2
APEA 3P Exam Study questions with accurate detailed || || || || || || || ||
answers
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
|| || || || || || || || || ||
,2
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)
|| || || || || || || || || || || || || ||
, 2
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
|| || || || || || || || || ||
APEA 3P Exam Study questions with accurate detailed || || || || || || || ||
answers
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
|| || || || || || || || || ||
,2
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)
|| || || || || || || || || || || || || ||
, 2
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
|| || || || || || || || || ||
