3P EXAM STUDY APEA QUESTIONS
AND ANSWERS
Whata1woulda1causea1decreasea1ina1Digoxina1levels?a1-a1answers-Antacids
Takinga1Pyridiuma1fora1UTI,a1whata1cana1Pyridiuma1cause?a1-a1answers-
Hemolytica1Anemia
Whata1cana1PCOSa1resulta1in?a1-a1answers-
Increaseda1insulina1levelsa1(Hyperinsulinemia),a1Androgens,a1Hirsutism
Whata1area1thea1anti-hypertensivesa1useda1ina1pregnancy?a1-a1answers-
Methyldopaa1(Alpha-2-Agonist),a1Labetalol,a1Nifedipine,a1Hydralazine
Whata1isa1aa1characteristica1ofa1Placentaa1Previa?a1-a1answers-Painless,a1reda1bleeding
Whata1isa1aa1chacteristica1ofa1Rheumatoida1Arthritis?a1-a1answers-
Tender,a1warm,a1swollena1joints
Medicationsa1thata1cana1causea1ototoxicity?a1-a1answers-
Aminoglycosides,a1loopa1diuretics,a1NSAIDs,a1antihistamines,a1nasala1decongestants
Whata1isa1thea1treatmenta1timea1fora1enterobiasis?a1-a1answers-2a1weeks
Whata1doesa1MCVa1laba1valuea1measure?a1-a1answers-
Meana1Corpusculara1Volumea1helpsa1diagnosea1differenta1typesa1ofa1anemiaa1sucha1asa
1B12a1&a1Folatea1(Macrocytic)a1anda1Fea1anemiaa1(Microcytic)
Rhogama1isa1givena1ata1howa1manya1weeka1gestation?a1-a1answers-27-28a1weeks
Whata1area1Janewaya1lesionsa1anda1whata1doa1theya1indicate?a1-a1answers-
Theya1area1irregular,a1non-
tendera1hemorrhagica1maculesa1locateda1ona1thea1handsa1anda1feet.a1Seena1ina1Infectiv
ea1Endocarditis
Whata1area1Osler'sa1Nodesa1anda1whata1doa1theya1indicate?a1-a1answers-
Theya1area1splita1pea-
,sized,a1erythematous,a1tendera1nodulesa1locateda1ona1thea1padsa1ofa1thea1fingersa1anda1
toes.a1Seena1ina1Infectivea1Endocarditis
Whata1isa1thea1recommendationa1fora1Warfarina1managementa1whena1aa1patienta1misse
sa1aa1dose?a1-a1answers-
Ifa1withina112a1hoursa1ofa1thea1dosea1time,a1takea1it.a1Ifa1overa112a1hoursa1patienta1willa1n
eeda1aa1INRa1redraw
Whata1doa1wea1needa1toa1knowa1abouta1ACEsa1anda1ARBs?a1-a1answers-
Aa1drya1hackinga1cougha1isa1aa1commona1sidea1effecta1ofa1ACEsa1anda1willa1goa1awaya1
withina1aa1weeka1aftera1discontinuing.a1ACEsa1&a1ARBsa1area1indicateda1fora1patientsa1
witha1DM,a1CKD,a1anda1HTN.a1Nota1recommendeda1asa11sta1linea1agenta1witha1Africana1
Americansa1&a1cana1causea1angioedema.
Contraindicationsa1fora1Hydrochlorothiazidea1-a1answers-
Sulfaa1allergy,a1PCNa1hypersensitivity,a1Asthma,a1Gout
Systolica1Murmursa1(Benign)a1-a1answers-MRa1=a1Mitrala1Regurgea1(SOB/Fatiguea1HF)
Peytona1Manninga1=a1Physiologica1Murmura1(Asymptomatic)
ASa1=a1Aortica1Stenosisa1(Angina,a1Syncopea1HF)
MVPa1=a1Mitrala1Valvea1Prolapsea1("Click",a1Womena114-30,a1Palpitations,a1Chesta1Pain
Diastolica1Murmursa1(Abnormal)a1-a1answers-
ARa1=a1Aortica1Regurgitationa1(Angina,a1HF,a1Dizziness,a1Chesta1Pain)
MSa1=a1Mitrala1Stenosisa1(Dyspnea,a1AFib)
Whata1doesa1S1a1indicate?a1-a1answers-
S1a1Closurea1ofa1thea1Atrioventriculara1Valvesa1(Mitrala1&a1Tricuspida1Valves)
Whata1doesa1S2a1indicate?a1-a1answers-
S2a1Closurea1ofa1thea1Semilunara1Valvesa1(Aortica1&a1Pulmonica1Valves)
S3a1isa1oftena1hearda1in?a1-a1answers-
CHF,a1possiblya1normala1fora1athletica1adolescents
S4a1isa1oftena1hearda1in?a1-a1answers-
Diastolica1HF,a1Lefta1Ventriculara1Hypertrophya1(LVH),a1Poorlya1controlleda1HTN,a1MI
Treatmenta1ofa1Peripherala1Arterya1Diseasea1(PAD)a1-a1answers-
Antiplateletsa1(Plavix,a1ASA),a1Pentoxifyllinea1(Decreasesa1blooda1viscosity)
Diagnosinga1Peripherala1Arterya1Diseasea1(PAD)a1-a1answers-
Golda1Standarda1=a1Angiography
Anklea1Brachiala1Indexa1(ABI)
, Coronarya1Arterya1Diseasea1(CAD)a1treatmenta1-a1answers-Aotrvastatin/
Rosuvastatina1=a1Ifa1LDL>150a1usea1higha1doses.a1Watcha1fora1LFTsa1&a1arthralgia.a1C
hangea1typea1&a1dosea1ifa1issues.a1Helpsa1stabilizea1plaques.
