Exam (elaborations)
3P APEA EXAM QUESTIONS AND ANSWERS.
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3P APEA EXAM QUESTIONS AND
ANSWERS
Difference ‘between ‘varicose ‘vein ‘and ‘arteriosclerosis ‘- ‘correct ‘Answers ‘✔✔ ‘-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 ‘Answers ‘✔✔ ‘-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 ‘Answers ‘✔✔ ‘-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
‘Answers ‘✔✔ ‘-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 ‘Answers
‘✔✔ ‘-hydrochlorothiazide
A ‘75 ‘year ‘old ‘patient ‘who ‘has ‘aortic ‘stenosis ‘wants ‘to ‘know ‘what ‘symptoms ‘indicate ‘worsening ‘of
‘his ‘stenosis. ‘the ‘NP ‘replies: ‘- ‘correct ‘Answers ‘✔✔ ‘-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 ‘Answers ‘✔✔ ‘-diabetes
Benazepril ‘should ‘be ‘d/c ‘immediately ‘if ‘- ‘correct ‘Answers ‘✔✔ ‘-pregnancy ‘occurs
aortic ‘regurgitation ‘characteristics ‘- ‘correct ‘Answers ‘✔✔ ‘-long ‘asymptomatic ‘period ‘follow ‘by
‘exercise ‘intolerance, ‘then ‘dyspnea ‘at ‘rest
DVT ‘classic ‘symptoms ‘- ‘correct ‘Answers ‘✔✔ ‘-swelling, ‘pain, ‘and ‘discoloration ‘of ‘lower ‘extremity
, Characteristic ‘of ‘ACE-induced ‘cough ‘is ‘that? ‘- ‘correct ‘Answers ‘✔✔ ‘-usually ‘begins ‘two ‘weeks ‘of
‘starting ‘therapy
Valve ‘most ‘commonly ‘involved ‘in ‘chronic ‘rheumatic ‘heart ‘disease ‘- ‘correct ‘Answers ‘✔✔ ‘-mitral
Medication ‘that ‘can ‘exacerbate ‘HF ‘- ‘correct ‘Answers ‘✔✔ ‘-naproxen
Patient ‘taking ‘ACE ‘inhibitors ‘should ‘avoid? ‘- ‘correct ‘Answers ‘✔✔ ‘-potassium ‘supplements
Grade ‘3 ‘murmur ‘indication ‘for ‘a ‘referral ‘- ‘correct ‘Answers ‘✔✔ ‘-a ‘fixed ‘split
Group ‘of ‘meds ‘used ‘to ‘treat ‘HF ‘- ‘correct ‘Answers ‘✔✔ ‘-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 ‘Answers ‘✔✔ ‘-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 ‘Answers ‘✔✔ ‘-
diabetes ‘mellitus
good ‘drug ‘to ‘reduce ‘morbidity ‘and ‘mortality ‘in ‘mild ‘HF ‘- ‘correct ‘Answers ‘✔✔ ‘-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 ‘Answers ‘✔✔ ‘-Stop ‘the ‘atorvastatin ‘immediately
symptom ‘not ‘indicative ‘of ‘HF ‘- ‘correct ‘Answers ‘✔✔ ‘-headache
What ‘class ‘of ‘meds ‘is ‘preferred ‘to ‘normalized ‘lipid ‘levels ‘and ‘reduce ‘risk ‘of ‘cardiac ‘events ‘- ‘correct
‘Answers ‘✔✔ ‘-HMG ‘CoA ‘reductase ‘inhibitors
Highest ‘sensitivity ‘in ‘diagnosing ‘HF ‘- ‘correct ‘Answers ‘✔✔ ‘-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 ‘Answers ‘✔✔ ‘-ACE, ‘ASA,
‘beta ‘blockers, ‘and ‘statin
patient ‘with ‘the ‘highest ‘systolic ‘B/P ‘- ‘correct ‘Answers ‘✔✔ ‘-75-year-old ‘male
test ‘that ‘is ‘most ‘cost ‘effective ‘to ‘screen ‘for ‘abdominal ‘aortic ‘aneurysm ‘- ‘correct ‘Answers ‘✔✔ ‘-
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 ‘Answers ‘✔✔ ‘-Calcium ‘channel ‘blocker
Factor ‘contributing ‘to ‘the ‘development ‘of ‘AAA ‘- ‘correct ‘Answers ‘✔✔ ‘-cigarette ‘smoking