1. You are evaluating a 15-year-old patient for bipolar disorder. His parents tell you that he
has severe mood swings, easily distracted, and constantly corrects his teacher. You
would have a high suspicion for bipolar disorder if which symptoms where present? 4
hours of sleep per night.
2. Wha...
you are evaluating a 15 year old patient for bipolar disorder his parents tell you that he has severe mood swings
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APEA 3P EXAM QUESTIONS AND ANSWERS
APEA 3P Exam
1. You are evaluating a 15-year-old patient for bipolar disorder. His parents tell you that he
has severe mood swings, easily distracted, and constantly corrects his teacher. You
would have a high suspicion for bipolar disorder if which symptoms where present? 4
hours of sleep per night.
2. What suggest hyperandrogenism in an adolescent female? Hirsutism
3. Which medication is contraindicated in a child with acute sinusitis? Nasal steroids
4. Which best describes lower extremity calf pain associated with peripheral artery
disease? Dull aching and cramping.
5. Which vaccine protect against a virus that can lead to chronic liver failure? Hep B.
6. A pediatric patient has an area of scaling on the scalp with round patches of hair loss?
Alopecia Areata
7. A 62-year-old male patient presents with leg pain and occasional numbness that is worse
with ambulation and improved with lumbar flexion. What is the likely diagnosis? Lumbar
stenosis
8. A pregnant patient presents for her 16-week prenatal visit. Her blood pressure had
reduced from 118/79 to 109/68. What hemodynamic changes is responsible for this?
Systemic Vascular resistance.
9. Your 62-year-old patient has been taking griseofulvin 500 mg po to treat tinea capitis
and has only had marginal improvement. What is your next step? Continue current
therapy for 6-8 weeks.
10. What clinical manifestation suggest primary syphilis? A single painless genital lesion.
11. What medication is first line for a patient with benign positional vertigo? Meclizine.
12. What symptom is most associated with testicular torsion? Testicular pain.
13. Which does not drain the right lymph duct? Right leg
14. Which is a true statement about various veins? More symptomatic during ovulation.
15. Which is the term for excess fluid that accumulates in the pleural cavity between the
visceral and parietal spaces? Pleural Effusion.
16. During abdominal exam, which sound over bulging area of the abdomen would indicate
ascites fluid? Dull
17. What condition is best treated by using alpha adrenergic antagonist? Overflow
incontinence.
18. What should not be prescribed for migraine prophylaxis in a 42-year-old woman?
Verapamil
19. Where would a 60-year-old man typically describe prostate pain? The perineum.
20. What is the most common characteristic among patients with migraine headache?
Throbbing/pulsatile pain
21. Which patient is at the highest risk on contracting TB? Low-income immigrant.
22. Which is the most common among patients with psoriasis? Pitted nails and plaques.
23. Which historical finding may predispose a patient to testicular cancer? Cryptorchidism.
24. What would you advise for a patient taking an oral glucocorticoid? Take with food.
25. Which medication is not contraindicated in a patient with a sulfa allergy? Silvadene.
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