APEA 3P EXAM
500+ Practice Questions
exam-style rationales
Prep smarter for the APEA 3P exam with a focused set
of multiple-choice practice questions paired with clear,
exam-style rationales. Covers high-yield primary care
topics (assessment/diagnosis, women’s health, peds,
derm, cardio/resp, endocrine, pharm, and more). Great
for quick review, self-testing, and last-minute
confidence-building.
,When performing a visual acuity test the nurse practitioner notes
20/30 in the left eye and 20/40 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
○ Correct Answer: c refer the patient to an ophthalmologist
○ Rationale: Snellen chart results of 20/30 and 20/40 indicate reduced
visual acuity, meaning the patient sees at 20 feet what a person with
normal vision sees at 30 or 40 feet, respectively. These are not
considered normal findings and warrant referral to an ophthalmologist
for comprehensive evaluation and management.
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 care
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
,○ Correct Answer: b
a caregiver making up or causing an illness or injury in a person under
his or her care
○ Rationale: Munchausen syndrome by proxy is a mental illness and a
form of child abuse. The caregiver of a child, most often the mother,
makes up fake symptoms or causes real symptoms to make it look like
the child is sick.
Symptoms of depression are a side effect of which neurotransmitter
medication?
a) dopamine
b) gabapentin
c) mil
d) cortisol
○ Correct Answer: a
○ Rationale: depression is often linked to imbalances in serotonin and
norepinephrine. The question phrasing is somewhat ambiguous, but
among the given options, dopamine is the neurotransmitter whose
dysregulation directly contributes to depressive symptoms.
Which lesion is dark raised and asymmetric with irregular border?
a) Nevus
b) Actinic keratosis
, c) Keratoacanthoma
d) Melanoma
○ Correct Answer: d
Melanoma
○ Rationale: The description directly matches the ABCDE criteria used
to identify melanoma: Asymmetry, Border irregularity, Color variation
(often dark or multiple colors), Diameter (typically >6mm),
and Evolving (changes in size, shape, or color)
A 32 years old woman presents with dull puffiness of the eyes
pronounced not pitting periorbital edema this finding is suggestive
of this condition?
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
○ Correct Answer: b
Myxedema
○ Rationale: Myxedema,is a deposition of mucopolysaccarides in the
dermis. Is commonly found if patients have advanced hypothyroidism.
The classic skin changes are: swelling of face, lips, eyelids, and tongue
500+ Practice Questions
exam-style rationales
Prep smarter for the APEA 3P exam with a focused set
of multiple-choice practice questions paired with clear,
exam-style rationales. Covers high-yield primary care
topics (assessment/diagnosis, women’s health, peds,
derm, cardio/resp, endocrine, pharm, and more). Great
for quick review, self-testing, and last-minute
confidence-building.
,When performing a visual acuity test the nurse practitioner notes
20/30 in the left eye and 20/40 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
○ Correct Answer: c refer the patient to an ophthalmologist
○ Rationale: Snellen chart results of 20/30 and 20/40 indicate reduced
visual acuity, meaning the patient sees at 20 feet what a person with
normal vision sees at 30 or 40 feet, respectively. These are not
considered normal findings and warrant referral to an ophthalmologist
for comprehensive evaluation and management.
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 care
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
,○ Correct Answer: b
a caregiver making up or causing an illness or injury in a person under
his or her care
○ Rationale: Munchausen syndrome by proxy is a mental illness and a
form of child abuse. The caregiver of a child, most often the mother,
makes up fake symptoms or causes real symptoms to make it look like
the child is sick.
Symptoms of depression are a side effect of which neurotransmitter
medication?
a) dopamine
b) gabapentin
c) mil
d) cortisol
○ Correct Answer: a
○ Rationale: depression is often linked to imbalances in serotonin and
norepinephrine. The question phrasing is somewhat ambiguous, but
among the given options, dopamine is the neurotransmitter whose
dysregulation directly contributes to depressive symptoms.
Which lesion is dark raised and asymmetric with irregular border?
a) Nevus
b) Actinic keratosis
, c) Keratoacanthoma
d) Melanoma
○ Correct Answer: d
Melanoma
○ Rationale: The description directly matches the ABCDE criteria used
to identify melanoma: Asymmetry, Border irregularity, Color variation
(often dark or multiple colors), Diameter (typically >6mm),
and Evolving (changes in size, shape, or color)
A 32 years old woman presents with dull puffiness of the eyes
pronounced not pitting periorbital edema this finding is suggestive
of this condition?
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
○ Correct Answer: b
Myxedema
○ Rationale: Myxedema,is a deposition of mucopolysaccarides in the
dermis. Is commonly found if patients have advanced hypothyroidism.
The classic skin changes are: swelling of face, lips, eyelids, and tongue
