APEA 3P 2024/2025 EXAM
1. Difference between varicose vein and arteriosclerosis: Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins
2. A patient has poorly controlled hypertension for more than 10 years. Indicate
the most likely position of his point of maximal impulse (PMI): 5th ICS, left
of MCL
3. A 43 year old Hispanic male has an audible diastolic murmur best heard
in the mitral listening point. There is no audible click. His status has been
monitored for the past two years. This murmur is probably: mitral stenosis
4. A patient who has diabetes presents with pain in his lower legs when he
walks and pain resolution with rest. When specifically asked about his pain in
his lower leg, he likely will report pain: in the calf muscle
5. A patient with hypertension describes a previous allergic reaction to a sulfa
antibiotic as "sloughing of skin" and hospitalization. Which medication is
contraindicated in this patient?: hydrochlorothiazide
6. A 75 year old patient who has aortic stenosis wants to know what symptoms
indicate worsening of his stenosis. the NP replies:: shortness of breath and
syncope
7. A 74 year old patient has PAD. Which item listed below is an important
nonmodifiable risk factor for PAD?: diabetes
8. Benazepril should be d/c immediately if: pregnancy occurs
9. aortic regurgitation characteristics: long asymptomatic period follow by exercise
intolerance, then dyspnea at rest
10. DVT classic symptoms: swelling, pain, and discoloration of lower extremity
11. Characteristic of ACE-induced cough is that?: usually begins two weeks of
starting therapy
12. Valve most commonly involved in chronic rheumatic heart disease: mitral
13. Medication that can exacerbate HF: naproxen
14. Patient taking ACE inhibitors should avoid?: potassium supplements
15. Grade 3 murmur indication for a referral: a fixed split
16. Group of meds used to treat HF: fosinopril, HCTZ, verapamil
, 17. Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib. INR
today is 4.0. the NP should:: stop the warfarin today and repeat INR tomorrow
18. According to the NHLBI, which characteristic is a coronary heart disease
risk equivalent, that is, which risk factor places the pt. as a CHD risk similar
to a hx of CHD: diabetes mellitus
19. good drug to reduce morbidity and mortality in mild HF: metoprolol
20. A pt. taking atorvastatin newly diagnosed with dyslipidemia complaints of
fatigue, weakness, and muscle aches in his lower back, arms, legs for the past
3 days. it is not improved with rest How should this be evaluated?: Stop the
atorvastatin immediately
21. symptom not indicative of HF: headache
22. What class of meds is preferred to normalized lipid levels and reduce risk
of cardiac events: HMG CoA reductase inhibitors
23. Highest sensitivity in diagnosing HF: BNP
24. The NP is caring for a 74-year-old who had an acute coronary syndrome 6
weeks ago. What medications should be part of his regimen unless contraindicated:
ACE, ASA, beta blockers, and statin
25. patient with the highest systolic B/P: 75-year-old male
26. test that is most cost effective to screen for abdominal aortic aneurysm: -
abdominal ultrasound
27. a 74-year-old patient has had an increase in b/p since the last exam.
his b/p has increased from 144/90 to reading in the upper 160's/upper 80's.
If medication is to be started on this patient, what would be a good first
choice?: Calcium channel blocker
28. Factor contributing to the development of AAA: cigarette smoking
29. A 40-year-old African-American pt. has a b/p of 175/100 and 170/102. What
is a reasonable plan of care for this pt today?: initiate amlodipine 5mg daily
30. Usual course of treatment for mitral valve prolapse: is benign
31. A 50-year-old patient with hypertension has taken HCTZ 25mg daily for the
past 4 weeks. Her b/p has decreased from 155/95 to 145/90. How should the
NP proceed?: add another drug from another class to the daily 25mg HCTZ
1. Difference between varicose vein and arteriosclerosis: Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins
2. A patient has poorly controlled hypertension for more than 10 years. Indicate
the most likely position of his point of maximal impulse (PMI): 5th ICS, left
of MCL
3. A 43 year old Hispanic male has an audible diastolic murmur best heard
in the mitral listening point. There is no audible click. His status has been
monitored for the past two years. This murmur is probably: mitral stenosis
4. A patient who has diabetes presents with pain in his lower legs when he
walks and pain resolution with rest. When specifically asked about his pain in
his lower leg, he likely will report pain: in the calf muscle
5. A patient with hypertension describes a previous allergic reaction to a sulfa
antibiotic as "sloughing of skin" and hospitalization. Which medication is
contraindicated in this patient?: hydrochlorothiazide
6. A 75 year old patient who has aortic stenosis wants to know what symptoms
indicate worsening of his stenosis. the NP replies:: shortness of breath and
syncope
7. A 74 year old patient has PAD. Which item listed below is an important
nonmodifiable risk factor for PAD?: diabetes
8. Benazepril should be d/c immediately if: pregnancy occurs
9. aortic regurgitation characteristics: long asymptomatic period follow by exercise
intolerance, then dyspnea at rest
10. DVT classic symptoms: swelling, pain, and discoloration of lower extremity
11. Characteristic of ACE-induced cough is that?: usually begins two weeks of
starting therapy
12. Valve most commonly involved in chronic rheumatic heart disease: mitral
13. Medication that can exacerbate HF: naproxen
14. Patient taking ACE inhibitors should avoid?: potassium supplements
15. Grade 3 murmur indication for a referral: a fixed split
16. Group of meds used to treat HF: fosinopril, HCTZ, verapamil
, 17. Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib. INR
today is 4.0. the NP should:: stop the warfarin today and repeat INR tomorrow
18. According to the NHLBI, which characteristic is a coronary heart disease
risk equivalent, that is, which risk factor places the pt. as a CHD risk similar
to a hx of CHD: diabetes mellitus
19. good drug to reduce morbidity and mortality in mild HF: metoprolol
20. A pt. taking atorvastatin newly diagnosed with dyslipidemia complaints of
fatigue, weakness, and muscle aches in his lower back, arms, legs for the past
3 days. it is not improved with rest How should this be evaluated?: Stop the
atorvastatin immediately
21. symptom not indicative of HF: headache
22. What class of meds is preferred to normalized lipid levels and reduce risk
of cardiac events: HMG CoA reductase inhibitors
23. Highest sensitivity in diagnosing HF: BNP
24. The NP is caring for a 74-year-old who had an acute coronary syndrome 6
weeks ago. What medications should be part of his regimen unless contraindicated:
ACE, ASA, beta blockers, and statin
25. patient with the highest systolic B/P: 75-year-old male
26. test that is most cost effective to screen for abdominal aortic aneurysm: -
abdominal ultrasound
27. a 74-year-old patient has had an increase in b/p since the last exam.
his b/p has increased from 144/90 to reading in the upper 160's/upper 80's.
If medication is to be started on this patient, what would be a good first
choice?: Calcium channel blocker
28. Factor contributing to the development of AAA: cigarette smoking
29. A 40-year-old African-American pt. has a b/p of 175/100 and 170/102. What
is a reasonable plan of care for this pt today?: initiate amlodipine 5mg daily
30. Usual course of treatment for mitral valve prolapse: is benign
31. A 50-year-old patient with hypertension has taken HCTZ 25mg daily for the
past 4 weeks. Her b/p has decreased from 155/95 to 145/90. How should the
NP proceed?: add another drug from another class to the daily 25mg HCTZ
