3P APEA EXAM Questions With 100% Graded A+ Verified Answers
+what is the significance of AV nicking? - Answer-this is indicative of longstanding hypertension
A 15-year-old male has worked this summer as a lifeguard at a local swimming pool. He complains of
itching in the groin area. He is dx with tinea cruris. The NP is likely to identify - Answer-well marginated
half moon shape macules on the inner thigh
A 30-year-old female pt. with complaints of fatigue undergoes a screening TSH. Her TSH is 8 what should
be done next? - Answer-repeat the TSH and add T4
a 38-year-old male pt. presents for his annual exam. He reports nervousness and weight loss, but denies
any change in his dietary intake or exercise level. Based on this findings and the following lab values:
TSH 0.01, free T4 6, free T3 205. what is the most likely dx? - Answer-Hyperthyroidism
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
a 40-year-old pt. with newly dx of T2DM asks what his target b/p should be. the most correct answer is:
- Answer-less than 140/90
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 45-year-old female pt has fatigue for the past 3 months and a 10-lbs weight gain. She previously had
regular menses occurring about every 30 days, but in the last 3 months her menses have varied between
30-45 days . Her TSH value is 13. It was repeated 1week later and found to be 15. What explains this
finding? - Answer-hypothyroidism
, A 50-year-old patient with hypertension has taken HCTZ 25mg daily for the past 4 weeks. Her b/p has
decreased from 155/95 to 145/90. How should the NP proceed? - Answer-add another drug from
another class to the daily 25mg HCTZ
A 52-year-old presents w/thirst and frequent urination today. His glucose is 352. How should this be
managed today? - Answer-start insulin
A 65-year-old diabetic has been on oral antihyperglycemic agents and is still having poor glycemic
control. His AM fasting glucose range from 140-160. You decide to add insulin. He weighs 127 kg. What
should the NP order as an initial starting dose? - Answer-10u of long-acting insulin at bedtime
A 70-year-old pt. has begun to have hearing loss. She relates that her elderly parents had difficulty
hearing. Which complaints below is typical of presbycusis? - Answer-inability to hear consonants
A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk factor for
PAD? - Answer-diabetes
A 74-year-old is dx w/shingles. The NP is deciding how to best manage her care. What should be
prescribed? - Answer-an oral antiviral agent
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
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 76-year-old obese pt. has fatigue, thirst, and frequent urination. She was asked to measure AM fasting
glucose values for 1 week. The values range from 142-175 this pt: - Answer-can be dx w/DMT2
+what is the significance of AV nicking? - Answer-this is indicative of longstanding hypertension
A 15-year-old male has worked this summer as a lifeguard at a local swimming pool. He complains of
itching in the groin area. He is dx with tinea cruris. The NP is likely to identify - Answer-well marginated
half moon shape macules on the inner thigh
A 30-year-old female pt. with complaints of fatigue undergoes a screening TSH. Her TSH is 8 what should
be done next? - Answer-repeat the TSH and add T4
a 38-year-old male pt. presents for his annual exam. He reports nervousness and weight loss, but denies
any change in his dietary intake or exercise level. Based on this findings and the following lab values:
TSH 0.01, free T4 6, free T3 205. what is the most likely dx? - Answer-Hyperthyroidism
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
a 40-year-old pt. with newly dx of T2DM asks what his target b/p should be. the most correct answer is:
- Answer-less than 140/90
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 45-year-old female pt has fatigue for the past 3 months and a 10-lbs weight gain. She previously had
regular menses occurring about every 30 days, but in the last 3 months her menses have varied between
30-45 days . Her TSH value is 13. It was repeated 1week later and found to be 15. What explains this
finding? - Answer-hypothyroidism
, A 50-year-old patient with hypertension has taken HCTZ 25mg daily for the past 4 weeks. Her b/p has
decreased from 155/95 to 145/90. How should the NP proceed? - Answer-add another drug from
another class to the daily 25mg HCTZ
A 52-year-old presents w/thirst and frequent urination today. His glucose is 352. How should this be
managed today? - Answer-start insulin
A 65-year-old diabetic has been on oral antihyperglycemic agents and is still having poor glycemic
control. His AM fasting glucose range from 140-160. You decide to add insulin. He weighs 127 kg. What
should the NP order as an initial starting dose? - Answer-10u of long-acting insulin at bedtime
A 70-year-old pt. has begun to have hearing loss. She relates that her elderly parents had difficulty
hearing. Which complaints below is typical of presbycusis? - Answer-inability to hear consonants
A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk factor for
PAD? - Answer-diabetes
A 74-year-old is dx w/shingles. The NP is deciding how to best manage her care. What should be
prescribed? - Answer-an oral antiviral agent
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
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 76-year-old obese pt. has fatigue, thirst, and frequent urination. She was asked to measure AM fasting
glucose values for 1 week. The values range from 142-175 this pt: - Answer-can be dx w/DMT2
