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APEA 3P Exam – Clinical Case-Based Questions and Answers for Advanced Practice Preparation

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This document provides a structured collection of case-based questions and answers for the APEA 3P Exam. It covers key clinical topics including neurology, cardiology, ophthalmology, endocrinology, obstetrics, pediatrics, dermatology, psychiatry, and musculoskeletal disorders. The format emphasizes symptom presentation, differential diagnosis, and associated clinical findings, making it highly valuable for exam practice and clinical reasoning.

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APEA 3P EXAM

A 26-year-old man with a past medication history of sickle cell disease arrives at the
office with complaints of a penile erection that has lasted 4 hours. He is experiencing
symptoms of... - ANS low-flow Priapism

A 50-year-old male describes difficulty emptying his bladder. On exam, a distended
bladder is noted following urination. This finding may be associated with... - ANS
Overflow incontinence

A 60-year-old patient with severe, deep left eye pain. Findings reveal dilated and
fixed left pupil and the cornea is cloudy. There is no ocular discharge noted. These
findings are most likely consistent with... - ANS Acute angle closure glaucoma

A female patient complains of weakness in both arms when transferring the wet
clothes from the washer and placing them in the dryer. This finding could be
suggestive of which type of weakness pattern? - ANS Symmetric

A fine rhythmic oscillation of the eyes is termed... - ANS nystagmus

A mental health condition characterized by over-the-top behavior such as emotional
outbursts, noisy displays of temper, compulsive attention seeking and self-centered
actions is... - ANS Historionic

A patient complains of some pain in the distal portions of the fingers on both hands.
She states that it tends to occur more frequently with exposure to cold. These
symptoms may be consistent with.. - ANS Raynaud's disease

A patient experienced a neck injury yesterday and presents to the NP with aching
paracervical pain and stiffness. Other complaints include dizziness, malaise, and
fatigue. These findings may be associated with... - ANS Mechanical neck pain
and whiplash

A patient has a papule with an ulcerated center on the lower lid and medial canthus
of the eye. This is consistent with... - ANS Basal cell carcinoma

A patient is experiencing a dull, achy pain in the epigastric are with eating. This type
of pain is consistent with... - ANS A gastric ulcer

A patient presents with a productive cough. Which of the following descriptions of the
mucous is correct? - ANS Tenacious sputum is consistent

, A patient presents with complaints of bright red stools over the past week. This
symptom could be consistent with... - ANS Cancer of the sigmoid colon

A patient with cirrhosis develops portal hypertension as indicated by the presence
of... - ANS Splenomegaly

A reddish blue, irregularly shaped, solid, and spongy mass of blood vessels that may
be present at birth and enlarge during the first 10 to 15 months is characteristic of
a... - ANS Cavernous hemangioma

A serious disturbance in a person's mental abilities that results in a decreased
awareness of one's environment and confused thinking is referred to as... - ANS
delirium

A swollen deviated uvula may be associated with a... - ANS Peritonsillar
abscess

A term used to describe an increase in muscular bulk with diminished strength is... -
ANS Pseudohypertrophy

A term used to describe drainage from the nose is... - ANS rhinorrhea

A whitish sebaceous secretion that collects between the glans and the foreskin or in
the vulva is known as... - ANS smegma

All of the following strategies are useful for assessing older adults at high risk for falls
except... - ANS Assessing immunization history

An 86-year-old man with uncontrolled hypertension presents with sudden, intense
left lower abdominal pain that radiates to the back. The pain is associated with a
tearing sensation. These findings are most likely associated with... - ANS An
abdominal aortic aneurysm

Anticipatory guidance for the family of a pre-adolescent with cognitive impairment
should be include information about... - ANS Sexual development

Assessing the neurological status of a child with a ventriculoperitoneal shunt should
include... - ANS Use of the Glasgow coma scale

Assymetry, irregular borders, variation in color, diameter greated than 6mm, and
elevation represent the "ACBDE"s of... - ANS Malignant melanoma

Basic self-care activities are referred to as... - ANS Activities of daily living
(ADLs)

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