APEA 3P/3P APEA EXAM LATEST 2024 ACTUAL
QUESTIONS AND CORRECT VERIFIED
ANSWERS|ALREADY GRADED A+|GUARANTEED
TO PASS CONCEPTS
What headache sign does not warrant an immediate investigation? - ✔✔ANSWER✔✔relieved with use
of common analgesics
During a migraine, what happens to the cerebral arteries? - ✔✔ANSWER✔✔They dilate
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe mood
swings, is easily distracted, and constantly corrects his teachers. You would have a high suspicious for
bipolar if which symptom is present? - ✔✔ANSWER✔✔He sleeps less than 4 hours nightly
Which risk factor is not associated with breast cancer? - ✔✔ANSWER✔✔Low socioeconomic status
A 26 year old woman with bulimia is likely to be: - ✔✔ANSWER✔✔of average weight
What medication is used to relieve acute wheezing in a patient with asthma? - ✔✔ANSWER✔✔short
acting beta agonist
You are evaluating an 80 year old patient for recent episodes of incontinence and confusion. His family
states that this is unusual for him and he has become increasingly forgetful over the past two weeks.
Which medication might be responsible for this? - ✔✔ANSWER✔✔Tagamet (cimetidine)
What suggests hyperandrogenism in an adolescent female? - ✔✔ANSWER✔✔hirsutism
,Which is a synovial joint? - ✔✔ANSWER✔✔Shoulder
A 67 year old woman with atrial fibrillation and an ejection fraction of 48% is on digoxin and has had
normal digoxin levels of 0.8-2 ng/dL for the past 9 months. Today, the level is 0.4 ng/dL. What could
account for this change? - ✔✔ANSWER✔✔Regular use of an antacid
Which medication is contraindicated in a child with acute sinusisitis? - ✔✔ANSWER✔✔Antihistamines
Which best describes the lower extremity calf pain associated with peripheral artery disease? -
✔✔ANSWER✔✔dull aching or cramping
Jugular vein distention accompanied by chest pain is associated with: - ✔✔ANSWER✔✔heart failure
Which immunization protects against a virus that is transmitted through blood and body fluids and can
lead to chronic liver disease? - ✔✔ANSWER✔✔Hepatitis C
A pediatric patient has areas of scaling on the scalp with round patches of hair loss. What is the likely
diagnosis? - ✔✔ANSWER✔✔Tinea capitis
Your 70 year old patient complains of a sore mouth that prevents her from eating. On exam you note a
beefy red, glossy, smooth tongue. What do you suspect? - ✔✔ANSWER✔✔Pernicious anemia due to
insufficient intrinsic factor
A 62 year old male presents with leg pain and occasional numbness that is worse with ambulation and
improved with lumbar flexion. What is the likely diagnosis? - ✔✔ANSWER✔✔spinal stenosis
What is not a typical symptom of late stage HIV? - ✔✔ANSWER✔✔persistent vomiting
A pregnant patient presents for her 16 week prenatal visit. Her blood pressure had reduced from 118/79
to 109/68. What hemodynamic change is responsible for this? - ✔✔ANSWER✔✔decrease in systemic
vascular resistance
,Your 62 year old patient has been taking Griseofulvin 500 mg po BID for 3 weeks to treat tinea capitis
and has only had marginal improvement. What is your next step? - ✔✔ANSWER✔✔continue current
therapy for 6-8 weeks
Rapid HIV testing would be more appropriate for a patient with complaints of: - ✔✔ANSWER✔✔painful
urination, dyspareunia, and penile or vaginal discharge