Whata1medicationsa1area1indicateda1fora1HFa1treatment?a1-a1answers-
ACEs,a1ARBs,a1ARNIa1w/BBs,a1Aldosteronea1Receptera1Antagonists
Whata1isa1thea1treatmenta1fora1Sarcoptera1Scabieia1(Scabies)?a1-a1answers-
Topicala1Permetherina1massageda1froma1heada1toa1solesa1ofa1feeta1anda1washa1offa1with
a1showera1ora1batha1aftera18-14hrs.a1Treata1againa1ina11a1week.
Namesa1ofa1skina1lesions?a1-a1answers-Macule:a1Flata1<1cma1i.e.a1freckle
Papule:a1Raiseda1<1cma1i.e.a1acne
Nodule:a1Raiseda1>1cma1i.e.a1lipoma
Vesicle:a1Blistera1<1cma1i.e.a1HSV,a1Chickenpox
Bulla:a1Blistera1>1cma1i.e.a12nda1Degreea1Burn,a1Bullousa1Pemphigod
Plaque:a1Raised,a1flat-topa1>1cma1i.e.a1Psoriasisa1&a1Seborrheica1Keratoses
Patch:a1Flat,a1discoloreda1>1cma1i.e.a1Vitiligoa1&a1Port-Winea1Stains
Wheal:a1Raiseda1&a1Reda1Areaa1i.e.a1Hivesa1&a1Insecta1Bitea1reaction
Keloida1-a1answers-
Hyperthrophica1scara1thata1isa1invasivea1beyonda1pointa1ofa1originala1injury
Whata1isa1Tineaa1Capitisa1anda1Whata1isa1thea1treatment?a1-a1answers-Scalpa1Ring-
Worm.a1Round,a1scalya1patchesa1ona1scalpa1(Cradlea1Cap).a1Treatmenta1isa1Grisefulvina
1500mga1witha1higha1fata1mealsa1fora14-6weeks
Whata1isa1Tineaa1Corporisa1anda1Whata1isa1thea1treatment?a1-a1answers-Bodya1Ring-
Worm.a1Red,a1scalya1plaquesa1ona1thea1bodya1ora1trunka1ina1aa1ring-like/
circulara1pattern.a1Topicala1Azolesa1(I.E.a1Clotrimazole)a1fora12a1weeks.
Howa1doa1youa1assessa1Melanoma?a1-a1answers-
ABCDEa1(Asymmetry,a1Border,a1Color,a1Diametera1>6mm,a1anda1Evolution/Elevation
Signsa1&a1Symptomsa1ofa1Psoriasis?a1-a1answers-Silvery-
Whitea1Scales,a1Pitteda1Nails,a1Positivea1Auspitza1Signa1(Pinpointa1bleedinga1whena1lesi
ons/scalesa1area1scraped)
Factsa1abouta1Shinglesa1(Herpesa1Zoster)a1-a1answers--
a1Unilaterala1Dermatomala1Rasha1whicha1startsa1asa1aa1painfula1reda1rasha1(patch)a1and
a1progressesa1toa1blistersa1(vesicles).
a1-
a1Posta1herpetica1neuralgiaa1paina1isa1commona1anda1cana1lasta1longera1thana11a1month
a1aftera1rasha1resolves.a1
-a1Maya1transmita1chickenpoxa1virusa1toa1unvaccinateda1&a1susceptiblea1patients.a1
AND ANSWERS
Whata1woulda1causea1decreasea1ina1Digoxina1levels?a1-a1answers-Antacids
Takinga1Pyridiuma1fora1UTI,a1whata1cana1Pyridiuma1cause?a1-a1answers-
Hemolytica1Anemia
Whata1cana1PCOSa1resulta1in?a1-a1answers-
Increaseda1insulina1levelsa1(Hyperinsulinemia),a1Androgens,a1Hirsutism
Whata1area1thea1anti-hypertensivesa1useda1ina1pregnancy?a1-a1answers-
Methyldopaa1(Alpha-2-Agonist),a1Labetalol,a1Nifedipine,a1Hydralazine
Whata1isa1aa1characteristica1ofa1Placentaa1Previa?a1-a1answers-Painless,a1reda1bleeding
Whata1isa1aa1chacteristica1ofa1Rheumatoida1Arthritis?a1-a1answers-
Tender,a1warm,a1swollena1joints
Medicationsa1thata1cana1causea1ototoxicity?a1-a1answers-
Aminoglycosides,a1loopa1diuretics,a1NSAIDs,a1antihistamines,a1nasala1decongestants
Whata1isa1thea1treatmenta1timea1fora1enterobiasis?a1-a1answers-2a1weeks
Whata1doesa1MCVa1laba1valuea1measure?a1-a1answers-
Meana1Corpusculara1Volumea1helpsa1diagnosea1differenta1typesa1ofa1anemiaa1sucha1asa
1B12a1&a1Folatea1(Macrocytic)a1anda1Fea1anemiaa1(Microcytic)
Rhogama1isa1givena1ata1howa1manya1weeka1gestation?a1-a1answers-27-28a1weeks
Whata1area1Janewaya1lesionsa1anda1whata1doa1theya1indicate?a1-a1answers-
Theya1area1irregular,a1non-
tendera1hemorrhagica1maculesa1locateda1ona1thea1handsa1anda1feet.a1Seena1ina1Infectiv
ea1Endocarditis
Whata1area1Osler'sa1Nodesa1anda1whata1doa1theya1indicate?a1-a1answers-
Theya1area1splita1pea-
,sized,a1erythematous,a1tendera1nodulesa1locateda1ona1thea1padsa1ofa1thea1fingersa1anda1
toes.a1Seena1ina1Infectivea1Endocarditis
Whata1isa1thea1recommendationa1fora1Warfarina1managementa1whena1aa1patienta1misse
sa1aa1dose?a1-a1answers-
Ifa1withina112a1hoursa1ofa1thea1dosea1time,a1takea1it.a1Ifa1overa112a1hoursa1patienta1willa1n
eeda1aa1INRa1redraw
Whata1doa1wea1needa1toa1knowa1abouta1ACEsa1anda1ARBs?a1-a1answers-
Aa1drya1hackinga1cougha1isa1aa1commona1sidea1effecta1ofa1ACEsa1anda1willa1goa1awaya1
withina1aa1weeka1aftera1discontinuing.a1ACEsa1&a1ARBsa1area1indicateda1fora1patientsa1
witha1DM,a1CKD,a1anda1HTN.a1Nota1recommendeda1asa11sta1linea1agenta1witha1Africana1
Americansa1&a1cana1causea1angioedema.
Contraindicationsa1fora1Hydrochlorothiazidea1-a1answers-
Sulfaa1allergy,a1PCNa1hypersensitivity,a1Asthma,a1Gout
Systolica1Murmursa1(Benign)a1-a1answers-MRa1=a1Mitrala1Regurgea1(SOB/Fatiguea1HF)
Peytona1Manninga1=a1Physiologica1Murmura1(Asymptomatic)
ASa1=a1Aortica1Stenosisa1(Angina,a1Syncopea1HF)
MVPa1=a1Mitrala1Valvea1Prolapsea1("Click",a1Womena114-30,a1Palpitations,a1Chesta1Pain
Diastolica1Murmursa1(Abnormal)a1-a1answers-
ARa1=a1Aortica1Regurgitationa1(Angina,a1HF,a1Dizziness,a1Chesta1Pain)
MSa1=a1Mitrala1Stenosisa1(Dyspnea,a1AFib)
Whata1doesa1S1a1indicate?a1-a1answers-
S1a1Closurea1ofa1thea1Atrioventriculara1Valvesa1(Mitrala1&a1Tricuspida1Valves)
Whata1doesa1S2a1indicate?a1-a1answers-
S2a1Closurea1ofa1thea1Semilunara1Valvesa1(Aortica1&a1Pulmonica1Valves)
S3a1isa1oftena1hearda1in?a1-a1answers-
CHF,a1possiblya1normala1fora1athletica1adolescents
S4a1isa1oftena1hearda1in?a1-a1answers-
Diastolica1HF,a1Lefta1Ventriculara1Hypertrophya1(LVH),a1Poorlya1controlleda1HTN,a1MI
Treatmenta1ofa1Peripherala1Arterya1Diseasea1(PAD)a1-a1answers-
Antiplateletsa1(Plavix,a1ASA),a1Pentoxifyllinea1(Decreasesa1blooda1viscosity)
Diagnosinga1Peripherala1Arterya1Diseasea1(PAD)a1-a1answers-
Golda1Standarda1=a1Angiography
Anklea1Brachiala1Indexa1(ABI)
, Coronarya1Arterya1Diseasea1(CAD)a1treatmenta1-a1answers-Aotrvastatin/
Rosuvastatina1=a1Ifa1LDL>150a1usea1higha1doses.a1Watcha1fora1LFTsa1&a1arthralgia.a1C
hangea1typea1&a1dosea1ifa1issues.a1Helpsa1stabilizea1plaques.
