APEA 3P Predictor Exam | Actual Questions and Answers Page | 1
Latest Updated 2025/2026 (Graded A+)
What is the hallmark symptom of Peripheral Arterial Disease (PAD)? A. Edema |
B. Bruising | C. Rash | D. Intermittent claudication
D. Intermittent claudication
Which lesion is painless and associated with endocarditis? A. Osler nodes | B.
Janeway lesions | C. Petechiae | D. Purpura
B. Janeway lesions
Which test is best to confirm Peripheral Arterial Disease? A. ECG | B. ABI | C.
Echocardiogram | D. Angiography
B. ABI
Which best describes shingles (Herpes Zoster)? A. Diffuse red rash | B. Painless
macules | C. Vesicular dermatomal rash | D. Annular ring
C. Vesicular dermatomal rash
What is the most common complication of shingles? A. Skin cancer | B.
Postherpetic neuralgia | C. Psoriasis | D. Eczema
B. Postherpetic neuralgia
When should a sinusitis patient be referred immediately? A. 3 days of congestion
| B. Purulent drainage | C. Periorbital swelling | D. Dry cough
C. Periorbital swelling
,Weber test in Meniere's disease typically: A. Lateralizes to affected ear | B. No
sound | C. Lateralizes to unaffected ear | D. Shows normal
C. Lateralizes to unaffected ear
Page | 2
Rinne test in Meniere's disease shows: A. BC > AC | B. No response | C. AC > BC |
D. Equal in both ears
C. AC > BC
Which symptom combo best describes Meniere's? A. Rash + cough | B. Dizziness
+ hearing loss + tinnitus | C. Nausea + vomiting | D. Visual loss
B. Dizziness + hearing loss + tinnitus
Which skin condition shows silvery scale plaques? A. Eczema | B. Psoriasis | C.
Impetigo | D. Rosacea
B. Psoriasis
Psoriasis is commonly associated with: A. Rosacea | B. Urticaria | C. Joint pain |
D. Lupus
C. Joint pain
First test for suspected hypothyroidism? A. T4 | B. CBC | C. TSH | D. ANA
C. TSH
What to check if TSH is elevated? A. T3 | B. Free T4 | C. Insulin | D. CRP
B. Free T4
What HbA1c level diagnoses diabetes? A. 5.6% | B. 6.0% | C. 6.3% | D. 6.5%
D. 6.5%
Which acne medication is teratogenic? A. Doxycycline | B. Isotretinoin | C.
Clindamycin | D. Benzoyl peroxide
,B. Isotretinoin
Outpatient PID treatment includes: A. Penicillin only | B. Ceftriaxone +
doxycycline | C. Metronidazole only | D. Fluoroquinolone + gentamicin
Page | 3
B. Ceftriaxone + doxycycline
Why are macrolides used for outpatient CAP? A. Cost-effective | B. They treat TB
| C. Cover typical + atypical bacteria | D. They're topical
C. Cover typical + atypical bacteria
ABCDE for melanoma includes: A. Arterial bleed, Color, Depth, Edema, Erosion |
B. Asymmetry, Border, Color, Diameter, Evolving | C. Annular, Brown, Colorless,
Dense, Edgy | D. Area, Blur, Color, Deep, Edge
B. Asymmetry, Border, Color, Diameter, Evolving
Meniere's treatment includes: A. Antibiotics | B. Salt loading | C. Low sodium +
diuretics | D. Steroids
C. Low sodium + diuretics
Conductive hearing loss - Rinne test result: A. AC > BC | B. No sound | C. BC >
AC | D. Equal
C. BC > AC
Sensorineural hearing loss - Weber test: A. Lateralizes to affected ear | B.
Lateralizes to better ear | C. Midline | D. No sound
B. Lateralizes to better ear
Common hypothyroid symptom: A. Heat intolerance | B. Diarrhea | C. Weight gain
| D. Insomnia
C. Weight gain
, Subclinical hypothyroidism labs: A. Low TSH, high T4 | B. High TSH, normal T4 |
C. Normal TSH, high T4 | D. Low TSH, low T4
B. High TSH, normal T4
Page | 4
Best first-line for mild psoriasis: A. Methotrexate | B. Biologics | C. Topical
steroids | D. Isotretinoin
C. Topical steroids
Psoriasis common locations: A. Axilla + neck | B. Elbows, knees, scalp | C. Palms
only | D. Face + abdomen
B. Elbows, knees, scalp
PID exam sign: A. Murphy's sign | B. Cervical motion tenderness | C.
Costovertebral tenderness | D. Blumberg sign
B. Cervical motion tenderness
Strawberry cervix is seen with: A. Candida | B. Trichomoniasis | C. BV | D.
Gonorrhea
B. Trichomoniasis
Most sensitive pregnancy test: A. Urine HCG | B. Pelvic exam | C. Serum β-hCG |
D. Transvaginal US
C. Serum β-hCG
Vulvovaginal candidiasis treatment: A. Metronidazole | B. Fluconazole | C.
Ceftriaxone | D. Clindamycin
B. Fluconazole
CVA tenderness + fever = A. Cystitis | B. Appendicitis | C. Pyelonephritis | D.
