APEA 3P PATHOPHYSIOLOGY PHARMACOLOGY AND PHYSICAL
ASSESSMENT EXAM TESTBANK QUESTIONS AND ANSWERS 2025
1. What is the likely diagnosis for a 40-year-old woman with soft, uneven breast texture
bilaterally?
• Fibroadenoma
• Cystic breasts
• Breast cancer
• Mastitis
Rationale: Soft, uneven texture suggests benign cystic changes.
2. Which medication relieves acute wheezing in an asthma patient?
• Inhaled corticosteroid
• Short-acting beta agonist
• Long-acting beta agonist
• Anticholinergic
Rationale: Short-acting beta agonists quickly relax bronchial smooth muscle.
3. What should an NP ask a 75-year-old man who lost his spouse and feels purposeless?
• “Are you eating well?”
• “Have you thought about hurting yourself?”
• “Do you have friends?”
• “Are you sleeping okay?”
Rationale: This screens for suicidal ideation given his grief and despair.
4. What reverses the anticoagulant effects of dabigatran (Pradaxa)?
• Vitamin K
• Idarucizumab (Praxbind)
• Protamine
• Fresh frozen plasma
Rationale: Idarucizumab specifically binds and neutralizes dabigatran.
5. What condition is suggested by decreased chest expansion, symmetric thorax with
kyphosis, and 2 cm diaphragm distention in a 63-year-old male?
• Asthma
• COPD
• Pneumonia
• Heart failure
Rationale: These signs indicate chronic airflow limitation in COPD.
6. Which medication should not be prescribed during an acute gout flare?
, • Colchicine
• Allopurinol
• NSAIDs
• Prednisone
Rationale: Allopurinol can worsen acute flares; it’s for long-term management.
7. What is the most common symptom of trichomoniasis in women?
• Dysuria
• Vaginal discharge
• Pelvic pain
• Itching
Rationale: Frothy vaginal discharge is the hallmark of trichomoniasis.
8. What condition matches dull puffiness and non-pitting periorbital edema in a 32-year-
old woman?
• Nephrotic syndrome
• Myxedema
• Allergic reaction
• Sinusitis
Rationale: Myxedema from hypothyroidism causes non-pitting edema.
9. What historical factor increases testicular cancer risk?
• Trauma
• Cryptorchidism
• Infection
• Smoking
Rationale: Undescended testes (cryptorchidism) elevate testicular cancer risk.
10. Which vaccine protects against a disease causing fever, headache, stiff neck,
photophobia, and altered mental status?
• Influenza
• Meningococcal
• Pneumococcal
• HPV
Rationale: Meningococcal vaccine prevents meningococcal meningitis.
11. What drug treats scabies in a pediatric patient?
• Ivermectin
• Permethrin (Nix) cream
• Lindane
, • Sulfur ointment
Rationale: Permethrin is the first-line, safe treatment for scabies.
12. What pathogen commonly causes urinary tract infections?
• Staphylococcus
• E. coli
• Pseudomonas
• Klebsiella
Rationale: E. coli from the gut is the most frequent UTI cause.
13. What does a tender, swollen, boggy, warm prostate on DRE suggest?
• BPH
• Acute bacterial prostatitis
• Prostate cancer
• Chronic prostatitis
Rationale: These signs indicate acute infection.
14. What finding suggests osteosarcoma in a pediatric patient?
• Joint swelling
• Pain in the affected bone
• Fever
• Limp
Rationale: Bone pain is the hallmark of osteosarcoma.
15. Which medication can cause a false positive for amphetamines on a urine drug screen?
• Fluoxetine
• Bupropion
• Sertraline
• Lorazepam
Rationale: Bupropion’s structure mimics amphetamines.
16. What are symptoms in a college student suggesting atypical community-acquired
pneumonia?
• Chest pain, dyspnea
• Temp of 101.2°F, sore throat, diminished lung sounds
• Cough, rash
• Fatigue, headache
Rationale: Atypical signs (e.g., sore throat) suggest Mycoplasma or similar pathogens.
