APEA 3P EXAM STUDY EXAM
QUESTIONS AND ANSWERS | 2026
UPDATE | 100% CORRECT.
What would cause decrease in Digoxin levels? - ANS Antacids
Taking Pyridium for UTI, what can Pyridium cause? - ANS Hemolytic Anemia
What can PCOS result in? - ANS Increased insulin levels (Hyperinsulinemia), Androgens,
Hirsutism
What are the anti-hypertensives used in pregnancy? - ANS Methyldopa (Alpha-2-Agonist),
Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - ANS Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - ANS Tender, warm, swollen joints
Medications that can cause ototoxicity? - ANS Aminoglycosides, loop diuretics, NSAIDs,
antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - ANS 2 weeks
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 24
,What does MCV lab value measure? - ANS 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? - ANS 27-28 weeks
What are Janeway lesions and what do they indicate? - ANS 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? - ANS 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? -
ANS 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? - ANS 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 - ANS Sulfa allergy, PCN hypersensitivity, Asthma,
Gout
Systolic Murmurs (Benign) - ANS 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) - ANS AR = Aortic Regurgitation (Angina, HF, Dizziness, Chest
Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 24
, What does S1 indicate? - ANS S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid
Valves)
What does S2 indicate? - ANS S2 Closure of the Semilunar Valves (Aortic & Pulmonic Valves)
S3 is often heard in? - ANS CHF, possibly normal for athletic adolescents
S4 is often heard in? - ANS Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly controlled
HTN, MI
Treatment of Peripheral Artery Disease (PAD) - ANS Antiplatelets (Plavix, ASA), Pentoxifylline
(Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - ANS Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - ANS 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? - ANS ACEs, ARBs, ARNI w/BBs,
Aldosterone Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - ANS 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? - ANS Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 24
QUESTIONS AND ANSWERS | 2026
UPDATE | 100% CORRECT.
What would cause decrease in Digoxin levels? - ANS Antacids
Taking Pyridium for UTI, what can Pyridium cause? - ANS Hemolytic Anemia
What can PCOS result in? - ANS Increased insulin levels (Hyperinsulinemia), Androgens,
Hirsutism
What are the anti-hypertensives used in pregnancy? - ANS Methyldopa (Alpha-2-Agonist),
Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - ANS Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - ANS Tender, warm, swollen joints
Medications that can cause ototoxicity? - ANS Aminoglycosides, loop diuretics, NSAIDs,
antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - ANS 2 weeks
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 24
,What does MCV lab value measure? - ANS 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? - ANS 27-28 weeks
What are Janeway lesions and what do they indicate? - ANS 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? - ANS 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? -
ANS 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? - ANS 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 - ANS Sulfa allergy, PCN hypersensitivity, Asthma,
Gout
Systolic Murmurs (Benign) - ANS 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) - ANS AR = Aortic Regurgitation (Angina, HF, Dizziness, Chest
Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 24
, What does S1 indicate? - ANS S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid
Valves)
What does S2 indicate? - ANS S2 Closure of the Semilunar Valves (Aortic & Pulmonic Valves)
S3 is often heard in? - ANS CHF, possibly normal for athletic adolescents
S4 is often heard in? - ANS Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly controlled
HTN, MI
Treatment of Peripheral Artery Disease (PAD) - ANS Antiplatelets (Plavix, ASA), Pentoxifylline
(Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - ANS Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - ANS 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? - ANS ACEs, ARBs, ARNI w/BBs,
Aldosterone Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - ANS 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? - ANS Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
Nodule: Raised >1cm i.e. lipoma
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 24
