APEA 3P Exam Study Guide 2025 | 100%
Correct Questions & Detailed Rationales |
Graded A+
What would cause decrease in Digoxin levels? - ---✔✔✔ANSWER----
Antacids
Taking Pyridium for UTI, what can Pyridium cause? - ---✔✔✔ANSWER---
-Hemolytic Anemia
What can PCOS result in? - ---✔✔✔ANSWER----Increased insulin levels
(Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - ---✔✔✔ANSWER----
Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
,What is a characteristic of Placenta Previa? - ---✔✔✔ANSWER----Painless,
red bleeding
What is a chacteristic of Rheumatoid Arthritis? - ---✔✔✔ANSWER----
Tender, warm, swollen joints
Medications that can cause ototoxicity? - ---✔✔✔ANSWER----
Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - ---✔✔✔ANSWER----2 weeks
What does MCV lab value measure? - ---✔✔✔ANSWER----Mean
Corpuscular Volume helps diagnose different types of anemia such as B12 &
Folate (Macrocytic) and Fe anemia (Microcytic)
Rhogam is given at how many week gestation? - ---✔✔✔ANSWER----27-
28 weeks
What are Janeway lesions and what do they indicate? - ---✔✔✔ANSWER--
--They are irregular, non-tender hemorrhagic macules located on the hands and
feet. Seen in Infective Endocarditis
,What are Osler's Nodes and what do they indicate? - ---✔✔✔ANSWER----
They are split pea-sized, erythematous, tender nodules located on the pads of the
fingers and toes. Seen in Infective Endocarditis
What is the recommendation for Warfarin management when a patient misses a
dose? - ---✔✔✔ANSWER----If within 12 hours of the dose time, take it. If
over 12 hours patient will need a INR redraw
What do we need to know about ACEs and ARBs? - ---✔✔✔ANSWER----A
dry hacking cough is a common side effect of ACEs and will go away within a
week after discontinuing. ACEs & ARBs are indicated for patients with DM, CKD,
and HTN. Not recommended as 1st line agent with African Americans & can cause
angioedema.
Contraindications for Hydrochlorothiazide - ---✔✔✔ANSWER----Sulfa
allergy, PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - ---✔✔✔ANSWER----MR = Mitral Regurge
(SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest Pain
Diastolic Murmurs (Abnormal) - ---✔✔✔ANSWER----AR = Aortic
Regurgitation (Angina, HF, Dizziness, Chest Pain)
, MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - ---✔✔✔ANSWER----S1 Closure of the
Atrioventricular Valves (Mitral & Tricuspid Valves)
What does S2 indicate? - ---✔✔✔ANSWER----S2 Closure of the Semilunar
Valves (Aortic & Pulmonic Valves)
S3 is often heard in? - ---✔✔✔ANSWER----CHF, possibly normal for
athletic adolescents
S4 is often heard in? - ---✔✔✔ANSWER----Diastolic HF, Left Ventricular
Hypertrophy (LVH), Poorly controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - ---✔✔✔ANSWER----
Antiplatelets (Plavix, ASA), Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - ---✔✔✔ANSWER----Gold
Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - ---✔✔✔ANSWER----
Aotrvastatin/Rosuvastatin = If LDL>150 use high doses. Watch for LFTs &
arthralgia. Change type & dose if issues. Helps stabilize plaques.
Correct Questions & Detailed Rationales |
Graded A+
What would cause decrease in Digoxin levels? - ---✔✔✔ANSWER----
Antacids
Taking Pyridium for UTI, what can Pyridium cause? - ---✔✔✔ANSWER---
-Hemolytic Anemia
What can PCOS result in? - ---✔✔✔ANSWER----Increased insulin levels
(Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - ---✔✔✔ANSWER----
Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
,What is a characteristic of Placenta Previa? - ---✔✔✔ANSWER----Painless,
red bleeding
What is a chacteristic of Rheumatoid Arthritis? - ---✔✔✔ANSWER----
Tender, warm, swollen joints
Medications that can cause ototoxicity? - ---✔✔✔ANSWER----
Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - ---✔✔✔ANSWER----2 weeks
What does MCV lab value measure? - ---✔✔✔ANSWER----Mean
Corpuscular Volume helps diagnose different types of anemia such as B12 &
Folate (Macrocytic) and Fe anemia (Microcytic)
Rhogam is given at how many week gestation? - ---✔✔✔ANSWER----27-
28 weeks
What are Janeway lesions and what do they indicate? - ---✔✔✔ANSWER--
--They are irregular, non-tender hemorrhagic macules located on the hands and
feet. Seen in Infective Endocarditis
,What are Osler's Nodes and what do they indicate? - ---✔✔✔ANSWER----
They are split pea-sized, erythematous, tender nodules located on the pads of the
fingers and toes. Seen in Infective Endocarditis
What is the recommendation for Warfarin management when a patient misses a
dose? - ---✔✔✔ANSWER----If within 12 hours of the dose time, take it. If
over 12 hours patient will need a INR redraw
What do we need to know about ACEs and ARBs? - ---✔✔✔ANSWER----A
dry hacking cough is a common side effect of ACEs and will go away within a
week after discontinuing. ACEs & ARBs are indicated for patients with DM, CKD,
and HTN. Not recommended as 1st line agent with African Americans & can cause
angioedema.
Contraindications for Hydrochlorothiazide - ---✔✔✔ANSWER----Sulfa
allergy, PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - ---✔✔✔ANSWER----MR = Mitral Regurge
(SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest Pain
Diastolic Murmurs (Abnormal) - ---✔✔✔ANSWER----AR = Aortic
Regurgitation (Angina, HF, Dizziness, Chest Pain)
, MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - ---✔✔✔ANSWER----S1 Closure of the
Atrioventricular Valves (Mitral & Tricuspid Valves)
What does S2 indicate? - ---✔✔✔ANSWER----S2 Closure of the Semilunar
Valves (Aortic & Pulmonic Valves)
S3 is often heard in? - ---✔✔✔ANSWER----CHF, possibly normal for
athletic adolescents
S4 is often heard in? - ---✔✔✔ANSWER----Diastolic HF, Left Ventricular
Hypertrophy (LVH), Poorly controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - ---✔✔✔ANSWER----
Antiplatelets (Plavix, ASA), Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - ---✔✔✔ANSWER----Gold
Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - ---✔✔✔ANSWER----
Aotrvastatin/Rosuvastatin = If LDL>150 use high doses. Watch for LFTs &
arthralgia. Change type & dose if issues. Helps stabilize plaques.
