APEA 3P EXAM – MASTER Q&A
((exam-style
WITH EXPLANATIONS
questions and fully explained answers))
APEA 3P EXAM – MASTER Q&A WITH EXPLANATIONS
1. What does 20/30 (L) and 20/40 (R) vision indicate?
Answer: Need for further evaluation
Explanation: Normal vision is 20/20. Anything worse may require refraction or pathology
screening.
2. What is Munchausen Syndrome by Proxy?
Answer: Caregiver induces or fabricates illness in another
Explanation: A serious form of abuse—look for inconsistent history and frequent hospital visits.
3. Depression symptoms may be caused by what?
Answer: Medication effects (serotonin/norepinephrine imbalance)
Explanation: Many drugs affect neurotransmitters → can mimic depression.
4. What lesion suggests Melanoma?
Answer: Dark, asymmetric, irregular borders
Explanation: Use ABCDE rule → urgent biopsy needed.
5. Periorbital edema suggests what condition?
Answer: Nephrotic Syndrome
Explanation: Protein loss → ↓ oncotic pressure → fluid accumulation around eyes.
6. Migraine prophylaxis drug?
Answer: Amitriptyline
Explanation: Used off-label; works by stabilizing neurotransmitters.
7. Scalp scaling with hair loss indicates?
Answer: Tinea capitis
Explanation: Common in children; treat with oral antifungals, not topical.
4/29/2026, 9:55:46 PM 4/29/2026, 9:55:45 PM 4/29/2026, 9:55:42 PM
,APEA 3P EXAM – MASTER Q&A
((exam-style
WITH EXPLANATIONS
questions and fully explained answers))
8. Combined hormonal contraceptives are contraindicated in?
Answer: Smoking, >35–45 yrs, HTN, stroke history
Explanation: ↑ risk of thromboembolism and stroke
9. Bloody nipple discharge indicates?
Answer: Needs further evaluation
Explanation: Possible breast cancer or intraductal papilloma
10. When give Rho(D) immunoglobulin?
Answer: At 28 weeks (Rh-negative mother)
Explanation: Prevents Rh incompatibility
11. What does MCV measure?
Answer: RBC size
Explanation:
Low → iron deficiency
High → B12/folate deficiency
12. Drug to avoid for migraine prophylaxis?
Answer: Venlafaxine
Explanation: Can cause significant side effects in some patients.
13. What does Prostaglandin E1 do?
Answer: Keeps ductus arteriosus open
Explanation: Critical in congenital heart defects
14. Calf pain in PAD is described as?
Answer: Cramping (claudication)
Explanation: Due to reduced blood flow during activity
15. Symptoms of hyperprolactinemia?
Answer: Infertility, amenorrhea
Explanation: High prolactin suppresses ovulation
4/29/2026, 9:55:46 PM 4/29/2026, 9:55:45 PM 4/29/2026, 9:55:42 PM
,APEA 3P EXAM – MASTER Q&A
((exam-style
WITH EXPLANATIONS
questions and fully explained answers))
16. First-line asthma relief?
Answer: Albuterol
Explanation: Rapid bronchodilation → rescue inhaler
17. Purpose of shingles vaccine?
Answer: Prevent Herpes Zoster
Explanation: Reactivation of varicella virus
18. What are SABAs used for?
Answer: Acute asthma attacks
Explanation: Fast onset → relax airway smooth muscle
19–23. Examples of SABAs?
Answer:
Albuterol
Levalbuterol
Terbutaline
Explanation: All act quickly to reverse bronchospasm
24. Varicella vaccine protects against?
Answer: Chickenpox & shingles
Explanation: Prevents primary infection + reactivation
25. What is shingles?
Answer: Reactivation of varicella virus
Explanation: Causes painful dermatomal rash
27–29. OB terms?
Answer:
Gravida = pregnancies
Para = viable births
TPAL = full pregnancy breakdown
Explanation: Essential for obstetric history
4/29/2026, 9:55:46 PM 4/29/2026, 9:55:45 PM 4/29/2026, 9:55:42 PM
, APEA 3P EXAM – MASTER Q&A
((exam-style
WITH EXPLANATIONS
questions and fully explained answers))
30. Epitrochlear node location?
Answer: Above elbow
Explanation: Enlarged → infection in hand/forearm
31. Anticholinergics used for?
Answer: Urge incontinence
Explanation: Relax bladder muscle
32–33. Heart failure signs?
Answer:
Low cardiac output
Jugular venous distention
Explanation: Fluid overload hallmark
34. What is GERD?
Answer: Acid reflux into esophagus
Explanation: Causes heartburn
36. What is papilledema?
Answer: Optic disc swelling
Explanation: Indicates ↑ intracranial pressure
37–38. Cullen’s vs Gray Turner’s sign?
