APEA 3P EXAM – MASTER Q&A WITH EXPLANATIONS
1. What does 20/30 (L) and 20/40 (R) vision indicate?
Answer: Need for further evaluation
Explanation: Normal vision is 20/20. Anything worse may require refraction or pathology
screening.
2. What is Munchausen Syndrome by Proxy?
Answer: Caregiver induces or fabricates illness in another
Explanation: A serious form of abuse—look for inconsistent history and frequent hospital visits.
3. Depression symptoms may be caused by what?
Answer: Medication effects (serotonin/norepinephrine imbalance)
Explanation: Many drugs affect neurotransmitters → can mimic depression.
4. What lesion suggests Melanoma?
Answer: Dark, asymmetric, irregular borders
Explanation: Use ABCDE rule → urgent biopsy needed.
5. Periorbital edema suggests what condition?
Answer: Nephrotic Syndrome
Explanation: Protein loss → ↓ oncotic pressure → fluid accumulation around eyes.
6. Migraine prophylaxis drug?
Answer: Amitriptyline
Explanation: Used off-label; works by stabilizing neurotransmitters.
7. Scalp scaling with hair loss indicates?
Answer: Tinea capitis
Explanation: Common in children; treat with oral antifungals, not topical.
, 8. Combined hormonal contraceptives are contraindicated in?
Answer: Smoking, >35–45 yrs, HTN, stroke history
Explanation: ↑ risk of thromboembolism and stroke
9. Bloody nipple discharge indicates?
Answer: Needs further evaluation
Explanation: Possible breast cancer or intraductal papilloma
10. When give Rho(D) immunoglobulin?
Answer: At 28 weeks (Rh-negative mother)
Explanation: Prevents Rh incompatibility
11. What does MCV measure?
Answer: RBC size
Explanation:
Low → iron deficiency
High → B12/folate deficiency
12. Drug to avoid for migraine prophylaxis?
Answer: Venlafaxine
Explanation: Can cause significant side effects in some patients.
13. What does Prostaglandin E1 do?
Answer: Keeps ductus arteriosus open
Explanation: Critical in congenital heart defects
14. Calf pain in PAD is described as?
Answer: Cramping (claudication)
Explanation: Due to reduced blood flow during activity
15. Symptoms of hyperprolactinemia?
Answer: Infertility, amenorrhea
Explanation: High prolactin suppresses ovulation
1. What does 20/30 (L) and 20/40 (R) vision indicate?
Answer: Need for further evaluation
Explanation: Normal vision is 20/20. Anything worse may require refraction or pathology
screening.
2. What is Munchausen Syndrome by Proxy?
Answer: Caregiver induces or fabricates illness in another
Explanation: A serious form of abuse—look for inconsistent history and frequent hospital visits.
3. Depression symptoms may be caused by what?
Answer: Medication effects (serotonin/norepinephrine imbalance)
Explanation: Many drugs affect neurotransmitters → can mimic depression.
4. What lesion suggests Melanoma?
Answer: Dark, asymmetric, irregular borders
Explanation: Use ABCDE rule → urgent biopsy needed.
5. Periorbital edema suggests what condition?
Answer: Nephrotic Syndrome
Explanation: Protein loss → ↓ oncotic pressure → fluid accumulation around eyes.
6. Migraine prophylaxis drug?
Answer: Amitriptyline
Explanation: Used off-label; works by stabilizing neurotransmitters.
7. Scalp scaling with hair loss indicates?
Answer: Tinea capitis
Explanation: Common in children; treat with oral antifungals, not topical.
, 8. Combined hormonal contraceptives are contraindicated in?
Answer: Smoking, >35–45 yrs, HTN, stroke history
Explanation: ↑ risk of thromboembolism and stroke
9. Bloody nipple discharge indicates?
Answer: Needs further evaluation
Explanation: Possible breast cancer or intraductal papilloma
10. When give Rho(D) immunoglobulin?
Answer: At 28 weeks (Rh-negative mother)
Explanation: Prevents Rh incompatibility
11. What does MCV measure?
Answer: RBC size
Explanation:
Low → iron deficiency
High → B12/folate deficiency
12. Drug to avoid for migraine prophylaxis?
Answer: Venlafaxine
Explanation: Can cause significant side effects in some patients.
13. What does Prostaglandin E1 do?
Answer: Keeps ductus arteriosus open
Explanation: Critical in congenital heart defects
14. Calf pain in PAD is described as?
Answer: Cramping (claudication)
Explanation: Due to reduced blood flow during activity
15. Symptoms of hyperprolactinemia?
Answer: Infertility, amenorrhea
Explanation: High prolactin suppresses ovulation
