WHNP APEA 3P Exam| 100 Questions
Complete with Verified Correct Answers
for Guaranteed Pass
1. The groove of the metacarpophalangeal joint can be palpated by having the patient:
A) Extend their fingers straight
B) Make a tight fist
C) Flex their hand/spread their fingers
D) Rotate their wrist
Correct Answer: C) Flex their hand/spread their fingers
Explanation: Flexing and spreading the fingers makes the grooves between the metacarpal heads
more prominent for palpation.
2. When auscultating breath sounds in left-sided heart failure:
A) Bronchial sounds with expiratory wheezes
B) Vesicular sounds with late inspiratory crackles in lung bases
C) Absent sounds with hyperresonance
D) Pleural friction rub throughout
Correct Answer: B) Vesicular sounds with late inspiratory crackles in lung bases
Explanation: Crackles occur when fluid leaks into alveoli from pulmonary congestion
(dependent areas first). Percussion remains resonant until pleural effusion develops.
3. The ankle-brachial index screens for:
A) Deep vein thrombosis
B) Peripheral artery disease
C) Varicose veins
D) Lymphedema
Correct Answer: B) Peripheral artery disease
Explanation: ABI compares systolic pressures in ankles vs arms; <0.9 indicates arterial
insufficiency.
4. Olecranon bursitis is NOT caused by:
,A) Trauma
B) Gout
C) Frozen shoulder
D) Repetitive pressure
Correct Answer: C) Frozen shoulder
Explanation: Frozen shoulder (adhesive capsulitis) affects the glenohumeral joint, not the
olecranon bursa.
5. In allergic rhinitis, nasal mucosa appears:
A) Bright red
B) Pale
C) Purplish
D) Ulcerated
Correct Answer: B) Pale
Explanation: Allergens cause vasodilation and edema, giving a pale, bluish-gray appearance.
6. Increased muscle bulk with diminished strength defines:
A) Hypertrophy
B) Pseudohypertrophy
C) Atrophy
D) Myotonia
Correct Answer: B) Pseudohypertrophy
Explanation: Seen in Duchenne muscular dystrophy where fat/connective tissue replace muscle
fibers.
7. Abdominal pain persisting when raising head suggests:
A) Visceral origin
B) Abdominal wall origin
C) Referred pain
D) Peritoneal inflammation
Correct Answer: B) Abdominal wall origin
Explanation: Tensing abdominal muscles exacerbates wall pain (e.g., muscle strain, hernia) but
reduces intra-abdominal organ pain.
8. High-pitched bowel sounds with cramps indicate:
, A) Paralytic ileus
B) Intestinal obstruction
C) Gastroenteritis
D) Peritonitis
Correct Answer: B) Intestinal obstruction
Explanation: "Tinkling" sounds occur as fluid forces through narrowed lumen; cramps reflect
peristalsis against obstruction.
9. Red spots around the macula suggest:
A) Diabetic retinopathy
B) Glaucoma
C) Cataracts
D) Macular degeneration
Correct Answer: A) Diabetic retinopathy
Explanation: Microaneurysms appear as round red dots from capillary wall outpouchings.
10. Subdural hematoma symptoms include:
A) Immediate loss of consciousness
B) Noticeable bleeding on X-ray
C) Gradual neurological decline
D) Projectile vomiting
Correct Answer: C) Gradual neurological decline
Explanation: Venous bleeding in subdural hematomas causes slowly worsening symptoms (vs
acute epidural hematomas).
11. Parkinson's disease presents with:
A) Intention tremor
B) Pill-rolling tremor at rest
C) Choreiform movements
D) Flapping tremor
Correct Answer: B) Pill-rolling tremor at rest
Explanation: Classic triad: resting tremor, rigidity, bradykinesia. Tremor improves with
voluntary movement.
12. False statement about articular disease:
Complete with Verified Correct Answers
for Guaranteed Pass
1. The groove of the metacarpophalangeal joint can be palpated by having the patient:
A) Extend their fingers straight
B) Make a tight fist
C) Flex their hand/spread their fingers
D) Rotate their wrist
Correct Answer: C) Flex their hand/spread their fingers
Explanation: Flexing and spreading the fingers makes the grooves between the metacarpal heads
more prominent for palpation.
2. When auscultating breath sounds in left-sided heart failure:
A) Bronchial sounds with expiratory wheezes
B) Vesicular sounds with late inspiratory crackles in lung bases
C) Absent sounds with hyperresonance
D) Pleural friction rub throughout
Correct Answer: B) Vesicular sounds with late inspiratory crackles in lung bases
Explanation: Crackles occur when fluid leaks into alveoli from pulmonary congestion
(dependent areas first). Percussion remains resonant until pleural effusion develops.
3. The ankle-brachial index screens for:
A) Deep vein thrombosis
B) Peripheral artery disease
C) Varicose veins
D) Lymphedema
Correct Answer: B) Peripheral artery disease
Explanation: ABI compares systolic pressures in ankles vs arms; <0.9 indicates arterial
insufficiency.
4. Olecranon bursitis is NOT caused by:
,A) Trauma
B) Gout
C) Frozen shoulder
D) Repetitive pressure
Correct Answer: C) Frozen shoulder
Explanation: Frozen shoulder (adhesive capsulitis) affects the glenohumeral joint, not the
olecranon bursa.
5. In allergic rhinitis, nasal mucosa appears:
A) Bright red
B) Pale
C) Purplish
D) Ulcerated
Correct Answer: B) Pale
Explanation: Allergens cause vasodilation and edema, giving a pale, bluish-gray appearance.
6. Increased muscle bulk with diminished strength defines:
A) Hypertrophy
B) Pseudohypertrophy
C) Atrophy
D) Myotonia
Correct Answer: B) Pseudohypertrophy
Explanation: Seen in Duchenne muscular dystrophy where fat/connective tissue replace muscle
fibers.
7. Abdominal pain persisting when raising head suggests:
A) Visceral origin
B) Abdominal wall origin
C) Referred pain
D) Peritoneal inflammation
Correct Answer: B) Abdominal wall origin
Explanation: Tensing abdominal muscles exacerbates wall pain (e.g., muscle strain, hernia) but
reduces intra-abdominal organ pain.
8. High-pitched bowel sounds with cramps indicate:
, A) Paralytic ileus
B) Intestinal obstruction
C) Gastroenteritis
D) Peritonitis
Correct Answer: B) Intestinal obstruction
Explanation: "Tinkling" sounds occur as fluid forces through narrowed lumen; cramps reflect
peristalsis against obstruction.
9. Red spots around the macula suggest:
A) Diabetic retinopathy
B) Glaucoma
C) Cataracts
D) Macular degeneration
Correct Answer: A) Diabetic retinopathy
Explanation: Microaneurysms appear as round red dots from capillary wall outpouchings.
10. Subdural hematoma symptoms include:
A) Immediate loss of consciousness
B) Noticeable bleeding on X-ray
C) Gradual neurological decline
D) Projectile vomiting
Correct Answer: C) Gradual neurological decline
Explanation: Venous bleeding in subdural hematomas causes slowly worsening symptoms (vs
acute epidural hematomas).
11. Parkinson's disease presents with:
A) Intention tremor
B) Pill-rolling tremor at rest
C) Choreiform movements
D) Flapping tremor
Correct Answer: B) Pill-rolling tremor at rest
Explanation: Classic triad: resting tremor, rigidity, bradykinesia. Tremor improves with
voluntary movement.
12. False statement about articular disease:
