APEA 3P COMPLETE EXAM REVIEW 186 QUESTION STUDY
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What would cause decrease in Digoxin levels? - CORRECT ANSWER -
Antacids
Taking Pyridium for UTI, what can Pyridium cause? - CORRECT
ANSWER -Hemolytic Anemia
What can PCOS result in? - CORRECT ANSWER -Increased insulin levels
(Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - CORRECT ANSWER
-Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - CORRECT ANSWER -
Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - CORRECT ANSWER -
Tender, warm, swollen joints
Rhogam is given at how many week gestation? - CORRECT ANSWER -
27-28 weeks
What are Janeway lesions and what do they indicate? - CORRECT
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? - CORRECT ANSWER
-They are split pea-sized, erythematous, tender nodules located on the pads of
the fingers and toes. Seen in Infective Endocarditis
Medications that can cause ototoxicity? - CORRECT ANSWER -
Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - CORRECT ANSWER -2
weeks
,What does MCV lab value measure? - CORRECT ANSWER -Mean
Corpuscular Volume helps diagnose different types of anemia such as B12 &
Folate (Macrocytic) and Fe anemia (Microcytic)
What is the recommendation for Warfarin management when a patient misses a
dose? - CORRECT 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? - CORRECT 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 - CORRECT ANSWER -Sulfa
allergy, PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - CORRECT 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) - CORRECT ANSWER -AR = Aortic
Regurgitation (Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - CORRECT ANSWER -S1 Closure of the
Atrioventricular Valves (Mitral & Tricuspid Valves)
, What does S2 indicate? - CORRECT ANSWER -S2 Closure of the
Semilunar Valves (Aortic & Pulmonic Valves)
S3 is often heard in? - CORRECT ANSWER -CHF, possibly normal for
athletic adolescents
S4 is often heard in? - CORRECT ANSWER -Diastolic HF, Left
Ventricular Hypertrophy (LVH), Poorly controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - CORRECT ANSWER -
Antiplatelets (Plavix, ASA), Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - CORRECT ANSWER -
Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - CORRECT ANSWER -
Aotrvastatin/Rosuvastatin = If LDL>150 use high doses. Watch for LFTs &
arthralgia. Change type & dose if issues. Helps stabilize plaques.
What medications are indicated for HF treatment? - CORRECT ANSWER -
ACEs, ARBs, ARNI w/BBs, Aldosterone Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - CORRECT
ANSWER -Topical Permetherin massaged from head to soles of feet and
wash off with shower or bath after 8-14hrs. Treat again in 1 week.
Names of skin lesions? - CORRECT ANSWER -Macule: Flat <1cm i.e.
freckle
GUIDE WITH MULTIPLE-CHOICE ITEMS FULL DETAILED
RATIONALES || GUARANTEED A+ PREP 2026/2027
What would cause decrease in Digoxin levels? - CORRECT ANSWER -
Antacids
Taking Pyridium for UTI, what can Pyridium cause? - CORRECT
ANSWER -Hemolytic Anemia
What can PCOS result in? - CORRECT ANSWER -Increased insulin levels
(Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - CORRECT ANSWER
-Methyldopa (Alpha-2-Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - CORRECT ANSWER -
Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - CORRECT ANSWER -
Tender, warm, swollen joints
Rhogam is given at how many week gestation? - CORRECT ANSWER -
27-28 weeks
What are Janeway lesions and what do they indicate? - CORRECT
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? - CORRECT ANSWER
-They are split pea-sized, erythematous, tender nodules located on the pads of
the fingers and toes. Seen in Infective Endocarditis
Medications that can cause ototoxicity? - CORRECT ANSWER -
Aminoglycosides, loop diuretics, NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - CORRECT ANSWER -2
weeks
,What does MCV lab value measure? - CORRECT ANSWER -Mean
Corpuscular Volume helps diagnose different types of anemia such as B12 &
Folate (Macrocytic) and Fe anemia (Microcytic)
What is the recommendation for Warfarin management when a patient misses a
dose? - CORRECT 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? - CORRECT 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 - CORRECT ANSWER -Sulfa
allergy, PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - CORRECT 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) - CORRECT ANSWER -AR = Aortic
Regurgitation (Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
What does S1 indicate? - CORRECT ANSWER -S1 Closure of the
Atrioventricular Valves (Mitral & Tricuspid Valves)
, What does S2 indicate? - CORRECT ANSWER -S2 Closure of the
Semilunar Valves (Aortic & Pulmonic Valves)
S3 is often heard in? - CORRECT ANSWER -CHF, possibly normal for
athletic adolescents
S4 is often heard in? - CORRECT ANSWER -Diastolic HF, Left
Ventricular Hypertrophy (LVH), Poorly controlled HTN, MI
Treatment of Peripheral Artery Disease (PAD) - CORRECT ANSWER -
Antiplatelets (Plavix, ASA), Pentoxifylline (Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - CORRECT ANSWER -
Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - CORRECT ANSWER -
Aotrvastatin/Rosuvastatin = If LDL>150 use high doses. Watch for LFTs &
arthralgia. Change type & dose if issues. Helps stabilize plaques.
What medications are indicated for HF treatment? - CORRECT ANSWER -
ACEs, ARBs, ARNI w/BBs, Aldosterone Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - CORRECT
ANSWER -Topical Permetherin massaged from head to soles of feet and
wash off with shower or bath after 8-14hrs. Treat again in 1 week.
Names of skin lesions? - CORRECT ANSWER -Macule: Flat <1cm i.e.
freckle
