Actual Questions and Answers
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Actual Questions and Answers
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Case Studies/Scenario-Based Questions
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APEA 3P Actual Exam Test Bank (APEA Question Bank)
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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.
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6. A,42,years,old,woman,with,a,past,medical,history,of,migraine,headaches,is,requesting,prophy
lactic,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,migran
e.,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,clinica
l,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,medica
l,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,sp
ontaneous,discharge,from,the,right,nipple.,This,indicates,further,evaluation.
a) Fibroadenoma
b) Polycystic,breast,disease,Generalized,breast,pain,or,tenderness.,Green,or,dark,brown,nonblo
ody,nipple,discharge,that,tends,to,leak,without,pressure,or,squeezing
c) An,intraductal,papilloma
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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
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