3P EXAM STUDY APEA EXAM QUESTIONS AND ANSWERS

3P EXAM STUDY APEA EXAM
QUESTIONS AND ANSWERS
WhatgbwouldgbcausegbdecreasegbingbDigoxingblevels?gb-gbANSWERS--Antacids

TakinggbPyridiumgbforgbUTI,gbwhatgbcangbPyridiumgbcause?gb-gbANSWERS--
HemolyticgbAnemia

WhatgbcangbPCOSgbresultgbin?gb-gbANSWERS--
Increasedgbinsulingblevelsgb(Hyperinsulinemia),gbAndrogens,gbHirsutism

Whatgbaregbthegbanti-hypertensivesgbusedgbingbpregnancy?gb-gbANSWERS--
Methyldopagb(Alpha-2-Agonist),gbLabetalol,gbNifedipine,gbHydralazine

WhatgbisgbagbcharacteristicgbofgbPlacentagbPrevia?gb-gbANSWERS--
Painless,gbredgbbleeding

WhatgbisgbagbchacteristicgbofgbRheumatoidgbArthritis?gb-gbANSWERS--
Tender,gbwarm,gbswollengbjoints

Medicationsgbthatgbcangbcausegbototoxicity?gb-gbANSWERS--
Aminoglycosides,gbloopgbdiuretics,gbNSAIDs,gbantihistamines,gbnasalgbdecongestants

Whatgbisgbthegbtreatmentgbtimegbforgbenterobiasis?gb-gbANSWERS--2gbweeks

WhatgbdoesgbMCVgblabgbvaluegbmeasure?gb-gbANSWERS--
MeangbCorpusculargbVolumegbhelpsgbdiagnosegbdifferentgbtypesgbofgbanemiagbsuchgbasgb
B12gb&gbFolategb(Macrocytic)gbandgbFegbanemiagb(Microcytic)

Rhogamgbisgbgivengbatgbhowgbmanygbweekgbgestation?gb-gbANSWERS--27-28gbweeks

WhatgbaregbJanewaygblesionsgbandgbwhatgbdogbtheygbindicate?gb-gbANSWERS--
Theygbaregbirregular,gbnon-
tendergbhemorrhagicgbmaculesgblocatedgbongbthegbhandsgbandgbfeet.gbSeengbingbInfectiveg
bEndocarditis



WhatgbaregbOsler'sgbNodesgbandgbwhatgbdogbtheygbindicate?gb-gbANSWERS--
Theygbaregbsplitgbpea-
sized,gberythematous,gbtendergbnodulesgblocatedgbongbthegbpadsgbofgbthegbfingersgbandgbto
es.gbSeengbingbInfectivegbEndocarditis

WhatgbisgbthegbrecommendationgbforgbWarfaringbmanagementgbwhengbagbpatientgbmissesg
bagbdose?gb-gbANSWERS--

Ifgbwithingb12gbhoursgbofgbthegbdosegbtime,gbtakegbit.gbIfgbovergb12gbhoursgbpatientgbwillgbneed
gbagbINRgbredraw

,WhatgbdogbwegbneedgbtogbknowgbaboutgbACEsgbandgbARBs?gb-gbANSWERS--
AgbdrygbhackinggbcoughgbisgbagbcommongbsidegbeffectgbofgbACEsgbandgbwillgbgogbawaygbwith
ingbagbweekgbaftergbdiscontinuing.gbACEsgb&gbARBsgbaregbindicatedgbforgbpatientsgbwithgbD
M,gbCKD,gbandgbHTN.gbNotgbrecommendedgbasgb1stgblinegbagentgbwithgbAfricangbAmerica
nsgb&gbcangbcausegbangioedema.

ContraindicationsgbforgbHydrochlorothiazidegb-gbANSWERS--
Sulfagballergy,gbPCNgbhypersensitivity,gbAsthma,gbGout

SystolicgbMurmursgb(Benign)gb-gbANSWERS--MRgb=gbMitralgbRegurgegb(SOB/
FatiguegbHF)
PeytongbManninggb=gbPhysiologicgbMurmurgb(Asymptomatic)
ASgb=gbAorticgbStenosisgb(Angina,gbSyncopegbHF)
MVPgb=gbMitralgbValvegbProlapsegb("Click",gbWomengb14-30,gbPalpitations,gbChestgbPain

DiastolicgbMurmursgb(Abnormal)gb-gbANSWERS--
ARgb=gbAorticgbRegurgitationgb(Angina,gbHF,gbDizziness,gbChestgbPain)
MSgb=gbMitralgbStenosisgb(Dyspnea,gbAFib)

