APEA 3P EXAM LATEST UPDATE AND
CORRECT ANSWERS RATED GRADED
A+
1. When performing a visual acuity test the nurse practitioner notes 20/30
in the left eye and 20/40 in the right eye using the Snellen eye chart.
This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refer the patient to an ophthalmologist
d) document this as a normal finding
2. The American psychiatric association’s diagnostic and statistical
manual of mental disorder defines Munchausen Syndrome By Proxy a)
a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under
his or her care
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward the
victim
Munchausen syndrome by proxy is a mental illness and a form of child abuse. The
caretaker of a child, most often a mother, either makes up fake symptoms or causes
real symptoms to make it look like the child is sick.
,3. Symptoms of depression are a side effect of which neurotransmitter
medication?
a) dopamine serotonin, norepinephrine
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregular border?
Quizlet Bates Chapter 20 a) Nevus
b) Actinic keratosis
c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes
pronounced not pitting periorbital edema this finding is suggestive of
this condition? APEA a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly
found if patients with advanced hypothyroidism. The classic skin changes are:
swelling of face, lips, eyelids, and tongue or swelling and thickening of skin
anywhere on the body, especially in the lower legs.
Myxedema is the hallmark of Grave’s disease, an autoimmune form of
hyperthyroidism. Myxedema can also occur in Hashimoto’s thyroiditis a
form of hypothyroidism.
6. A 42 years old woman with a past medical history of migraine
headaches is requesting prophylactic medication treatment. Which
medication should the Nurse practitioner prescribe? a) Sumatriptan
(Imitrex)
b) Amitriptyline (Elavil)
c) Verapamil (verelan)
d) Metoprolol (Lopressor)
,Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for
prophylactic treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to
abort migraine
7. A pediatric patient has areas of scaling on the scalp with round patches
of alopecia. This clinical finding is consistent with: a) Tinea capitis
b) Seborrheic dermatitis
c) Trichotillomania
d) Alopecia areata
8. What is the appropriate prophylactic medication for an 18 years old
woman with a past medical history of migraine headaches? a)
Sumatriptan (Imitrex) b)
Propanolol
(Inderal)
c) Ibuprofeno (motrin)
d) Dihydroergotamine (DHE)
9. Why would a combined hormonal contraceptive be contraindicated in
a 36 year old patient with a past medical history of type 2 diabetes,
obesity, chronic smoking and sedentary life a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45,
breastfeeding, smoking, HTN, diabetes or hx of stroke
10. During the breast examination of a perimenopausal woman the NP
detects a bloody spontaneous discharge from the right nipple.
This indicates further evaluation. a)
Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or
dark brown nonbloody nipple discharge that tends to leak without pressure
or squeezing
c) An intraductal papilloma
d) Pituitary prolactinoma
, Intraductal papillomas are usually solitary and smaller than 1 cm. They are
located in large lactiferous sinuses or ducts and have a tendency to bleed.
Quizlet Nipple Discharge
11. Rh negative women should receive Rho (D) immunoglobulin at what
gestational time?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks
What happens is the client is Rh negative and has a negative antibody screen?
She will need repeat antibody screens and should receive Rho(D) immune
globulin (RhoGAM) at 28 weeks' gestation (Quizlet Antepartum Diagnostic
Testing Saunders)
12. When interpreting a complete blood count (CBC) lab report which of
the following results describes the size of the RBCs? a) Hemoglobin
b) Mean corpuscular volume (MCV)
c) Red cell distribution width (RDw)
d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average size
of the RBCs. Small-sized RBCs result in a lower MCV, while larger RBCs
result in a higher MCV.
13. What medication should be avoided when prescribe prophylactic
therapy for headache
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor)
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect.
Patients should have drug free period for 3-4 weeks after every 6 months of
treatment (pharmacology book page 1047)
CORRECT ANSWERS RATED GRADED
A+
1. When performing a visual acuity test the nurse practitioner notes 20/30
in the left eye and 20/40 in the right eye using the Snellen eye chart.
This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refer the patient to an ophthalmologist
d) document this as a normal finding
2. The American psychiatric association’s diagnostic and statistical
manual of mental disorder defines Munchausen Syndrome By Proxy a)
a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under
his or her care
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward the
victim
Munchausen syndrome by proxy is a mental illness and a form of child abuse. The
caretaker of a child, most often a mother, either makes up fake symptoms or causes
real symptoms to make it look like the child is sick.
,3. Symptoms of depression are a side effect of which neurotransmitter
medication?
a) dopamine serotonin, norepinephrine
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregular border?
Quizlet Bates Chapter 20 a) Nevus
b) Actinic keratosis
c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes
pronounced not pitting periorbital edema this finding is suggestive of
this condition? APEA a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly
found if patients with advanced hypothyroidism. The classic skin changes are:
swelling of face, lips, eyelids, and tongue or swelling and thickening of skin
anywhere on the body, especially in the lower legs.
Myxedema is the hallmark of Grave’s disease, an autoimmune form of
hyperthyroidism. Myxedema can also occur in Hashimoto’s thyroiditis a
form of hypothyroidism.
6. A 42 years old woman with a past medical history of migraine
headaches is requesting prophylactic medication treatment. Which
medication should the Nurse practitioner prescribe? a) Sumatriptan
(Imitrex)
b) Amitriptyline (Elavil)
c) Verapamil (verelan)
d) Metoprolol (Lopressor)
,Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for
prophylactic treatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to
abort migraine
7. A pediatric patient has areas of scaling on the scalp with round patches
of alopecia. This clinical finding is consistent with: a) Tinea capitis
b) Seborrheic dermatitis
c) Trichotillomania
d) Alopecia areata
8. What is the appropriate prophylactic medication for an 18 years old
woman with a past medical history of migraine headaches? a)
Sumatriptan (Imitrex) b)
Propanolol
(Inderal)
c) Ibuprofeno (motrin)
d) Dihydroergotamine (DHE)
9. Why would a combined hormonal contraceptive be contraindicated in
a 36 year old patient with a past medical history of type 2 diabetes,
obesity, chronic smoking and sedentary life a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45,
breastfeeding, smoking, HTN, diabetes or hx of stroke
10. During the breast examination of a perimenopausal woman the NP
detects a bloody spontaneous discharge from the right nipple.
This indicates further evaluation. a)
Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or
dark brown nonbloody nipple discharge that tends to leak without pressure
or squeezing
c) An intraductal papilloma
d) Pituitary prolactinoma
, Intraductal papillomas are usually solitary and smaller than 1 cm. They are
located in large lactiferous sinuses or ducts and have a tendency to bleed.
Quizlet Nipple Discharge
11. Rh negative women should receive Rho (D) immunoglobulin at what
gestational time?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks
What happens is the client is Rh negative and has a negative antibody screen?
She will need repeat antibody screens and should receive Rho(D) immune
globulin (RhoGAM) at 28 weeks' gestation (Quizlet Antepartum Diagnostic
Testing Saunders)
12. When interpreting a complete blood count (CBC) lab report which of
the following results describes the size of the RBCs? a) Hemoglobin
b) Mean corpuscular volume (MCV)
c) Red cell distribution width (RDw)
d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average size
of the RBCs. Small-sized RBCs result in a lower MCV, while larger RBCs
result in a higher MCV.
13. What medication should be avoided when prescribe prophylactic
therapy for headache
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor)
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect.
Patients should have drug free period for 3-4 weeks after every 6 months of
treatment (pharmacology book page 1047)
