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2024 APEA 3P MIDTERM EXAM WITH 75 VERIFIED QUESTIONS AND ANSWERS

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2024 APEA 3P MIDTERM EXAM WITH 75 VERIFIED QUESTIONS AND ANSWERS 1. Whichheadachesigndoesnot warrant animmediateinvestigation? Questionoptions: aggravatedorrelievedbychangeof position precipitatedbyValsalvamaneuver newonsetafterage50 relievedwithuseofcommonanalgesics 2.Duringa migraine, what happenstothe cerebral arteries?Questionoptions: they dilate they constrictthey vibrate theypulsate 3. Youare evaluating a 15 year old patient for bipolar disorder.Hisparentstell youthat he has severemood swings, iseasilydistracted, and constantly corrects his teachers. You wouldhave a highsuspicionfor bipolar if whichsymptomwaspresent? Questionoptions: heisforgetful hesleepslessthan4hoursnightly hedoesnotcompletetasks heblurtsout answersinclassinappropriately 4. Youareevaluatingan80 year old patient for recent episodesofincontinenceand confusion.Hisfamily statesthat thisisunusual for himand he hasbecome increasingly forgetful over the past twoweeks. Whichmedicationmight beresponsibleforthis? Questionoptions oralcorticosteroid short actingbetaagonist longactingbeta agonist inhaledcorticosteroid 5.What suggestshyperandrogenisminan adolescent female?Questionoptions: polycysticovaries highpitchedvoice obesity hirsutism 6.Whichisa synovial joint?Questionoptions: skull vertebralbodiesofthespine shoulder pubicsymphysisofthepelvis 7.A67 yearoldwomanwithatrial fibrillationand anejectionfractionof 48%ison digoxin andhas had normaldigoxin levelsof 0.8- 2 ng/dLfor the past 9 months. Today,the level is0.4 ng/dL. What could account for thischange? Questionoptions: regular useofanantacid increasedexercise weightloss decreasedcreatinineclearance 8.Whichmedicationis contraindicatedina child with acutesinusitis?Question options: nasalsteroids decongestants expectorants antihistamines 9.Whichbest describesthe lower extremity calf pain associatedwithperipheral artery disease?Question options: electricshock pulsatingpain sharp,stabbingpain dullachingorcramping 10. Jugular venousdistentionaccompaniedby chest painisassociated with:Question options: hypertension asthma pneumonia heartfailure 11.Whichrisk factor is not associatedwithbreast cancer?Questionoptions: useofhormonereplacementtherapy personalorfamilyhistoryof breastcancer postmenopausalobesity lowsocioeconomicstatus 12.A26 yearoldwomanwithbulimiais likely tobe:Questionoptions: of averageweight notconcernedwithweight veryunderweight veryoverweight 13.What medicationis usedtorelieve acutewheezingina patientwithasthma? Questionoptions: oralcorticosteroid shortactingbetaagonist longactingbetaagonist inhaledcorticosteroid 14.Whichimmunizationprotectsagainst a virus that is transmittedthroughbloodand bodyfluidsand canlead tochronic liverdisease? Questionoptions: HepatitisC Typhoidfevervaccine HepatitisA 15.Apediatric patient hasareasof scalingonthe scalp withroundpatchesof hair loss. Whatisthe likely diagnosis? Questionoptions: alopeciaareata trichotillomania seborrheicdermatitis tineacapitis

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Written in
2023/2024
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2024 APEA 3P MIDTERM EXAM WITH 75
VERIFIED QUESTIONS AND ANSWERS

1. Which headache sign does not warrant an immediateinvestigation?

Question options:
aggravatedorrelievedbychangeof position


precipitatedby Valsalvamaneuver


newonset afterage50

relievedwithuseof commonanalgesics
2.During a migraine, what happens tothe cerebral arteries?Questionoptions:


they dilate


they


constrictthey


vibrate


theypulsate



3. You are evaluating a 15 year old patient for bipolar disorder. Hisparentstell you that he
has severemood swings, iseasilydistracted, and constantly corrects his teachers. You
would have a highsuspicionfor bipolar if which symptomwaspresent?
Question options:
heisforgetful


hesleepslessthan4hoursnightly


hedoesnot completetasks

, heblurtsout answersinclassinappropriately




4. Youare evaluating an 80 year old patient for recent episodesofincontinence and
confusion.Hisfamily statesthat thisisunusual for himand he hasbecome increasingly
forgetful over the past twoweeks. Which medication might be responsible forthis?

Questionoptions
oral corticosteroid

short actingbetaagonist


longactingbeta agonist


inhaledcorticosteroid


5.What suggests hyperandrogenismin an adolescent female?Questionoptions:


polycysticovaries


highpitchedvoice


obesity


hirsutism

,6.Which isa synovial
joint?Questionoptions:


skull


vertebral bodiesof thespine


shoulder


pubicsymphysisof thepelvis



7. A67 year old womanwithatrial fibrillationand anejectionfraction of 48% ison digoxin
andhas had normal digoxin levelsof 0.8- 2 ng/dLfor the past 9 months. Today, the level
is0.4 ng/dL. What could account for thischange?

Question options:


regular useof anantacid
increasedexercise
weight loss

, decreasedcreatinineclearance




8.Which medication is contraindicated ina child with

acutesinusitis?Question options:


nasal steroids


decongestants


expectorants


antihistamines




9.Which best describes the lower extremity calf pain associatedwithperipheral artery

disease?Question options:


electricshock


pulsatingpain


sharp, stabbingpain


dull achingorcramping




10. Jugular venous distention accompanied by chest pain isassociated

with:Question options:
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