APEA 3P High Stakes Study Guide Exam
Contains Questions with Verified Answers
2026\2027 update
1. What are the anti-hypertensives used in pregnancy
- answer Methyldopa (Al- pha-2-Agonist), Labetalol, Nifedipine, Hydralazine
2. What is a characteristic of Placenta Previa
- answer Painless, red bleeding
3. What is a chacteristic of Rheumatoid Arthritis
- answer Tender, warm, swollen joints
4. Medications that can cause ototoxicity
- answer Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal decongestants
5. What is the treatment time for enterobiasis
- answer 2 weeks
6. What would cause decrease in Digoxin levels
- answer Antacids
7. Taking Pyridium for UTI, what can Pyridium cause
- answer Hemolytic Anemia
8. What can PCOS result in
,- answer Increased insulin levels (Hyperinsulinemia), Andro- gens, Hirsutism
9. What does MCV lab value measure
- answer Mean Corpuscular Volume helps diag- nose different types of anemia such as B12 & Folate
(Macrocytic) and Fe anemia (Microcytic)
10. Rhogam is given at how many week gestation
- answer 27-28 weeks
11. What are Janeway lesions and what do they indicate
- answer They are irregular, non-tender hemorrhagic macules located on the hands and feet. Seen in
Infective Endocarditis
12. What are Osler's Nodes and what do they indicate
- answer They are split pea-sized, erythematous, tender nodules located on the pads of the fingers and toes.
Seen in Infective Endocarditis
13. What is the recommendation for Warfarin management when a patient misses a dose
- answer If within 12 hours of the dose time, take it. If over 12 hours patient will need a INR redraw
14. What do we need to know about ACEs and ARBs
- answer 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.
15. Contraindications for Hydrochlorothiazide:
- answer Sulfa allergy, PCN hypersensitiv- ity, Asthma, Gout
16. Systolic Murmurs (Benign):
, - answer 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
17. Diastolic Murmurs (Abnormal):
- answer AR = Aortic Regurgitation (Angina, HF, Dizzi- ness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
18. What does S1 indicate
- answer S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid Valves)
19. What does S2 indicate
- answer S2 Closure of the Semilunar Valves (Aortic & Pul- monic Valves)
20. S3 is often heard in
Contains Questions with Verified Answers
2026\2027 update
1. What are the anti-hypertensives used in pregnancy
- answer Methyldopa (Al- pha-2-Agonist), Labetalol, Nifedipine, Hydralazine
2. What is a characteristic of Placenta Previa
- answer Painless, red bleeding
3. What is a chacteristic of Rheumatoid Arthritis
- answer Tender, warm, swollen joints
4. Medications that can cause ototoxicity
- answer Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal decongestants
5. What is the treatment time for enterobiasis
- answer 2 weeks
6. What would cause decrease in Digoxin levels
- answer Antacids
7. Taking Pyridium for UTI, what can Pyridium cause
- answer Hemolytic Anemia
8. What can PCOS result in
,- answer Increased insulin levels (Hyperinsulinemia), Andro- gens, Hirsutism
9. What does MCV lab value measure
- answer Mean Corpuscular Volume helps diag- nose different types of anemia such as B12 & Folate
(Macrocytic) and Fe anemia (Microcytic)
10. Rhogam is given at how many week gestation
- answer 27-28 weeks
11. What are Janeway lesions and what do they indicate
- answer They are irregular, non-tender hemorrhagic macules located on the hands and feet. Seen in
Infective Endocarditis
12. What are Osler's Nodes and what do they indicate
- answer They are split pea-sized, erythematous, tender nodules located on the pads of the fingers and toes.
Seen in Infective Endocarditis
13. What is the recommendation for Warfarin management when a patient misses a dose
- answer If within 12 hours of the dose time, take it. If over 12 hours patient will need a INR redraw
14. What do we need to know about ACEs and ARBs
- answer 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.
15. Contraindications for Hydrochlorothiazide:
- answer Sulfa allergy, PCN hypersensitiv- ity, Asthma, Gout
16. Systolic Murmurs (Benign):
, - answer 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
17. Diastolic Murmurs (Abnormal):
- answer AR = Aortic Regurgitation (Angina, HF, Dizzi- ness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
18. What does S1 indicate
- answer S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid Valves)
19. What does S2 indicate
- answer S2 Closure of the Semilunar Valves (Aortic & Pul- monic Valves)
20. S3 is often heard in
