APEA 3P Exam Predictor Exam Questions and
100% Correct Answers Best Predictive Exam 2025
1. A_45-year-
old_male_patient_presents_with_complaints_of_fatigue,_weight_loss,_and_increa
sed_thirst._His_blood_pressure_is_150/90_mmHg,_and_his_fasting_blood_glucose_
level_is_180_mg/dL._Which_of_the_following_is_the_most_likely_diagnosis?
A) Type_2_Diabetes_Mellitus
B) Hyperthyroidism
C) Hypertension
D) Acute_Myocardial_Infarction
Answer:_A)_Type_2_Diabetes_Mellitus
Rationale:
The_patient's_symptoms_of_fatigue,_weight_loss,_and_increased_thirst,_along_with_
elevated_fasting_blood_glucose_levels,_are_classic_signs_of_Type_2_Diabetes_Mellitu
s._Hypertension_and_hyperthyroidism_could_also_be_present,_but_they_don't_fully_
account_for_the_patient's_symptoms.
2. Which_of_the_following_findings_would_most_likely_indicate_acute_pericarditis?
,A) Pleural_friction_rub
B) Decreased_heart_sounds
C) Sudden_sharp_chest_pain_that_worsens_with_inspiration
D) Jugular_venous_distention
Answer:_C)_Sudden_sharp_chest_pain_that_worsens_with_inspiration
Rationale:
Acute_pericarditis_is_typically_characterized_by_sharp,_pleuritic_chest_pain_that_wo
rsens_with_inspiration_or_coughing._The_pain_may_improve_when_the_patient_sits_
up_and_leans_forward._A_pleural_friction_rub_is_often_heard_on_auscultation,_but_t
he_pain_pattern_is_key.
3. A_32-year-old_female_presents_with_a_3-
day_history_of_a_red,_swollen,_and_painful_right_lower_leg._The_patient_also_report
s_feeling_feverish._Upon_examination,_the_skin_is_warm_to_the_touch,_and_there_is
_localized_erythema._What_is_the_most_likely_diagnosis?
A) Deep_Vein_Thrombosis_(DVT)
B) Cellulitis
C) Sprain
,D) Gout
Answer:_B)_Cellulitis
Rationale:
Cellulitis_is_a_bacterial_skin_infection_often_caused_by_Streptococcus_or_Staphyloc
occus_species,_resulting_in_red,_swollen,_and_painful_skin,_sometimes_accompanie
d_by_fever._DVT_could_present_with_swelling_and_pain_but_is_usually_not_associate
d_with_fever_or_erythema.
4. A_patient_has_a_history_of_asthma_and_presents_to_the_clinic_with_increase
d_shortness_of_breath,_wheezing,_and_a_decreased_peak_flow_rate._The_patie
nt’s_pulse_oximetry_reading_is_92%._Which_of_the_following_is_the_most_appro
priate_next_step_in_management?
A) Administer_oxygen_and_monitor_the_patient.
B) Administer_a_short-acting_beta-agonist_(SABA)_inhaler.
C) Begin_IV_corticosteroids.
D) Initiate_mechanical_ventilation.
Answer:_B)_Administer_a_short-acting_beta-agonist_(SABA)_inhaler.
Rationale:
, In_patients_with_asthma_exacerbations,_the_first-line_treatment_is_a_short-
acting_beta-
agonist_(e.g.,_albuterol)_to_relieve_bronchoconstriction._Administering_oxygen_or_c
orticosteroids_may_be_appropriate_later,_but_the_immediate_treatment_is_aimed_
at_improving_airflow.
5. A_60-year-
old_male_with_a_history_of_chronic_alcohol_use_presents_with_confusion,_at
axia,_and_a_wide-
based_gait._He_is_found_to_have_a_deficiency_in_thiamine._What_is_the_most
_likely_diagnosis?
A) Wernicke-Korsakoff_ syndrome
B) Multiple_sclerosis
C) Parkinson’s_disease
D) Alzheimer’s_disease
Answer:_A)_Wernicke-Korsakoff_syndrome
Rationale:
Wernicke-
Korsakoff_syndrome_is_a_neurologic_disorder_caused_by_thiamine_deficiency,_ofte
n_seen_in_chronic_alcohol_users._It_presents_with_confusion,_ataxia,_and_ophthalm
oplegia,_progressing_to_Korsakoff’s_psychosis_with_memory_deficits.