WhatgbdoesgbS1gbindicate?gb-gbANSWERS--
S1gbClosuregbofgbthegbAtrioventriculargbValvesgb(Mitralgb&gbTricuspidgbValves)

WhatgbdoesgbS2gbindicate?gb-gbANSWERS--
S2gbClosuregbofgbthegbSemilunargbValvesgb(Aorticgb&gbPulmonicgbValves)

S3gbisgboftengbheardgbin?gb-gbANSWERS--
CHF,gbpossiblygbnormalgbforgbathleticgbadolescents

S4gbisgboftengbheardgbin?gb-gbANSWERS--
DiastolicgbHF,gbLeftgbVentriculargbHypertrophygb(LVH),gbPoorlygbcontrolledgbHTN,gbMI

TreatmentgbofgbPeripheralgbArterygbDiseasegb(PAD)gb-gbANSWERS--
Antiplateletsgb(Plavix,gbASA),gbPentoxifyllinegb(Decreasesgbbloodgbviscosity)

DiagnosinggbPeripheralgbArterygbDiseasegb(PAD)gb-gbANSWERS--
GoldgbStandardgb=gbAngiography
AnklegbBrachialgbIndexgb(ABI)

CoronarygbArterygbDiseasegb(CAD)gbtreatmentgb-gbANSWERS--Aotrvastatin/
Rosuvastatingb=gbIfgbLDL>150gbusegbhighgbdoses.gbWatchgbforgbLFTsgb&gbarthralgia.gbCha
ngegbtypegb&gbdosegbifgbissues.gbHelpsgbstabilizegbplaques.

WhatgbmedicationsgbaregbindicatedgbforgbHFgbtreatment?gb-gbANSWERS--
ACEs,gbARBs,gbARNIgbw/BBs,gbAldosteronegbReceptergbAntagonists

WhatgbisgbthegbtreatmentgbforgbSarcoptergbScabieigb(Scabies)?gb-gbANSWERS--
TopicalgbPermetheringbmassagedgbfromgbheadgbtogbsolesgbofgbfeetgbandgbwashgboffgbwithgb
showergborgbbathgbaftergb8-14hrs.gbTreatgbagaingbingb1gbweek.

Namesgbofgbskingblesions?gb-gbANSWERS--Macule:gbFlatgb<1cmgbi.e.gbfreckle

,Papule:gbRaisedgb<1cmgbi.e.gbacne
Nodule:gbRaisedgb>1cmgbi.e.gblipoma
Vesicle:gbBlistergb<1cmgbi.e.gbHSV,gbChickenpox
Bulla:gbBlistergb>1cmgbi.e.gb2ndgbDegreegbBurn,gbBullousgbPemphigod
Plaque:gbRaised,gbflat-topgb>1cmgbi.e.gbPsoriasisgb&gbSeborrheicgbKeratoses
Patch:gbFlat,gbdiscoloredgb>1cmgbi.e.gbVitiligogb&gbPort-WinegbStains
Wheal:gbRaisedgb&gbRedgbAreagbi.e.gbHivesgb&gbInsectgbBitegbreaction

Keloidgb-gbANSWERS--
Hyperthrophicgbscargbthatgbisgbinvasivegbbeyondgbpointgbofgboriginalgbinjury

WhatgbisgbTineagbCapitisgbandgbWhatgbisgbthegbtreatment?gb-gbANSWERS--ScalpgbRing-
Worm.gbRound,gbscalygbpatchesgbongbscalpgb(CradlegbCap).gbTreatmentgbisgbGrisefulvingb
500mggbwithgbhighgbfatgbmealsgbforgb4-6weeks

WhatgbisgbTineagbCorporisgbandgbWhatgbisgbthegbtreatment?gb-gbANSWERS--BodygbRing-
Worm.gbRed,gbscalygbplaquesgbongbthegbbodygborgbtrunkgbingbagbring-like/
circulargbpattern.gbTopicalgbAzolesgb(I.E.gbClotrimazole)gbforgb2gbweeks.

HowgbdogbyougbassessgbMelanoma?gb-gbANSWERS--
ABCDEgb(Asymmetry,gbBorder,gbColor,gbDiametergb>6mm,gbandgbEvolution/Elevation

Signsgb&gbSymptomsgbofgbPsoriasis?gb-gbANSWERS--Silvery-
WhitegbScales,gbPittedgbNails,gbPositivegbAuspitzgbSigngb(Pinpointgbbleedinggbwhengblesio
ns/scalesgbaregbscraped)

FactsgbaboutgbShinglesgb(HerpesgbZoster)gb-gbANSWERS---
gbUnilateralgbDermatomalgbRashgbwhichgbstartsgbasgbagbpainfulgbredgbrashgb(patch)gbandgbp

rogressesgbtogbblistersgb(vesicles).
gb-

gbPostgbherpeticgbneuralgiagbpaingbisgbcommongbandgbcangblastgblongergbthangb1gbmonthgba

ftergbrashgbresolves.gb
-gbMaygbtransmitgbchickenpoxgbvirusgbtogbunvaccinatedgb&gbsusceptiblegbpatients.gb
-
gbTreatmentgbconsistsgbofgbAcyclovir,gbValacyclovir,gborgbFamciclovirgbandgbmostgbeffectiv

egbifgbstartedgbwithingb48-72hrsgbofgbrashgbappearance.