17. What is a common SSRI side effect?
ASSESSMENT EXAM TESTBANK QUESTIONS AND ANSWERS 2025
1. What is the likely diagnosis for a 40-year-old woman with soft, uneven breast texture
bilaterally?
• Fibroadenoma
• Cystic breasts
• Breast cancer
• Mastitis
Rationale: Soft, uneven texture suggests benign cystic changes.
2. Which medication relieves acute wheezing in an asthma patient?
• Inhaled corticosteroid
• Short-acting beta agonist
• Long-acting beta agonist
• Anticholinergic
Rationale: Short-acting beta agonists quickly relax bronchial smooth muscle.
3. What should an NP ask a 75-year-old man who lost his spouse and feels purposeless?
• “Are you eating well?”
• “Have you thought about hurting yourself?”
• “Do you have friends?”
• “Are you sleeping okay?”
Rationale: This screens for suicidal ideation given his grief and despair.
4. What reverses the anticoagulant effects of dabigatran (Pradaxa)?
• Vitamin K
• Idarucizumab (Praxbind)
• Protamine
• Fresh frozen plasma
Rationale: Idarucizumab specifically binds and neutralizes dabigatran.
5. What condition is suggested by decreased chest expansion, symmetric thorax with
kyphosis, and 2 cm diaphragm distention in a 63-year-old male?
• Asthma
• COPD
• Pneumonia
• Heart failure
Rationale: These signs indicate chronic airflow limitation in COPD.
6. Which medication should not be prescribed during an acute gout flare?
, • Colchicine
• Allopurinol
• NSAIDs
• Prednisone
Rationale: Allopurinol can worsen acute flares; it’s for long-term management.
7. What is the most common symptom of trichomoniasis in women?
• Dysuria
• Vaginal discharge
• Pelvic pain
• Itching
Rationale: Frothy vaginal discharge is the hallmark of trichomoniasis.
8. What condition matches dull puffiness and non-pitting periorbital edema in a 32-year-
old woman?
• Nephrotic syndrome
• Myxedema
• Allergic reaction
• Sinusitis
Rationale: Myxedema from hypothyroidism causes non-pitting edema.
9. What historical factor increases testicular cancer risk?
• Trauma
• Cryptorchidism
• Infection
• Smoking
Rationale: Undescended testes (cryptorchidism) elevate testicular cancer risk.
10. Which vaccine protects against a disease causing fever, headache, stiff neck,
photophobia, and altered mental status?
• Influenza
• Meningococcal
• Pneumococcal
• HPV
Rationale: Meningococcal vaccine prevents meningococcal meningitis.
11. What drug treats scabies in a pediatric patient?
• Ivermectin
• Permethrin (Nix) cream
• Lindane
, • Sulfur ointment
Rationale: Permethrin is the first-line, safe treatment for scabies.
12. What pathogen commonly causes urinary tract infections?
• Staphylococcus
• E. coli
• Pseudomonas
• Klebsiella
Rationale: E. coli from the gut is the most frequent UTI cause.
13. What does a tender, swollen, boggy, warm prostate on DRE suggest?
• BPH
• Acute bacterial prostatitis
• Prostate cancer
• Chronic prostatitis
Rationale: These signs indicate acute infection.
14. What finding suggests osteosarcoma in a pediatric patient?
• Joint swelling
• Pain in the affected bone
• Fever
• Limp
Rationale: Bone pain is the hallmark of osteosarcoma.
15. Which medication can cause a false positive for amphetamines on a urine drug screen?
• Fluoxetine
• Bupropion
• Sertraline
• Lorazepam
Rationale: Bupropion’s structure mimics amphetamines.
16. What are symptoms in a college student suggesting atypical community-acquired
pneumonia?
• Chest pain, dyspnea
• Temp of 101.2°F, sore throat, diminished lung sounds
• Cough, rash
• Fatigue, headache
Rationale: Atypical signs (e.g., sore throat) suggest Mycoplasma or similar pathogens.
17. What is a common SSRI side effect?
