APEA 3P Exam
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1. What would cause decrease in Digoxin levels?: Antacids
2. Taking Pyridium for UTI, what can Pyridium cause?: Hemolytic Anemia
3. What can PCOS result in?: Increased insulin levels (Hyperinsulinemia), Androgens, Hirsutism
4. What are the anti-hypertensives used in pregnancy?: Methyldopa (Alpha-2-Agonist),
Labetalol, Nifedipine, Hydralazine
5. What is a characteristic of Placenta Previa?: Painless, red bleeding
6. What is a chacteristic of Rheumatoid Arthritis?: Tender, warm, swollen joints
7. Medications that can cause ototoxicity?: Aminoglycosides, loop diuretics, NSAIDs, antihista-
mines, nasal decongestants
8. What is the treatment time for enterobiasis?: 2 weeks
9. What does MCV lab value measure?: Mean Corpuscular Volume helps diagnose different types of
anemia such as B12 & Folate (Macrocytic) and Fe anemia (Microcytic)
10. Rhogam is given at how many week gestation?: 27-28 weeks
11. What are Janeway lesions and what do they indicate?: They are irregular, non-tender
hemorrhagic macules located on the hands and feet. Seen in Infective Endocarditis
12. What are Osler's Nodes and what do they indicate?: They are split pea-sized, erythema-
tous, tender nodules located on the pads of the fingers and toes. Seen in Infective Endocarditis
13. What is the recommendation for Warfarin management when a patient
misses a dose?: If within 12 hours of the dose time, take it. If over 12 hours patient will need a INR redraw
14. What do we need to know about ACEs and ARBs?: 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.
15. Contraindications for Hydrochlorothiazide: Sulfa allergy, PCN hypersensitivity, Asthma, Gout
16. Systolic Murmurs (Benign): 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
17. Diastolic Murmurs (Abnormal): AR = Aortic Regurgitation (Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
18. What does S1 indicate?: S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid Valves)
19. What does S2 indicate?: S2 Closure of the Semilunar Valves (Aortic & Pulmonic Valves)
20. S3 is often heard in?: CHF, possibly normal for athletic adolescents
, APEA 3P Exam
Study online at https://quizlet.com/_gz276t
21. S4 is often heard in?: Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly controlled HTN, MI
22. Treatment of Peripheral Artery Disease (PAD): Antiplatelets (Plavix, ASA), Pentoxifylline
(Decreases blood viscosity)
23. Diagnosing Peripheral Artery Disease (PAD): Gold Standard = Angiography
Ankle Brachial Index (ABI)
24. Coronary Artery Disease (CAD) treatment: Aotrvastatin/Rosuvastatin = If LDL>150 use high
doses. Watch for LFTs & arthralgia. Change type & dose if issues. Helps stabilize plaques.
25. What medications are indicated for HF treatment?: ACEs, ARBs, ARNI w/BBs, Aldosterone
Recepter Antagonists
26. What is the treatment for Sarcopter Scabiei (Scabies)?: Topical Permetherin massaged
from head to soles of feet and wash off with shower or bath after 8-14hrs. Treat again in 1 week.
27. Names of skin lesions?: Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
Vesicle: Blister <1cm i.e. HSV, Chickenpox
Bulla: Blister >1cm i.e. 2nd Degree Burn, Bullous Pemphigod
Plaque: Raised, flat-top >1cm i.e. Psoriasis & Seborrheic Keratoses
Patch: Flat, discolored >1cm i.e. Vitiligo & Port-Wine Stains
Wheal: Raised & Red Area i.e. Hives & Insect Bite reaction
28. Keloid: Hyperthrophic scar that is invasive beyond point of original injury
29. What is Tinea Capitis and What is the treatment?: Scalp Ring-Worm. Round, scaly patches
on scalp (Cradle Cap). Treatment is Grisefulvin 500mg with high fat meals for 4-6weeks
30. What is Tinea Corporis and What is the treatment?: Body Ring-Worm. Red, scaly plaques
on the body or trunk in a ring-like/circular pattern. Topical Azoles (I.E. Clotrimazole) for 2 weeks.
31. How do you assess Melanoma?: ABCDE (Asymmetry, Border, Color, Diameter >6mm, and Evolu-
tion/Elevation
32. Signs & Symptoms of Psoriasis?: Silvery-White Scales, Pitted Nails, Positive Auspitz Sign (Pinpoint
bleeding when lesions/scales are scraped)
33. Facts about Shingles (Herpes Zoster): - Unilateral Dermatomal Rash which starts as a painful red
rash (patch) and progresses to blisters (vesicles).
- Post herpetic neuralgia pain is common and can last longer than 1 month after rash resolves.
- May transmit chickenpox virus to unvaccinated & susceptible patients.
