APEA 3P Actual Exam Test Bank Questions with Verified Correct Solutions || 100% Guaranteed Pass!! <LATEST VERSION>
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APEA 3P
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APEA 3P
APEA 3P Actual Exam Test Bank
Questions with Verified Correct
Solutions || 100% Guaranteed Pass!!
<LATEST VERSION>
Hyperandrogenism - ANSWER High levels of androgens in females
Acne
Seborrhea (Oily/Flaky Skin)
Androgenic Alopecia (hair loss on scalp)
Hirsuit...
APEA 3P Actual Exam Test Bank
Questions with Verified Correct
Solutions || 100% Guaranteed Pass!!
<LATEST VERSION>
Hyperandrogenism - ANSWER ✔ High levels of androgens in females
Acne
Seborrhea (Oily/Flaky Skin)
Androgenic Alopecia (hair loss on scalp)
Hirsuitism
Infrequent/Absent menstruation
Can be caused by PCOS
Diabetes Mellitus - ANSWER ✔ A1c over 6.5 or fasting glucose over 126 on 2
separate occasions
Metformin is first line treatment
Diabetic Neuropathy - ANSWER ✔ Occurs in distal lower extremities r/t long-
term hyperglycemia
S&S include
Parestehsias
Burning
Muscle Weakness
Difficulty with Coordination/Balance
Giardiasis S&S - ANSWER ✔ Foul Smelling Stools
Abdominal Pain
Flatulence which can spread the disease
Bloating/Nausea/Vomiting
,Giardiasis Treatment - ANSWER ✔ Metronidazole 250mg TID
Cirrhosis S&S - ANSWER ✔ Coagulopathy
Thrombocytopenia in early stages
Bleeding Varices
Hepatic Encephalopathy
ALOC and Tremors
Psychiatric - Depression/Anxiety
Arthralgia
Glucose Intolerance
Can be caused by Autoimmune disorders
Hepatitis S&S - ANSWER ✔ Low-grade fever
Malaise
Jaundice
Weight Loss
Joint Pain
Dark Urine
RUQ Pain
Pancytopenia
Enlarged Liver
Elevated ALT/AST, Bilirubin, and Alkaline Phosphate
GERD S&S - ANSWER ✔ Pyrosis (heartburn)
Regurgitation
Post-Nasal Drip
Chronic Cough
Chronic Sore Throat
Hoarseness
Tx PPI BIDx14 days
H Pylori Algorrithm - ANSWER ✔ Amoxicillin BID & Clarithromycin BID
PPIO BIDx14 days
IF PCN Allergies then:
Metronidazole & Clarithromycin BID
PPIx14 days
What GERD symptom is alarming? - ANSWER ✔ Odynophagia (Pain with
swallowing)
,Chron's Disease S&S - ANSWER ✔ Chronic Bloody Diarrhea
Fatigue, Abdomnial Pain
Weight Loss/Fever
Skip Lesions, Cobblestone appearance
Fistulas are common
Slow progressive inflammation of small/large intestine
Tx is Budesonide 5-aminosalicylates
Gastroenteritis Common Pathogens - ANSWER ✔ Adults:
Norovirus, Enteric Adenovirus, Astrovirus
Salmonella - Most Common Foodborne Illness
Giardia Lambia - Most Common Parasitic
Infants:
Norovirus, Enteric Adenovirus, Astrovirus
Campylobacter jejuni
Pyloric Stenosis presentation - ANSWER ✔ Occurs in first few weeks of life:
Projectile Vomiting
Non-bileous Vomiting
Visible Peristalsis after feeding
Hungry/Irritable/Dehydration/Electrolyte Imbalance
Hepatitis B & C - ANSWER ✔ Bloodborne/Body fluids highly infectious
Patient's who test positive should be testedd for HIV r/t common transmission
routes
Enterobiasis vermicularis (Pinworm) Infection - ANSWER ✔ Helminths can be
transmitted by the bite of blood sucking insects
Tx:
Pyrantel Pamoate - One dose initially, then another dose in 2 weeks. Re-Test after
2 weeks of last dose
Ulcerative Colitis - ANSWER ✔ chronic inflammation of the colon with
ulcerations
Which enzyme is not produced in the pancreas? - ANSWER ✔ Pepsin
, Small Bowel Obstruction - ANSWER ✔ Crampy & Intermittent Abdominal Pain
Nausea/Vomiting
inability to pass gas
Acute Lymphoblastic Leukemia (ALL) - ANSWER ✔ Most common Leukemia
in children
S&S:
Fever, Thrombocytopenia, Anemia, Gingival Hyperplasia (swelling), Bone pain
Beta Thalassemia - ANSWER ✔ Genetic disorder where there is decreased or
absent production of hemoglobin.
Common amongst Mediterranea descent
Causes microcytic hypochromic anemia
Tx: Desferal which removes excess iron
Iron Deficiency Anemia - ANSWER ✔ Microcytic Hypochromic r/t iron loss
exceeds iron intake
S&S: Pica, Atrophic Glossitis
Pernicious Anemia (Vitamin B-12) causes - ANSWER ✔ Macrocytic
Hyperchromic as B12 is water soluble vitamin necessary for RBC production.
Caused by decrease in intrinsic factor r/t autoimmune destruction of parietal cells
leading to reduced vitamin B12 absorption
Iron Supplementation/Replacement Therapy - ANSWER ✔ Take 1-2hrs before
meal on an empty stomach with Vitamin C.
Take for 4-6 months.
After iron replacement is complete, continue treatment for 12 weeks and repeat
CBC
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