Cholecystitis
Latest Updated 2025/2026 (Graded A+)
What is the hallmark symptom of Peripheral Arterial Disease (PAD)? A. Edema |
B. Bruising | C. Rash | D. Intermittent claudication
D. Intermittent claudication
Which lesion is painless and associated with endocarditis? A. Osler nodes | B.
Janeway lesions | C. Petechiae | D. Purpura
B. Janeway lesions
Which test is best to confirm Peripheral Arterial Disease? A. ECG | B. ABI | C.
Echocardiogram | D. Angiography
B. ABI
Which best describes shingles (Herpes Zoster)? A. Diffuse red rash | B. Painless
macules | C. Vesicular dermatomal rash | D. Annular ring
C. Vesicular dermatomal rash
What is the most common complication of shingles? A. Skin cancer | B.
Postherpetic neuralgia | C. Psoriasis | D. Eczema
B. Postherpetic neuralgia
When should a sinusitis patient be referred immediately? A. 3 days of congestion
| B. Purulent drainage | C. Periorbital swelling | D. Dry cough
C. Periorbital swelling
,Weber test in Meniere's disease typically: A. Lateralizes to affected ear | B. No
sound | C. Lateralizes to unaffected ear | D. Shows normal
C. Lateralizes to unaffected ear
Page | 2
Rinne test in Meniere's disease shows: A. BC > AC | B. No response | C. AC > BC |
D. Equal in both ears
C. AC > BC
Which symptom combo best describes Meniere's? A. Rash + cough | B. Dizziness
+ hearing loss + tinnitus | C. Nausea + vomiting | D. Visual loss
B. Dizziness + hearing loss + tinnitus
Which skin condition shows silvery scale plaques? A. Eczema | B. Psoriasis | C.
Impetigo | D. Rosacea
B. Psoriasis
Psoriasis is commonly associated with: A. Rosacea | B. Urticaria | C. Joint pain |
D. Lupus
C. Joint pain
First test for suspected hypothyroidism? A. T4 | B. CBC | C. TSH | D. ANA
C. TSH
What to check if TSH is elevated? A. T3 | B. Free T4 | C. Insulin | D. CRP
B. Free T4
What HbA1c level diagnoses diabetes? A. 5.6% | B. 6.0% | C. 6.3% | D. 6.5%
D. 6.5%
Which acne medication is teratogenic? A. Doxycycline | B. Isotretinoin | C.
Clindamycin | D. Benzoyl peroxide
,B. Isotretinoin
Outpatient PID treatment includes: A. Penicillin only | B. Ceftriaxone +
doxycycline | C. Metronidazole only | D. Fluoroquinolone + gentamicin
Page | 3
B. Ceftriaxone + doxycycline
Why are macrolides used for outpatient CAP? A. Cost-effective | B. They treat TB
| C. Cover typical + atypical bacteria | D. They're topical
C. Cover typical + atypical bacteria
ABCDE for melanoma includes: A. Arterial bleed, Color, Depth, Edema, Erosion |
B. Asymmetry, Border, Color, Diameter, Evolving | C. Annular, Brown, Colorless,
Dense, Edgy | D. Area, Blur, Color, Deep, Edge
B. Asymmetry, Border, Color, Diameter, Evolving
Meniere's treatment includes: A. Antibiotics | B. Salt loading | C. Low sodium +
diuretics | D. Steroids
C. Low sodium + diuretics
Conductive hearing loss - Rinne test result: A. AC > BC | B. No sound | C. BC >
AC | D. Equal
C. BC > AC
Sensorineural hearing loss - Weber test: A. Lateralizes to affected ear | B.
Lateralizes to better ear | C. Midline | D. No sound
B. Lateralizes to better ear
Common hypothyroid symptom: A. Heat intolerance | B. Diarrhea | C. Weight gain
| D. Insomnia
C. Weight gain
, Subclinical hypothyroidism labs: A. Low TSH, high T4 | B. High TSH, normal T4 |
C. Normal TSH, high T4 | D. Low TSH, low T4
B. High TSH, normal T4
Page | 4
Best first-line for mild psoriasis: A. Methotrexate | B. Biologics | C. Topical
steroids | D. Isotretinoin
C. Topical steroids
Psoriasis common locations: A. Axilla + neck | B. Elbows, knees, scalp | C. Palms
only | D. Face + abdomen
B. Elbows, knees, scalp
PID exam sign: A. Murphy's sign | B. Cervical motion tenderness | C.
Costovertebral tenderness | D. Blumberg sign
B. Cervical motion tenderness
Strawberry cervix is seen with: A. Candida | B. Trichomoniasis | C. BV | D.
Gonorrhea
B. Trichomoniasis
Most sensitive pregnancy test: A. Urine HCG | B. Pelvic exam | C. Serum β-hCG |
D. Transvaginal US
C. Serum β-hCG
Vulvovaginal candidiasis treatment: A. Metronidazole | B. Fluconazole | C.
Ceftriaxone | D. Clindamycin
B. Fluconazole
CVA tenderness + fever = A. Cystitis | B. Appendicitis | C. Pyelonephritis | D.
Cholecystitis
