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3P APEA EXAM LATEST 2025 REVISED EXAM
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Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins
Difference between varicose vein and arteriosclerosis
5th ICS, left of MCL
A patient has poorly controlled hypertension for more than 10 years. Indicate the
most likely position of his point of maximal impulse (PMI)
mitral stenosis
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
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in the calf muscle
A patient who has diabetes presents with pain in his lower legs when he walks
and pain resolution with rest. When specifically asked about his pain in his lower
leg, he likely will report pain
hydrochlorothiazide
A patient with hypertension describes a previous allergic reaction to a sulfa
antibiotic as "sloughing of skin" and hospitalization. Which medication is
contraindicated in this patient?
shortness of breath and syncope
A 75 year old patient who has aortic stenosis wants to know what symptoms
indicate worsening of his stenosis. the NP replies:
diabetes
A 74 year old patient has PAD. Which item listed below is an important
nonmodifiable risk factor for PAD?
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pregnancy occurs
Benazepril should be d/c immediately if
long asymptomatic period follow by exercise intolerance, then dyspnea at rest
aortic regurgitation characteristics
swelling, pain, and discoloration of lower extremity
DVT classic symptoms
usually begins two weeks of starting therapy
Characteristic of ACE-induced cough is that?
mitral
Valve most commonly involved in chronic rheumatic heart disease
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naproxen
Medication that can exacerbate HF
potassium supplements
Patient taking ACE inhibitors should avoid?
a fixed split
Grade 3 murmur indication for a referral
fosinopril, HCTZ, verapamil
Group of meds used to treat HF
stop the warfarin today and repeat INR tomorrow
Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib. INR today
is 4.0. the NP should:
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