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APEA 3P FINALEXAMINATION 2024/2025 | ACCURATE REAL EXAM QUESTIONS WITH DETAILED ANSWERS AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS | LATEST UPDATE $22.99
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APEA 3P FINALEXAMINATION 2024/2025 | ACCURATE REAL EXAM QUESTIONS WITH DETAILED ANSWERS AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS | LATEST UPDATE
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APEA 3P FINALEXAMINATION 2024/2025 | ACCURATE REAL EXAM QUESTIONS WITH DETAILED ANSWERS AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS | LATEST UPDATE

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  • August 13, 2024
  • 49
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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APEA 3P FINALEXAMINATION 2024/2025 | ACCURATE REAL
EXAM QUESTIONS WITH DETAILED ANSWERS AND A
STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS
| LATEST UPDATE
A patient presents with pruritic lesions on both knees. There are visible silver scales. How
Should this condition be managed?
a. Topical antifungal cream or ointment
b. Oral antibiotics
c. Topical corticosteroids cream
d. Topical anti-fungal/ steroid cream
c. Topical corticosteroids cream
Antidepressant discontinuation syndrome is less likely if the patient
a. Is male
b. Is less than 35 y/o
c. Has taken an SSRI with a short half life
d. Gradually tapers SSRI use
d. Gradually tapers SSRI use
Patient with benign prostatic hyperplasia (BPH) should be taught to avoid which one of the
following drug classes?
a. Alpha adrenergic antagonist
b. Anti-androgen agents
c. Tricyclic antidepressant (TCA)
d. Sulfonamides
c. Tricyclic antidepressant (TCA)
Which of the following is the best response to a woman who has just admitted she is a victim of
spousal abuse?
a. What was if you did to make him angry?
b. You must seek refuge immediately
c. I am concerned about your safety
d. I am going to call a shelter for you
c. I am concerned about your safety
For which patient group does the US Preventive Services Task Force recommend routine
screening for asymptomatic bacteriuria
a. pregnant woman
b. Children
c. Patients with diabetes
d. patients over the age of 70

,a. pregnant woman
What diabetic complications result from hyperglycemia?
1. Retinopathy
2. Hypertension resistant to treatment
3. Peripheral neuropathy
4. Accelerated atherosclerosis
a. 1,2,3
b. 2,3,4
c. 1,3,4
d. 1,2,4
c. 1,3,4
A 6 y/o presents w/ complaints of sore throat and fever for 2 days. He has multiple vesiculated
ulcerations on his tonsils and uvula. There are no other remarkable findings. What i the most
likely diagnosis?
a. Viral pharyngitis
b. Herpangina
c. Epiglottitis
d. Tonsillitis
b. Herpangina
A patient has Kawasaki syndrome. Which characteristics would be UNUSUAL?
a. Age > 15 years
b. Fever > 101 F (38.3 C)
c. Exudative pharyngitis
d. Painful rash
a. Age > 15 years
According to the JNC 8 guideline hypertension in a 40 y/o can be diagnosed when blood
pressure exceeds
a. 140/90
b. 130/90
c. 125/85
d. 150/100
a. 140/90
A 7-year old female patient presents with severe injuries that are inconsistent with the
explanation given for them. The nurse practitioner questions the mother about abuse. She admits
that her husband, the child's father, beat the child. How should the nurse practitioner proceed?
a. Inform the mother that the abuse must be reported to child protection authorities.
b. Counsel the mother that if it happens again it will be reported to child protection service.

,c. Ask the child what she did to cause the punishment
d. Refer the family to the National Domestic Violence hotline.
a. Inform the mother that the abuse must be reported to child protection authorities.
A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing up of the legs
followed by periods of lethargy. On physical examination, a "sausage-like" mass in the upper
right quadrant of the distended abdomen. Which of the following is the most likely
diagnosis?
a. Intussusception
b. Volvulus
c. Crohn's disease
d. Foreign body in the GI tract
a. Intussusception
A 48 y/o female complains of pain and stiffness in her right hip and knee that is mild on
awakening in the morning, get worse as the day progresses and is relived with hot baths and
ibuprofen. Crepitus is palpated on range of motion of the knee. Signs of inflammation are
notably absent. What is the most likely diagnosis?
a. Rheumatoid arthritis (RA)
b. Gout
c. Osteoarthritis (OA)
d. Osteoporosis
c. Osteoarthritis (OA)
A middle-aged female complains of insomnia, night sweats, feeling intensely hot, emotional
lability, extreme nervousness and impatience. The LEAST likely cause of her symptoms is
a. Thyrotoxicosis
b. Menopausal vasomotor instability
c. Alcohol or another drug withdrawal
d. New onset type 2 diabetes mellitus
New onset type 2 diabetes mellitus
A young couple is being seen by the NP for preconception counseling. They express a wish for
pregnancy within the next 3 month and are very eager to know what they can do now to"make
the baby as healthy as possible". Which of the following should the NP encourage to decrease the
chance of neural tube defect in the fetus?
a. Maternal alpha-fetoprotein level
b. Folic acid 0.4 mg daily
c. Rubella vaccine today
d. Vitamin E 400 IU daily
b. Folic acid 0.4 mg daily

, A patient with a past history of documented coronary arterial blockage less than 70% complains
of chest pain several time p.... which is relived with nitroglycerin. Which is the most appropriate
initial action for the NP?
a. Refer to a cardiologist as soon as possible
b. Prescribe long-acting nitroglycerin
c. Order treadmill stress test
d. Prescribe an ACE inhibitor and re-evaluate in 24 to 48 hours
a. Refer to a cardiologist as soon as possible
Which of the following indicated need for further evaluation?
a. A 7 y/o girl with vaginal bleeding
b. A 7 years old girl with no true pubic hair
c. A 12 years old boy with sparse, slightly pigmented pubic hair
d. A 12-year-old girl with breast buds
A 7 y/o girl with vaginal bleeding
A 3 y/o has enlarged, warm, tender cervical lymph nodes, indicating:
a. Infection proximal to the nodes
b. A possible cancer diagnosis
c. Shorty nodes, a common normal variant in children
d. An infectious process distal to the nodes
a. Infection proximal to the nodes
The NP examines a 2-month-old with unequal gluteal and thigh skin folds. What should the NP
do next?
a. Send the infant for x-ray of the hips
b. Send the infant for ultrasound of the hips
c. Perform Ortolani and Barlow test
d. Examine the infant for unequal arm length
c. Perform Ortolani and Barlow test
A very active 35 years old male has painful hemorrhoid, but he does not want hemorrhoidal
surgery at this time. His diet has been indiscriminate as his job requires frequent travel. The most
appropriate recommendation is for him to select food that are:
a. Low in fiber such as milk and other dairy products
b. High in simple carbohydrates such as white bread and mashed potatoes
c. High in fiber such as bran, complex carbohydrates and fresh fruit
d. High protein such a meat, poultry and fish
High in fiber such as bran, complex carbohydrates and fresh fruit
A 13 y/o pt. complains that he fell while running during football practice. Now his knee hurts
and sometimes "lucks". The NP conducts McMurrays test. Which of the following is TRUE
about this test?

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