3P APEA EXAM QUESTIONS AND
ANSWERS UPDATED 2024-2025.
Difference,between,varicose,vein,and,arteriosclerosis,,ANS,-,,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),,ANS,-,,5th,ICS,,left,of,MCL
A,43,year,old,Hispanic,male,has,an,audible,diastolic,murmur,best,heard,in,the,mitral,listening,point.,Ther
e,is,no,audible,click.,His,status,has,been,monitored,for,the,past,two,years.,This,murmur,is,probably,,ANS,-
,,mitral,stenosis
A,patient,who,has,diabetes,presents,with,pain,in,his,lower,legs,when,he,walks,and,pain,resolution,with,re
st.,When,specifically,asked,about,his,pain,in,his,lower,leg,,he,likely,will,report,pain,,ANS,-
,,in,the,calf,muscle
A,patient,with,hypertension,describes,a,previous,allergic,reaction,to,a,sulfa,antibiotic,as,"sloughing,of,ski
n",and,hospitalization.,Which,medication,is,contraindicated,in,this,patient?,,ANS,-,,hydrochlorothiazide
A,75,year,old,patient,who,has,aortic,stenosis,wants,to,know,what,symptoms,indicate,worsening,of,his,ste
nosis.,the,NP,replies:,,ANS,-,,shortness,of,breath,and,syncope
A,74,year,old,patient,has,PAD.,Which,item,listed,below,is,an,important,nonmodifiable,risk,factor,for,PAD
?,,ANS,-,,diabetes
Benazepril,should,be,d/c,immediately,if,,ANS,-,,pregnancy,occurs
aortic,regurgitation,characteristics,,ANS,-
,,long,asymptomatic,period,follow,by,exercise,intolerance,,then,dyspnea,at,rest
, DVT,classic,symptoms,,ANS,-,,swelling,,pain,,and,discoloration,of,lower,extremity
Characteristic,of,ACE-induced,cough,is,that?,,ANS,-,,usually,begins,two,weeks,of,starting,therapy
Valve,most,commonly,involved,in,chronic,rheumatic,heart,disease,,ANS,-,,mitral
Medication,that,can,exacerbate,HF,,ANS,-,,naproxen
Patient,taking,ACE,inhibitors,should,avoid?,,ANS,-,,potassium,supplements
Grade,3,murmur,indication,for,a,referral,,ANS,-,,a,fixed,split
Group,of,meds,used,to,treat,HF,,ANS,-,,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:,,ANS,-,,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,,ANS,-,,diabetes,mellitus
good,drug,to,reduce,morbidity,and,mortality,in,mild,HF,,ANS,-,,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,eval
uated?,,ANS,-,,Stop,the,atorvastatin,immediately
symptom,not,indicative,of,HF,,ANS,-,,headache