APEA 3P Actual Exam Test Bank
Actual Questions and Answers
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1. When*performing*a*visual*acuity*test*the*nurse*practitioner*notes*20/30*in*the*left*eye*and*20/4
0*in*the*right*eye*using*the*Snellen*eye*chart.*This*means:
a) have*the*patient*returning*in*two*weeks*for*a*follow*up*vision*screen
b) dilated*the*eye*and*retest
c) refer*the*patient*to*an*ophthalmologist
d) document*this*as*a*normal*finding
2. The*American*psychiatric*association’s*diagnostic*and*statistical*manual*of*mental*disorder*
defines*Munchausen*Syndrome*By*Proxy
a) a*self-inflicted*injury*to*gain*attention
b) a*caregiver*making*up*or*causing*an*illness*or*injury*in*a*person*under*his*or*her*car
e
c) an*abusive*behavior*that*does*not*involve*the*caregiver
d) a*situation*in*which*the*abuser*is*often*inattentive*and*uncaring*toward*the*victim
Munchausen*syndrome*by*proxy*is*a*mental*illness*and*a*form*of*child*abuse.*The*caretaker*of*a*child,*m
ost*often*a*mother,*either*makes*up*fake*symptoms*or*causes*real*symptoms*to*make*it*look*like*the*child
*is*sick.
3. Symptoms*of*depression*are*a*side*effect*of*which*neurotransmitter*medication?
a) dopamine serotonin,*norepinephrine
b) gabapentin
c) mil
d) cortisol
4. Which*lesion*is*dark*raised*and*asymmetric*with*irregular*border?*Quizlet*Bates*Chapter*20
a) Nevus
b) Actinic*keratosis
c) Keratoacanthoma
d) Melanoma
5. A*32*years*old*woman*presents*with*dull*puffiness*of*the*ayes*pronounced*not*pitting*p
eriorbital*edema*this*finding*is*suggestive*of*this*condition?*APEA
a) Nephrotic*syndrome
b) Myxedema
c) Cushing*syndrome
d) Sinusitis
Myxedema*is*a*deposition*of*mucopolysaccarides*in*the*dermis.*Is*commonly*found*if*patients*with*advanc
ed*hypothyroidism.*The*classic*skin*changes*are:*swelling*of*face,*lips,*eyelids,*and*tongue*or*swelling*and
*thickening*of*skin*anywhere*on*the*body,*especially*in*the*lower*legs.
Myxedema*is*the*hallmark*of*Grave’s*disease,*an*autoimmune*form*of*hyperthyroidism.*Myxedem
a*can*also*occur*in*Hashimoto’s*thyroiditis*a*form*of*hypothyroidism.
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6. A*42*years*old*woman*with*a*past*medical*history*of*migraine*headaches*is*requesting*pro
phylactic*medication*treatment.*Which*medication*should*the*Nurse*practitioner*prescribe?
a) Sumatriptan*(Imitrex)
b) Amitriptyline*(Elavil)
c) Verapamil*(verelan)
d) Metoprolol*(Lopressor)
Amitriptyline*(Elavil)*is*a*tricyclic*antidepresant*and*is*considered*offlabel*use*for*prophylactic*treatment*of*migr
ane.*Sumatriptan*(Imimtrex)*Is*aTriptans*used*to*abort*migraine
7. A*pediatric*patient*has*areas*of*scaling*on*the*scalp*with*round*patches*of*alopecia.*This*clini
cal*finding*is*consistent*with:
a) Tinea*capitis
b) Seborrheic*dermatitis
c) Trichotillomania
d) Alopecia*areata
8. What*is*the*appropriate*prophylactic*medication*for*an*18*years*old*woman*with*a*past*medi
cal*history*of*migraine*headaches?
a) Sumatriptan*(Imitrex)*b
)*Propanolol*(Inderal)
c) Ibuprofeno*(motrin)
d) Dihydroergotamine*(DHE)
9. Why*would*a*combined*hormonal*contraceptive*be*contraindicated*in*a*36*year*old*patient*wi
th*a*past*medical*history*of*type*2*diabetes,*obesity,*chronic*smoking*and*sedentary*life
a) She*is*obese
b) She*has*type*2*diabetes*mellitus
c) Her*age*and*tobacco*use
d) She*leads*a*sedentary*lifestyle
Combined*oral*contraceptive*is*contraindicated*in*women*older*than*45,*breastfeeding,*smoking,*HTN,*diabet
es*or*hx*of*stroke
10. During*the*breast*examination*of*a*perimenopausal*woman*the*NP*detects*a*bloody*
spontaneous*discharge*from*the*right*nipple.*This*indicates*further*evaluation.
a) Fibroadenoma
b) Polycystic*breast*disease*Generalized*breast*pain*or*tenderness.*Green*or*dark*brown*non
bloody*nipple*discharge*that*tends*to*leak*without*pressure*or*squeezing
c) An*intraductal*papilloma
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d) Pituitary*prolactinoma
Intraductal*papillomas*are*usually*solitary*and*smaller*than*1*cm.*They*are*located*in*large*lactifero
us*sinuses*or*ducts*and*have*a*tendency*to*bleed.*Quizlet*Nipple*Discharge
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Actual Questions and Answers
100% Guarantee Pass.
This*Exam*contains:*
100%*Guarantee*Pass.
