APEA 3P EXAM PREDICTOR -
470 QUESTIONS AND
ANSWERS GRADED A+ 2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. What is the biggest side effect of colchicine?
Diarrhea.
2. How would you describe the appearance of molluscum contagiosum?
Papules that are umbilicated and contain a caseous plug.
3. How do we treat a broken clavicle in an infant?
No treatment; it should heal on its own.
4. At what week of pregnancy is the uterus palpable just above the pubic
symphysis?
Week 12.
5. At what week of pregnancy is the fundus palpable halfway between
the pubic symphysis and umbilicus?
Week 16.
6. At what week of pregnancy is the fundus of the uterus at the
umbilicus?
Week 20.
7. At what week of pregnancy is the fundus of the uterus halfway
between the xiphoid process and umbilicus?
Week 28.
8. At what week of pregnancy is the fundus just below the xiphoid
process?
Week 34.
9. Increased sweat production is a sign of what endocrine disorder?
Hyperthyroidism.
10. What is Paget's disease?
There is localized increased bone turnover and blood flow, resulting in the
breakdown of bone and replacing it with weakened and highly vascular
bone, putting the individual at increased risk of fractures.
11. How do we treat Paget's disease?
Bisphosphonates.
,12. How should pregnant women wear their seatbelt?
With the shoulder strap like a normal person and then the groin strap
below the belly and across the hips.
13. What is another name for fifth disease?
Parvovirus, aka slapped cheek disease or erythema infectiosum.
14. Which type of prevention are vaccinations?
Primary.
15. When should patients begin antiretroviral therapy for HIV
infection?
As soon as it is detected, even if in the acute phase.
16. What are the first-generation antihistamines?
Diphenhydramine (Benadryl) and chlorpheniramine (Actifed).
17. What are the signs and symptoms of the secondary stage of
syphilis?
Rash on hands and feet, lymphadenopathy, fever.
18. What is the recommended treatment for chronic bacterial
prostatitis?
A fluoroquinolone (cipro or levo) + Bactrim.
19. What is the recommended treatment for acute prostatitis?
Cipro (if not STI-related) or ceftriaxone.
20. What are the signs and symptoms of an intraductal breast
papilloma?
Clear to bloody unilateral nipple discharge (bilateral is usually benign), and
also a wart-like lump palpated in the nipple area.
21. If a patient has GABHS but has an allergy to penicillins, what is
the second-line option?
First-generation cephalosporins, unless the allergy is severe, then you
would consider macrolides like a -mycin.
22. PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in
which patient populations?
, In those who are on any type of nitrate or triptan because it could result in
hypotension.
23. What class of drug is sildenafil (Viagra)?
A PDE5 inhibitor, which can cause hypotension, so you should do a full
cardiac assessment before starting a patient on this and maybe do an
EKG.
24. What are the symptoms of peripheral artery disease?
Think P meaning pain, A meaning absent or weak pulses, eschar or shiny
legs, intermittent claudication.
25. What is the first-line treatment for PAD?
Walking and physical activity to improve circulation. Second-line is an
aspirin or anti-platelet.
26. What should we tell our patients with PAD NOT to do?
Do not elevate the feet; keep them down.
27. How do we diagnose PAD?
An ABI < 0.7; Doppler can also be used to diagnose as well but is the
second choice.
28. What are the signs and symptoms of peripheral vascular
disease?
Think V meaning volume overload aka edema, may ache or be
uncomfortable but is not painful, bounding pulses, ruddy discoloration.
29. If a patient is on Coumadin but then they may need to go on an
antibiotic for an infection and Bactrim is the drug of choice, what
should you do?
Bactrim increases INR, so we would want to decrease the Coumadin dose
while the patient is on this.
30. If a patient is on Coumadin but then they may need to go on
Rifampin, what should you do?
Rifampin decreases INR, so we'd want to increase the Coumadin dose.
31. If a patient on Coumadin's INR is 3.1-4, what should you do?
Decrease the weekly dose by 5-10%.
