Page 1 of 251 APEA 3P EXAM ACTUAL EXAM 1, 2 , 3 & 4 QUESTIONS WITH COMPLETE CORRECT DETAILED ANSWERS ALL VERSION S JUST RELEASED APEA 3P EXAM ACTUAL EXAM 1 A 67 year old woman with atrial fibrillation and an ejection fraction of 48% is on digoxin and has had normal digoxin levels of 0.8 - 2 ng/dL for the past 9 months. Today, the level is 0.4 ng/dL. What could account for this change? - regular use of an anta cid - increased exercise - weight loss - decreased creatinine clearance - ANSWER -regular use of an antacid Which medication is contraindicated in a child with acute sinusitis? - nasal steroids - decongestants Page 2 of 251 - expectorants - antihistamines - ANSWER -nasa l steroids Which best describes the lower extremity calf pain associated with peripheral artery disease? electric shock pulsating pain sharp, stabbing pain dull aching or cramping - ANSWER -dull aching or cramping Jugular venous distention accompanied by chest pain is associated with: hypertension asthma pneumonia heart failure - ANSWER -heart failure Page 3 of 251 Which immunization protects against a virus that is transmitted through blood and body fluids and can lead to chronic liver disease? Hepatitis C Typhoid fever vaccine Hepatitis A Hepatitis B - ANSWER -Hepatitis C A pediatric patient has areas of scaling on the scalp with round patches of hair loss. What is the likely diagnosis? alopecia areata trichotillomania tinea capitis seborrheic dermatitis - ANSWER -tinea capitis Your 70 year old patient complains of a sore mouth that prevents her from eating. On exam you note a beefy red, glossy Page 4 of 251 smooth tongue. What do you suspe ct? cheilosis, a serious disease of the mouth and oropharynx secondary hypothyroidism pernicious anemia due to insufficient intrinsic factor a neurological disorder such as Parkinson's disease - ANSWER -pernicious anemia due to insufficient intrinsic factor A 62 year old male presents with leg pain and occasional numbness that is worse with ambulation and improved with lumbar flexion. What is t he likely diagnosis? ankylosing spondylitis cauda equina syndrome bursitis spinal stenosis - ANSWER -spinal stenosis Which is not a typical symptom of late stage HIV?
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