Study online at https://quizlet.com/_gz276t
1. What would cause decrease in Digoxin levels?: Antacids
2. Taking Pyridium for UTI, what can Pyridium cause?: Hemolytic Anemia
3. What can PCOS result in?: Increased insulin levels (Hyperinsulinemia), Androgens, Hirsutism
4. What are the anti-hypertensives used in pregnancy?: Methyldopa (Alpha-2-Agonist),
Labetalol, Nifedipine, Hydralazine
5. What is a characteristic of Placenta Previa?: Painless, red bleeding
6. What is a chacteristic of Rheumatoid Arthritis?: Tender, warm, swollen joints
7. Medications that can cause ototoxicity?: Aminoglycosides, loop diuretics, NSAIDs, antihista-
mines, nasal decongestants
8. What is the treatment time for enterobiasis?: 2 weeks
9. What does MCV lab value measure?: Mean Corpuscular Volume helps diagnose different types of
anemia such as B12 & Folate (Macrocytic) and Fe anemia (Microcytic)
10. Rhogam is given at how many week gestation?: 27-28 weeks
11. What are Janeway lesions and what do they indicate?: They are irregular, non-tender
hemorrhagic macules located on the hands and feet. Seen in Infective Endocarditis
12. What are Osler's Nodes and what do they indicate?: They are split pea-sized, erythema-
tous, tender nodules located on the pads of the fingers and toes. Seen in Infective Endocarditis
13. What is the recommendation for Warfarin management when a patient
misses a dose?: If within 12 hours of the dose time, take it. If over 12 hours patient will need a INR redraw
14. What do we need to know about ACEs and ARBs?: 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.
15. Contraindications for Hydrochlorothiazide: Sulfa allergy, PCN hypersensitivity, Asthma, Gout
16. Systolic Murmurs (Benign): 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
17. Diastolic Murmurs (Abnormal): AR = Aortic Regurgitation (Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
18. What does S1 indicate?: S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid Valves)
19. What does S2 indicate?: S2 Closure of the Semilunar Valves (Aortic & Pulmonic Valves)
20. S3 is often heard in?: CHF, possibly normal for athletic adolescents
, APEA 3P Exam
Study online at https://quizlet.com/_gz276t
21. S4 is often heard in?: Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly controlled HTN, MI
22. Treatment of Peripheral Artery Disease (PAD): Antiplatelets (Plavix, ASA), Pentoxifylline
(Decreases blood viscosity)
23. Diagnosing Peripheral Artery Disease (PAD): Gold Standard = Angiography
Ankle Brachial Index (ABI)
24. Coronary Artery Disease (CAD) treatment: Aotrvastatin/Rosuvastatin = If LDL>150 use high
doses. Watch for LFTs & arthralgia. Change type & dose if issues. Helps stabilize plaques.
25. What medications are indicated for HF treatment?: ACEs, ARBs, ARNI w/BBs, Aldosterone
Recepter Antagonists
26. What is the treatment for Sarcopter Scabiei (Scabies)?: Topical Permetherin massaged
from head to soles of feet and wash off with shower or bath after 8-14hrs. Treat again in 1 week.
27. Names of skin lesions?: Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
Vesicle: Blister <1cm i.e. HSV, Chickenpox
Bulla: Blister >1cm i.e. 2nd Degree Burn, Bullous Pemphigod
Plaque: Raised, flat-top >1cm i.e. Psoriasis & Seborrheic Keratoses
Patch: Flat, discolored >1cm i.e. Vitiligo & Port-Wine Stains
Wheal: Raised & Red Area i.e. Hives & Insect Bite reaction
28. Keloid: Hyperthrophic scar that is invasive beyond point of original injury
29. What is Tinea Capitis and What is the treatment?: Scalp Ring-Worm. Round, scaly patches
on scalp (Cradle Cap). Treatment is Grisefulvin 500mg with high fat meals for 4-6weeks
30. What is Tinea Corporis and What is the treatment?: Body Ring-Worm. Red, scaly plaques
on the body or trunk in a ring-like/circular pattern. Topical Azoles (I.E. Clotrimazole) for 2 weeks.
31. How do you assess Melanoma?: ABCDE (Asymmetry, Border, Color, Diameter >6mm, and Evolu-
tion/Elevation
32. Signs & Symptoms of Psoriasis?: Silvery-White Scales, Pitted Nails, Positive Auspitz Sign (Pinpoint
bleeding when lesions/scales are scraped)
33. Facts about Shingles (Herpes Zoster): - Unilateral Dermatomal Rash which starts as a painful red
rash (patch) and progresses to blisters (vesicles).
- Post herpetic neuralgia pain is common and can last longer than 1 month after rash resolves.
- May transmit chickenpox virus to unvaccinated & susceptible patients.
