APEA 3P FINAL EXAM 2025/ 2026 NEWEST EXAM
COMPLETE 450 QUESTIONS WITH DETAILED
VERIFIED ANSWERS WITH RATIONALES (100%
CORRECT ANSWERS) /A+ STUDY MATERIAL||LATEST
EXAM!!!||
Difference between varicose vein and arteriosclerosis -
Answer-Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins
affects veins
A patient has poorly controlled hypertension for more than
10 years. Indicate the most likely position of his point of
maximal impulse (PMI) - Answer-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 past
two years. This murmur is probably - Answer-mitral
stenosis
A patient who has diabetes presents with pain in his lower
legs when he walks and pain resolution with rest. When
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specifically asked about his pain in his lower leg, he likely
will report pain - Answer-in the calf muscle
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? - Answer-hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to
know what symptoms indicate worsening of his stenosis.
the NP replies: - Answer-shortness of breath and syncope
A 74 year old patient has PAD. Which item listed below is
an important nonmodifiable risk factor for PAD? - Answer-
diabetes
Benazepril should be d/c immediately if - Answer-
pregnancy occurs
aortic regurgitation characteristics - Answer-long
asymptomatic period follow by exercise intolerance, then
dyspnea at rest
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DVT classic symptoms - Answer-swelling, pain, and
discoloration of lower extremity
Characteristic of ACE-induced cough is that? - Answer-
usually begins two weeks of starting therapy
Valve most commonly involved in chronic rheumatic heart
disease - Answer-mitral
Medication that can exacerbate HF - Answer-naproxen
Patient taking ACE inhibitors should avoid? - Answer-
potassium supplements
Grade 3 murmur indication for a referral - Answer-a fixed
split
Group of meds used to treat HF - Answer-fosinopril,
HCTZ, verapamil
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Mr. Smith is a 72-year-old patient who takes warfarin for
chronic A-fib. INR today is 4.0. the NP should: - Answer-
stop the warfarin today and repeat INR tomorrow
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 -
Answer-diabetes mellitus
good drug to reduce morbidity and mortality in mild HF -
Answer-metoprolol
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? -
Answer-Stop the atorvastatin immediately
symptom not indicative of HF - Answer-headache
What class of meds is preferred to normalized lipid levels
and reduce risk of cardiac events - Answer-HMG CoA
reductase inhibitors