Difference between varicose vein and arteriosclerosis -Correct Answer Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins
A patient has poorly controlled hypertension for more than 10 years. Indicate the most likely position of his point of maximal impu...
3P APEA EXAM QUESTIONS WITH
CORRECT ANSWERS 2024
Difference between varicose vein and arteriosclerosis -Correct Answer ✔Is the affected
vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins
A patient has poorly controlled hypertension for more than 10 years. Indicate the most
likely position of his point of maximal impulse (PMI) -Correct Answer ✔5th ICS, left of
MCL
A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral
listening point. There is no audible click. His status has been monitored for the past two
years. This murmur is probably -Correct Answer ✔mitral stenosis
A patient who has diabetes presents with pain in his lower legs when he walks and pain
resolution with rest. When specifically asked about his pain in his lower leg, he likely will
report pain -Correct Answer ✔in the calf muscle
A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as
"sloughing of skin" and hospitalization. Which medication is contraindicated in this
patient? -Correct Answer ✔hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what symptoms indicate
worsening of his stenosis. the NP replies: -Correct Answer ✔shortness of breath and
syncope
A 74 year old patient has PAD. Which item listed below is an important nonmodifiable
risk factor for PAD? -Correct Answer ✔diabetes
Benazepril should be d/c immediately if -Correct Answer ✔pregnancy occurs
aortic regurgitation characteristics -Correct Answer ✔long asymptomatic period follow
by exercise intolerance, then dyspnea at rest
DVT classic symptoms -Correct Answer ✔swelling, pain, and discoloration of lower
extremity
Characteristic of ACE-induced cough is that? -Correct Answer ✔usually begins two
weeks of starting therapy
Valve most commonly involved in chronic rheumatic heart disease -Correct Answer
✔mitral
3P APEA EXAM
, 3P APEA EXAM
Medication that can exacerbate HF -Correct Answer ✔naproxen
Patient taking ACE inhibitors should avoid? -Correct Answer ✔potassium supplements
Grade 3 murmur indication for a referral -Correct Answer ✔a fixed split
Group of meds used to treat HF -Correct Answer ✔fosinopril, HCTZ, verapamil
Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib. INR today is 4.0.
the NP should: -Correct Answer ✔stop the warfarin today and repeat INR tomorrow
According to the NHLBI, which characteristic is a coronary heart disease risk equivalent,
that is, which risk factor places the pt. as a CHD risk similar to a hx of CHD -Correct
Answer ✔diabetes mellitus
good drug to reduce morbidity and mortality in mild HF -Correct Answer ✔metoprolol
A pt. taking atorvastatin newly diagnosed with dyslipidemia complaints of fatigue,
weakness, and muscle aches in his lower back, arms, legs for the past 3 days. it is not
improved with rest How should this be evaluated? -Correct Answer ✔Stop the
atorvastatin immediately
symptom not indicative of HF -Correct Answer ✔headache
What class of meds is preferred to normalized lipid levels and reduce risk of cardiac
events -Correct Answer ✔HMG CoA reductase inhibitors
Highest sensitivity in diagnosing HF -Correct Answer ✔BNP
The NP is caring for a 74-year-old who had an acute coronary syndrome 6 weeks ago.
What medications should be part of his regimen unless contraindicated -Correct Answer
✔ACE, ASA, beta blockers, and statin
patient with the highest systolic B/P -Correct Answer ✔75-year-old male
test that is most cost effective to screen for abdominal aortic aneurysm -Correct Answer
✔abdominal ultrasound
a 74-year-old patient has had an increase in b/p since the last exam. his b/p has
increased from 144/90 to reading in the upper 160's/upper 80's. If medication is to be
started on this patient, what would be a good first choice? -Correct Answer ✔Calcium
channel blocker
3P APEA EXAM
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