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APEA Review 2024/2025 already graded A+

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APEA Review 2024/2025 already graded A+

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  • January 8, 2024
  • 10
  • 2023/2024
  • Exam (elaborations)
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APEA Review

Black Patient With or Without DM - ANSThiazide diuretic

Calcium channel blocker

Nonblack Patient With or Without DM - ANSThiazide diuretic

Calcium channel blocker

ACE ARB

heart murmurs are caused by - ANSturbulent blood flow

through the great vessels or across a heart valve occurs

• Stenotic valves don't - ANSStenotic valves don't OPEN properly

Regurgitant valves don't - ANSRegurgitant valves don't CLOSE properly

If pravastatin is chosen for Mr. Thibodeaux, how would you manage this? Select all that
apply. - ANSCheck liver enzymes prior to initiation of statin.


Start him on 40 mg today and recheck lipids/LFTs in 8 weeks.

htn stop - ANSnsaids naproxen

calf pain with walking. What's going on? - ANSblockage in lower vessels

intermittent claudication

peripheral artery disease

ABI <0.9 or >1.3 is highly suggestive of - ANSpad

What interventions should be initiated to help decrease his triglyceride level (323 mg/dL)?
Select all that apply. - ANS. Decreased carbohydrate consumption.

Suppose his triglycerides were 550 mg/dL? How would you treat? - ANSfibrates
lifestyle

If Mrs. Boudreaux were to develop heart failure, which medications would be most beneficial
to discontinue? Select all that apply - ANSamlodopine

, naproxine

Heart Failure Clinical Signs and Symptoms - ANSCrackles

S3 and/or S4 • Peripheral edema may be present

AAA screening - ANS-all men 65-75 who have ever smoked
-abdominal US

1 time only

statins - ANSliver involvement
muscle cramps

What is the cutoff value when treatment for hyperlipidemia is recommended? - ANS7.5 or
higher

What type of murmur can radiate to the left axilla? - ANSMitral regurgitation

The murmur of mitral regurgitation occurs during systole (holosystolic) and is located in the
mitral area of the chest. The location of the mitral area (fifth intercostal space on the left side
of the midclavicular line) is near the left axilla, so that a loud murmur can radiate to the left
axilla. The causes can be congenital or it may a be sequela of rheumatic fever, mitral valve
prolapse, or papillary muscle dysfunction secondary to acute or prior myocardial infarction.

pulse deficit - ANSdifference between the apical and radial pulse rates

radial - apical

The goal for patients aged 60 years or older is blood pressure less than - ANS150/90

shows a triglyceride level of 950 mg/dL, - ANSInitiate a prescription of fenofibrate (Tricor)

Prophylaxis treatment for endocarditis is no longer recommended for patients with mitral
valve prolapse (MVP). - ANS

During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur
grade 2/6 is auscultated. It is located on the fifth intercostal space (ICS) on the left side of
the midclavicular line. Which of the following identifications is correct? - ANSMitral stenosis

Pulsus paradoxus is best described as: - ANSA decrease in systolic blood pressure on
inspiration

digoxin (Lanoxin) for 10 years. Her EKG is showing a new onset of atrial fibrillation. Her
pulse is 64 beats/min - ANSOrder a serum thyroid-stimulating hormone (TSH), digoxin level,
and an electrolyte panel

Potential complications of mitral valve prolapse (MVP) include all of the following - ANS

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