3P APEA 2026-2027 Questions With
Verified Correct Answers
Difference between varicose vein and arteriosclerosis - Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins
A patient has poorly controlled hypertension for more than 10 years. Indicate the most likely position of
his point of maximal impulse (PMI) - 5th ICS, left of MCL
A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral listening point.
There is no audible click. His status has been monitored for the past two years. This murmur is probably
- mitral stenosis
A patient who has diabetes presents with pain in his lower legs when he walks and pain resolution with
rest. When specifically asked about his pain in his lower leg, he likely will report pain - in the calf muscle
A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as "sloughing of
skin" and hospitalization. Which medication is contraindicated in this patient? - hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of his
stenosis. the NP replies: - shortness of breath and syncope
A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk factor for
PAD? - diabetes
Benazepril should be d/c immediately if - pregnancy occurs
aortic regurgitation characteristics - long asymptomatic period follow by exercise intolerance, then
dyspnea at rest
DVT classic symptoms - swelling, pain, and discoloration of lower extremity
, Characteristic of ACE-induced cough is that? - usually begins two weeks of starting therapy
Valve most commonly involved in chronic rheumatic heart disease - mitral
Medication that can exacerbate HF - naproxen
Patient taking ACE inhibitors should avoid? - potassium supplements
Grade 3 murmur indication for a referral - a fixed split
Group of meds used to treat HF - fosinopril, HCTZ, verapamil
Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib. INR today is 4.0. the NP should: -
stop the warfarin today and repeat INR tomorrow
According to the NHLBI, which characteristic is a coronary heart disease risk equivalent, that is, which
risk factor places the pt. as a CHD risk similar to a hx of CHD - diabetes mellitus
good drug to reduce morbidity and mortality in mild HF - metoprolol
A pt. taking atorvastatin newly diagnosed with dyslipidemia complaints of fatigue, weakness, and muscle
aches in his lower back, arms, legs for the past 3 days. it is not improved with rest How should this be
evaluated? - Stop the atorvastatin immediately
symptom not indicative of HF - headache
What class of meds is preferred to normalized lipid levels and reduce risk of cardiac events - HMG CoA
reductase inhibitors
Verified Correct Answers
Difference between varicose vein and arteriosclerosis - Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins
A patient has poorly controlled hypertension for more than 10 years. Indicate the most likely position of
his point of maximal impulse (PMI) - 5th ICS, left of MCL
A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral listening point.
There is no audible click. His status has been monitored for the past two years. This murmur is probably
- mitral stenosis
A patient who has diabetes presents with pain in his lower legs when he walks and pain resolution with
rest. When specifically asked about his pain in his lower leg, he likely will report pain - in the calf muscle
A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as "sloughing of
skin" and hospitalization. Which medication is contraindicated in this patient? - hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of his
stenosis. the NP replies: - shortness of breath and syncope
A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk factor for
PAD? - diabetes
Benazepril should be d/c immediately if - pregnancy occurs
aortic regurgitation characteristics - long asymptomatic period follow by exercise intolerance, then
dyspnea at rest
DVT classic symptoms - swelling, pain, and discoloration of lower extremity
, Characteristic of ACE-induced cough is that? - usually begins two weeks of starting therapy
Valve most commonly involved in chronic rheumatic heart disease - mitral
Medication that can exacerbate HF - naproxen
Patient taking ACE inhibitors should avoid? - potassium supplements
Grade 3 murmur indication for a referral - a fixed split
Group of meds used to treat HF - fosinopril, HCTZ, verapamil
Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib. INR today is 4.0. the NP should: -
stop the warfarin today and repeat INR tomorrow
According to the NHLBI, which characteristic is a coronary heart disease risk equivalent, that is, which
risk factor places the pt. as a CHD risk similar to a hx of CHD - diabetes mellitus
good drug to reduce morbidity and mortality in mild HF - metoprolol
A pt. taking atorvastatin newly diagnosed with dyslipidemia complaints of fatigue, weakness, and muscle
aches in his lower back, arms, legs for the past 3 days. it is not improved with rest How should this be
evaluated? - Stop the atorvastatin immediately
symptom not indicative of HF - headache
What class of meds is preferred to normalized lipid levels and reduce risk of cardiac events - HMG CoA
reductase inhibitors
