3P APEA EXAM questions and answers 2026\2027
A+ Grade
Difference between varicose vein and arteriosclerosis
- correct answer 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)
- correct answer 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
- correct answer 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
- correct answer 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?
- correct answer hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of his
stenosis. the NP replies:
- correct answer shortness of breath and syncope
A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk factor for
PAD?
- correct answer diabetes
, Benazepril should be d/c immediately if
- correct answer pregnancy occurs
aortic regurgitation characteristics
- correct answer long asymptomatic period follow by exercise intolerance, then dyspnea at rest
DVT classic symptoms
- correct answer swelling, pain, and discoloration of lower extremity
Characteristic of ACE-induced cough is that?
- correct answer usually begins two weeks of starting therapy
Valve most commonly involved in chronic rheumatic heart disease
- correct answer mitral
Medication that can exacerbate HF
- correct answer naproxen
Patient taking ACE inhibitors should avoid?
- correct answer potassium supplements
Grade 3 murmur indication for a referral
- correct answer a fixed split
Group of meds used to treat HF
- correct answer 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:
- correct answer 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
- correct answer diabetes mellitus
A+ Grade
Difference between varicose vein and arteriosclerosis
- correct answer 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)
- correct answer 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
- correct answer 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
- correct answer 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?
- correct answer hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of his
stenosis. the NP replies:
- correct answer shortness of breath and syncope
A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk factor for
PAD?
- correct answer diabetes
, Benazepril should be d/c immediately if
- correct answer pregnancy occurs
aortic regurgitation characteristics
- correct answer long asymptomatic period follow by exercise intolerance, then dyspnea at rest
DVT classic symptoms
- correct answer swelling, pain, and discoloration of lower extremity
Characteristic of ACE-induced cough is that?
- correct answer usually begins two weeks of starting therapy
Valve most commonly involved in chronic rheumatic heart disease
- correct answer mitral
Medication that can exacerbate HF
- correct answer naproxen
Patient taking ACE inhibitors should avoid?
- correct answer potassium supplements
Grade 3 murmur indication for a referral
- correct answer a fixed split
Group of meds used to treat HF
- correct answer 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:
- correct answer 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
- correct answer diabetes mellitus
