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3P Exam Study Questions and Answers APEA
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3P Exam Study Questions and Answers APEA
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3P Exam Study APEAWhat would cause decrease in Digoxin levels? - Answer-Antacids
Taking Pyridium for UTI, what can Pyridium cause? - Answer-Hemolytic Anemia
What can PCOS result in? - Answer-Increased insulin levels (Hyperinsulinemia), Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - Answer-Methyldopa (Alpha-2-Agonist), Labetalol,
Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - Answer-Painless, red bleeding
What is a chacteristic of Rheumatoid Arthritis? - Answer-Tender, warm, swollen joints
Medications that can cause ototoxicity? - Answer-Aminoglycosides, loop diuretics, NSAIDs,
antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - Answer-2 weeks
,What does MCV lab value measure? - Answer-Mean Corpuscular Volume helps diagnose different types
of anemia such as B12 & Folate (Macrocytic) and Fe anemia (Microcytic)
Rhogam is given at how many week gestation? - Answer-27-28 weeks
What are Janeway lesions and what do they indicate? - Answer-They are irregular, non-tender
hemorrhagic macules located on the hands and feet. Seen in Infective Endocarditis
What are Osler's Nodes and what do they indicate? - Answer-They are split pea-sized, erythematous,
tender nodules located on the pads of the fingers and toes. Seen in Infective Endocarditis
What is the recommendation for Warfarin management when a patient misses a dose? - Answer-If
within 12 hours of the dose time, take it. If over 12 hours patient will need a INR redraw
What do we need to know about ACEs and ARBs? - Answer-A dry hacking cough is a common side effect
of ACEs and will go away within a week after discontinuing. ACEs & ARBs are indicated for patients with
DM, CKD, and HTN. Not recommended as 1st line agent with African Americans & can cause
angioedema.
Contraindications for Hydrochlorothiazide - Answer-Sulfa allergy, PCN hypersensitivity, Asthma, Gout
Systolic Murmurs (Benign) - Answer-MR = Mitral Regurge (SOB/Fatigue HF)
Peyton Manning = Physiologic Murmur (Asymptomatic)
AS = Aortic Stenosis (Angina, Syncope HF)
MVP = Mitral Valve Prolapse ("Click", Women 14-30, Palpitations, Chest Pain
Diastolic Murmurs (Abnormal) - Answer-AR = Aortic Regurgitation (Angina, HF, Dizziness, Chest Pain)
MS = Mitral Stenosis (Dyspnea, AFib)
, What does S1 indicate? - Answer-S1 Closure of the Atrioventricular Valves (Mitral & Tricuspid Valves)
What does S2 indicate? - Answer-S2 Closure of the Semilunar Valves (Aortic & Pulmonic Valves)
S3 is often heard in? - Answer-CHF, possibly normal for athletic adolescents
S4 is often heard in? - Answer-Diastolic HF, Left Ventricular Hypertrophy (LVH), Poorly controlled HTN,
MI
Treatment of Peripheral Artery Disease (PAD) - Answer-Antiplatelets (Plavix, ASA), Pentoxifylline
(Decreases blood viscosity)
Diagnosing Peripheral Artery Disease (PAD) - Answer-Gold Standard = Angiography
Ankle Brachial Index (ABI)
Coronary Artery Disease (CAD) treatment - Answer-Aotrvastatin/Rosuvastatin = If LDL>150 use high
doses. Watch for LFTs & arthralgia. Change type & dose if issues. Helps stabilize plaques.
What medications are indicated for HF treatment? - Answer-ACEs, ARBs, ARNI w/BBs, Aldosterone
Recepter Antagonists
What is the treatment for Sarcopter Scabiei (Scabies)? - Answer-Topical Permetherin massaged from
head to soles of feet and wash off with shower or bath after 8-14hrs. Treat again in 1 week.
Names of skin lesions? - Answer-Macule: Flat <1cm i.e. freckle
Papule: Raised <1cm i.e. acne
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