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Apea 3p actual latest exam 3p apea real exam with 157 questions and correct verified answers
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Apea 3p actual latest exam 3p apea real exam with 157 questions and correct verified answers
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3P Practice Questions1. The groove of the metacarpophalangeal joint can be palpated by having
the patient:: flex his hand
2. When auscultating breath sounds in a patient who has left sided heart
failure, the breath sounds are:: vesicular with late inspiratory crackles in the
dependent portions of the lungs and resonant on percussion (looses ability to
pump out blood)
3. 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?: he sleeps less than 4 hours nightly
4. 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?: G4 T1 P1 A1
L3 (mult births count as 1 pregnancy and 1 birth)
5. What is the most likely presenting symptom in a pediatric patient with
croup?: barking cough
6. 47 year old woman post total hysterectomy and estrogen hormone
therapy.
Which is contraindicated?: Heart disease
7. Severe aortic regurgitation symptoms with dyspnea: dry cough, angina,
hypotension, systolic murmur
8. Unipolar depression. What medications are not considered?: TCA (tricyclic
antidepressants); Buspar, SSR, wellbutin are all okay
9. Which of the following statements is most accurate about cough
associated with ACEI?: Asthma
10. Conductive Hearing loss: External ear, middle ear, or both problem
11. Which of the following is a risk factor for the development of prostate
enlargement?: Diabetes; Obesity, heart and circulatory disease, DM2
12. Patients with suspected PAD may be asymptomatic or may complain of
which symptom in the lower extremity?: Pain during activity
13. A patient who presents with nocturia, dyspnea on exertion, and peripheral
edema and is found to have ascites and JVD should be evaluated for::
heart failure
14. 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:: Propranolol (inderal); can cause increase bronchospasm
1/8
, .
15. 45 year old woman with first episode of DVT is being treated for CAP,
which antibiotic is safe to use with warfarin?: Clarithromycin (PCN and
cephalosporins are okay)
16 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: rheumatoid arthritis
17. 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:: is not effective during an acute asthma attack
18. 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: thoracic duct
19. Intrauterine growth restriction is suspected in an 18 year old pregnant
patient at 35 weeks gestation if the fundal height measurement is: 32
20. A 22 year old patient presents with complaints of headaches with
associated nausea and vomitting. The LEAST likely differential diagnosis
for this patient is: tension headaches
21. The symptoms that will help differentiate acute pyelonephritis from acute
nephrolithiasis is the presence of: costovertebral pain
22. While assessing an 80 year old man, the NP considers the need to evaluate
for depression based on the patient's: poor motivation to participate in care
23. Acute gout attack. What should not be initiated?: Probenecid
24. Serotonin syndrome is suspected. What symptoms?: rapid heart rate and
high blood pressure
25. Which medication class is not recommended in the outpatient treatment
of a pediatric patient with acute bacterial rhinosinusitis (ABRS):
Antihistamines 26. A 44 year old man presents with complaints of sudden
pain in the right upper abdominal quadrant. The NP suspects pancreatitis
due to historical findings. What assessment supports this?: A positive
Cullen's sign
27. Old man with BPH, Benadryl and anticholinergic may cause:: Urinary
retention
28. 45 year old carpenter complains of a foreign body sensation in his LT eye
with tearing and itching. During the ophthalmoscopic exam, a triangular
thickening of the bulbar conductive is found at the outer surface of the
cornea.
This finding is consistent with:: pterygium
2/8
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