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3P APEA Exam: Questions & Complete Answers (100%)
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3P APEA Exam: Questions & Complete Answers (100%)
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3P APEA Exam: Questions & Complete Answers (100%)Difference between varicose vein and arteriosclerosis Right Ans - 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) Right Ans -
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 Right Ans - 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 Right Ans - 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? Right Ans - hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what symptoms
indicate worsening of his stenosis. the NP replies: Right Ans - shortness of
breath and syncope
A 74 year old patient has PAD. Which item listed below is an important
nonmodifiable risk factor for PAD? Right Ans - diabetes
Benazepril should be d/c immediately if Right Ans - pregnancy occurs
aortic regurgitation characteristics Right Ans - long asymptomatic period
follow by exercise intolerance, then dyspnea at rest
DVT classic symptoms Right Ans - swelling, pain, and discoloration of
lower extremity
Characteristic of ACE-induced cough is that? Right Ans - usually begins two
weeks of starting therapy
, Valve most commonly involved in chronic rheumatic heart disease Right
Ans - mitral
Medication that can exacerbate HF Right Ans - naproxen
Patient taking ACE inhibitors should avoid? Right Ans - potassium
supplements
Grade 3 murmur indication for a referral Right Ans - a fixed split
Group of meds used to treat HF Right Ans - 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: Right Ans - 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 Right Ans - diabetes mellitus
good drug to reduce morbidity and mortality in mild HF Right Ans -
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? Right
Ans - Stop the atorvastatin immediately
symptom not indicative of HF Right Ans - headache
What class of meds is preferred to normalized lipid levels and reduce risk of
cardiac events Right Ans - HMG CoA reductase inhibitors
Highest sensitivity in diagnosing HF Right Ans - 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 Right Ans - ACE, ASA, beta blockers, and statin
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