and what do they indicate? - ANS-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? - ANS-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? -
ANS-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? - ANS-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 - ANS-Sulfa allergy, PCN hypersensitivity,
Asthma, Gout
Systolic Murmurs (Benign) - ANS-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) - ANS-AR = Aortic Regurgitation (Angina, HF, Dizziness,
Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - ANS-S1 Closure of the Atrioventricular Valves (Mitral &
Tricuspid Valves)
What does S2 indicate? - ANS-S2 Closure of the Semilunar Valves (Aortic & Pulmonic
Valves)
S3 is often heard in? - ANS-CHF, possibly normal for athletic adolescents
S4 is often heard in? - ANS-Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly
controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - ANS-Antiplatelets (Plavix, ASA),
Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - ANS-Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - ANS-Aotrvastatin/Rosuvastatin = If
LDL>150 use high doses. Watch for LFTs & arthralgia. Change type & dose if issues.
Helps stabilize plaques.
What medications are indicated for HF treatment? - ANS-ACEs, ARBs, ARNI w/BBs,
Aldosterone Recepter Antagonists
, What is the treatment for Sarcopter Scabiei (Scabies)? - ANS-Topical Permetherin
massaged from head to soles of feet and wash off with shower or bath after 8-14hrs.
Treat again in 1 week.
Names of skin lesions? - ANS-Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
Vesicle: Blister <1cm i.e. HSV, Chickenpox
Bulla: Blister >1cm i.e. 2nd Degree Burn, Bullous Pemphigod
Plaque: Raised, flat-top >1cm i.e. Psoriasis & Seborrheic Keratoses
Patch: Flat, discolored >1cm i.e. Vitiligo & Port-Wine Stains
Wheal: Raised & Red Area i.e. Hives & Insect Bite reaction
Keloid - ANS-Hyperthrophic scar that is invasive beyond point of original injury
What is Tinea Capitis and What is the treatment? - ANS-Scalp Ring-Worm. Round,
scaly patches on scalp (Cradle Cap). Treatment is Grisefulvin 500mg with high fat
meals for 4-6weeks
What is Tinea Corporis and What is the treatment? - ANS-Body Ring-Worm. Red, scaly
plaques on the body or trunk in a ring-like/circular pattern. Topical Azoles (I.E.
Clotrimazole) for 2 weeks.
How do you assess Melanoma? - ANS-ABCDE (Asymmetry, Border, Color, Diameter
>6mm, and Evolution/Elevation
Signs & Symptoms of Psoriasis? - ANS-Silvery-White Scales, Pitted Nails, Positive
Auspitz Sign (Pinpoint bleeding when lesions/scales are scraped)
Facts about Shingles (Herpes Zoster) - ANS-- Unilateral Dermatomal Rash which starts
as a painful red rash (patch) and progresses to blisters (vesicles).
- Post herpetic neuralgia pain is common and can last longer than 1 month after rash
resolves.
- May transmit chickenpox virus to unvaccinated & susceptible patients.
- Treatment consists of Acyclovir, Valacyclovir, or Famciclovir and most effective if
started within 48-72hrs of rash appearance.
Facts about Contact Dermatitis (Eczema) - ANS-- Papules or Vesicles typically 5mm or
less which are red, raised bumps
- Skin becomes dry, scaly, and rough leading to formation of crusts or flakes on skin
surface
- If scratched or irritated, the skin may ooze
- Treatment consists of Corticosteroids, Antihistamines, Calcineurin Inhibitors
(Tacrolimus)
