APEA 3P Exam Study Questions with Correct
Answers
What would cause decrease in Digoxin levels - CORRECT ANSWER
Antacids
Taking Pyridium for UTI, what can Pyridium cause? - CORRECT ANSWER
Hemolytic Anemia
What can PCOS result in? - CORRECT ANSWER increased insulin levels,
Androgens, hirsutism
What is a hypertensive used in pregnancy - CORRECT ANSWER
Methyldopa
What is a characteristic of Placenta Previa? - CORRECT ANSWER
painless red bleeding
What is a characteristic of Rheumatoid arthritis ? - CORRECT ANSWER
Red hot joints
Medications that cause ototoxicity - CORRECT ANSWER
Aminoglycosides, nasal decongestants, antihistamines
Treatment period for enterobiasis - CORRECT ANSWER 2 weeks
CBC Interpretation - CORRECT ANSWER MCV - mean corpuscular
volume help diagnose different types of anemia (High=macrocytic like B12,
Low=microcytic like Fe anemia)
Rhogham given at how many weeks gestation? - CORRECT ANSWER 27
weeks
Janesway lesions - CORRECT ANSWER Happen with endocarditis, non
painful lesions seen on hands and feet, Osler same but painful
Warfarin management - forgot a dose? - CORRECT ANSWER If under 12
hours take missed dose, if over skip and need INR redraw
,Taking an ACE or ARB what to know? - CORRECT ANSWER ACE (dry
hacking) cough starts 1-2 weeks after med started, ACE (Lol) ARB (sartan)
first line in HTN avoid initially in african americans, angioedema can occur
Contraindication for hydrochlorithiazide - CORRECT ANSWER sulfa
allergy, asthma, PCN hypersensitvity
Murmurs Systolic - CORRECT ANSWER MR=Mitral regurge (SOB/Fatigue
HF)
Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
Diastolic Murmurs (ABnormal) - CORRECT ANSWER AR= Aortic Regurge
(angina, HF, dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
Motivated - CORRECT ANSWER Systole-S1 closure of AV Mitral/tricuspid
valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples - CORRECT ANSWER Diastole s2 closure of the aortic pulmonic
valves (dub)
aortic pulmonic semilunar
Abnormal (extra) heart sounds - CORRECT ANSWER S3- CHF; possible
normal for adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD - CORRECT ANSWER antiplatelets (Plavix, ASA),
Pentoxifylline (decreases blood viscosity) to treat, ankle brachial index to
check, angiography gold standard to diagnose
Coronary artery Disease tx - CORRECT ANSWER Atorvastatin/rovustatin-
use high dose meds for LDL>150, watch for LFTs and arthralgia. Change
type and dose if problems. Stabilization of plaque with statins
HF treatment - CORRECT ANSWER ACEI, ARB, or ARNI with BB and
aldosterone receptor antagonist
, Scabies Treatment (Sarcopter Scabiei) - CORRECT ANSWER Topical
Permethrin massaged from head to soles of feet and wach off with shower
or bath after 8-14 hours. Treat again in 1 week
Names of skin findings - CORRECT ANSWER Macule; freckle <1 cm,
Papule Macule >1 cm chloasma, Papule <0.5cm elevated nevi (molluscum
wart), Plaque (psoriasis, lichen planus), Nodule 0.5-2 cm lipoma, vesicle
(herpes simplex contact derm,
Keloid - CORRECT ANSWER hypertrophic scar that is invasive beyond
point of original injury
Skin continued - CORRECT ANSWER Bulla-second degree burn, friction
burn
Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
Tinea - CORRECT ANSWER Fungal infections; Tinea capitis-round patchy
scales on scalp (cradle cap) treatment Grisefulvin take with high fat meal 4-
6 weeks 500 mg tinea corporis -red and scaly plaque on trunk (ring worm)
Treatment is an azole for 2 weeks
Melanoma How do you assess - CORRECT ANSWER ABCDE
Asymmetry, border, color, diameter >6 mm, elevation
Psoriasis - CORRECT ANSWER silvery white scales, nails are pitted;
positive Auspitz sign- pinpoint bleeding occurs when lesions are scraped
Shingles (Herpes Zoster) - CORRECT ANSWER Unilateral dermatomal
rash- painful as it progresses to vesicles, Acyclovir within 48-72 hours or
symptoms. May only transmit chickenpox virus to susceptible patients that
have not gotten exposed or vaccinated yet.
Post herpetic neuralgia pain is longer than 1 month after rash has resolved.
