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Exam (elaborations)

3P Practice Questions And Answers.

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  • August 27, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • APEA 3P
  • APEA 3P
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Wisdoms
3P Practice Questions And
Answers


The \groove \of \the \metacarpophalangeal \joint \can \be \palpated \by \having \the

patient: \- \correct \Answers \✔✔ \-flex \his \hand

When \auscultating \breath \sounds \in \a \patient \who \has \left \sided \heart \failure, \the \breath \sounds
\are: \- \correct \Answers \✔✔ \-vesicular \with \late \inspiratory \crackles \in \the \dependent \portions \
of \the \lungs \and \resonant \on \percussion \(looses \ability \to \pump \out \blood)

You \are \evaluating \a \15 \year \old \patient \for \bipolar \disorder. \His \parents \tell \you \that \he \has \
severe \mood \swings, \is \easily \distracted, \and \constantly \corrects \his \teachers. \You \have \the \high \
suspicion \for \bipolar \if \which \symptom \was \present? \- \correct \Answers \✔✔ \-he \sleeps \less \than \
4 \hours \nightly

Using \GTPAL \nomenclature, \how \would \document \a \patient \currently \pregnant \with \a \hx \of \
uncomplicated \term \vaginal \delivery, \preterm \delivery \of \liveborn \twins, \and \an \8 \week \elective \
abortion? \- \correct \Answers \✔✔ \-G4 \T1 \P1 \A1 \L3 \(mult \births \count \as \1 \pregnancy \and \1 \
birth)

What \is \the \most \likely \presenting \symptom \in \a \pediatric \patient \with \croup? \- \correct \
Answers \✔✔ \-barking \cough

47 \year \old \woman \post \total \hysterectomy \and \estrogen \hormone \therapy. \Which \is \
contraindicated? \- \correct \Answers \✔✔ \-Heart \disease

Severe \aortic \regurgitation \symptoms \with \dyspnea \- \correct \Answers \✔✔ \-dry \cough, \angina, \
hypotension, \systolic \murmur

Unipolar \depression. \What \medications \are \not \considered? \- \correct \Answers \✔✔ \-TCA \(tricyclic \
antidepressants); \Buspar, \SSR, \wellbutin \are \all \okay

Which \of \the \following \statements \is \most \accurate \about \cough \associated \with \ACEI? \- \correct \
Answers \✔✔ \-Asthma

, Conductive \Hearing \loss \- \correct \Answers \✔✔ \-External \ear, \middle \ear, \or \both \problem

Which \of \the \following \is \a \risk \factor \for \the \development \of \prostate \enlargement? \- \correct \
Answers \✔✔ \-Diabetes; \Obesity, \heart \and \circulatory \disease, \DM2

Patients \with \suspected \PAD \may \be \asymptomatic \or \may \complain \of \which \symptom \in \the \
lower \extremity? \- \correct \Answers \✔✔ \-Pain \during \activity

A \patient \who \presents \with \nocturia, \dyspnea \on \exertion, \and \peripheral \edema \and \is \found \
to \have \ascites \and \JVD \should \be \evaluated \for: \- \correct \Answers \✔✔ \-heart \failure

23 \year \old \woman \is \having \frequent \migraines \and \needs \a \prophylactic \medication. \She \also \
has \asthma. \The \medication \should \be \avoided \in \this \patient: \- \correct \Answers \✔✔ \-
Propranolol \(inderal); \can \cause \increase \bronchospasm

45 \year \old \woman \with \first \episode \of \DVT \is \being \treated \for \CAP, \which \antibiotic \is \safe \
to \use \with \warfarin? \- \correct \Answers \✔✔ \-Clarithromycin \(PCN \and \cephalosporins \are \okay)

On \PA \of \50 \year \old \woman \who \has \complains \of \joint \pain, \the \NP \finds \swan \neck \and \
boutoniere \deformities \which \she \knows \are \related \to \the \diagnosis \of \- \correct \Answers \✔✔ \-
rheumatoid \arthritis

28 \year \old \woman \has \symptoms \of \asthma \daily \and \several \nights \a \week. \She \uses \a \SABA \
and \will \be \starting \fluticasone/salmeterol \(Advair). \Advair: \- \correct \Answers \✔✔ \-is \not \effective
\during \an \acute \asthma \attack


The \main \lymphatic \channel \that \drains \lymph \back \to \the \systemic \circulation \from \the \entire \
body, \with \the \exception \of \the \RT \arm, \thorax, \head \and \neck \is \the \- \correct \Answers \✔✔ \-
thoracic \duct

Intrauterine \growth \restriction \is \suspected \in \an \18 \year \old \pregnant \patient \at \35 \weeks \
gestation \if \the \fundal \height \measurement \is \- \correct \Answers \✔✔ \-32

A \22 \year \old \patient \presents \with \complaints \of \headaches \with \associated \nausea \and \
vomitting. \The \LEAST \likely \differential \diagnosis \for \this \patient \is \- \correct \Answers \✔✔ \-tension
\headaches


The \symptoms \that \will \help \differentiate \acute \pyelonephritis \from \acute \nephrolithiasis \is \the \
presence \of \- \correct \Answers \✔✔ \-costovertebral \pain

While \assessing \an \80 \year \old \man, \the \NP \considers \the \need \to \evaluate \for \depression \
based \on \the \patient's \- \correct \Answers \✔✔ \-poor \motivation \to \participate \in \care

Acute \gout \attack. \What \should \not \be \initiated? \- \correct \Answers \✔✔ \-Probenecid

Serotonin \syndrome \is \suspected. \What \symptoms? \- \correct \Answers \✔✔ \-rapid \heart \rate \and \
high \blood \pressure

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