3P APEA EXAM 2025 QUESTIONS AND
ANSWERS
Difference between varicose vein and arteriosclerosis - ANS Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins
A patient has poorly controlled hypertension for more than 10 years. Indicate the most likely
position of his point of maximal impulse (PMI) - ANS 5th ICS, left of MCL
A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral listening
point. There is no audible click. His status has been monitored for the past two years. This
murmur is probably - ANS mitral stenosis
A patient who has diabetes presents with pain in his lower legs when he walks and pain
resolution with rest. When specifically asked about his pain in his lower leg, he likely will report
pain - ANS in the calf muscle
A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as
"sloughing of skin" and hospitalization. Which medication is contraindicated in this patient? -
ANS hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what symptoms indicate
worsening of his stenosis. the NP replies: - ANS shortness of breath and syncope
1
Page
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, A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk
factor for PAD? - ANS diabetes
Benazepril should be d/c immediately if - ANS pregnancy occurs
aortic regurgitation characteristics - ANS long asymptomatic period follow by exercise
intolerance, then dyspnea at rest
DVT classic symptoms - ANS swelling, pain, and discoloration of lower extremity
Characteristic of ACE-induced cough is that? - ANS usually begins two weeks of starting
therapy
Valve most commonly involved in chronic rheumatic heart disease - ANS mitral
Medication that can exacerbate HF - ANS naproxen
Patient taking ACE inhibitors should avoid? - ANS potassium supplements
Grade 3 murmur indication for a referral - ANS a fixed split
Group of meds used to treat HF - ANS fosinopril, HCTZ, verapamil
Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib. INR today is 4.0. the NP
should: - ANS stop the warfarin today and repeat INR tomorrow
According to the NHLBI, which characteristic is a coronary heart disease risk equivalent, that is,
2
Page
which risk factor places the pt. as a CHD risk similar to a hx of CHD - ANS diabetes mellitus
@COPYRIGHT BRAINBARTER 2025/2026
ANSWERS
Difference between varicose vein and arteriosclerosis - ANS Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins
A patient has poorly controlled hypertension for more than 10 years. Indicate the most likely
position of his point of maximal impulse (PMI) - ANS 5th ICS, left of MCL
A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral listening
point. There is no audible click. His status has been monitored for the past two years. This
murmur is probably - ANS mitral stenosis
A patient who has diabetes presents with pain in his lower legs when he walks and pain
resolution with rest. When specifically asked about his pain in his lower leg, he likely will report
pain - ANS in the calf muscle
A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as
"sloughing of skin" and hospitalization. Which medication is contraindicated in this patient? -
ANS hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what symptoms indicate
worsening of his stenosis. the NP replies: - ANS shortness of breath and syncope
1
Page
@COPYRIGHT BRAINBARTER 2025/2026
, A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk
factor for PAD? - ANS diabetes
Benazepril should be d/c immediately if - ANS pregnancy occurs
aortic regurgitation characteristics - ANS long asymptomatic period follow by exercise
intolerance, then dyspnea at rest
DVT classic symptoms - ANS swelling, pain, and discoloration of lower extremity
Characteristic of ACE-induced cough is that? - ANS usually begins two weeks of starting
therapy
Valve most commonly involved in chronic rheumatic heart disease - ANS mitral
Medication that can exacerbate HF - ANS naproxen
Patient taking ACE inhibitors should avoid? - ANS potassium supplements
Grade 3 murmur indication for a referral - ANS a fixed split
Group of meds used to treat HF - ANS fosinopril, HCTZ, verapamil
Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib. INR today is 4.0. the NP
should: - ANS stop the warfarin today and repeat INR tomorrow
According to the NHLBI, which characteristic is a coronary heart disease risk equivalent, that is,
2
Page
which risk factor places the pt. as a CHD risk similar to a hx of CHD - ANS diabetes mellitus
@COPYRIGHT BRAINBARTER 2025/2026
