3P Exam Study Guide – APEA – Advanced Practice
Education Associates – Complete Q&A Review for
Nurse Practitioner Certification.
What would cause decrease in Digoxin levels? ~CORRECT ANSWER~Antacids
Taking Pyridium for UTI, what can Pyridium cause? ~CORRECT
ANSWER~Hemolytic Anemia
What can PCOS result in? ~CORRECT ANSWER~Increased insulin levels
(Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? ~CORRECT
ANSWER~Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? ~CORRECT ANSWER~Painless, red
bleeding
What is a chacteristic of Rheumatoid Arthritis? ~CORRECT ANSWER~Tender,
warm, swollen joints
Medications that can cause ototoxicity? ~CORRECT ANSWER~Aminoglycosides,
loop diuretics, NSAIDs, antihistamines, nasal decongestants
,What is the treatment time for enterobiasis? ~CORRECT ANSWER~2 weeks
What does MCV lab value measure? ~CORRECT ANSWER~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? ~CORRECT ANSWER~27-28
weeks
What are Janeway lesions and what do they indicate? ~CORRECT
ANSWER~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? ~CORRECT ANSWER~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? ~CORRECT ANSWER~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? ~CORRECT ANSWER~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 ~CORRECT ANSWER~Sulfa allergy,
PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) ~CORRECT ANSWER~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) ~CORRECT ANSWER~AR = Aortic
Regurgitation (Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? ~CORRECT ANSWER~S1 Closure of the Atrioventricular
Valves (Mitral & Tricuspid Valves)
What does S2 indicate? ~CORRECT ANSWER~S2 Closure of the Semilunar
Valves (Aortic & Pulmonic Valves)
S3 is often heard in? ~CORRECT ANSWER~CHF, possibly normal for athletic
adolescents
, S4 is often heard in? ~CORRECT ANSWER~Diastolic HF, Left Ventricular
Hypertrophy (LVH), Poorly controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) ~CORRECT
ANSWER~Antiplatelets (Plavix, ASA), Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) ~CORRECT ANSWER~Gold
Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment ~CORRECT
ANSWER~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? ~CORRECT ANSWER~ACEs,
ARBs, ARNI w/BBs, Aldosterone Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? ~CORRECT
ANSWER~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? ~CORRECT ANSWER~Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
Education Associates – Complete Q&A Review for
Nurse Practitioner Certification.
What would cause decrease in Digoxin levels? ~CORRECT ANSWER~Antacids
Taking Pyridium for UTI, what can Pyridium cause? ~CORRECT
ANSWER~Hemolytic Anemia
What can PCOS result in? ~CORRECT ANSWER~Increased insulin levels
(Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? ~CORRECT
ANSWER~Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? ~CORRECT ANSWER~Painless, red
bleeding
What is a chacteristic of Rheumatoid Arthritis? ~CORRECT ANSWER~Tender,
warm, swollen joints
Medications that can cause ototoxicity? ~CORRECT ANSWER~Aminoglycosides,
loop diuretics, NSAIDs, antihistamines, nasal decongestants
,What is the treatment time for enterobiasis? ~CORRECT ANSWER~2 weeks
What does MCV lab value measure? ~CORRECT ANSWER~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? ~CORRECT ANSWER~27-28
weeks
What are Janeway lesions and what do they indicate? ~CORRECT
ANSWER~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? ~CORRECT ANSWER~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? ~CORRECT ANSWER~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? ~CORRECT ANSWER~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 ~CORRECT ANSWER~Sulfa allergy,
PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) ~CORRECT ANSWER~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) ~CORRECT ANSWER~AR = Aortic
Regurgitation (Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? ~CORRECT ANSWER~S1 Closure of the Atrioventricular
Valves (Mitral & Tricuspid Valves)
What does S2 indicate? ~CORRECT ANSWER~S2 Closure of the Semilunar
Valves (Aortic & Pulmonic Valves)
S3 is often heard in? ~CORRECT ANSWER~CHF, possibly normal for athletic
adolescents
, S4 is often heard in? ~CORRECT ANSWER~Diastolic HF, Left Ventricular
Hypertrophy (LVH), Poorly controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) ~CORRECT
ANSWER~Antiplatelets (Plavix, ASA), Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) ~CORRECT ANSWER~Gold
Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment ~CORRECT
ANSWER~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? ~CORRECT ANSWER~ACEs,
ARBs, ARNI w/BBs, Aldosterone Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? ~CORRECT
ANSWER~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? ~CORRECT ANSWER~Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
