@PROFDOCDIGITALIBRARIES
APEA 3P EXAM STUDY QUESTIONS WITH
PRECISE ANSWERS 2025 UPDATED
GRADED A+
What would cause decrease in Digoxin levels - PRECISE ANSWER
Antacids
Taking Pyridium for UTI, what can Pyridium cause? - PRECISE ANSWER
Hemolytic Anemia
PR
What can PCOS result in? - PRECISE ANSWER increased insulin levels,
Androgens, hirsutism
What is a hypertensive used in pregnancy - PRECISE ANSWER
Methyldopa
O
What is a characteristic of Placenta Previa? - PRECISE ANSWER painless
red bleeding
FD
What is a characteristic of Rheumatoid arthritis ? - PRECISE ANSWER
Red hot joints
O
Medications that cause ototoxicity - PRECISE ANSWER Aminoglycosides,
nasal decongestants, antihistamines
C
Treatment period for enterobiasis - PRECISE ANSWER 2 weeks
CBC Interpretation - PRECISE ANSWER 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? - PRECISE ANSWER 27
weeks
Janesway lesions - PRECISE ANSWER Happen with endocarditis, non
painful lesions seen on hands and feet, Osler same but painful
,@PROFDOCDIGITALIBRARIES
Warfarin management - forgot a dose? - PRECISE ANSWER If under 12
hours take missed dose, if over skip and need INR redraw
Taking an ACE or ARB what to know? - PRECISE ANSWER 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 - PRECISE ANSWER sulfa allergy,
asthma, PCN hypersensitvity
Murmurs Systolic - PRECISE ANSWER MR=Mitral regurge (SOB/Fatigue
HF)
Peyton Manning=phys murmur (asymptomatic)
PR
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
Diastolic Murmurs (ABnormal) - PRECISE ANSWER AR= Aortic Regurge
(angina, HF, dizzinness, CP)
O
MS=Mitral stenosis (Dyspnea, Afib)
Motivated - PRECISE ANSWER Systole-S1 closure of AV Mitral/tricuspid
FD
valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples - PRECISE ANSWER Diastole s2 closure of the aortic pulmonic
O
valves (dub)
aortic pulmonic semilunar
C
Abnormal (extra) heart sounds - PRECISE ANSWER S3- CHF; possible
normal for adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD - PRECISE ANSWER antiplatelets (Plavix, ASA),
Pentoxifylline (decreases blood viscosity) to treat, ankle brachial index to
check, angiography gold standard to diagnose
Coronary artery Disease tx - PRECISE ANSWER 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
, @PROFDOCDIGITALIBRARIES
HF treatment - PRECISE ANSWER ACEI, ARB, or ARNI with BB and
aldosterone receptor antagonist
Scabies Treatment (Sarcopter Scabiei) - PRECISE ANSWER 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 - PRECISE ANSWER 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 - PRECISE ANSWER hypertrophic scar that is invasive beyond
PR
point of original injury
Skin continued - PRECISE ANSWER Bulla-second degree burn, friction
burn
Wheal- raised, mosquito bite, hive
O
Scales;dandruff
Crusts-scab from abrasian, impetigo
FD
Tinea - PRECISE ANSWER 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
O
Melanoma How do you assess - PRECISE ANSWER ABCDE Asymmetry,
border, color, diameter >6 mm, elevation
C
Psoriasis - PRECISE ANSWER silvery white scales, nails are pitted;
positive Auspitz sign- pinpoint bleeding occurs when lesions are scraped
Shingles (Herpes Zoster) - PRECISE ANSWER Unilateral dermatomal
rash- painful as it progresses to vesicles, Acyclovir within 48-72 hours or
symptoms. May only transmit chickenpox virus to susceptible patients that
have not gotten exposed or vaccinated yet.
Post herpetic neuralgia pain is longer than 1 month after rash has resolved.
