APEA 3P ACTUAL EXAM TEST BANK QUESTIONS AND VERIFIED ANSWERS
2024/2025
What would cause decrease in Digoxin levels? - (answers)Antacids
Taking Pyridium for UTI, what can Pyridium cause? - (answers)Hemolytic Anemia
What can PCOS result in? - (answers)Increased insulin levels (Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - (answers)Methyldopa (Alpha-2-Agonist), Labetalol,
Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - (answers)Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - (answers)Tender, warm, swollen joints
Medications that can cause ototoxicity? - (answers)Aminoglycosides, loop diuretics, NSAIDs,
antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - (answers)2 weeks
What does MCV lab value measure? - (answers)Mean Corpuscular Volume helps diagnose different types
of anemia such as B12 & Folate (Macrocytic) and Fe anemia (Microcytic)
Rhogam is given at how many week gestation? - (answers)27-28 weeks
What are Janeway lesions and what do they indicate? - (answers)They are irregular, non-tender
hemorrhagic macules located on the hands and feet. Seen in Infective Endocarditis
,What are Osler's Nodes and what do they indicate? - (answers)They are split pea-sized, erythematous,
tender nodules located on the pads of the fingers and toes. Seen in Infective Endocarditis
What is the recommendation for Warfarin management when a patient misses a dose? - (answers)If
within 12 hours of the dose time, take it. If over 12 hours patient will need a INR redraw
What do we need to know about ACEs and ARBs? - (answers)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.
Contraindications for Hydrochlorothiazide - (answers)Sulfa allergy, PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - (answers)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
Diastolic Murmurs (Abnormal) - (answers)AR = Aortic Regurgitation (Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - (answers)S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid Valves)
What does S2 indicate? - (answers)S2 Closure of the Semilunar Valves (Aortic & Pulmonic Valves)
S3 is often heard in? - (answers)CHF, possibly normal for athletic adolescents
, S4 is often heard in? - (answers)Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly controlled HTN,
MI
Treatment of Peripheral Artery Disease (PAD) - (answers)Antiplatelets (Plavix, ASA), Pentoxifylline
(Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - (answers)Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - (answers)Aotrvastatin/Rosuvastatin = If LDL>150 use high
doses. Watch for LFTs & arthralgia. Change type & dose if issues. Helps stabilize plaques.
What medications are indicated for HF treatment? - (answers)ACEs, ARBs, ARNI w/BBs, Aldosterone
Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - (answers)Topical Permetherin massaged from
head to soles of feet and wash off with shower or bath after 8-14hrs. Treat again in 1 week.
Names of skin lesions? - (answers)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
2024/2025
What would cause decrease in Digoxin levels? - (answers)Antacids
Taking Pyridium for UTI, what can Pyridium cause? - (answers)Hemolytic Anemia
What can PCOS result in? - (answers)Increased insulin levels (Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - (answers)Methyldopa (Alpha-2-Agonist), Labetalol,
Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - (answers)Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - (answers)Tender, warm, swollen joints
Medications that can cause ototoxicity? - (answers)Aminoglycosides, loop diuretics, NSAIDs,
antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - (answers)2 weeks
What does MCV lab value measure? - (answers)Mean Corpuscular Volume helps diagnose different types
of anemia such as B12 & Folate (Macrocytic) and Fe anemia (Microcytic)
Rhogam is given at how many week gestation? - (answers)27-28 weeks
What are Janeway lesions and what do they indicate? - (answers)They are irregular, non-tender
hemorrhagic macules located on the hands and feet. Seen in Infective Endocarditis
,What are Osler's Nodes and what do they indicate? - (answers)They are split pea-sized, erythematous,
tender nodules located on the pads of the fingers and toes. Seen in Infective Endocarditis
What is the recommendation for Warfarin management when a patient misses a dose? - (answers)If
within 12 hours of the dose time, take it. If over 12 hours patient will need a INR redraw
What do we need to know about ACEs and ARBs? - (answers)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.
Contraindications for Hydrochlorothiazide - (answers)Sulfa allergy, PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - (answers)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
Diastolic Murmurs (Abnormal) - (answers)AR = Aortic Regurgitation (Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - (answers)S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid Valves)
What does S2 indicate? - (answers)S2 Closure of the Semilunar Valves (Aortic & Pulmonic Valves)
S3 is often heard in? - (answers)CHF, possibly normal for athletic adolescents
, S4 is often heard in? - (answers)Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly controlled HTN,
MI
Treatment of Peripheral Artery Disease (PAD) - (answers)Antiplatelets (Plavix, ASA), Pentoxifylline
(Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - (answers)Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - (answers)Aotrvastatin/Rosuvastatin = If LDL>150 use high
doses. Watch for LFTs & arthralgia. Change type & dose if issues. Helps stabilize plaques.
What medications are indicated for HF treatment? - (answers)ACEs, ARBs, ARNI w/BBs, Aldosterone
Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - (answers)Topical Permetherin massaged from
head to soles of feet and wash off with shower or bath after 8-14hrs. Treat again in 1 week.
Names of skin lesions? - (answers)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
