3P APEA EXAM WITH CORRECT
ANSWERS
2025
Difference between varicose vein and arteriosclerosis ( correct
answers ) Is the
affected
Arteriosclerosis affects arteries whereas varicose veins
vessel
affects veins
A patient has poorly controlled hypertension for more than 10 years.
Indicate
likely position
the most
of his point of maximal impulse (PMI) ( correct answers )
5th ICS, left
of
MCL
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
two years.
pastThis murmur is probably ( correct answers )
mitral stenosis
A patient who has diabetes presents with pain in his lower legs when he
walksresolution
pain and with rest. When specifically asked about his pain in his
lower will
likely leg, report
he pain ( correct answers ) in the calf
muscle
A patient with hypertension describes a previous allergic reaction to a
sulfa
as antibioticof skin" and hospitalization. Which medication is
"sloughing
contraindicated
patient? in answers
( correct this )
hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what
symptoms of
worsening indicate
his stenosis. the NP replies: ( correct answers ) shortness of
and
breath
syncope
A 74 year old patient has PAD. Which item listed below is an important
risk factor for PAD? ( correct answers )
nonmodifiable
diabetes
Benazepril should be d/c immediately if ( correct answers )
pregnancy occurs
aortic regurgitation characteristics ( correct answers ) long
asymptomatic
follow by exercise
period
intolerance, then dyspnea
at rest
DVT classic symptoms ( correct answers ) swelling, pain, and
discoloration of lower
extremit
y
Characteristic of ACE-induced cough is that? ( correct answers ) usually
begins of
weeks twostarting
therapy
GRADED
A+
, Valve most commonly involved in chronic rheumatic heart ( correct
)disease answers
mitral
Medication that can exacerbate HF ( correct answers )
naproxen
Patient taking ACE inhibitors should avoid? ( correct answers )
potassium supplements
Grade 3 murmur indication for a referral ( correct answers ) a
fixed split
Group of meds used to treat HF ( correct answers ) fosinopril,
HCTZ, verapamil
Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib.
INR today
4.0. the NPisshould: ( correct answers ) stop the warfarin today
and repeat INR
tomorro
w
According to the NHLBI, which characteristic is a coronary heart
disease risk that is, which risk factor places the pt. as a CHD risk similar to
equivalent,
(a correct
hx of CHD
answers ) diabetes
mellitus
good drug to reduce morbidity and mortality in ( correct
mild HF
metoprolol answers )
A pt. taking atorvastatin newly diagnosed with dyslipidemia complaints
of fatigue, and muscle aches in his lower back, arms, legs for the past 3
weakness,
days. it is with
improved not rest How should this be evaluated? ( correct
answers ) Stop the
atorvastatin
immediately
symptom not indicative of HF( correct answers )
headache
What class of meds is preferred to normalized lipid levels and reduce risk
of cardiac events( correct answers ) HMG CoA reductase inhibitors
Highest sensitivity in diagnosing HF ( correct
answers ) BNP
The NP is caring for a 74-year-old who had an acute coronary syndrome 6
weeksmedications
What ago. should be part of his regimen unless contraindicated
answers ) ACE, ASA, beta blockers, and
( correct
statin
patient with the highest systolic B/P ( correct answers ) 75-
year-old male
test that is most cost effective to screen for abdominal aortic aneurysm
( correct answers ) abdominal ultrasound
GRADED
A+
ANSWERS
2025
Difference between varicose vein and arteriosclerosis ( correct
answers ) Is the
affected
Arteriosclerosis affects arteries whereas varicose veins
vessel
affects veins
A patient has poorly controlled hypertension for more than 10 years.
Indicate
likely position
the most
of his point of maximal impulse (PMI) ( correct answers )
5th ICS, left
of
MCL
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
two years.
pastThis murmur is probably ( correct answers )
mitral stenosis
A patient who has diabetes presents with pain in his lower legs when he
walksresolution
pain and with rest. When specifically asked about his pain in his
lower will
likely leg, report
he pain ( correct answers ) in the calf
muscle
A patient with hypertension describes a previous allergic reaction to a
sulfa
as antibioticof skin" and hospitalization. Which medication is
"sloughing
contraindicated
patient? in answers
( correct this )
hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what
symptoms of
worsening indicate
his stenosis. the NP replies: ( correct answers ) shortness of
and
breath
syncope
A 74 year old patient has PAD. Which item listed below is an important
risk factor for PAD? ( correct answers )
nonmodifiable
diabetes
Benazepril should be d/c immediately if ( correct answers )
pregnancy occurs
aortic regurgitation characteristics ( correct answers ) long
asymptomatic
follow by exercise
period
intolerance, then dyspnea
at rest
DVT classic symptoms ( correct answers ) swelling, pain, and
discoloration of lower
extremit
y
Characteristic of ACE-induced cough is that? ( correct answers ) usually
begins of
weeks twostarting
therapy
GRADED
A+
, Valve most commonly involved in chronic rheumatic heart ( correct
)disease answers
mitral
Medication that can exacerbate HF ( correct answers )
naproxen
Patient taking ACE inhibitors should avoid? ( correct answers )
potassium supplements
Grade 3 murmur indication for a referral ( correct answers ) a
fixed split
Group of meds used to treat HF ( correct answers ) fosinopril,
HCTZ, verapamil
Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib.
INR today
4.0. the NPisshould: ( correct answers ) stop the warfarin today
and repeat INR
tomorro
w
According to the NHLBI, which characteristic is a coronary heart
disease risk that is, which risk factor places the pt. as a CHD risk similar to
equivalent,
(a correct
hx of CHD
answers ) diabetes
mellitus
good drug to reduce morbidity and mortality in ( correct
mild HF
metoprolol answers )
A pt. taking atorvastatin newly diagnosed with dyslipidemia complaints
of fatigue, and muscle aches in his lower back, arms, legs for the past 3
weakness,
days. it is with
improved not rest How should this be evaluated? ( correct
answers ) Stop the
atorvastatin
immediately
symptom not indicative of HF( correct answers )
headache
What class of meds is preferred to normalized lipid levels and reduce risk
of cardiac events( correct answers ) HMG CoA reductase inhibitors
Highest sensitivity in diagnosing HF ( correct
answers ) BNP
The NP is caring for a 74-year-old who had an acute coronary syndrome 6
weeksmedications
What ago. should be part of his regimen unless contraindicated
answers ) ACE, ASA, beta blockers, and
( correct
statin
patient with the highest systolic B/P ( correct answers ) 75-
year-old male
test that is most cost effective to screen for abdominal aortic aneurysm
( correct answers ) abdominal ultrasound
GRADED
A+
