APEA 3P Exam PMHNP 3P exam prep
EXAM Exam: Questions and
Answers 2025|2026
Presbycusis: Symptoms - correct answer-Symptoms: • Sensorineural
hearing loss without lateralization • Involves the inner ear •
Symmetrical progression • Human speech lost first
Associated with AGING ADULT
High frequency
Acute Bacterial Rhinosinusitis (ABRS): bacteria & symptoms - correct
answer-Bacteria: Streptococcus pneumoniae, H. influenzae, Viral
Symptoms: Persistent URI symptoms for 10 days or more or a cold that
resolved but symptoms returned • Unilateral facial pain/pressure or a
toothache (upper molar pain) with nasal congestion • Purulent nasal
and/or postnasal drip (may have a cough when supine) Frontal sinusitis:
§ Frontal headache or headache behind one eye Maxillary sinusitis: §
Facial pain and upper molar tooth pain
,Transillumination: Compare each side. Affected side may be duller or
smaller
Treatment: Either immediate antibiotic treatment or observation First
Line: Augmentin 2000 mg/125 mg BID x 5-7 days Symptom relief: Saline
irrigations, nasal steroids, NSAIDs for pain
Do not use antihistamines or decongestants
Penicillin Allergy: Levofloxacin 750 mg QD x 5-7 days or Doxycycline BID
x 5-7 days
Infectious Mononucleosis: cause/sx/dx/tx - correct answer-Epstein Bar
Virus (Herpes Virus Family)
Symptoms: Sore throat with tonsillitis. May have whitish tonsillar
exudates • Posterior lymphadenopathy • Severe fatigue present for
many weeks • Maculopapular rash • Hepatomegaly and or
splenomegaly
Classic Triad: Fever, Pharyngitis, Lymphadenopathy
Dx: • Monospot (heterophile antibody)
,Treatment: Symptomatic • Rest • Avoid contact sports and heavy lifting
for at least 4-6 weeks.
A Ruptured spleen is a rare but serious sequela of mono
May do an abdominal US to clear patient for sports
Test Tip: If the patient has strep throat and mono, avoid using
Amoxicillin as the antibiotic of choice. The patient may develop a rash
with this drug. Macrolides are a good option (Clarithromycin).
Levofloxacin works as well but it is overkill
Strep Throat:Cause, symptoms, TX - correct answer-Cause:
• Group A streptococcal bacteria (Streptococcus pyogenes)• Most
common cause of sore throat is viral (rhinovirus, adenovirus, RSV)
• Strep is most common in school-aged children
SX:
• Abrupt onset of fever, sore throat, and pain on swallowing
• Absence of viral symptoms (coryza, cough, hoarseness, runny nose,
watery eyes)
, • Tender anterior cervical lymphadenopathy • Scarlatiniform rash
(sandpaper rash) • Children:
May have abdominal pain and diarrhea
TX: First line-Pencillin V or amoxicillin suspension immediate or XR QD
x10 days
ANAPHYLAXIS HX: z pack or clindamycin
Strep Throat, Nonpuruluent SSTI Risks - correct answer-o Rheumatic
fever, scarlet fever, acute poststreptococcal glomerulonephritis,
poststreptococcal reactive arthritis (develops within 1 month after
strep)
Strep throat, purulent risks - correct answer-• Suppurative (Pus):
Tonsillopharyngeal abscess, cellulitis, OM, sinusitis
Strep throat • Centor Criteria: - correct answer-• Be able to connect
Centor Criteria with Strep Throat
Fever (1 point)
EXAM Exam: Questions and
Answers 2025|2026
Presbycusis: Symptoms - correct answer-Symptoms: • Sensorineural
hearing loss without lateralization • Involves the inner ear •
Symmetrical progression • Human speech lost first
Associated with AGING ADULT
High frequency
Acute Bacterial Rhinosinusitis (ABRS): bacteria & symptoms - correct
answer-Bacteria: Streptococcus pneumoniae, H. influenzae, Viral
Symptoms: Persistent URI symptoms for 10 days or more or a cold that
resolved but symptoms returned • Unilateral facial pain/pressure or a
toothache (upper molar pain) with nasal congestion • Purulent nasal
and/or postnasal drip (may have a cough when supine) Frontal sinusitis:
§ Frontal headache or headache behind one eye Maxillary sinusitis: §
Facial pain and upper molar tooth pain
,Transillumination: Compare each side. Affected side may be duller or
smaller
Treatment: Either immediate antibiotic treatment or observation First
Line: Augmentin 2000 mg/125 mg BID x 5-7 days Symptom relief: Saline
irrigations, nasal steroids, NSAIDs for pain
Do not use antihistamines or decongestants
Penicillin Allergy: Levofloxacin 750 mg QD x 5-7 days or Doxycycline BID
x 5-7 days
Infectious Mononucleosis: cause/sx/dx/tx - correct answer-Epstein Bar
Virus (Herpes Virus Family)
Symptoms: Sore throat with tonsillitis. May have whitish tonsillar
exudates • Posterior lymphadenopathy • Severe fatigue present for
many weeks • Maculopapular rash • Hepatomegaly and or
splenomegaly
Classic Triad: Fever, Pharyngitis, Lymphadenopathy
Dx: • Monospot (heterophile antibody)
,Treatment: Symptomatic • Rest • Avoid contact sports and heavy lifting
for at least 4-6 weeks.
A Ruptured spleen is a rare but serious sequela of mono
May do an abdominal US to clear patient for sports
Test Tip: If the patient has strep throat and mono, avoid using
Amoxicillin as the antibiotic of choice. The patient may develop a rash
with this drug. Macrolides are a good option (Clarithromycin).
Levofloxacin works as well but it is overkill
Strep Throat:Cause, symptoms, TX - correct answer-Cause:
• Group A streptococcal bacteria (Streptococcus pyogenes)• Most
common cause of sore throat is viral (rhinovirus, adenovirus, RSV)
• Strep is most common in school-aged children
SX:
• Abrupt onset of fever, sore throat, and pain on swallowing
• Absence of viral symptoms (coryza, cough, hoarseness, runny nose,
watery eyes)
, • Tender anterior cervical lymphadenopathy • Scarlatiniform rash
(sandpaper rash) • Children:
May have abdominal pain and diarrhea
TX: First line-Pencillin V or amoxicillin suspension immediate or XR QD
x10 days
ANAPHYLAXIS HX: z pack or clindamycin
Strep Throat, Nonpuruluent SSTI Risks - correct answer-o Rheumatic
fever, scarlet fever, acute poststreptococcal glomerulonephritis,
poststreptococcal reactive arthritis (develops within 1 month after
strep)
Strep throat, purulent risks - correct answer-• Suppurative (Pus):
Tonsillopharyngeal abscess, cellulitis, OM, sinusitis
Strep throat • Centor Criteria: - correct answer-• Be able to connect
Centor Criteria with Strep Throat
Fever (1 point)
