3P APEA EXAM 2025 UPDATE QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+ (BRAND NEW VISION)
What is the relationship between Hgb A1C and lipid values? - answersAs Hgb A1C decreases,
triglycerides decrease
when the serum free T4 falls: - answersthe TSH rises
earliest detectable glycemic abnormality in a pt. w/t2DM - answerspostprandial glucose
elevation
acanthosis nigricans in a teen suggest? - answersinsulin resistant
risk factor for T2DM? - answersHistory of gestational diabetes
a 40-year-old pt. with newly dx of T2DM asks what his target b/p should be. the most correct
answer is: - answersless than 140/90
the following values TSH 14, free T4 0.1 is indicative of? - answershypothyroidism
diabetic medication associated with diarrhea and flatulence - answersmetformin
A 45-year-old female pt has fatigue for the past 3 months and a 10-lbs weight gain. She
previously had regular menses occurring about every 30 days, but in the last 3 months her
menses have varied between 30-45 days . Her TSH value is 13. It was repeated 1week later and
found to be 15. What explains this finding? - answershypothyroidism
, A pt. who is taking who is taking a long-acting insulin basal insulin has elevated blood sugars.
Which blood sugars are important to review in order to increase the dose of insulin? -
answersAM fasting
A pt. has a TSH value of 13.1 today. The NP has decided to initiate replacement with
levothyroxine 88mcg daily. When should the NP recheck pt's TSH levels - answers6 weeks
A pt. presents with consistently elevated blood glucose before his evening meal. What choice
below represents an insulin change that would improve his evening glucose?
current AM regimen 22u NPH, 12u short-acting insulin
Current PM regimen 10u NPH, 8u short-acting insulin - answers24u NPH insulin in AM
A 30-year-old female pt. with complaints of fatigue undergoes a screening TSH. Her TSH is 8
what should be done next? - answersrepeat the TSH and add T4
A 65-year-old diabetic has been on oral antihyperglycemic agents and is still having poor
glycemic control. His AM fasting glucose range from 140-160. You decide to add insulin. He
weighs 127 kg. What should the NP order as an initial starting dose? - answers10u of long-
acting insulin at bedtime
the most appropriate time to screen for renal nephropathy in a pt. with type 1 diabetes is -
answers5 years after diagnosis
what is the most sensitive lab assay for screening and identifying the vast majority of
ambulatory pt.'s w/ primary hypothyroidism - answersTSH only
A 52-year-old presents w/thirst and frequent urination today. His glucose is 352. How should
this be managed today? - answersstart insulin
ANSWERS ALREADY GRADED A+ (BRAND NEW VISION)
What is the relationship between Hgb A1C and lipid values? - answersAs Hgb A1C decreases,
triglycerides decrease
when the serum free T4 falls: - answersthe TSH rises
earliest detectable glycemic abnormality in a pt. w/t2DM - answerspostprandial glucose
elevation
acanthosis nigricans in a teen suggest? - answersinsulin resistant
risk factor for T2DM? - answersHistory of gestational diabetes
a 40-year-old pt. with newly dx of T2DM asks what his target b/p should be. the most correct
answer is: - answersless than 140/90
the following values TSH 14, free T4 0.1 is indicative of? - answershypothyroidism
diabetic medication associated with diarrhea and flatulence - answersmetformin
A 45-year-old female pt has fatigue for the past 3 months and a 10-lbs weight gain. She
previously had regular menses occurring about every 30 days, but in the last 3 months her
menses have varied between 30-45 days . Her TSH value is 13. It was repeated 1week later and
found to be 15. What explains this finding? - answershypothyroidism
, A pt. who is taking who is taking a long-acting insulin basal insulin has elevated blood sugars.
Which blood sugars are important to review in order to increase the dose of insulin? -
answersAM fasting
A pt. has a TSH value of 13.1 today. The NP has decided to initiate replacement with
levothyroxine 88mcg daily. When should the NP recheck pt's TSH levels - answers6 weeks
A pt. presents with consistently elevated blood glucose before his evening meal. What choice
below represents an insulin change that would improve his evening glucose?
current AM regimen 22u NPH, 12u short-acting insulin
Current PM regimen 10u NPH, 8u short-acting insulin - answers24u NPH insulin in AM
A 30-year-old female pt. with complaints of fatigue undergoes a screening TSH. Her TSH is 8
what should be done next? - answersrepeat the TSH and add T4
A 65-year-old diabetic has been on oral antihyperglycemic agents and is still having poor
glycemic control. His AM fasting glucose range from 140-160. You decide to add insulin. He
weighs 127 kg. What should the NP order as an initial starting dose? - answers10u of long-
acting insulin at bedtime
the most appropriate time to screen for renal nephropathy in a pt. with type 1 diabetes is -
answers5 years after diagnosis
what is the most sensitive lab assay for screening and identifying the vast majority of
ambulatory pt.'s w/ primary hypothyroidism - answersTSH only
A 52-year-old presents w/thirst and frequent urination today. His glucose is 352. How should
this be managed today? - answersstart insulin
