APEA 3P Exam Test Bank 2026/2027 | Primary
Care Nurse Practitioner Practice Questions
with Detailed Answers
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.
Contraindications for Hydrochlorothiazide - Answer👀 Sulfa allergy, PCN hypersensitivity,
Asthma, Gout
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
Diastolic Murmurs (Abnormal) - Answer👀 AR = Aortic Regurgitation (Angina, HF,
Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
,What does S1 indicate? - Answer👀 S1 Closure of the Atrioventricular Valves (Mitral &
Tricuspid Valves)
What does S2 indicate? - Answer👀 S2 Closure of the Semilunar Valves (Aortic &
Pulmonic Valves)
S3 is often heard in? - Answer👀 CHF, possibly normal for athletic adolescents
S4 is often heard in? - Answer👀 Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly
controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - Answer👀 Antiplatelets (Plavix, ASA),
Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - Answer👀 Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - Answer👀 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? - Answer👀 ACEs, ARBs, ARNI w/BBs,
Aldosterone Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - Answer👀 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? - Answer👀 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
Keloid - Answer👀 Hyperthrophic scar that is invasive beyond point of original injury
What is Tinea Capitis and What is the treatment? - Answer👀 Scalp Ring-Worm. Round,
scaly patches on scalp (Cradle Cap). Treatment is Grisefulvin 500mg with high fat meals for
4-6weeks
, What is Tinea Corporis and What is the treatment? - Answer👀 Body Ring-Worm. Red,
scaly plaques on the body or trunk in a ring-like/circular pattern. Topical Azoles (I.E.
Clotrimazole) for 2 weeks.
How do you assess Melanoma? - Answer👀 ABCDE (Asymmetry, Border, Color, Diameter
>6mm, and Evolution/Elevation
Signs & Symptoms of Psoriasis? - Answer👀 Silvery-White Scales, Pitted Nails, Positive
Auspitz Sign (Pinpoint bleeding when lesions/scales are scraped)
Facts about Shingles (Herpes Zoster) - Answer👀 - Unilateral Dermatomal Rash which
starts as a painful red rash (patch) and progresses to blisters (vesicles).
- Post herpetic neuralgia pain is common and can last longer than 1 month after rash
resolves.
- May transmit chickenpox virus to unvaccinated & susceptible patients.
- Treatment consists of Acyclovir, Valacyclovir, or Famciclovir and most effective if started
within 48-72hrs of rash appearance.
Facts about Contact Dermatitis (Eczema) - Answer👀 - Papules or Vesicles typically 5mm
or less which are red, raised bumps
- Skin becomes dry, scaly, and rough leading to formation of crusts or flakes on skin surface
Care Nurse Practitioner Practice Questions
with Detailed Answers
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.
Contraindications for Hydrochlorothiazide - Answer👀 Sulfa allergy, PCN hypersensitivity,
Asthma, Gout
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
Diastolic Murmurs (Abnormal) - Answer👀 AR = Aortic Regurgitation (Angina, HF,
Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
,What does S1 indicate? - Answer👀 S1 Closure of the Atrioventricular Valves (Mitral &
Tricuspid Valves)
What does S2 indicate? - Answer👀 S2 Closure of the Semilunar Valves (Aortic &
Pulmonic Valves)
S3 is often heard in? - Answer👀 CHF, possibly normal for athletic adolescents
S4 is often heard in? - Answer👀 Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly
controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - Answer👀 Antiplatelets (Plavix, ASA),
Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - Answer👀 Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - Answer👀 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? - Answer👀 ACEs, ARBs, ARNI w/BBs,
Aldosterone Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - Answer👀 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? - Answer👀 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
Keloid - Answer👀 Hyperthrophic scar that is invasive beyond point of original injury
What is Tinea Capitis and What is the treatment? - Answer👀 Scalp Ring-Worm. Round,
scaly patches on scalp (Cradle Cap). Treatment is Grisefulvin 500mg with high fat meals for
4-6weeks
, What is Tinea Corporis and What is the treatment? - Answer👀 Body Ring-Worm. Red,
scaly plaques on the body or trunk in a ring-like/circular pattern. Topical Azoles (I.E.
Clotrimazole) for 2 weeks.
How do you assess Melanoma? - Answer👀 ABCDE (Asymmetry, Border, Color, Diameter
>6mm, and Evolution/Elevation
Signs & Symptoms of Psoriasis? - Answer👀 Silvery-White Scales, Pitted Nails, Positive
Auspitz Sign (Pinpoint bleeding when lesions/scales are scraped)
Facts about Shingles (Herpes Zoster) - Answer👀 - Unilateral Dermatomal Rash which
starts as a painful red rash (patch) and progresses to blisters (vesicles).
- Post herpetic neuralgia pain is common and can last longer than 1 month after rash
resolves.
- May transmit chickenpox virus to unvaccinated & susceptible patients.
- Treatment consists of Acyclovir, Valacyclovir, or Famciclovir and most effective if started
within 48-72hrs of rash appearance.
Facts about Contact Dermatitis (Eczema) - Answer👀 - Papules or Vesicles typically 5mm
or less which are red, raised bumps
- Skin becomes dry, scaly, and rough leading to formation of crusts or flakes on skin surface
