APEA 3P Exam Stu dy Guide 2023 COMPLETE QUESTIONS WITH SOLUTIONS RATED (A+) VERIFIED What would cause decrease in Digoxin levels - ANSWER Antacids Taking Pyridium for UTI, what can Pyridium cause? - ANSWER Hemolytic Anemia What can PCOS result in? - ANSWER increased insulin levels, Androgens, hirsutism What is a hypertensive used in pregnancy - ANSWER Methyldopa What is a characteristic of Placenta Previa? - ANSWER painless red bleeding What is a characteristic of Rheumatoid arthritis ? - ANSWER Red hot joints Medications that cause ototoxicity - ANSWER Aminoglycosides, nasal decongestants, antihistamines Treatment period for enterobiasis - ANSWER 2 weeks CBC Interpretation - ANSWER MCV - mean corpuscular volume help diagnose different types of anemia (High=macrocytic like B12, Low=microcytic like Fe anemia) Rhogham given at how many weeks gestation? - ANSWER 27 weeks Janesway lesions - ANSWER Happen with endocarditis, non painful lesions seen on hands and feet, Osler sa me but painful Warfarin management - forgot a dose? - ANSWER If under 12 hours take missed dose, if over skip and need INR redraw APEA 3P Exam Stu dy Guide 2023 COMPLETE QUESTIONS WITH SOLUTIONS RATED (A+) VERIFIED Taking an ACE or ARB what to know? - ANSWER ACE (dry hacking) cough starts 1 -2 weeks after med started, ACE (Lol) AR B (sartan) first line in HTN avoid initially in african americans, angioedema can occur Contraindication for hydrochlorithiazide - ANSWER sulfa allergy, asthma, PCN hypersensitvity Murmurs Systolic - ANSWER MR=Mitral regurge (SOB/Fatigue HF) Peyton Manning=phys murmur (asymptomatic) AS=Aortic Stenosis (Angina, syncope HF) MVP=Mitral valve prolapse (palps, CP, "click") Diastolic Murmurs (ABnormal) - ANSWER AR= Aortic Regurge (angina, HF, dizzinness, CP) MS=Mitral stenosis (Dyspnea, Afib) Motiv ated - ANSWER Systole -S1 closure of AV Mitral/tricuspid valve (lub) Mitral, Tricuspid, atrioventricular valves Apples - ANSWER Diastole s2 closure of the aortic pulmonic valves (dub) aortic pulmonic semilunar Abnormal (extra) heart sounds - ANSWER S3 - CHF; possible normal for adolescent athletes, S4 LVH poorly controlled HTN, unstable angina APEA 3P Exam Stu dy Guide 2023 COMPLETE QUESTIONS WITH SOLUTIONS RATED (A+) VERIFIED Assessment of PAD - ANSWER antiplatelets (Plavix, ASA), Pentoxifylline (decreases blood viscosity) to treat, ankle brachial index to check, angiogr aphy gold standard to diagnose Coronary artery Disease tx - ANSWER Atorvastatin/rovustatin - use high dose meds for LDL> 150, watch for LFTs and arthralgia. Change type and dose if problems. Stabilization of plaque with statins HF treatment - ANSWER ACEI, ARB, or ARNI with BB and aldosterone receptor antagonist Scabies Treatment (Sarcopter Scabiei) - ANSWER Topical Permethrin massaged from head to soles of feet and wach off with shower or bath after 8 -14 hours. Treat again in 1 week Names of skin findings - ANSWER Macule; freckle <1 cm, Papule Macule >1 cm chloasma, Papule <0.5cm elevated nevi (molluscum wart), Plaque (psoriasis, lichen planus), Nodule 0.5 -2 cm lipoma, vesicle (herpes simplex contact derm, Keloid - ANSWER hypertrophic scar that is invasive beyond point of original injury Skin continued - ANSWER Bulla -second degree burn, friction burn Wheal- raised, mosquito bite, hive Scales;dandruff Crusts -scab from abrasian, impetigo