6. A_25-year-old_female_presents_with_a_butterfly-
shaped_rash_across_her_cheeks_and_nose,_along_with_photosensitivity_and_joint_
pain._The_most_likely_diagnosis_is:
A) Systemic_Lupus_Erythematosus_(SLE)
100% Correct Answers Best Predictive Exam 2025
1. A_45-year-
old_male_patient_presents_with_complaints_of_fatigue,_weight_loss,_and_increa
sed_thirst._His_blood_pressure_is_150/90_mmHg,_and_his_fasting_blood_glucose_
level_is_180_mg/dL._Which_of_the_following_is_the_most_likely_diagnosis?
A) Type_2_Diabetes_Mellitus
B) Hyperthyroidism
C) Hypertension
D) Acute_Myocardial_Infarction
Answer:_A)_Type_2_Diabetes_Mellitus
Rationale:
The_patient's_symptoms_of_fatigue,_weight_loss,_and_increased_thirst,_along_with_
elevated_fasting_blood_glucose_levels,_are_classic_signs_of_Type_2_Diabetes_Mellitu
s._Hypertension_and_hyperthyroidism_could_also_be_present,_but_they_don't_fully_
account_for_the_patient's_symptoms.
2. Which_of_the_following_findings_would_most_likely_indicate_acute_pericarditis?
,A) Pleural_friction_rub
B) Decreased_heart_sounds
C) Sudden_sharp_chest_pain_that_worsens_with_inspiration
D) Jugular_venous_distention
Answer:_C)_Sudden_sharp_chest_pain_that_worsens_with_inspiration
Rationale:
Acute_pericarditis_is_typically_characterized_by_sharp,_pleuritic_chest_pain_that_wo
rsens_with_inspiration_or_coughing._The_pain_may_improve_when_the_patient_sits_
up_and_leans_forward._A_pleural_friction_rub_is_often_heard_on_auscultation,_but_t
he_pain_pattern_is_key.
3. A_32-year-old_female_presents_with_a_3-
day_history_of_a_red,_swollen,_and_painful_right_lower_leg._The_patient_also_report
s_feeling_feverish._Upon_examination,_the_skin_is_warm_to_the_touch,_and_there_is
_localized_erythema._What_is_the_most_likely_diagnosis?
A) Deep_Vein_Thrombosis_(DVT)
B) Cellulitis
C) Sprain
,D) Gout
Answer:_B)_Cellulitis
Rationale:
Cellulitis_is_a_bacterial_skin_infection_often_caused_by_Streptococcus_or_Staphyloc
occus_species,_resulting_in_red,_swollen,_and_painful_skin,_sometimes_accompanie
d_by_fever._DVT_could_present_with_swelling_and_pain_but_is_usually_not_associate
d_with_fever_or_erythema.
4. A_patient_has_a_history_of_asthma_and_presents_to_the_clinic_with_increase
d_shortness_of_breath,_wheezing,_and_a_decreased_peak_flow_rate._The_patie
nt’s_pulse_oximetry_reading_is_92%._Which_of_the_following_is_the_most_appro
priate_next_step_in_management?
A) Administer_oxygen_and_monitor_the_patient.
B) Administer_a_short-acting_beta-agonist_(SABA)_inhaler.
C) Begin_IV_corticosteroids.
D) Initiate_mechanical_ventilation.
Answer:_B)_Administer_a_short-acting_beta-agonist_(SABA)_inhaler.
Rationale:
, In_patients_with_asthma_exacerbations,_the_first-line_treatment_is_a_short-
acting_beta-
agonist_(e.g.,_albuterol)_to_relieve_bronchoconstriction._Administering_oxygen_or_c
orticosteroids_may_be_appropriate_later,_but_the_immediate_treatment_is_aimed_
at_improving_airflow.
5. A_60-year-
old_male_with_a_history_of_chronic_alcohol_use_presents_with_confusion,_at
axia,_and_a_wide-
based_gait._He_is_found_to_have_a_deficiency_in_thiamine._What_is_the_most
_likely_diagnosis?
A) Wernicke-Korsakoff_ syndrome
B) Multiple_sclerosis
C) Parkinson’s_disease
D) Alzheimer’s_disease
Answer:_A)_Wernicke-Korsakoff_syndrome
Rationale:
Wernicke-
Korsakoff_syndrome_is_a_neurologic_disorder_caused_by_thiamine_deficiency,_ofte
n_seen_in_chronic_alcohol_users._It_presents_with_confusion,_ataxia,_and_ophthalm
oplegia,_progressing_to_Korsakoff’s_psychosis_with_memory_deficits.
6. A_25-year-old_female_presents_with_a_butterfly-
shaped_rash_across_her_cheeks_and_nose,_along_with_photosensitivity_and_joint_
pain._The_most_likely_diagnosis_is:
A) Systemic_Lupus_Erythematosus_(SLE)
