3P APEA EXAM Questions and
Correct Answers
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 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
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
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
Highest sensitivity in diagnosing HF - Answer-BNP
The NP is caring for a 74-year-old who had an acute coronary syndrome 6 weeks ago.
What medications should be part of his regimen unless contraindicated - Answer-ACE,
ASA, beta blockers, and statin
patient with the highest systolic B/P - Answer-75-year-old male
test that is most cost effective to screen for abdominal aortic aneurysm - Answer-
abdominal ultrasound
a 74-year-old patient has had an increase in b/p since the last exam. his b/p has
increased from 144/90 to reading in the upper 160's/upper 80's. If medication is to be
started on this patient, what would be a good first choice? - Answer-Calcium channel
blocker
Factor contributing to the development of AAA - Answer-cigarette smoking
A 40-year-old African-American pt. has a b/p of 175/100 and 170/102. What is a
reasonable plan of care for this pt today? - Answer-initiate amlodipine 5mg daily
Usual course of treatment for mitral valve prolapse - Answer-is benign
Correct Answers
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 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
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
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
Highest sensitivity in diagnosing HF - Answer-BNP
The NP is caring for a 74-year-old who had an acute coronary syndrome 6 weeks ago.
What medications should be part of his regimen unless contraindicated - Answer-ACE,
ASA, beta blockers, and statin
patient with the highest systolic B/P - Answer-75-year-old male
test that is most cost effective to screen for abdominal aortic aneurysm - Answer-
abdominal ultrasound
a 74-year-old patient has had an increase in b/p since the last exam. his b/p has
increased from 144/90 to reading in the upper 160's/upper 80's. If medication is to be
started on this patient, what would be a good first choice? - Answer-Calcium channel
blocker
Factor contributing to the development of AAA - Answer-cigarette smoking
A 40-year-old African-American pt. has a b/p of 175/100 and 170/102. What is a
reasonable plan of care for this pt today? - Answer-initiate amlodipine 5mg daily
Usual course of treatment for mitral valve prolapse - Answer-is benign
