3P APEA EXAM WITH COMPLETE QUESTIONS
AND ANSWERS 2025/2026
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
good drug to reduce morbidity and mortality in mild HF - CORRECT ANSWER-metoprolol
AND ANSWERS 2025/2026
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
good drug to reduce morbidity and mortality in mild HF - CORRECT ANSWER-metoprolol
