APEA 3P Exam Study Guide 2023 [Correctly Answered]
What would cause decrease in Digoxin levels - Correct Answers Antacids
Taking Pyridium for UTI, what can Pyridium cause? - Correct Answers Hemolytic
Anemia
What can PCOS result in? - Correct Answers increased insulin levels, Androgens,
hirsutism
What is a hypertensive used in pregnancy - Correct Answers Methyldopa
What is a characteristic of Placenta Previa? - Correct Answers painless red bleeding
What is a characteristic of Rheumatoid arthritis ? - Correct Answers Red hot joints
Medications that cause ototoxicity - Correct Answers Aminoglycosides, nasal
decongestants, antihistamines
Treatment period for enterobiasis - Correct Answers 2 weeks
CBC Interpretation - Correct Answers MCV - mean corpuscular volume help diagnose
different types of anemia (High=macrocytic like B12, Low=microcytic like Fe anemia)
Rhogham given at how many weeks gestation? - Correct Answers 27 weeks
Janesway lesions - Correct Answers Happen with endocarditis, non painful lesions
seen on hands and feet, Osler same but painful
Warfarin management - forgot a dose? - Correct Answers If under 12 hours take
missed dose, if over skip and need INR redraw
Taking an ACE or ARB what to know? - Correct Answers ACE (dry hacking) cough
starts 1-2 weeks after med started, ACE (Lol) ARB (sartan) first line in HTN avoid
initially in african americans, angioedema can occur
Contraindication for hydrochlorithiazide - Correct Answers sulfa allergy, asthma, PCN
hypersensitvity
Murmurs Systolic - Correct Answers MR=Mitral regurge (SOB/Fatigue HF)
Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
, Diastolic Murmurs (ABnormal) - Correct Answers AR= Aortic Regurge (angina, HF,
dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
Motivated - Correct Answers Systole-S1 closure of AV Mitral/tricuspid valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples - Correct Answers Diastole s2 closure of the aortic pulmonic valves (dub)
aortic pulmonic semilunar
Abnormal (extra) heart sounds - Correct Answers S3- CHF; possible normal for
adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD - Correct Answers antiplatelets (Plavix, ASA), Pentoxifylline
(decreases blood viscosity) to treat, ankle brachial index to check, angiography gold
standard to diagnose
Coronary artery Disease tx - Correct Answers Atorvastatin/rovustatin- use high dose
meds for LDL>150, watch for LFTs and arthralgia. Change type and dose if problems.
Stabilization of plaque with statins
HF treatment - Correct Answers ACEI, ARB, or ARNI with BB and aldosterone receptor
antagonist
Scabies Treatment (Sarcopter Scabiei) - Correct Answers Topical Permethrin
massaged from head to soles of feet and wach off with shower or bath after 8-14 hours.
Treat again in 1 week
Names of skin findings - Correct Answers Macule; freckle <1 cm, Papule Macule >1 cm
chloasma, Papule <0.5cm elevated nevi (molluscum wart), Plaque (psoriasis, lichen
planus), Nodule 0.5-2 cm lipoma, vesicle (herpes simplex contact derm,
Keloid - Correct Answers hypertrophic scar that is invasive beyond point of original
injury
Skin continued - Correct Answers Bulla-second degree burn, friction burn
Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
Tinea - Correct Answers Fungal infections; Tinea capitis-round patchy scales on scalp
(cradle cap) treatment Grisefulvin take with high fat meal 4-6 weeks 500 mg tinea
corporis -red and scaly plaque on trunk (ring worm) Treatment is an azole for 2 weeks
What would cause decrease in Digoxin levels - Correct Answers Antacids
Taking Pyridium for UTI, what can Pyridium cause? - Correct Answers Hemolytic
Anemia
What can PCOS result in? - Correct Answers increased insulin levels, Androgens,
hirsutism
What is a hypertensive used in pregnancy - Correct Answers Methyldopa
What is a characteristic of Placenta Previa? - Correct Answers painless red bleeding
What is a characteristic of Rheumatoid arthritis ? - Correct Answers Red hot joints
Medications that cause ototoxicity - Correct Answers Aminoglycosides, nasal
decongestants, antihistamines
Treatment period for enterobiasis - Correct Answers 2 weeks
CBC Interpretation - Correct Answers MCV - mean corpuscular volume help diagnose
different types of anemia (High=macrocytic like B12, Low=microcytic like Fe anemia)
Rhogham given at how many weeks gestation? - Correct Answers 27 weeks
Janesway lesions - Correct Answers Happen with endocarditis, non painful lesions
seen on hands and feet, Osler same but painful
Warfarin management - forgot a dose? - Correct Answers If under 12 hours take
missed dose, if over skip and need INR redraw
Taking an ACE or ARB what to know? - Correct Answers ACE (dry hacking) cough
starts 1-2 weeks after med started, ACE (Lol) ARB (sartan) first line in HTN avoid
initially in african americans, angioedema can occur
Contraindication for hydrochlorithiazide - Correct Answers sulfa allergy, asthma, PCN
hypersensitvity
Murmurs Systolic - Correct Answers MR=Mitral regurge (SOB/Fatigue HF)
Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
, Diastolic Murmurs (ABnormal) - Correct Answers AR= Aortic Regurge (angina, HF,
dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
Motivated - Correct Answers Systole-S1 closure of AV Mitral/tricuspid valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples - Correct Answers Diastole s2 closure of the aortic pulmonic valves (dub)
aortic pulmonic semilunar
Abnormal (extra) heart sounds - Correct Answers S3- CHF; possible normal for
adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD - Correct Answers antiplatelets (Plavix, ASA), Pentoxifylline
(decreases blood viscosity) to treat, ankle brachial index to check, angiography gold
standard to diagnose
Coronary artery Disease tx - Correct Answers Atorvastatin/rovustatin- use high dose
meds for LDL>150, watch for LFTs and arthralgia. Change type and dose if problems.
Stabilization of plaque with statins
HF treatment - Correct Answers ACEI, ARB, or ARNI with BB and aldosterone receptor
antagonist
Scabies Treatment (Sarcopter Scabiei) - Correct Answers Topical Permethrin
massaged from head to soles of feet and wach off with shower or bath after 8-14 hours.
Treat again in 1 week
Names of skin findings - Correct Answers Macule; freckle <1 cm, Papule Macule >1 cm
chloasma, Papule <0.5cm elevated nevi (molluscum wart), Plaque (psoriasis, lichen
planus), Nodule 0.5-2 cm lipoma, vesicle (herpes simplex contact derm,
Keloid - Correct Answers hypertrophic scar that is invasive beyond point of original
injury
Skin continued - Correct Answers Bulla-second degree burn, friction burn
Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
Tinea - Correct Answers Fungal infections; Tinea capitis-round patchy scales on scalp
(cradle cap) treatment Grisefulvin take with high fat meal 4-6 weeks 500 mg tinea
corporis -red and scaly plaque on trunk (ring worm) Treatment is an azole for 2 weeks
