3P APEA EXAM (ACTUAL 2026) QUESTIONS
AND VERIFIED ANSWERS
Difference between varicose vein and arteriosclerosis -
<<Answers<<>>>Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects v
eins
A patient has poorly controlled hypertension for more than 10
years. Indicate the most likely position of his point of maximal
impulse (PMI) -<<Answers<<>>>5th ICS, left of MCL
A pt. taking atorvastatin newly diagnosed with dyslipidemia co
mplaints of fatigue, weakness, and muscle aches in his lower b
ack, arms, legs for the past 3 days. it is not improved with rest
How should this be evaluated? -
<<Answers<<>>>Stop the atorvastatin immediately
symptom not indicative of HF -<<Answers<<>>>headache
What class of meds is preferred to normalized lipid levels and re
N
duce risk of cardiac events -
<<Answers<<>>>HMG CoA reductase inhibitors
,Highest sensitivity in diagnosing HF -<<Answers<<>>>BNP
The NP is caring for a 74-year-
old who had an acute coronary syndrome 6 weeks ago. What m
edications should be part of his regimen unless contraindicated
-<<Answers<<>>>ACE,
ASA, beta blockers, and statin
patient with the highest systolic B/P -<<Answers<<>>>75-
year-old male
test that is most cost effective to screen for abdominal aortic ane
N
urysm -<<Answers<<>>>abdominal ultrasound
a 74-year-
old patient has had an increase in b/p since the last exam. his b/p
has increased from 144/90 to reading in the upper 160's/upper
80's. If medication is to be started on this patient, what would b
e a good first choice? -
<<Answers<<>>>Calcium channel blocker
Factor contributing to the development of AAA -
<<Answers<<>>>cigarette smoking
A 40-year-old African-
American pt. has a b/p of 175/100 and 170/102. What is a reaso
nable plan of care for this pt today? -
<<Answers<<>>>initiate amlodipine 5mg daily
, Usual course of treatment for mitral valve prolapse -
<<Answers<<>>>is benign
A 50-year-
old patient with hypertension has taken HCTZ 25mg daily for t
he past 4 weeks. Her b/p has decreased from 155/95 to 145/90.
How should the NP proceed? -
<<Answers<<>>>add another drug from another class to the da
ily 25mg HCTZ
A patient with mitral valve prolapse reports chest pain and freq
uent arrhythmias. In the absence of other cardiac anomalies, the
drug of choice to treat her symptoms is: -
<<Answers<<>>>metoprolol
A 43 year old Hispanic male has an audible diastolic murmur be
st 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 -<<Answers<<>>>mitral stenosis
A patient who has diabetes presents with pain in his lower le
gs when he walks and pain resolution with rest. When specif
ically asked about his pain in his lower leg, he likely will rep
ort pain -<<Answers<<>>>in the calf muscle
A patient with hypertension describes a previous allergic reacti
on to a sulfa antibiotic as "sloughing of skin" and hospitalizatio
n. Which medication is contraindicated in this patient? -
<<Answers<<>>>hydrochlorothiazide
AND VERIFIED ANSWERS
Difference between varicose vein and arteriosclerosis -
<<Answers<<>>>Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects v
eins
A patient has poorly controlled hypertension for more than 10
years. Indicate the most likely position of his point of maximal
impulse (PMI) -<<Answers<<>>>5th ICS, left of MCL
A pt. taking atorvastatin newly diagnosed with dyslipidemia co
mplaints of fatigue, weakness, and muscle aches in his lower b
ack, arms, legs for the past 3 days. it is not improved with rest
How should this be evaluated? -
<<Answers<<>>>Stop the atorvastatin immediately
symptom not indicative of HF -<<Answers<<>>>headache
What class of meds is preferred to normalized lipid levels and re
N
duce risk of cardiac events -
<<Answers<<>>>HMG CoA reductase inhibitors
,Highest sensitivity in diagnosing HF -<<Answers<<>>>BNP
The NP is caring for a 74-year-
old who had an acute coronary syndrome 6 weeks ago. What m
edications should be part of his regimen unless contraindicated
-<<Answers<<>>>ACE,
ASA, beta blockers, and statin
patient with the highest systolic B/P -<<Answers<<>>>75-
year-old male
test that is most cost effective to screen for abdominal aortic ane
N
urysm -<<Answers<<>>>abdominal ultrasound
a 74-year-
old patient has had an increase in b/p since the last exam. his b/p
has increased from 144/90 to reading in the upper 160's/upper
80's. If medication is to be started on this patient, what would b
e a good first choice? -
<<Answers<<>>>Calcium channel blocker
Factor contributing to the development of AAA -
<<Answers<<>>>cigarette smoking
A 40-year-old African-
American pt. has a b/p of 175/100 and 170/102. What is a reaso
nable plan of care for this pt today? -
<<Answers<<>>>initiate amlodipine 5mg daily
, Usual course of treatment for mitral valve prolapse -
<<Answers<<>>>is benign
A 50-year-
old patient with hypertension has taken HCTZ 25mg daily for t
he past 4 weeks. Her b/p has decreased from 155/95 to 145/90.
How should the NP proceed? -
<<Answers<<>>>add another drug from another class to the da
ily 25mg HCTZ
A patient with mitral valve prolapse reports chest pain and freq
uent arrhythmias. In the absence of other cardiac anomalies, the
drug of choice to treat her symptoms is: -
<<Answers<<>>>metoprolol
A 43 year old Hispanic male has an audible diastolic murmur be
st 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 -<<Answers<<>>>mitral stenosis
A patient who has diabetes presents with pain in his lower le
gs when he walks and pain resolution with rest. When specif
ically asked about his pain in his lower leg, he likely will rep
ort pain -<<Answers<<>>>in the calf muscle
A patient with hypertension describes a previous allergic reacti
on to a sulfa antibiotic as "sloughing of skin" and hospitalizatio
n. Which medication is contraindicated in this patient? -
<<Answers<<>>>hydrochlorothiazide
