APEA 3P
Exam Complete Study Guide – 186 Questions, Multiple
Choice, & Full Rationales (NP Board Review), 100%
Guaranteed Pass || Complete A+ Guide
Ascorers Stuvia
This Document Contains:
APEA 3P Exam Complete Study Guide
186 Questions, Multiple Choice, & Full Rationales
100% Guaranteed Pass
Complete A+ Guide
NP Board Review
, APEA 3P Exam Complete Study Guide – 186
Questions, Multiple Choice, & Full Rationales (NP
Board Review)
1. What would cause a decrease in Digoxin levels?
A. Beta-blockers
B. Antacids
C. Calcium-channel blockers
D. ACE inhibitors
Answer: B. Antacids
Expert Rationale:
Antacids bind with many medications in the GI tract and reduce their absorption,
including Digoxin.
This decreased absorption lowers serum Digoxin levels, reducing therapeutic
effect.
Patients should be instructed to separate Digoxin and antacids by at least 2 hours.
Failure to do so can result in subtherapeutic Digoxin levels and worsening heart
failure symptoms.
Clinicians should monitor Digoxin levels if antacid use is frequent.
,2. Taking Pyridium for a UTI—what can Pyridium
cause?
A. Thrombocytopenia
B. Hemolytic anemia
C. Renal stones
D. Bradycardia
Answer: B. Hemolytic anemia
Expert Rationale:
Phenazopyridine (Pyridium) is a urinary analgesic used for UTI symptom relief.
A rare but serious adverse effect is hemolytic anemia, especially in patients with
G6PD deficiency.
This occurs due to oxidative stress on red blood cells from the medication.
Symptoms may include jaundice, fatigue, and dark urine.
The drug should not be used long-term and is intended only for short symptomatic
relief.
3. PCOS can result in which of the following?
A. Low insulin levels
B. Hyperinsulinemia and androgen excess
C. Low androgen levels
D. Decreased hair growth
, Answer: B. Hyperinsulinemia and androgen excess
Expert Rationale:
Polycystic Ovary Syndrome is associated with insulin resistance, leading to
elevated insulin levels.
High insulin stimulates ovarian androgen production, worsening symptoms.
Excess androgens contribute to hirsutism, acne, and menstrual irregularities.
The metabolic changes also increase long-term risks (e.g., diabetes).
Management focuses on insulin control and hormonal balance.
4. Which antihypertensives are commonly used in
pregnancy?
A. ACE inhibitors, ARBs
B. Methyldopa, labetalol, nifedipine, hydralazine
C. Propranolol, atenolol
D. Spironolactone
Answer: B. Methyldopa, labetalol, nifedipine, hydralazine
Expert Rationale:
These medications have the best established safety profile in pregnancy.
ACE inhibitors and ARBs are contraindicated due to fetal kidney injury.
Labetalol is often the first-line medication due to efficacy and tolerability.
Nifedipine is used for acute or chronic BP control.
Hydralazine is commonly used for severe hypertension.
Exam Complete Study Guide – 186 Questions, Multiple
Choice, & Full Rationales (NP Board Review), 100%
Guaranteed Pass || Complete A+ Guide
Ascorers Stuvia
This Document Contains:
APEA 3P Exam Complete Study Guide
186 Questions, Multiple Choice, & Full Rationales
100% Guaranteed Pass
Complete A+ Guide
NP Board Review
, APEA 3P Exam Complete Study Guide – 186
Questions, Multiple Choice, & Full Rationales (NP
Board Review)
1. What would cause a decrease in Digoxin levels?
A. Beta-blockers
B. Antacids
C. Calcium-channel blockers
D. ACE inhibitors
Answer: B. Antacids
Expert Rationale:
Antacids bind with many medications in the GI tract and reduce their absorption,
including Digoxin.
This decreased absorption lowers serum Digoxin levels, reducing therapeutic
effect.
Patients should be instructed to separate Digoxin and antacids by at least 2 hours.
Failure to do so can result in subtherapeutic Digoxin levels and worsening heart
failure symptoms.
Clinicians should monitor Digoxin levels if antacid use is frequent.
,2. Taking Pyridium for a UTI—what can Pyridium
cause?
A. Thrombocytopenia
B. Hemolytic anemia
C. Renal stones
D. Bradycardia
Answer: B. Hemolytic anemia
Expert Rationale:
Phenazopyridine (Pyridium) is a urinary analgesic used for UTI symptom relief.
A rare but serious adverse effect is hemolytic anemia, especially in patients with
G6PD deficiency.
This occurs due to oxidative stress on red blood cells from the medication.
Symptoms may include jaundice, fatigue, and dark urine.
The drug should not be used long-term and is intended only for short symptomatic
relief.
3. PCOS can result in which of the following?
A. Low insulin levels
B. Hyperinsulinemia and androgen excess
C. Low androgen levels
D. Decreased hair growth
, Answer: B. Hyperinsulinemia and androgen excess
Expert Rationale:
Polycystic Ovary Syndrome is associated with insulin resistance, leading to
elevated insulin levels.
High insulin stimulates ovarian androgen production, worsening symptoms.
Excess androgens contribute to hirsutism, acne, and menstrual irregularities.
The metabolic changes also increase long-term risks (e.g., diabetes).
Management focuses on insulin control and hormonal balance.
4. Which antihypertensives are commonly used in
pregnancy?
A. ACE inhibitors, ARBs
B. Methyldopa, labetalol, nifedipine, hydralazine
C. Propranolol, atenolol
D. Spironolactone
Answer: B. Methyldopa, labetalol, nifedipine, hydralazine
Expert Rationale:
These medications have the best established safety profile in pregnancy.
ACE inhibitors and ARBs are contraindicated due to fetal kidney injury.
Labetalol is often the first-line medication due to efficacy and tolerability.
Nifedipine is used for acute or chronic BP control.
Hydralazine is commonly used for severe hypertension.