FactsgbaboutgbContactgbDermatitisgb(Eczema)gb-gbANSWERS---
gbPapulesgborgbVesiclesgbtypicallygb5mmgborgblessgbwhichgbaregbred,gbraisedgbbumps

-
gbSkingbbecomesgbdry,gbscaly,gbandgbroughgbleadinggbtogbformationgbofgbcrustsgborgbflakesgb

ongbskingbsurface
-gbIfgbscratchedgborgbirritated,gbthegbskingbmaygbooze
-
gbTreatmentgbconsistsgbofgbCorticosteroids,gbAntihistamines,gbCalcineuringbInhibitorsgb(T

acrolimus)

FactsgbaboutgbAcnegbVulgarisgb-gbANSWERS---
gbInflammatorygbskingbdisordergbwheregbandrogen-

dependentgbsebaceousgbglandsgbproducegbexcessgbsebum.gb

, -
gbUsuallygbaffectsgbface,gbanteriorgb&gbposteriorgbchest,gbUppergbBack,gbShoulders,gbandgb
Arms
-gbTreatmentgbconsistsgbofgbErythromycin/BenzoylgbPeroxidegb(Benzamycin)
-gbEducationgbr/tgbErythromycin/
BenzoylgbPeroxidegbincludesgblimitgbexposuregbtogbsunlightgbandgbcangbdecreasegbresista
ncegbtogberythromycin

FactsgbaboutgbAtopicgbDermatitisgb-gbANSWERS---gbPatchygbplaque-likegbrash
-
gbCangboccurgbingbpeoplegbwithgbothergbatopicgbconditionsgbsuchgbasgbAsthmagbandgbAllergi

cgbRhinitisgb(HaygbFever)

EyegbexamgbfindingsgbingbDMgb&gbHTNgb-gbANSWERS---
gbAVgbNickinggb=gbArteriesgbindentgbandgbdisplacegbveins

-gbCottongbWoolgbSpotsgb=gbWhitegborgbgrayishgbfluffygblesionsgbongbthegbretina
-gbFlamegbHemorrhagesgb=gbFlame-
likegbhemorrhagesgbalonggbthegbretinalgbnervegbfibergblayer
-
gbDotgb&gbBlotgbHemorrhagesgb=gbSmallgbhemorrhagesgbcausedgbbygbrupturegbofgbweaken

edgbbloodgbvesselsgb-gbHallmarkgbsigngbofgbdiabeticgbretinopathy

AcutegbSinusitisgbTxgbforgbAdultsgb&gbPediatricsgb-gbANSWERS---
gbViralgbisgbsymptomaticgbtreatmentgbonly

-
gbBacterialgbtxgbisgbAmoxicillingb1stgblinegbifgbsymptomsgb>10gbdaysgbandgbincludegbpurulent

gbnasalgbdischarge,gbfever,gbunilateralgbface/toothgbpain



SnellengbTestgb-gbANSWERS--TestgbofgbCNgbIIgb(OpticgbNerve)

Whichgbmedicationsgbcangbcausegbototoxicity?gb-gbANSWERS--Aminoglycosides
LoopgbDiuretics
Quinine
ASA

AllergicgbRhinitisgb-gbANSWERS--
EosinophilsgbelevatedgbingbAllergies,gbWheezes,gbParasites
TxgbisgbFluticasonegb(Flonase)

AcutegbBacterialgbRhinosinusitisgbtreatmentgb-gbANSWERS--
IfgbpatientgbisgballergicgbtogbPCN,gbthengbDoxycyclinegbisgbthegbbestgbalternative

WhichgbImmunoglobuliingbisgbresponsiblegbforgbsymptomsgbofgbAllergiesgb&gbAllergicgbRhi
nitis?gb-gbANSWERS--IgE

Assessmentgbofgbagb4yrgboldgbvisualgbacuitygbresultsgbingb20/30gbingbLgbeyegbandgb20/40gbing
bRgbeyegb-gbANSWERS--

Meansgbvisiongbisgbnormalgbforgbhisgbage.gbChildrengbatgb6gbyearsgbcangbnormallygbachieve
gb20/20gbvision.