What is a frequent side effect of SSRIs? - ✔✔ANSWER✔✔sexual dysfunction
You might suspect small bowel obstruction in a patient who complains of: - ✔✔ANSWER✔✔vomiting
and pain
What finding would be suggestive of osteosarcoma in a pediatric patient? - ✔✔ANSWER✔✔pain in the
affected bone
What clinical manifestation suggests primary syphilis? - ✔✔ANSWER✔✔a single painless genital lesion
What medication is used first line for a patient with benign positional vertigo? -
✔✔ANSWER✔✔Meclizinete
Which symptom is most associated with testicular torsion? - ✔✔ANSWER✔✔testicular pain
A clinical breast exam should include palpation at the tail of Spence. Where is this located? -
✔✔ANSWER✔✔Laterally across the anterior axillary fold
Which area does not drain to the right lymph duct? - ✔✔ANSWER✔✔the right leg
Which presentation is most suspicious for penile cancer? - ✔✔ANSWER✔✔a nontender, indurated
penile nodule
, What is important to consider before prescribing metronidazole for giardiasis? -
✔✔ANSWER✔✔whether the patient drinks alcohol
In which condition would the use of triptans for migraine headaches be contraindicated? -
✔✔ANSWER✔✔hypertension
Which is a true statement about varicose veins? - ✔✔ANSWER✔✔they are more symptomatic during
ovulation
When measuring the fundal height of a pregnant woman at 32 weeks, which measurement would
prompt the nurse practitioner to suspect fetal growth restriction? - ✔✔ANSWER✔✔29 cm
What is the term for excess fluid that accumulates in the pleural cavity between the visceral and parietal
spaces? - ✔✔ANSWER✔✔pleural effusion
What pathogen is associated with common UTIs? - ✔✔ANSWER✔✔E. Coli
Which medication inhibits blood coagulation by selectively blocking the active site of factor X-a? -
✔✔ANSWER✔✔Eliquis (apixaban)
Which is a contraindication for menopausal estrogen replacement therapy in a 55 year old woman? -
✔✔ANSWER✔✔current or past migraine headaches
During abdominal exam, which sound over the bulging area of the abdomen would indicate ascitic fluid?
- ✔✔ANSWER✔✔dullness
What is a typical finding in a patient with a meniscal tear? - ✔✔ANSWER✔✔positive McMurray's test
What is the most common presenting symptom of a woman with trichomoniasis? -
✔✔ANSWER✔✔vaginal discharge
QUESTIONS AND CORRECT VERIFIED
ANSWERS|ALREADY GRADED A+|GUARANTEED
TO PASS CONCEPTS
What headache sign does not warrant an immediate investigation? - ✔✔ANSWER✔✔relieved with use
of common analgesics
During a migraine, what happens to the cerebral arteries? - ✔✔ANSWER✔✔They dilate
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe mood
swings, is easily distracted, and constantly corrects his teachers. You would have a high suspicious for
bipolar if which symptom is present? - ✔✔ANSWER✔✔He sleeps less than 4 hours nightly
Which risk factor is not associated with breast cancer? - ✔✔ANSWER✔✔Low socioeconomic status
A 26 year old woman with bulimia is likely to be: - ✔✔ANSWER✔✔of average weight
What medication is used to relieve acute wheezing in a patient with asthma? - ✔✔ANSWER✔✔short
acting beta agonist
You are evaluating an 80 year old patient for recent episodes of incontinence and confusion. His family
states that this is unusual for him and he has become increasingly forgetful over the past two weeks.
