3P EXAM STUDY APEA COMPREHENSIVE
AND ACTUAL CORRECT ANSWERS.
Osteoarthritis Treatment - CorreCt Answers -Weight-bearing exercise,
weight loss, Cymbalta, duloxetine, tramadol. RICE = Rest, Ice,
Compression, Elevation. Acetaminophen not recommended. Short acting
NSAIDs are ok. Refer to ortho for injections.
Sprain - CorreCt Answers -Stretch or tear in a Ligament
Strain - CorreCt Answers -Stretch or tear in a muscle or tendon
Ortolani's Click - CorreCt Answers -A click is heard or felt as dislocation is
reduced
Barlows Maneuver - CorreCt Answers -Feeling of a slip of the femoral head
slips away from the Acetabulum (toward the butt)
Meningitis assessment finding - CorreCt Answers -Positive Kernig or
Brudzinski sign
Adam's Sign - CorreCt Answers -Evaluation for scoliosis.
Negative for functional scoliosis if curve straightens out
Positive for structural scoliosis if curve remains
,Fat Pad Sign - CorreCt Answers -radiographic finding that can indicate an
underlying injury or fracture in the elbow joint, specifically around the
olecranon process of the ulna bone.
McMurray Test - CorreCt Answers -Palpable or auditory click while rotating
and extending the knee
Gout - CorreCt Answers -Acute joint pain with swelling, warmth, and
erythema begins abruptly and involves a single joint. Normal uric acid
levels are common during acute attack.
Gout Treatment - CorreCt Answers -Acute Gout - Colchicine
Chronic Gout (2 or more attacks/year) - Allopurinol - decreases production
of uric acid
GTPAL - CorreCt Answers -Gravidia - # of times a woman has been
pregnant multiples = 1
Term - Number of children at >37 weeks
Preterm - Number of children at 20-37 weeks
Abortion - Abortions/Miscarriages
Living - living children, twins count individually
Fundal Height - CorreCt Answers -Distance from the pubic bone to the top
of the uterus in centimeters. After 24 weeks fundal height should equal the
number of weeks the patient has been pregnant. i.e. 24cm = 24wks
,Preeclampsia - CorreCt Answers -BP > 140/90 & Proteinuria (300mg/24hr
urine sample) or edema, pulmonary edema, visual impairments, impaired
renal or hepatic function.
Preeclampsia Treatment - CorreCt Answers -Magnesium Sulfate
Anti-Hypertensives i.e. methyldopa, labetalol, nifedipine
Corticosteroids for fetus lung development if preterm birth expected
Naegeles Rule - CorreCt Answers -First day of LMP, subtract 3 months, add
7 days
Placenta Previa - CorreCt Answers -Painless, bright red bleeding in a
woman >20 weeks gestation. Abnormal placement of the placenta near or
covering the internal cervical os
1st line Treatment of UTI in pregnancy - CorreCt Answers -Nitrofurantoin
(Macrobid)
Rhogam - CorreCt Answers -Given at 28wks gestation, within 72hrs of
delivery and any maternal hemorrhage, ectopic pregnancy, and abortion
Vaccines that are safe in pregnancy - CorreCt Answers -Flu vaccine, Tdap,
COVID
Abruptio Placentae (Placental Abruption) - CorreCt Answers -
Absent/Profuse vaginal bleeding, abnormal painful uterine contractions,
uterine tenderness, rigid & board-like uterus on palpatation
, Bulimia Presentation - CorreCt Answers -Recurrent episodes of eating,
binging, and purging.
+ Russell's Sign - knuckle scarring from induced vomiting
Bulimia Treatment - CorreCt Answers -SSRIs i.e. fluoxetine (Prozac) &
sertraline (Zoloft)
Depression Treatment - CorreCt Answers -Unipolar Depression - sertraline
(Zoloft) & escitalopram (Lexapro)
* Start with 4wks of treatment then re-evaluate for dose adjustment for a
minimum of 6 months
Anxiety Treatment - CorreCt Answers -busparone (Buspar)
*Anxiety & Depression coexist - use GAD 7 scale to dx
Major Depressive Disorder symptoms - CorreCt Answers -S: Sleep
Disturbances
I: Interest/Pleasure loss in activities once enjoyed (anhedonia)
G: Guilt or Worthlessness feelings
E: Decreased Energy or Fatigue
C: Difficulty concentrating or making decisions
A: Changes in appetite or weight (Increase/Decrease)
P: Psychomotor agitation or retardation (slow movements)
S: Suicidal thoughts/behaviors
AND ACTUAL CORRECT ANSWERS.