Answer:
Cullen → umbilical bruising
Gray Turner → flank bruising
Explanation: Suggest internal bleeding
39. Hiatal hernia causes?
Answer: GERD symptoms
Explanation: Stomach pushes into chest cavity
4/29/2026, 9:55:46 PM 4/29/2026, 9:55:45 PM 4/29/2026, 9:55:42 PM
((exam-style
WITH EXPLANATIONS
questions and fully explained answers))
APEA 3P EXAM – MASTER Q&A WITH EXPLANATIONS
1. What does 20/30 (L) and 20/40 (R) vision indicate?
Answer: Need for further evaluation
Explanation: Normal vision is 20/20. Anything worse may require refraction or pathology
screening.
2. What is Munchausen Syndrome by Proxy?
Answer: Caregiver induces or fabricates illness in another
Explanation: A serious form of abuse—look for inconsistent history and frequent hospital visits.
3. Depression symptoms may be caused by what?
Answer: Medication effects (serotonin/norepinephrine imbalance)
Explanation: Many drugs affect neurotransmitters → can mimic depression.
4. What lesion suggests Melanoma?
Answer: Dark, asymmetric, irregular borders
Explanation: Use ABCDE rule → urgent biopsy needed.
5. Periorbital edema suggests what condition?
Answer: Nephrotic Syndrome
Explanation: Protein loss → ↓ oncotic pressure → fluid accumulation around eyes.
6. Migraine prophylaxis drug?
Answer: Amitriptyline
Explanation: Used off-label; works by stabilizing neurotransmitters.
7. Scalp scaling with hair loss indicates?
Answer: Tinea capitis
Explanation: Common in children; treat with oral antifungals, not topical.
4/29/2026, 9:55:46 PM 4/29/2026, 9:55:45 PM 4/29/2026, 9:55:42 PM
,APEA 3P EXAM – MASTER Q&A
((exam-style
WITH EXPLANATIONS
questions and fully explained answers))
8. Combined hormonal contraceptives are contraindicated in?
Answer: Smoking, >35–45 yrs, HTN, stroke history
Explanation: ↑ risk of thromboembolism and stroke
9. Bloody nipple discharge indicates?
Answer: Needs further evaluation
Explanation: Possible breast cancer or intraductal papilloma
10. When give Rho(D) immunoglobulin?
Answer: At 28 weeks (Rh-negative mother)
Explanation: Prevents Rh incompatibility
11. What does MCV measure?
Answer: RBC size
Explanation:
Low → iron deficiency
High → B12/folate deficiency
12. Drug to avoid for migraine prophylaxis?
Answer: Venlafaxine
Explanation: Can cause significant side effects in some patients.
13. What does Prostaglandin E1 do?
Answer: Keeps ductus arteriosus open
Explanation: Critical in congenital heart defects
14. Calf pain in PAD is described as?
Answer: Cramping (claudication)
Explanation: Due to reduced blood flow during activity
15. Symptoms of hyperprolactinemia?
Answer: Infertility, amenorrhea
Explanation: High prolactin suppresses ovulation
4/29/2026, 9:55:46 PM 4/29/2026, 9:55:45 PM 4/29/2026, 9:55:42 PM
,APEA 3P EXAM – MASTER Q&A
((exam-style
WITH EXPLANATIONS
questions and fully explained answers))
16. First-line asthma relief?
Answer: Albuterol
Explanation: Rapid bronchodilation → rescue inhaler
17. Purpose of shingles vaccine?
Answer: Prevent Herpes Zoster
Explanation: Reactivation of varicella virus
18. What are SABAs used for?
Answer: Acute asthma attacks
Explanation: Fast onset → relax airway smooth muscle
19–23. Examples of SABAs?
Answer:
Albuterol
Levalbuterol
Terbutaline
Explanation: All act quickly to reverse bronchospasm
24. Varicella vaccine protects against?
Answer: Chickenpox & shingles
Explanation: Prevents primary infection + reactivation
25. What is shingles?
Answer: Reactivation of varicella virus
Explanation: Causes painful dermatomal rash
27–29. OB terms?
Answer:
Gravida = pregnancies
Para = viable births
TPAL = full pregnancy breakdown
Explanation: Essential for obstetric history
4/29/2026, 9:55:46 PM 4/29/2026, 9:55:45 PM 4/29/2026, 9:55:42 PM
, APEA 3P EXAM – MASTER Q&A
((exam-style
WITH EXPLANATIONS
questions and fully explained answers))
30. Epitrochlear node location?
Answer: Above elbow
Explanation: Enlarged → infection in hand/forearm
31. Anticholinergics used for?
Answer: Urge incontinence
Explanation: Relax bladder muscle
32–33. Heart failure signs?
Answer:
Low cardiac output
Jugular venous distention
Explanation: Fluid overload hallmark
34. What is GERD?
Answer: Acid reflux into esophagus
Explanation: Causes heartburn
36. What is papilledema?
Answer: Optic disc swelling
Explanation: Indicates ↑ intracranial pressure
37–38. Cullen’s vs Gray Turner’s sign?
Answer:
Cullen → umbilical bruising
Gray Turner → flank bruising
Explanation: Suggest internal bleeding
39. Hiatal hernia causes?
Answer: GERD symptoms
Explanation: Stomach pushes into chest cavity
4/29/2026, 9:55:46 PM 4/29/2026, 9:55:45 PM 4/29/2026, 9:55:42 PM