Which medication might be responsible for this? - ✔✔ANSWER✔✔Tagamet (cimetidine)
What suggests hyperandrogenism in an adolescent female? - ✔✔ANSWER✔✔hirsutism
,Which is a synovial joint? - ✔✔ANSWER✔✔Shoulder
A 67 year old woman with atrial fibrillation and an ejection fraction of 48% is on digoxin and has had
normal digoxin levels of 0.8-2 ng/dL for the past 9 months. Today, the level is 0.4 ng/dL. What could
account for this change? - ✔✔ANSWER✔✔Regular use of an antacid
Which medication is contraindicated in a child with acute sinusisitis? - ✔✔ANSWER✔✔Antihistamines
Which best describes the lower extremity calf pain associated with peripheral artery disease? -
✔✔ANSWER✔✔dull aching or cramping
Jugular vein distention accompanied by chest pain is associated with: - ✔✔ANSWER✔✔heart failure
Which immunization protects against a virus that is transmitted through blood and body fluids and can
lead to chronic liver disease? - ✔✔ANSWER✔✔Hepatitis C
A pediatric patient has areas of scaling on the scalp with round patches of hair loss. What is the likely
diagnosis? - ✔✔ANSWER✔✔Tinea capitis
Your 70 year old patient complains of a sore mouth that prevents her from eating. On exam you note a
beefy red, glossy, smooth tongue. What do you suspect? - ✔✔ANSWER✔✔Pernicious anemia due to
insufficient intrinsic factor
A 62 year old male presents with leg pain and occasional numbness that is worse with ambulation and
improved with lumbar flexion. What is the likely diagnosis? - ✔✔ANSWER✔✔spinal stenosis
What is not a typical symptom of late stage HIV? - ✔✔ANSWER✔✔persistent vomiting
A pregnant patient presents for her 16 week prenatal visit. Her blood pressure had reduced from 118/79
to 109/68. What hemodynamic change is responsible for this? - ✔✔ANSWER✔✔decrease in systemic
vascular resistance
,Your 62 year old patient has been taking Griseofulvin 500 mg po BID for 3 weeks to treat tinea capitis
and has only had marginal improvement. What is your next step? - ✔✔ANSWER✔✔continue current
therapy for 6-8 weeks
Rapid HIV testing would be more appropriate for a patient with complaints of: - ✔✔ANSWER✔✔painful
urination, dyspareunia, and penile or vaginal discharge
What is a frequent side effect of SSRIs? - ✔✔ANSWER✔✔sexual dysfunction
You might suspect small bowel obstruction in a patient who complains of: - ✔✔ANSWER✔✔vomiting
and pain
What finding would be suggestive of osteosarcoma in a pediatric patient? - ✔✔ANSWER✔✔pain in the
affected bone
What clinical manifestation suggests primary syphilis? - ✔✔ANSWER✔✔a single painless genital lesion
What medication is used first line for a patient with benign positional vertigo? -
✔✔ANSWER✔✔Meclizinete
Which symptom is most associated with testicular torsion? - ✔✔ANSWER✔✔testicular pain
A clinical breast exam should include palpation at the tail of Spence. Where is this located? -
✔✔ANSWER✔✔Laterally across the anterior axillary fold
Which area does not drain to the right lymph duct? - ✔✔ANSWER✔✔the right leg
Which presentation is most suspicious for penile cancer? - ✔✔ANSWER✔✔a nontender, indurated
penile nodule
, What is important to consider before prescribing metronidazole for giardiasis? -
✔✔ANSWER✔✔whether the patient drinks alcohol
In which condition would the use of triptans for migraine headaches be contraindicated? -
✔✔ANSWER✔✔hypertension
Which is a true statement about varicose veins? - ✔✔ANSWER✔✔they are more symptomatic during
ovulation
When measuring the fundal height of a pregnant woman at 32 weeks, which measurement would
prompt the nurse practitioner to suspect fetal growth restriction? - ✔✔ANSWER✔✔29 cm
What is the term for excess fluid that accumulates in the pleural cavity between the visceral and parietal
spaces? - ✔✔ANSWER✔✔pleural effusion
What pathogen is associated with common UTIs? - ✔✔ANSWER✔✔E. Coli
Which medication inhibits blood coagulation by selectively blocking the active site of factor X-a? -
✔✔ANSWER✔✔Eliquis (apixaban)
Which is a contraindication for menopausal estrogen replacement therapy in a 55 year old woman? -
✔✔ANSWER✔✔current or past migraine headaches
During abdominal exam, which sound over the bulging area of the abdomen would indicate ascitic fluid?
- ✔✔ANSWER✔✔dullness
What is a typical finding in a patient with a meniscal tear? - ✔✔ANSWER✔✔positive McMurray's test
What is the most common presenting symptom of a woman with trichomoniasis? -
✔✔ANSWER✔✔vaginal discharge