Contact dermatitis - CORRECT ANSWER papules or vesicles 5mm or less,
scaling, crusting, oozing. Tx corticosteroids/antihistamines
Answers
What would cause decrease in Digoxin levels - CORRECT ANSWER
Antacids
Taking Pyridium for UTI, what can Pyridium cause? - CORRECT ANSWER
Hemolytic Anemia
What can PCOS result in? - CORRECT ANSWER increased insulin levels,
Androgens, hirsutism
What is a hypertensive used in pregnancy - CORRECT ANSWER
Methyldopa
What is a characteristic of Placenta Previa? - CORRECT ANSWER
painless red bleeding
What is a characteristic of Rheumatoid arthritis ? - CORRECT ANSWER
Red hot joints
Medications that cause ototoxicity - CORRECT ANSWER
Aminoglycosides, nasal decongestants, antihistamines
Treatment period for enterobiasis - CORRECT ANSWER 2 weeks
CBC Interpretation - CORRECT ANSWER MCV - mean corpuscular
volume help diagnose different types of anemia (High=macrocytic like B12,
Low=microcytic like Fe anemia)
Rhogham given at how many weeks gestation? - CORRECT ANSWER 27
weeks
Janesway lesions - CORRECT ANSWER Happen with endocarditis, non
painful lesions seen on hands and feet, Osler same but painful
Warfarin management - forgot a dose? - CORRECT ANSWER If under 12
hours take missed dose, if over skip and need INR redraw
,Taking an ACE or ARB what to know? - CORRECT ANSWER ACE (dry
hacking) cough starts 1-2 weeks after med started, ACE (Lol) ARB (sartan)
first line in HTN avoid initially in african americans, angioedema can occur
Contraindication for hydrochlorithiazide - CORRECT ANSWER sulfa
allergy, asthma, PCN hypersensitvity
Murmurs Systolic - CORRECT ANSWER MR=Mitral regurge (SOB/Fatigue
HF)
Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
Diastolic Murmurs (ABnormal) - CORRECT ANSWER AR= Aortic Regurge
(angina, HF, dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
Motivated - CORRECT ANSWER Systole-S1 closure of AV Mitral/tricuspid
valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples - CORRECT ANSWER Diastole s2 closure of the aortic pulmonic
valves (dub)
aortic pulmonic semilunar
Abnormal (extra) heart sounds - CORRECT ANSWER S3- CHF; possible
normal for adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD - CORRECT ANSWER antiplatelets (Plavix, ASA),
Pentoxifylline (decreases blood viscosity) to treat, ankle brachial index to
check, angiography gold standard to diagnose
Coronary artery Disease tx - CORRECT ANSWER Atorvastatin/rovustatin-
use high dose meds for LDL>150, watch for LFTs and arthralgia. Change
type and dose if problems. Stabilization of plaque with statins
HF treatment - CORRECT ANSWER ACEI, ARB, or ARNI with BB and
aldosterone receptor antagonist
, Scabies Treatment (Sarcopter Scabiei) - CORRECT ANSWER Topical
Permethrin massaged from head to soles of feet and wach off with shower
or bath after 8-14 hours. Treat again in 1 week
Names of skin findings - CORRECT ANSWER Macule; freckle <1 cm,
Papule Macule >1 cm chloasma, Papule <0.5cm elevated nevi (molluscum
wart), Plaque (psoriasis, lichen planus), Nodule 0.5-2 cm lipoma, vesicle
(herpes simplex contact derm,
Keloid - CORRECT ANSWER hypertrophic scar that is invasive beyond
point of original injury
Skin continued - CORRECT ANSWER Bulla-second degree burn, friction
burn
Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
Tinea - CORRECT ANSWER Fungal infections; Tinea capitis-round patchy
scales on scalp (cradle cap) treatment Grisefulvin take with high fat meal 4-
6 weeks 500 mg tinea corporis -red and scaly plaque on trunk (ring worm)
Treatment is an azole for 2 weeks
Melanoma How do you assess - CORRECT ANSWER ABCDE
Asymmetry, border, color, diameter >6 mm, elevation
Psoriasis - CORRECT ANSWER silvery white scales, nails are pitted;
positive Auspitz sign- pinpoint bleeding occurs when lesions are scraped
Shingles (Herpes Zoster) - CORRECT ANSWER Unilateral dermatomal
rash- painful as it progresses to vesicles, Acyclovir within 48-72 hours or
symptoms. May only transmit chickenpox virus to susceptible patients that
have not gotten exposed or vaccinated yet.
Post herpetic neuralgia pain is longer than 1 month after rash has resolved.
Contact dermatitis - CORRECT ANSWER papules or vesicles 5mm or less,
scaling, crusting, oozing. Tx corticosteroids/antihistamines