470 QUESTIONS AND
ANSWERS GRADED A+ 2025
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,1. What is the biggest side effect of colchicine?
Diarrhea.
2. How would you describe the appearance of molluscum contagiosum?
Papules that are umbilicated and contain a caseous plug.
3. How do we treat a broken clavicle in an infant?
No treatment; it should heal on its own.
4. At what week of pregnancy is the uterus palpable just above the pubic
symphysis?
Week 12.
5. At what week of pregnancy is the fundus palpable halfway between
the pubic symphysis and umbilicus?
Week 16.
6. At what week of pregnancy is the fundus of the uterus at the
umbilicus?
Week 20.
7. At what week of pregnancy is the fundus of the uterus halfway
between the xiphoid process and umbilicus?
Week 28.
8. At what week of pregnancy is the fundus just below the xiphoid
process?
Week 34.
9. Increased sweat production is a sign of what endocrine disorder?
Hyperthyroidism.
10. What is Paget's disease?
There is localized increased bone turnover and blood flow, resulting in the
breakdown of bone and replacing it with weakened and highly vascular
bone, putting the individual at increased risk of fractures.
11. How do we treat Paget's disease?
Bisphosphonates.
,12. How should pregnant women wear their seatbelt?
With the shoulder strap like a normal person and then the groin strap
below the belly and across the hips.
13. What is another name for fifth disease?
Parvovirus, aka slapped cheek disease or erythema infectiosum.
14. Which type of prevention are vaccinations?
Primary.
15. When should patients begin antiretroviral therapy for HIV
infection?
As soon as it is detected, even if in the acute phase.
16. What are the first-generation antihistamines?
Diphenhydramine (Benadryl) and chlorpheniramine (Actifed).
17. What are the signs and symptoms of the secondary stage of
syphilis?
Rash on hands and feet, lymphadenopathy, fever.
18. What is the recommended treatment for chronic bacterial
prostatitis?
A fluoroquinolone (cipro or levo) + Bactrim.
19. What is the recommended treatment for acute prostatitis?
Cipro (if not STI-related) or ceftriaxone.
20. What are the signs and symptoms of an intraductal breast
papilloma?
Clear to bloody unilateral nipple discharge (bilateral is usually benign), and
also a wart-like lump palpated in the nipple area.
21. If a patient has GABHS but has an allergy to penicillins, what is
the second-line option?
First-generation cephalosporins, unless the allergy is severe, then you
would consider macrolides like a -mycin.
22. PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in
which patient populations?
, In those who are on any type of nitrate or triptan because it could result in
hypotension.
23. What class of drug is sildenafil (Viagra)?
A PDE5 inhibitor, which can cause hypotension, so you should do a full
cardiac assessment before starting a patient on this and maybe do an
EKG.
24. What are the symptoms of peripheral artery disease?
Think P meaning pain, A meaning absent or weak pulses, eschar or shiny
legs, intermittent claudication.
25. What is the first-line treatment for PAD?
Walking and physical activity to improve circulation. Second-line is an
aspirin or anti-platelet.
26. What should we tell our patients with PAD NOT to do?
Do not elevate the feet; keep them down.
27. How do we diagnose PAD?
An ABI < 0.7; Doppler can also be used to diagnose as well but is the
second choice.
28. What are the signs and symptoms of peripheral vascular
disease?
Think V meaning volume overload aka edema, may ache or be
uncomfortable but is not painful, bounding pulses, ruddy discoloration.
29. If a patient is on Coumadin but then they may need to go on an
antibiotic for an infection and Bactrim is the drug of choice, what
should you do?
Bactrim increases INR, so we would want to decrease the Coumadin dose
while the patient is on this.
30. If a patient is on Coumadin but then they may need to go on
Rifampin, what should you do?
Rifampin decreases INR, so we'd want to increase the Coumadin dose.
31. If a patient on Coumadin's INR is 3.1-4, what should you do?
Decrease the weekly dose by 5-10%.
