APEA 3P EXAM WITH COMPLETE SOLUTION GRADED A+.
1. The .groove .of .the .metacarpophalangeal .joint .can .be .palpated .by .having .the
patient...: .Flex .their .hand/spread .their .fingers
2. When .auscultating .breath .sounds .in .a .patient .who .has .left .sided .heart
. failure, .the .breath .sounds .are...: .Vesicular .with .late .inspiratory .crackles .in
the .dependent .portions .of .the .lungs .and .resonant .on .percussion
.
3. The .ankle-brachial .index .is .a .screening .test .used .to .assess .a .person's .risk
. for...: .Peripheral .Artery .Disease .(PAD)
4. Olecranon .bursitis .maybe .caused .by .all .of .the .following .except...: .Frozen
. shoulder
5. In .patients .who .have .allergic .rhinitis, .the .nasal .mucosa .appears...: .pale
6. A .term .used .to .describe .an .increase .in .muscular .bulk .with .diminished
. strength .is...: .Pseudohypertrophy
7. If .abdominal .pain .persists .when .the .patient .raises .his .head .and .shoulders,
. the .origin .of .the .tenderness .is .probably...: .In .the .abdominal .wall
8. On .auscultation .of .the .abdomen, .rushes .of .high-pitched .sounds .are .audible
. and .coincide .with .abdominal .cramps..These .findings .are .most .consistent
with...: .Intestinal .obstruction
.
9. Ophthalmoscopic .examination .of .the .fundus .reveals .tiny, .round, .red .spots
. in .and .around .the .macular .area. T
. hese .findings .are .consistent .with...:
microa- . neurysms
.
10. Symptoms .of .subdural .hematoma .include...: .Noticeable .bleeding .between
. the .dura .and .cerebrum .on .x-ray
11. On .examination .of .the .adult .patient, .symptoms .of .fixed .posture, .tremor,
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,. rigidity, .and .shuffling .gait .are .observed..These .findings .are .consistent .with...-
: .Parkinson's .Disease
12. When .discussing .the .musculoskeletal .system, .all .of .the .following .state-
. ments .related .to .articular .structure .disease .are .true .except .which .one?: .Artic-
. ular .disease .is .usually .due .to .stiffness .or .pain
13. Focal .tenderness .over .the .trochanter .confirms...: .Bursitis
14. Assessing .the .neurological .status .of .a .child .with .a .ventriculoperitoneal
. shunt .should .include...: .Use .of .the .Glasgow .coma .scale
15. The .easiest .recognizable .clinical .manifestation(s) .of .cystic .fibrosis .in .an
. infant .is...: .Salty .taste .on .the .skin
16. A .reddish .blue, .irregularly .shaped, .solid, .and .spongy .mass .of .blood .ves-
. sels .that .may .be .present .at .birth .and .enlarge .during .the .first .10 .to .15
months . is .characteristic .of .a...: .Cavernous .hemangioma
.
17. The .hamstring .muscles .flex .at .the .knee .and .are .located .on .the...: .Posterior
. aspect .of .the .thigh
2 ./
.9
, 18. Ophthalmoscopic .examination .reveals .dark .specks .noted .between .the
fundus .and .the .lens..These .specks .are .most .likely...: .vitreous .floaters
19. When .performing .the .first .Leopold .maneuver .on .a .pregnant .woman, .if .the
. buttocks .and .head .are .not .easily .palpated .at .the .fundus, .the .fetus .is .said .to
. be .in...: .Transverse .lie
20. When .performing .a .musculoskeletal .examination, .the .nurse .practitioner
. instructs .the .patient .to .move .his .arm .in .front .of .his .body..The .motion .of .the
. shoulder .girdle .would .be .an .example .of...: .Flexion
21. To .locate .the .twelfth .rib, .palpate...: .Between .the .spine .and .lateral .chest
22. Walking .on .the .toes .and .heals .may .reveal...: .Distal .muscular .weakness .in .the
. legs
23. When .performing .a .bimanual .exam .of .the .vagina, .the .examiner .should
. lubricate .the .index .and .middle .fingers .of .the .gloved .hand. .From .a .standing
. position, .the .fingers .should .be .inserted .into .the .vagina .while .exerting .pressure
. primarily...: .posteriorly
24. During .pregnancy, .which .hormone .results .in .increased .blood .viscosity?-
: .Erythropoietin
25. Resting .tremors .refer .to .those .tremors .that .disappear: .with .voluntary .move-
. ment
26. A .patient .presents .with .complaints .of .bright .red .stools .over .the .past .week.
. This .symptom .could .be .consistent .with...: .Cancer .of .the .sigmoid .colon
27. Mydriasis .is .a .term .used .to .describe: .Dilation .of .the .pupils
28. When .performing .a .musculoskeletal .exam .on .a .patient .with .mechanical
. low .back .pain, .osteoporosis .is .expected. .Positive .findings .include .all .of
. the . following .except...: .Calf .wasting
3 ./
.9
1. The .groove .of .the .metacarpophalangeal .joint .can .be .palpated .by .having .the
patient...: .Flex .their .hand/spread .their .fingers
2. When .auscultating .breath .sounds .in .a .patient .who .has .left .sided .heart
. failure, .the .breath .sounds .are...: .Vesicular .with .late .inspiratory .crackles .in
the .dependent .portions .of .the .lungs .and .resonant .on .percussion
.
