APEA 3p Exam Prep: Key Clinical Concepts with 100% correct answers (LATEST
2026/2027 UPDATE)
1. Which headache sign does not warrant an immediate investigation?
relieved with use of common analgesics
2. During a migraine, what happens to the cerebral arteries?
They dilate
3. You would have a high suspicion for bipolar if which symptom was present?
He sleeps less than 4 hours nightly.
4. Which risk factor is not associated with breast cancer?
Low socioeconomic status.
5. A 26 year old woman with bulimia is likely to be:
Of average weight.
6. What medication is used to relieve acute wheezing in a patient with asthma?
Short acting beta agonist.
7. Which medication might be responsible for recent episodes of incontinence and confusion in an 80 year
old patient?
Tagamet (cimetidine).
8. What suggests hyperandrogenism in an adolescent female?
Hirsutism.
9. Which is a synovial joint?
Shoulder.
10. What could account for a drop in digoxin levels from 0.8-2 ng/dL to 0.4 ng/dL?
Increased exercise.
11. Which medication is contraindicated in a child with acute sinusitis?
Decongestants.
12. Which best describes the lower extremity calf pain associated with peripheral artery disease?
Dull aching or cramping.
13. Jugular venous distention accompanied by chest pain is associated with:
Heart failure.
14. Which immunization protects against a virus that can lead to chronic liver disease?
Hepatitis B.
15. A pediatric patient with areas of scaling on the scalp with round patches of hair loss likely has:
Tinea capitis.
16. A beefy red, glossy smooth tongue in a 70 year old patient suggests:
Pernicious anemia due to insufficient intrinsic factor.
, 17. Leg pain and occasional numbness worse with ambulation and improved with lumbar flexion is likely:
Spinal stenosis.
18. Which is not a typical symptom of late stage HIV?
Persistent vomiting.
19. What hemodynamic change is responsible for a reduction in blood pressure during pregnancy?
Decrease in systemic vascular resistance.
20. If Griseofulvin is not effective for tinea capitis, what is the next step?
Continue the current therapy for 6-8 weeks.
21. Rapid HIV testing would be most appropriate for a patient with complaints of:
Fever, headache, and lymphadenopathy.
22. What is a frequent side effect of SSRIs?
Sexual dysfunction.
23. You might suspect small bowel obstruction in a patient who complains of:
Vomiting and pain.
24. What finding would be suggestive of osteosarcoma in a pediatric patient?
Pain in the affected bone.
25. What clinical manifestation suggests primary syphilis?
A single painless genital lesion.
26. What medication is used first line for benign positional vertigo?
Meclizine.
27. Which symptom is most associated with testicular torsion?
Testicular pain.
28. A clinical breast exam should include palpation at the tail of Spence, which is located:
Laterally across the anterior axillary fold.
29. Which area does not drain to the right lymph duct?
The right leg.
30. Which presentation is most suspicious for penile cancer?
A nontender, indurated penile nodule.
31. What is important to consider before prescribing metronidazole for giardiasis?
Whether the patient drinks alcohol.
32. In which condition would the use of triptans for migraine headaches be contraindicated?
Hypertension.
33. Which is a true statement about varicose veins?
They are usually diagnosed on clinical presentation.
2026/2027 UPDATE)
1. Which headache sign does not warrant an immediate investigation?
relieved with use of common analgesics
2. During a migraine, what happens to the cerebral arteries?
They dilate
3. You would have a high suspicion for bipolar if which symptom was present?
He sleeps less than 4 hours nightly.
4. Which risk factor is not associated with breast cancer?
Low socioeconomic status.
5. A 26 year old woman with bulimia is likely to be:
Of average weight.
6. What medication is used to relieve acute wheezing in a patient with asthma?
Short acting beta agonist.
7. Which medication might be responsible for recent episodes of incontinence and confusion in an 80 year
old patient?
Tagamet (cimetidine).
8. What suggests hyperandrogenism in an adolescent female?
Hirsutism.
9. Which is a synovial joint?
Shoulder.
10. What could account for a drop in digoxin levels from 0.8-2 ng/dL to 0.4 ng/dL?
Increased exercise.
11. Which medication is contraindicated in a child with acute sinusitis?
Decongestants.
12. Which best describes the lower extremity calf pain associated with peripheral artery disease?
Dull aching or cramping.
13. Jugular venous distention accompanied by chest pain is associated with:
Heart failure.
14. Which immunization protects against a virus that can lead to chronic liver disease?
Hepatitis B.
15. A pediatric patient with areas of scaling on the scalp with round patches of hair loss likely has:
Tinea capitis.
16. A beefy red, glossy smooth tongue in a 70 year old patient suggests:
Pernicious anemia due to insufficient intrinsic factor.
, 17. Leg pain and occasional numbness worse with ambulation and improved with lumbar flexion is likely:
Spinal stenosis.
18. Which is not a typical symptom of late stage HIV?
Persistent vomiting.
19. What hemodynamic change is responsible for a reduction in blood pressure during pregnancy?
Decrease in systemic vascular resistance.
20. If Griseofulvin is not effective for tinea capitis, what is the next step?
Continue the current therapy for 6-8 weeks.
21. Rapid HIV testing would be most appropriate for a patient with complaints of:
Fever, headache, and lymphadenopathy.
22. What is a frequent side effect of SSRIs?
Sexual dysfunction.
23. You might suspect small bowel obstruction in a patient who complains of:
Vomiting and pain.
24. What finding would be suggestive of osteosarcoma in a pediatric patient?
Pain in the affected bone.
25. What clinical manifestation suggests primary syphilis?
A single painless genital lesion.
26. What medication is used first line for benign positional vertigo?
Meclizine.
27. Which symptom is most associated with testicular torsion?
Testicular pain.
28. A clinical breast exam should include palpation at the tail of Spence, which is located:
Laterally across the anterior axillary fold.
29. Which area does not drain to the right lymph duct?
The right leg.
30. Which presentation is most suspicious for penile cancer?
A nontender, indurated penile nodule.
31. What is important to consider before prescribing metronidazole for giardiasis?
Whether the patient drinks alcohol.
32. In which condition would the use of triptans for migraine headaches be contraindicated?
Hypertension.
33. Which is a true statement about varicose veins?
They are usually diagnosed on clinical presentation.
