APEA 3P Exam With Questions
and Correct Graded A+
Answers
What headache sign does not warrant an immediate investigation? - Answer-relieved
with use of common analgesics
During a migraine, what happens to the cerebral arteries? - Answer-They dilate
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he
has severe mood swings, is easily distracted, and constantly corrects his teachers. You
would have a high suspicious for bipolar if which symptom is present? - Answer-He
sleeps less than 4 hours nightly
Which risk factor is not associated with breast cancer? - Answer-Low socioeconomic
status
A 26 year old woman with bulimia is likely to be: - Answer-of average weight
What medication is used to relieve acute wheezing in a patient with asthma? - Answer-
short acting beta agonist
You are evaluating an 80 year old patient for recent episodes of incontinence and
confusion. His family states that this is unusual for him and he has become increasingly
forgetful over the past two weeks. Which medication might be responsible for this? -
Answer-Tagamet (cimetidine)
What suggests hyperandrogenism in an adolescent female? - Answer-hirsutism
Which is a synovial joint? - Answer-Shoulder
A 67 year old woman with atrial fibrillation and an ejection fraction of 48% is on digoxin
and has had normal digoxin levels of 0.8-2 ng/dL for the past 9 months. Today, the level
is 0.4 ng/dL. What could account for this change? - Answer-Regular use of an antacid
Which medication is contraindicated in a child with acute sinusisitis? - Answer-
Antihistamines
Which best describes the lower extremity calf pain associated with peripheral artery
disease? - Answer-dull aching or cramping
, Jugular vein distention accompanied by chest pain is associated with: - Answer-heart
failure
Which immunization protects against a virus that is transmitted through blood and body
fluids and can lead to chronic liver disease? - Answer-Hepatitis C
A pediatric patient has areas of scaling on the scalp with round patches of hair loss.
What is the likely diagnosis? - Answer-Tinea capitis
Your 70 year old patient complains of a sore mouth that prevents her from eating. On
exam you note a beefy red, glossy, smooth tongue. What do you suspect? - Answer-
Pernicious anemia due to insufficient intrinsic factor
A 62 year old male presents with leg pain and occasional numbness that is worse with
ambulation and improved with lumbar flexion. What is the likely diagnosis? - Answer-
spinal stenosis
What is not a typical symptom of late stage HIV? - Answer-persistent vomiting
A pregnant patient presents for her 16 week prenatal visit. Her blood pressure had
reduced from 118/79 to 109/68. What hemodynamic change is responsible for this? -
Answer-decrease in systemic vascular resistance
Your 62 year old patient has been taking Griseofulvin 500 mg po BID for 3 weeks to
treat tinea capitis and has only had marginal improvement. What is your next step? -
Answer-continue current therapy for 6-8 weeks
Rapid HIV testing would be more appropriate for a patient with complaints of: - Answer-
painful urination, dyspareunia, and penile or vaginal discharge
What is a frequent side effect of SSRIs? - Answer-sexual dysfunction
You might suspect small bowel obstruction in a patient who complains of: - Answer-
vomiting and pain
What finding would be suggestive of osteosarcoma in a pediatric patient? - Answer-pain
in the affected bone
What clinical manifestation suggests primary syphilis? - Answer-a single painless
genital lesion
What medication is used first line for a patient with benign positional vertigo? - Answer-
Meclizinete
Which symptom is most associated with testicular torsion? - Answer-testicular pain
and Correct Graded A+
Answers
What headache sign does not warrant an immediate investigation? - Answer-relieved
with use of common analgesics
During a migraine, what happens to the cerebral arteries? - Answer-They dilate
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he
has severe mood swings, is easily distracted, and constantly corrects his teachers. You
would have a high suspicious for bipolar if which symptom is present? - Answer-He
sleeps less than 4 hours nightly
Which risk factor is not associated with breast cancer? - Answer-Low socioeconomic
status
A 26 year old woman with bulimia is likely to be: - Answer-of average weight
What medication is used to relieve acute wheezing in a patient with asthma? - Answer-
short acting beta agonist
You are evaluating an 80 year old patient for recent episodes of incontinence and
confusion. His family states that this is unusual for him and he has become increasingly
forgetful over the past two weeks. Which medication might be responsible for this? -
Answer-Tagamet (cimetidine)
What suggests hyperandrogenism in an adolescent female? - Answer-hirsutism
Which is a synovial joint? - Answer-Shoulder
A 67 year old woman with atrial fibrillation and an ejection fraction of 48% is on digoxin
and has had normal digoxin levels of 0.8-2 ng/dL for the past 9 months. Today, the level
is 0.4 ng/dL. What could account for this change? - Answer-Regular use of an antacid
Which medication is contraindicated in a child with acute sinusisitis? - Answer-
Antihistamines
Which best describes the lower extremity calf pain associated with peripheral artery
disease? - Answer-dull aching or cramping
, Jugular vein distention accompanied by chest pain is associated with: - Answer-heart
failure
Which immunization protects against a virus that is transmitted through blood and body
fluids and can lead to chronic liver disease? - Answer-Hepatitis C
A pediatric patient has areas of scaling on the scalp with round patches of hair loss.
What is the likely diagnosis? - Answer-Tinea capitis
Your 70 year old patient complains of a sore mouth that prevents her from eating. On
exam you note a beefy red, glossy, smooth tongue. What do you suspect? - Answer-
Pernicious anemia due to insufficient intrinsic factor
A 62 year old male presents with leg pain and occasional numbness that is worse with
ambulation and improved with lumbar flexion. What is the likely diagnosis? - Answer-
spinal stenosis
What is not a typical symptom of late stage HIV? - Answer-persistent vomiting
A pregnant patient presents for her 16 week prenatal visit. Her blood pressure had
reduced from 118/79 to 109/68. What hemodynamic change is responsible for this? -
Answer-decrease in systemic vascular resistance
Your 62 year old patient has been taking Griseofulvin 500 mg po BID for 3 weeks to
treat tinea capitis and has only had marginal improvement. What is your next step? -
Answer-continue current therapy for 6-8 weeks
Rapid HIV testing would be more appropriate for a patient with complaints of: - Answer-
painful urination, dyspareunia, and penile or vaginal discharge
What is a frequent side effect of SSRIs? - Answer-sexual dysfunction
You might suspect small bowel obstruction in a patient who complains of: - Answer-
vomiting and pain
What finding would be suggestive of osteosarcoma in a pediatric patient? - Answer-pain
in the affected bone
What clinical manifestation suggests primary syphilis? - Answer-a single painless
genital lesion
What medication is used first line for a patient with benign positional vertigo? - Answer-
Meclizinete
Which symptom is most associated with testicular torsion? - Answer-testicular pain