Osteoarthritis Treatment - CorreCt Answers -Weight-bearing exercise,
weight loss, Cymbalta, duloxetine, tramadol. RICE = Rest, Ice,
Compression, Elevation. Acetaminophen not recommended. Short acting
NSAIDs are ok. Refer to ortho for injections.
Sprain - CorreCt Answers -Stretch or tear in a Ligament
Strain - CorreCt Answers -Stretch or tear in a muscle or tendon
Ortolani's Click - CorreCt Answers -A click is heard or felt as dislocation is
reduced
Barlows Maneuver - CorreCt Answers -Feeling of a slip of the femoral head
slips away from the Acetabulum (toward the butt)
Meningitis assessment finding - CorreCt Answers -Positive Kernig or
Brudzinski sign
Adam's Sign - CorreCt Answers -Evaluation for scoliosis.
Negative for functional scoliosis if curve straightens out
Positive for structural scoliosis if curve remains
,Fat Pad Sign - CorreCt Answers -radiographic finding that can indicate an
underlying injury or fracture in the elbow joint, specifically around the
olecranon process of the ulna bone.
McMurray Test - CorreCt Answers -Palpable or auditory click while rotating
and extending the knee
Gout - CorreCt Answers -Acute joint pain with swelling, warmth, and
erythema begins abruptly and involves a single joint. Normal uric acid
levels are common during acute attack.
Gout Treatment - CorreCt Answers -Acute Gout - Colchicine
Chronic Gout (2 or more attacks/year) - Allopurinol - decreases production
of uric acid
GTPAL - CorreCt Answers -Gravidia - # of times a woman has been
pregnant multiples = 1
Term - Number of children at >37 weeks
Preterm - Number of children at 20-37 weeks
Abortion - Abortions/Miscarriages
Living - living children, twins count individually
Fundal Height - CorreCt Answers -Distance from the pubic bone to the top
of the uterus in centimeters. After 24 weeks fundal height should equal the
number of weeks the patient has been pregnant. i.e. 24cm = 24wks
,Preeclampsia - CorreCt Answers -BP > 140/90 & Proteinuria (300mg/24hr
urine sample) or edema, pulmonary edema, visual impairments, impaired
renal or hepatic function.
Preeclampsia Treatment - CorreCt Answers -Magnesium Sulfate
Anti-Hypertensives i.e. methyldopa, labetalol, nifedipine
Corticosteroids for fetus lung development if preterm birth expected
Naegeles Rule - CorreCt Answers -First day of LMP, subtract 3 months, add
7 days
Placenta Previa - CorreCt Answers -Painless, bright red bleeding in a
woman >20 weeks gestation. Abnormal placement of the placenta near or
covering the internal cervical os
1st line Treatment of UTI in pregnancy - CorreCt Answers -Nitrofurantoin
(Macrobid)
Rhogam - CorreCt Answers -Given at 28wks gestation, within 72hrs of
delivery and any maternal hemorrhage, ectopic pregnancy, and abortion
Vaccines that are safe in pregnancy - CorreCt Answers -Flu vaccine, Tdap,
COVID
Abruptio Placentae (Placental Abruption) - CorreCt Answers -
Absent/Profuse vaginal bleeding, abnormal painful uterine contractions,
uterine tenderness, rigid & board-like uterus on palpatation
, Bulimia Presentation - CorreCt Answers -Recurrent episodes of eating,
binging, and purging.
+ Russell's Sign - knuckle scarring from induced vomiting
Bulimia Treatment - CorreCt Answers -SSRIs i.e. fluoxetine (Prozac) &
sertraline (Zoloft)
Depression Treatment - CorreCt Answers -Unipolar Depression - sertraline
(Zoloft) & escitalopram (Lexapro)
* Start with 4wks of treatment then re-evaluate for dose adjustment for a
minimum of 6 months
Anxiety Treatment - CorreCt Answers -busparone (Buspar)
*Anxiety & Depression coexist - use GAD 7 scale to dx
Major Depressive Disorder symptoms - CorreCt Answers -S: Sleep
Disturbances
I: Interest/Pleasure loss in activities once enjoyed (anhedonia)
G: Guilt or Worthlessness feelings
E: Decreased Energy or Fatigue
C: Difficulty concentrating or making decisions
A: Changes in appetite or weight (Increase/Decrease)
P: Psychomotor agitation or retardation (slow movements)
S: Suicidal thoughts/behaviors
