APEA 3P Final Exam Latest Questions & Correct Answers (2024-2025)
QUESTION 1`
The groove of the metacarpophalangeal joint can be palpated by having the
patient:
flex his hand
QUESTION 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)
QUESTION 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
QUESTION 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)
QUESTION 5
What is the most likely presenting symptom in a pediatric patient with croup?
,barking cough
QUESTION 6
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is
contraindicated?
Heart disease
QUESTION 7
Severe aortic regurgitation symptoms with dyspnea
dry cough, angina, hypotension, systolic murmur
QUESTION 8
Unipolar depression. What medications are not considered?
TCA (tricyclic antidepressants); Buspar, SSR, wellbutin are all okay
QUESTION 9
Which of the following statements is most accurate about cough associated with ACEI?
Asthma
QUESTION 10
Conductive Hearing loss
External ear, middle ear, or both problem
QUESTION 11
Which of the following is a risk factor for the development of prostate enlargement?
Diabetes; Obesity, heart and circulatory disease, DM2
QUESTION 12
, Patients with suspected PAD may be asymptomatic or may complain of which symptom in the lower
extremity?
Pain during activity
QUESTION 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
QUESTION 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
QUESTION 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)
QUESTION 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
QUESTION 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
QUESTION 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
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