APEA 3P EXAM 2025 NEWEST ACTUAL
EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
A 1-month-old presents with reported recurrent diarrhea,
screaming, and drawing up of the legs followed by periods
of lethargy. On physical examination, a "sausage-like"
mass in the upper right quadrant of the distended
abdomen. Which of the following is the most likely
diagnosis?
a. Intussusception
b. Volvulus
c. Crohn's disease
d. Foreign body in the GI tract Correct Answer a.
Intussusception
A 48 y/o female complains of pain and stiffness in her right
hip and knee that is mild on awakening in the morning, get
worse as the day progresses and is relived with hot baths
and ibuprofen. Crepitus is palpated on range of motion of
the knee. Signs of inflammation are notably absent. What
is the most likely diagnosis?
a. Rheumatoid arthritis (RA)
b. Gout
c. Osteoarthritis (OA)
d. Osteoporosis Correct Answer c. Osteoarthritis (OA)
,A middle-aged female complains of insomnia, night
sweats, feeling intensely hot, emotional lability, extreme
nervousness and impatience. The LEAST likely cause of
her symptoms is
a. Thyrotoxicosis
b. Menopausal vasomotor instability
c. Alcohol or another drug withdrawal
d. New onset type 2 diabetes mellitus Correct Answer
New onset type 2 diabetes mellitus
A young couple is being seen by the NP for preconception
counseling. They express a wish for pregnancy within the
next 3 month and are very eager to know what they can
do now to"make the baby as healthy as possible". Which
of the following should the NP encourage to decrease the
chance of neural tube defect in the fetus?
a. Maternal alpha-fetoprotein level
b. Folic acid 0.4 mg daily
c. Rubella vaccine today
d. Vitamin E 400 IU daily Correct Answer b. Folic acid 0.4
mg daily
A patient with a past history of documented coronary
arterial blockage less than 70% complains of chest pain
several time p.... which is relived with nitroglycerin. Which
is the most appropriate initial action for the NP?
a. Refer to a cardiologist as soon as possible
b. Prescribe long-acting nitroglycerin
c. Order treadmill stress test
,d. Prescribe an ACE inhibitor and re-evaluate in 24 to 48
hours Correct Answer a. Refer to a cardiologist as soon as
possible
Which of the following indicated need for further
evaluation?
a. A 7 y/o girl with vaginal bleeding
b. A 7 years old girl with no true pubic hair
c. A 12 years old boy with sparse, slightly pigmented pubic
hair
d. A 12-year-old girl with breast buds Correct Answer A 7
y/o girl with vaginal bleeding
A 3 y/o has enlarged, warm, tender cervical lymph nodes,
indicating:
a. Infection proximal to the nodes
b. A possible cancer diagnosis
c. Shorty nodes, a common normal variant in children
d. An infectious process distal to the nodes Correct
Answer a. Infection proximal to the nodes
The NP examines a 2-month-old with unequal gluteal and
thigh skin folds. What should the NP do next?
a. Send the infant for x-ray of the hips
b. Send the infant for ultrasound of the hips
c. Perform Ortolani and Barlow test
d. Examine the infant for unequal arm length Correct
Answer c. Perform Ortolani and Barlow test
A very active 35 years old male has painful hemorrhoid,
but he does not want hemorrhoidal surgery at this time.
, His diet has been indiscriminate as his job requires
frequent travel. The most appropriate recommendation is
for him to select food that are:
a. Low in fiber such as milk and other dairy products
b. High in simple carbohydrates such as white bread and
mashed potatoes
c. High in fiber such as bran, complex carbohydrates and
fresh fruit
d. High protein such a meat, poultry and fish Correct
Answer High in fiber such as bran, complex carbohydrates
and fresh fruit
A 13 y/o pt. complains that he fell while running during
football practice. Now his knee hurts and sometimes
"lucks". The NP conducts McMurrays test. Which of the
following is TRUE about this test?
a. An audible or palpated "click" is positive for a torn
meniscus
b. A various stress is applied to the flexed knee
c. The straight leg is internally rotated with the patient
supine and flat
d. The knee is grasped with the examiner's fingers placed
laterally. Correct Answer a. An audible or palpated "click"
is positive for a torn meniscus
A 20 y/o male patient complains of "scrotal swelling". He
states his scrotum feels heavy but denies pain. On
examination, the NP notes transillumination of the
scrotum. What is the most
likely diagnosis?
a. Hydrocele
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