-NR 603 APEA.. 2025 ACTUAL QUESTION &
VERIFIED ANSWERS*
ABmajorBdifferenceBbetweenBvaricoseBveinsBandBarteriosclerosisB-BCORRECTBANSWER-
ArteriosclerosisBaffectsBtheBarteriesBandBisBmoreBcommonBinBmenBafterBageB70Byears.B
VaricoseBveinsBaffectBtheBveins.BandBisBmoreBcommonBinBwomen.
ABptBhadBpoorlyBcontrolledBhypertensionBforBmoreBthanB10ByearsBWhereBwouldBtheBPMIBpointBofB
maximalBimpulseBbeB-BCORRECTBANSWER-CorrectB5thBICSBleftBofBMCL-
ThisBisBbecauseBofBcertainBdiseasesBlikeBheartBfailureBorBcardiomyopathyBorBhypertensionBcanBdispl
aceBtheBapicalBimpulseBtoBtheBleftBlaterally.B
TheBnormalBPMIBisBatB5thBintercostalBspaceBmidclavicular.
43ByrBoldBmaleBhasBaudibleBmurmurBbestBheardBinBtheBmitralBlisteningBpoint.BThereBisBnotBaudibleB
click.BHisBstatusBhasBbeenBmonitoredBforBtheBpastB2Byears.BTheBmurmurBisBprobablyBheard:B-
BCORRECTBANSWER-Correct-BMitralBStenosisBbecauseBitBproducesBonlyBdiastolicBmurmurBlistedB
-BMitralBProlapseBisBaBsystolicBmurmurBwithBaBmidBtoBlateBsystolicBclick
-BAcuteBMitralBRegurgitation-
BusuallyBdevelopsBafterBruptureBofBtheBchordaeBtendineae,BruptureBpapillaryBmuscleBafterBanBMIBo
rBsecondaryBtoBbacterialBendocarditis.BThisBptBwouldBabruptlyBdeteriate.
PtBwithBdiabetesBpresentBwithBpainBinBhisBlowerBlegsBwhenBheBwalksBandBpainBresolutionBwithBrest.
BWhenBaskedBaboutBpainBinBhisBlowerBlegBheBlikeBwithBwillBreportBpainB-BCORRECTBANSWER-
HeBwillBhaveBpainBinBtheBCALFBmuscle.BThisBisBsymptomsBofBARTERIOSCLEROSIS-
BsymptomsBareBintermittentBclaudication.
ABptBwithBhypertensionBdescribedBaBpreviousBallergicBreactionBtoBsulfaBantibioticsBasBsloughingBofB
skinBandBhospitalized.BWhichBmedicationBisBcontraindicatedBinBthisBpt.B-BCORRECTBANSWER-
Hydrochlorothiazide-
BhasBaBsulfonamideBringBwhichBmakesBanyoneBallergicBtoBsulfaBdrugsBshouldBnotBtakeBthisBmedicati
on
AB75ByrBoldBptBwhoBhasBaorticBstenosisBwantesBtoBknowBwhatBsymtomsBindicateBworseningBofBhisBs
tenosisB-BCORRECTBANSWER-CorrectBAnswerBShortnessBofBbreathBandBsyncope
VERIFIED ANSWERS*
ABmajorBdifferenceBbetweenBvaricoseBveinsBandBarteriosclerosisB-BCORRECTBANSWER-
ArteriosclerosisBaffectsBtheBarteriesBandBisBmoreBcommonBinBmenBafterBageB70Byears.B
VaricoseBveinsBaffectBtheBveins.BandBisBmoreBcommonBinBwomen.
ABptBhadBpoorlyBcontrolledBhypertensionBforBmoreBthanB10ByearsBWhereBwouldBtheBPMIBpointBofB
maximalBimpulseBbeB-BCORRECTBANSWER-CorrectB5thBICSBleftBofBMCL-
ThisBisBbecauseBofBcertainBdiseasesBlikeBheartBfailureBorBcardiomyopathyBorBhypertensionBcanBdispl
aceBtheBapicalBimpulseBtoBtheBleftBlaterally.B
TheBnormalBPMIBisBatB5thBintercostalBspaceBmidclavicular.
43ByrBoldBmaleBhasBaudibleBmurmurBbestBheardBinBtheBmitralBlisteningBpoint.BThereBisBnotBaudibleB
click.BHisBstatusBhasBbeenBmonitoredBforBtheBpastB2Byears.BTheBmurmurBisBprobablyBheard:B-
BCORRECTBANSWER-Correct-BMitralBStenosisBbecauseBitBproducesBonlyBdiastolicBmurmurBlistedB
-BMitralBProlapseBisBaBsystolicBmurmurBwithBaBmidBtoBlateBsystolicBclick
-BAcuteBMitralBRegurgitation-
BusuallyBdevelopsBafterBruptureBofBtheBchordaeBtendineae,BruptureBpapillaryBmuscleBafterBanBMIBo
rBsecondaryBtoBbacterialBendocarditis.BThisBptBwouldBabruptlyBdeteriate.
PtBwithBdiabetesBpresentBwithBpainBinBhisBlowerBlegsBwhenBheBwalksBandBpainBresolutionBwithBrest.
BWhenBaskedBaboutBpainBinBhisBlowerBlegBheBlikeBwithBwillBreportBpainB-BCORRECTBANSWER-
HeBwillBhaveBpainBinBtheBCALFBmuscle.BThisBisBsymptomsBofBARTERIOSCLEROSIS-
BsymptomsBareBintermittentBclaudication.
ABptBwithBhypertensionBdescribedBaBpreviousBallergicBreactionBtoBsulfaBantibioticsBasBsloughingBofB
skinBandBhospitalized.BWhichBmedicationBisBcontraindicatedBinBthisBpt.B-BCORRECTBANSWER-
Hydrochlorothiazide-
BhasBaBsulfonamideBringBwhichBmakesBanyoneBallergicBtoBsulfaBdrugsBshouldBnotBtakeBthisBmedicati
on
AB75ByrBoldBptBwhoBhasBaorticBstenosisBwantesBtoBknowBwhatBsymtomsBindicateBworseningBofBhisBs
tenosisB-BCORRECTBANSWER-CorrectBAnswerBShortnessBofBbreathBandBsyncope