APEA 3P Exam
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What would cause decrease in Digoxin levels? - =Antacids
Taking Pyridium for UTI, what can Pyridium cause? - =Hemolytic Anemia
What can PCOS result in? - =Increased insulin levels (Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - =Methyldopa (Alpha-2-Agonist),
Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - =Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - =Tender, warm, swollen joints
Medications that can cause ototoxicity? - =Aminoglycosides, loop diuretics, NSAIDs,
antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - =2 weeks
What does MCV lab value measure? - =Mean Corpuscular Volume helps diagnose different
types of anemia such as B12 & Folate (Macrocytic) and Fe anemia (Microcytic)
Rhogam is given at how many week gestation? - =27-28 weeks
What are Janeway lesions and what do they indicate? - =They are irregular, non-tender
hemorrhagic macules located on the hands and feet. Seen in Infective Endocarditis
,What are Osler's Nodes and what do they indicate? - =They are split pea-sized, erythematous,
tender nodules located on the pads of the fingers and toes. Seen in Infective Endocarditis
What is the recommendation for Warfarin management when a patient misses a dose? - =If
within 12 hours of the dose time, take it. If over 12 hours patient will need a INR redraw
What do we need to know about ACEs and ARBs? - =A dry hacking cough is a common side
effect of ACEs and will go away within a week after discontinuing. ACEs & ARBs are indicated
for patients with DM, CKD, and HTN. Not recommended as 1st line agent with African
Americans & can cause angioedema.
Contraindications for Hydrochlorothiazide - =Sulfa allergy, PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - =MR = Mitral Regurge (SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest Pain
Diastolic Murmurs (Abnormal) - =AR = Aortic Regurgitation (Angina, HF, Dizziness, Chest
Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - =S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid
Valves)
What does S2 indicate? - =S2 Closure of the Semilunar Valves (Aortic & Pulmonic Valves)
S3 is often heard in? - =CHF, possibly normal for athletic adolescents
S4 is often heard in? - =Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly controlled
HTN, MI
, Treatment of Peripheral Artery Disease (PAD) - =Antiplatelets (Plavix, ASA), Pentoxifylline
(Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - =Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - =Aotrvastatin/Rosuvastatin = If LDL>150 use high
doses. Watch for LFTs & arthralgia. Change type & dose if issues. Helps stabilize plaques.
What medications are indicated for HF treatment? - =ACEs, ARBs, ARNI w/BBs, Aldosterone
Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - =Topical Permetherin massaged from
head to soles of feet and wash off with shower or bath after 8-14hrs. Treat again in 1 week.
Names of skin lesions? - =Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
Vesicle: Blister <1cm i.e. HSV, Chickenpox
Bulla: Blister >1cm i.e. 2nd Degree Burn, Bullous Pemphigod
Plaque: Raised, flat-top >1cm i.e. Psoriasis & Seborrheic Keratoses
Patch: Flat, discolored >1cm i.e. Vitiligo & Port-Wine Stains
Wheal: Raised & Red Area i.e. Hives & Insect Bite reaction
Keloid - =Hyperthrophic scar that is invasive beyond point of original injury
What is Tinea Capitis and What is the treatment? - =Scalp Ring-Worm. Round, scaly patches on
scalp (Cradle Cap). Treatment is Grisefulvin 500mg with high fat meals for 4-6weeks
Save already passed
What would cause decrease in Digoxin levels? - =Antacids
Taking Pyridium for UTI, what can Pyridium cause? - =Hemolytic Anemia
What can PCOS result in? - =Increased insulin levels (Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - =Methyldopa (Alpha-2-Agonist),
Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - =Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - =Tender, warm, swollen joints
Medications that can cause ototoxicity? - =Aminoglycosides, loop diuretics, NSAIDs,
antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - =2 weeks
What does MCV lab value measure? - =Mean Corpuscular Volume helps diagnose different
types of anemia such as B12 & Folate (Macrocytic) and Fe anemia (Microcytic)
Rhogam is given at how many week gestation? - =27-28 weeks
What are Janeway lesions and what do they indicate? - =They are irregular, non-tender
hemorrhagic macules located on the hands and feet. Seen in Infective Endocarditis
,What are Osler's Nodes and what do they indicate? - =They are split pea-sized, erythematous,
tender nodules located on the pads of the fingers and toes. Seen in Infective Endocarditis
What is the recommendation for Warfarin management when a patient misses a dose? - =If
within 12 hours of the dose time, take it. If over 12 hours patient will need a INR redraw
What do we need to know about ACEs and ARBs? - =A dry hacking cough is a common side
effect of ACEs and will go away within a week after discontinuing. ACEs & ARBs are indicated
for patients with DM, CKD, and HTN. Not recommended as 1st line agent with African
Americans & can cause angioedema.
Contraindications for Hydrochlorothiazide - =Sulfa allergy, PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - =MR = Mitral Regurge (SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest Pain
Diastolic Murmurs (Abnormal) - =AR = Aortic Regurgitation (Angina, HF, Dizziness, Chest
Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - =S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid
Valves)
What does S2 indicate? - =S2 Closure of the Semilunar Valves (Aortic & Pulmonic Valves)
S3 is often heard in? - =CHF, possibly normal for athletic adolescents
S4 is often heard in? - =Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly controlled
HTN, MI
, Treatment of Peripheral Artery Disease (PAD) - =Antiplatelets (Plavix, ASA), Pentoxifylline
(Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - =Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - =Aotrvastatin/Rosuvastatin = If LDL>150 use high
doses. Watch for LFTs & arthralgia. Change type & dose if issues. Helps stabilize plaques.
What medications are indicated for HF treatment? - =ACEs, ARBs, ARNI w/BBs, Aldosterone
Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - =Topical Permetherin massaged from
head to soles of feet and wash off with shower or bath after 8-14hrs. Treat again in 1 week.
Names of skin lesions? - =Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
Vesicle: Blister <1cm i.e. HSV, Chickenpox
Bulla: Blister >1cm i.e. 2nd Degree Burn, Bullous Pemphigod
Plaque: Raised, flat-top >1cm i.e. Psoriasis & Seborrheic Keratoses
Patch: Flat, discolored >1cm i.e. Vitiligo & Port-Wine Stains
Wheal: Raised & Red Area i.e. Hives & Insect Bite reaction
Keloid - =Hyperthrophic scar that is invasive beyond point of original injury
What is Tinea Capitis and What is the treatment? - =Scalp Ring-Worm. Round, scaly patches on
scalp (Cradle Cap). Treatment is Grisefulvin 500mg with high fat meals for 4-6weeks