Actual*Questions*and*Answers
Multiple*choice*(single*best*answer)**
Case*Studies/Scenario-Based*Questions*
Verified*Rationales
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1. When*performing*a*visual*acuity*test*the*nurse*practitioner*notes*20/30*in*the*left*eye*and*20/4
0*in*the*right*eye*using*the*Snellen*eye*chart.*This*means:
a) have*the*patient*returning*in*two*weeks*for*a*follow*up*vision*screen
b) dilated*the*eye*and*retest
c) refer*the*patient*to*an*ophthalmologist
d) document*this*as*a*normal*finding
2. The*American*psychiatric*association’s*diagnostic*and*statistical*manual*of*mental*disorder*
defines*Munchausen*Syndrome*By*Proxy
a) a*self-inflicted*injury*to*gain*attention
b) a*caregiver*making*up*or*causing*an*illness*or*injury*in*a*person*under*his*or*her*car
e
c) an*abusive*behavior*that*does*not*involve*the*caregiver
d) a*situation*in*which*the*abuser*is*often*inattentive*and*uncaring*toward*the*victim
Munchausen*syndrome*by*proxy*is*a*mental*illness*and*a*form*of*child*abuse.*The*caretaker*of*a*child,*m
ost*often*a*mother,*either*makes*up*fake*symptoms*or*causes*real*symptoms*to*make*it*look*like*the*child
*is*sick.
3. Symptoms*of*depression*are*a*side*effect*of*which*neurotransmitter*medication?
a) dopamine serotonin,*norepinephrine
b) gabapentin
c) mil
d) cortisol
4. Which*lesion*is*dark*raised*and*asymmetric*with*irregular*border?*Quizlet*Bates*Chapter*20
a) Nevus
b) Actinic*keratosis
c) Keratoacanthoma
d) Melanoma
5. A*32*years*old*woman*presents*with*dull*puffiness*of*the*ayes*pronounced*not*pitting*p
eriorbital*edema*this*finding*is*suggestive*of*this*condition?*APEA
a) Nephrotic*syndrome
b) Myxedema
c) Cushing*syndrome
d) Sinusitis
Myxedema*is*a*deposition*of*mucopolysaccarides*in*the*dermis.*Is*commonly*found*if*patients*with*advanc
ed*hypothyroidism.*The*classic*skin*changes*are:*swelling*of*face,*lips,*eyelids,*and*tongue*or*swelling*and
*thickening*of*skin*anywhere*on*the*body,*especially*in*the*lower*legs.
Myxedema*is*the*hallmark*of*Grave’s*disease,*an*autoimmune*form*of*hyperthyroidism.*Myxedem
a*can*also*occur*in*Hashimoto’s*thyroiditis*a*form*of*hypothyroidism.
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(Mostly* Resourceful)
APEA A+ *
6. A*42*years*old*woman*with*a*past*medical*history*of*migraine*headaches*is*requesting*pro
phylactic*medication*treatment.*Which*medication*should*the*Nurse*practitioner*prescribe?
a) Sumatriptan*(Imitrex)
b) Amitriptyline*(Elavil)
c) Verapamil*(verelan)
d) Metoprolol*(Lopressor)
Amitriptyline*(Elavil)*is*a*tricyclic*antidepresant*and*is*considered*offlabel*use*for*prophylactic*treatment*of*migr
ane.*Sumatriptan*(Imimtrex)*Is*aTriptans*used*to*abort*migraine
7. A*pediatric*patient*has*areas*of*scaling*on*the*scalp*with*round*patches*of*alopecia.*This*clini
cal*finding*is*consistent*with:
a) Tinea*capitis
b) Seborrheic*dermatitis
c) Trichotillomania
d) Alopecia*areata
8. What*is*the*appropriate*prophylactic*medication*for*an*18*years*old*woman*with*a*past*medi
cal*history*of*migraine*headaches?
a) Sumatriptan*(Imitrex)*b
)*Propanolol*(Inderal)
c) Ibuprofeno*(motrin)
d) Dihydroergotamine*(DHE)
9. Why*would*a*combined*hormonal*contraceptive*be*contraindicated*in*a*36*year*old*patient*wi
th*a*past*medical*history*of*type*2*diabetes,*obesity,*chronic*smoking*and*sedentary*life
a) She*is*obese
b) She*has*type*2*diabetes*mellitus
c) Her*age*and*tobacco*use
d) She*leads*a*sedentary*lifestyle
Combined*oral*contraceptive*is*contraindicated*in*women*older*than*45,*breastfeeding,*smoking,*HTN,*diabet
es*or*hx*of*stroke
10. During*the*breast*examination*of*a*perimenopausal*woman*the*NP*detects*a*bloody*
spontaneous*discharge*from*the*right*nipple.*This*indicates*further*evaluation.
a) Fibroadenoma
b) Polycystic*breast*disease*Generalized*breast*pain*or*tenderness.*Green*or*dark*brown*non
bloody*nipple*discharge*that*tends*to*leak*without*pressure*or*squeezing
c) An*intraductal*papilloma
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APEA A+ *
d) Pituitary*prolactinoma
Intraductal*papillomas*are*usually*solitary*and*smaller*than*1*cm.*They*are*located*in*large*lactifero
us*sinuses*or*ducts*and*have*a*tendency*to*bleed.*Quizlet*Nipple*Discharge
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