Whata1medicationsa1area1indicateda1fora1HFa1treatment?a1-a1answers-
ACEs,a1ARBs,a1ARNIa1w/BBs,a1Aldosteronea1Receptera1Antagonists
Whata1isa1thea1treatmenta1fora1Sarcoptera1Scabieia1(Scabies)?a1-a1answers-
Topicala1Permetherina1massageda1froma1heada1toa1solesa1ofa1feeta1anda1washa1offa1with
a1showera1ora1batha1aftera18-14hrs.a1Treata1againa1ina11a1week.
Namesa1ofa1skina1lesions?a1-a1answers-Macule:a1Flata1<1cma1i.e.a1freckle
Papule:a1Raiseda1<1cma1i.e.a1acne
Nodule:a1Raiseda1>1cma1i.e.a1lipoma
Vesicle:a1Blistera1<1cma1i.e.a1HSV,a1Chickenpox
Bulla:a1Blistera1>1cma1i.e.a12nda1Degreea1Burn,a1Bullousa1Pemphigod
Plaque:a1Raised,a1flat-topa1>1cma1i.e.a1Psoriasisa1&a1Seborrheica1Keratoses
Patch:a1Flat,a1discoloreda1>1cma1i.e.a1Vitiligoa1&a1Port-Winea1Stains
Wheal:a1Raiseda1&a1Reda1Areaa1i.e.a1Hivesa1&a1Insecta1Bitea1reaction
Keloida1-a1answers-
Hyperthrophica1scara1thata1isa1invasivea1beyonda1pointa1ofa1originala1injury
Whata1isa1Tineaa1Capitisa1anda1Whata1isa1thea1treatment?a1-a1answers-Scalpa1Ring-
Worm.a1Round,a1scalya1patchesa1ona1scalpa1(Cradlea1Cap).a1Treatmenta1isa1Grisefulvina
1500mga1witha1higha1fata1mealsa1fora14-6weeks
Whata1isa1Tineaa1Corporisa1anda1Whata1isa1thea1treatment?a1-a1answers-Bodya1Ring-
Worm.a1Red,a1scalya1plaquesa1ona1thea1bodya1ora1trunka1ina1aa1ring-like/
circulara1pattern.a1Topicala1Azolesa1(I.E.a1Clotrimazole)a1fora12a1weeks.
Howa1doa1youa1assessa1Melanoma?a1-a1answers-
ABCDEa1(Asymmetry,a1Border,a1Color,a1Diametera1>6mm,a1anda1Evolution/Elevation
Signsa1&a1Symptomsa1ofa1Psoriasis?a1-a1answers-Silvery-
Whitea1Scales,a1Pitteda1Nails,a1Positivea1Auspitza1Signa1(Pinpointa1bleedinga1whena1lesi
ons/scalesa1area1scraped)
Factsa1abouta1Shinglesa1(Herpesa1Zoster)a1-a1answers--
a1Unilaterala1Dermatomala1Rasha1whicha1startsa1asa1aa1painfula1reda1rasha1(patch)a1and
a1progressesa1toa1blistersa1(vesicles).
a1-
a1Posta1herpetica1neuralgiaa1paina1isa1commona1anda1cana1lasta1longera1thana11a1month
a1aftera1rasha1resolves.a1
-a1Maya1transmita1chickenpoxa1virusa1toa1unvaccinateda1&a1susceptiblea1patients.a1