3. The .ankle-brachial .index .is .a .screening .test .used .to .assess .a .person's .risk
. for...: .Peripheral .Artery .Disease .(PAD)
4. Olecranon .bursitis .maybe .caused .by .all .of .the .following .except...: .Frozen
. shoulder
5. In .patients .who .have .allergic .rhinitis, .the .nasal .mucosa .appears...: .pale
6. A .term .used .to .describe .an .increase .in .muscular .bulk .with .diminished
. strength .is...: .Pseudohypertrophy
7. If .abdominal .pain .persists .when .the .patient .raises .his .head .and .shoulders,
. the .origin .of .the .tenderness .is .probably...: .In .the .abdominal .wall
8. On .auscultation .of .the .abdomen, .rushes .of .high-pitched .sounds .are .audible
. and .coincide .with .abdominal .cramps..These .findings .are .most .consistent
with...: .Intestinal .obstruction
.
9. Ophthalmoscopic .examination .of .the .fundus .reveals .tiny, .round, .red .spots
. in .and .around .the .macular .area. T
. hese .findings .are .consistent .with...:
microa- . neurysms
.
10. Symptoms .of .subdural .hematoma .include...: .Noticeable .bleeding .between
. the .dura .and .cerebrum .on .x-ray
11. On .examination .of .the .adult .patient, .symptoms .of .fixed .posture, .tremor,
1 ./
.9
,. rigidity, .and .shuffling .gait .are .observed..These .findings .are .consistent .with...-
: .Parkinson's .Disease
12. When .discussing .the .musculoskeletal .system, .all .of .the .following .state-
. ments .related .to .articular .structure .disease .are .true .except .which .one?: .Artic-
. ular .disease .is .usually .due .to .stiffness .or .pain
13. Focal .tenderness .over .the .trochanter .confirms...: .Bursitis
14. Assessing .the .neurological .status .of .a .child .with .a .ventriculoperitoneal
. shunt .should .include...: .Use .of .the .Glasgow .coma .scale
15. The .easiest .recognizable .clinical .manifestation(s) .of .cystic .fibrosis .in .an
. infant .is...: .Salty .taste .on .the .skin
16. A .reddish .blue, .irregularly .shaped, .solid, .and .spongy .mass .of .blood .ves-
. sels .that .may .be .present .at .birth .and .enlarge .during .the .first .10 .to .15
months . is .characteristic .of .a...: .Cavernous .hemangioma
.
17. The .hamstring .muscles .flex .at .the .knee .and .are .located .on .the...: .Posterior
. aspect .of .the .thigh
2 ./
.9
, 18. Ophthalmoscopic .examination .reveals .dark .specks .noted .between .the
fundus .and .the .lens..These .specks .are .most .likely...: .vitreous .floaters
19. When .performing .the .first .Leopold .maneuver .on .a .pregnant .woman, .if .the
. buttocks .and .head .are .not .easily .palpated .at .the .fundus, .the .fetus .is .said .to
. be .in...: .Transverse .lie
20. When .performing .a .musculoskeletal .examination, .the .nurse .practitioner
. instructs .the .patient .to .move .his .arm .in .front .of .his .body..The .motion .of .the
. shoulder .girdle .would .be .an .example .of...: .Flexion
21. To .locate .the .twelfth .rib, .palpate...: .Between .the .spine .and .lateral .chest
22. Walking .on .the .toes .and .heals .may .reveal...: .Distal .muscular .weakness .in .the
. legs
23. When .performing .a .bimanual .exam .of .the .vagina, .the .examiner .should
. lubricate .the .index .and .middle .fingers .of .the .gloved .hand. .From .a .standing
. position, .the .fingers .should .be .inserted .into .the .vagina .while .exerting .pressure
. primarily...: .posteriorly
24. During .pregnancy, .which .hormone .results .in .increased .blood .viscosity?-
: .Erythropoietin
25. Resting .tremors .refer .to .those .tremors .that .disappear: .with .voluntary .move-
. ment
26. A .patient .presents .with .complaints .of .bright .red .stools .over .the .past .week.
. This .symptom .could .be .consistent .with...: .Cancer .of .the .sigmoid .colon
27. Mydriasis .is .a .term .used .to .describe: .Dilation .of .the .pupils
28. When .performing .a .musculoskeletal .exam .on .a .patient .with .mechanical
. low .back .pain, .osteoporosis .is .expected. .Positive .findings .include .all .of
. the . following .except...: .Calf .wasting
3 ./
.9