Contact dermatitis - PRECISE ANSWER papules or vesicles 5mm or less,
scaling, crusting, oozing. Tx corticosteroids/antihistamines
APEA 3P EXAM STUDY QUESTIONS WITH
PRECISE ANSWERS 2025 UPDATED
GRADED A+
What would cause decrease in Digoxin levels - PRECISE ANSWER
Antacids
Taking Pyridium for UTI, what can Pyridium cause? - PRECISE ANSWER
Hemolytic Anemia
PR
What can PCOS result in? - PRECISE ANSWER increased insulin levels,
Androgens, hirsutism
What is a hypertensive used in pregnancy - PRECISE ANSWER
Methyldopa
O
What is a characteristic of Placenta Previa? - PRECISE ANSWER painless
red bleeding
FD
What is a characteristic of Rheumatoid arthritis ? - PRECISE ANSWER
Red hot joints
O
Medications that cause ototoxicity - PRECISE ANSWER Aminoglycosides,
nasal decongestants, antihistamines
C
Treatment period for enterobiasis - PRECISE ANSWER 2 weeks
CBC Interpretation - PRECISE ANSWER 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? - PRECISE ANSWER 27
weeks
Janesway lesions - PRECISE ANSWER Happen with endocarditis, non
painful lesions seen on hands and feet, Osler same but painful
,@PROFDOCDIGITALIBRARIES
Warfarin management - forgot a dose? - PRECISE ANSWER If under 12
hours take missed dose, if over skip and need INR redraw
Taking an ACE or ARB what to know? - PRECISE ANSWER 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 - PRECISE ANSWER sulfa allergy,
asthma, PCN hypersensitvity
Murmurs Systolic - PRECISE ANSWER MR=Mitral regurge (SOB/Fatigue
HF)
Peyton Manning=phys murmur (asymptomatic)
PR
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
Diastolic Murmurs (ABnormal) - PRECISE ANSWER AR= Aortic Regurge
(angina, HF, dizzinness, CP)
O
MS=Mitral stenosis (Dyspnea, Afib)
Motivated - PRECISE ANSWER Systole-S1 closure of AV Mitral/tricuspid
FD
valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples - PRECISE ANSWER Diastole s2 closure of the aortic pulmonic
O
valves (dub)
aortic pulmonic semilunar
C
Abnormal (extra) heart sounds - PRECISE ANSWER S3- CHF; possible
normal for adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD - PRECISE ANSWER antiplatelets (Plavix, ASA),
Pentoxifylline (decreases blood viscosity) to treat, ankle brachial index to
check, angiography gold standard to diagnose
Coronary artery Disease tx - PRECISE ANSWER 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
, @PROFDOCDIGITALIBRARIES
HF treatment - PRECISE ANSWER ACEI, ARB, or ARNI with BB and
aldosterone receptor antagonist
Scabies Treatment (Sarcopter Scabiei) - PRECISE ANSWER 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 - PRECISE ANSWER 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 - PRECISE ANSWER hypertrophic scar that is invasive beyond
PR
point of original injury
Skin continued - PRECISE ANSWER Bulla-second degree burn, friction
burn
Wheal- raised, mosquito bite, hive
O
Scales;dandruff
Crusts-scab from abrasian, impetigo
FD
Tinea - PRECISE ANSWER 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
O
Melanoma How do you assess - PRECISE ANSWER ABCDE Asymmetry,
border, color, diameter >6 mm, elevation
C
Psoriasis - PRECISE ANSWER silvery white scales, nails are pitted;
positive Auspitz sign- pinpoint bleeding occurs when lesions are scraped
Shingles (Herpes Zoster) - PRECISE ANSWER Unilateral dermatomal
rash- painful as it progresses to vesicles, Acyclovir within 48-72 hours or
symptoms. May only transmit chickenpox virus to susceptible patients that
have not gotten exposed or vaccinated yet.
Post herpetic neuralgia pain is longer than 1 month after rash has resolved.
Contact dermatitis - PRECISE ANSWER papules or vesicles 5mm or less,
scaling, crusting, oozing. Tx corticosteroids/antihistamines
