APEA FNP EXAM CRUSH REVIEW
2026: FAST TRACK TOPIC
TEST||Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Student Name: _________________________
Date: _________________________
Total Questions: 85
Time Limit: 90 minutes
Passing Score: 75%
Section 1: Cardiovascular Disorders (Questions 1–10)
1. A 58-year-old male with hypertension reports chest pressure radiating to
the jaw with exertion, relieved by rest. What is the most likely diagnosis?
• A) Unstable angina
• B) Stable angina
• C) NSTEMI
• D) Pericarditis
Rationale: Stable angina is provoked by exertion or stress, relieved by rest or
nitroglycerin, and has a predictable pattern. Unstable angina occurs at rest or with
minimal exertion.
2. Which murmur is best heard at the left sternal border with a systolic
ejection click?
, • A) Mitral regurgitation
• B) Aortic stenosis
• C) Bicuspid aortic valve
• D) Hypertrophic cardiomyopathy
Rationale: Bicuspid aortic valve often presents with an early systolic ejection click
followed by a systolic murmur at the right upper sternal border or left sternal
border.
3. A 72-year-old female with sudden-onset severe tearing chest pain radiating
to the back. BP 160/90 in right arm, 100/60 in left arm. Most likely diagnosis?
• A) Aortic dissection
• B) Acute MI
• C) Pulmonary embolism
• D) Musculoskeletal pain
Rationale: Aortic dissection presents with tearing pain and pulse or blood pressure
differential between arms. Immediate imaging (CT angiography) is needed.
4. Jugular venous distension, lower extremity edema, and tender
hepatomegaly are most consistent with:
• A) Right-sided heart failure
• B) Left-sided heart failure
• C) Cardiac tamponade
• D) Dehydration
Rationale: Right heart failure causes systemic venous congestion → JVD,
peripheral edema, and hepatic congestion (tender, enlarged liver).
, 5. First-line pharmacotherapy for chronic stable angina with preserved LV
function is:
• A) Metoprolol
• B) Amlodipine
• C) Isosorbide mononitrate
• D) Ranolazine
Rationale: Beta-blockers reduce myocardial oxygen demand, improve survival
post-MI, and are first-line for chronic stable angina.
6. A 45-year-old with palpitations, shortness of breath, irregularly irregular
pulse, no heart failure. Most appropriate treatment to control ventricular
rate?
• A) Metoprolol
• B) Digoxin
• C) Amiodarone
• D) Aspirin
Rationale: Beta-blockers or nondihydropyridine CCBs (verapamil/diltiazem) are
first-line for rate control in AF without heart failure.
7. An S3 gallop is best heard with the bell of the stethoscope at the apex
during:
• A) Early diastole
• B) Late diastole
• C) Mid-systole
• D) Presystole
Rationale: S3 occurs in early diastole during rapid ventricular filling; indicates
volume overload or systolic heart failure.
2026: FAST TRACK TOPIC
TEST||Questions And Answers With
Rationales/Graded A+/2026
Update/100% Correct /Instant
Download
Student Name: _________________________
Date: _________________________
Total Questions: 85
Time Limit: 90 minutes
Passing Score: 75%
Section 1: Cardiovascular Disorders (Questions 1–10)
1. A 58-year-old male with hypertension reports chest pressure radiating to
the jaw with exertion, relieved by rest. What is the most likely diagnosis?
• A) Unstable angina
• B) Stable angina
• C) NSTEMI
• D) Pericarditis
Rationale: Stable angina is provoked by exertion or stress, relieved by rest or
nitroglycerin, and has a predictable pattern. Unstable angina occurs at rest or with
minimal exertion.
2. Which murmur is best heard at the left sternal border with a systolic
ejection click?
, • A) Mitral regurgitation
• B) Aortic stenosis
• C) Bicuspid aortic valve
• D) Hypertrophic cardiomyopathy
Rationale: Bicuspid aortic valve often presents with an early systolic ejection click
followed by a systolic murmur at the right upper sternal border or left sternal
border.
3. A 72-year-old female with sudden-onset severe tearing chest pain radiating
to the back. BP 160/90 in right arm, 100/60 in left arm. Most likely diagnosis?
• A) Aortic dissection
• B) Acute MI
• C) Pulmonary embolism
• D) Musculoskeletal pain
Rationale: Aortic dissection presents with tearing pain and pulse or blood pressure
differential between arms. Immediate imaging (CT angiography) is needed.
4. Jugular venous distension, lower extremity edema, and tender
hepatomegaly are most consistent with:
• A) Right-sided heart failure
• B) Left-sided heart failure
• C) Cardiac tamponade
• D) Dehydration
Rationale: Right heart failure causes systemic venous congestion → JVD,
peripheral edema, and hepatic congestion (tender, enlarged liver).
, 5. First-line pharmacotherapy for chronic stable angina with preserved LV
function is:
• A) Metoprolol
• B) Amlodipine
• C) Isosorbide mononitrate
• D) Ranolazine
Rationale: Beta-blockers reduce myocardial oxygen demand, improve survival
post-MI, and are first-line for chronic stable angina.
6. A 45-year-old with palpitations, shortness of breath, irregularly irregular
pulse, no heart failure. Most appropriate treatment to control ventricular
rate?
• A) Metoprolol
• B) Digoxin
• C) Amiodarone
• D) Aspirin
Rationale: Beta-blockers or nondihydropyridine CCBs (verapamil/diltiazem) are
first-line for rate control in AF without heart failure.
7. An S3 gallop is best heard with the bell of the stethoscope at the apex
during:
• A) Early diastole
• B) Late diastole
• C) Mid-systole
• D) Presystole
Rationale: S3 occurs in early diastole during rapid ventricular filling; indicates
volume overload or systolic heart failure.
