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APEA 3P EXAM ACTUAL AND VERIFIED WITH DETAILED ANSWERS LATEST UPDATE| GUARANTEED PASS
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APEA 3P EXAM ACTUAL AND VERIFIEDWITH DETAILED ANSWERS LATEST
UPDATE| GUARANTEED PASS
What is Paget's disease? Correct Answer there is localized
increased bone turnover and blood flow resulting in the
breakdown of bone and replacing it with weakened and highly
vascular bone putting the indiv at increased risk of fractures
How do we treat Paget's diseease? Correct Answer
bisphosphonates
How should pregnant women wear their seatbelt? Correct
Answer with the shoulder strap like a normal person and then the
groin strap below the belly and across the hips
What is another name for fifth disease? Correct Answer
parvovirus aka slapped cheek disease aka erythema infectiosum
Which type of prevention are vaccinations? Correct Answer
primary
When should patients begin antiretroviral therapy for HIV
infection? Correct Answer as soon as it is detected, even if in the
acute phase
What are the first generation antihistamines? Correct Answer
diphenhydramine (benadryl) and chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? Correct Answer
rash on hands and feet, lymphadenopathy, fever
,What is the recommended treatment for chronic bacterial
prostatitis? Correct Answer a fluoroquinolone (cipro or levo) +
bactrim
What is the recommended treatment for acute prostatitis?
Correct Answer cipro (if not STI related) or ceftriaxone
What are s/s of an intraductal breast papilloma? Correct Answer
clear to bloody unilateral nipple discharge (bilateral is usually
benign), and also a wart like lump palpated in the nipple area
If a patient has GABHS but has an allergy to penicillins, what is
the second line option? Correct Answer first generation
cephalosporins, unless the allergy is severe, then you would
consider macrolides like a -mycin
PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which
patient populations? Correct Answer in those who are on any
type of nitrate or triptan because it could result in hypotension
What class of drug is sildenafil (viagra)? Correct Answer a PDE5
inhibitor which can cause hypotension so you should do a full
cardiac assessment before starting a patient on this and maybe
do an EKG
What are the symptoms of peripheral artery disease? Correct
Answer think P meaning pain, A meaning absent or weak pulses,
eschar or shiny legs, intermittent claudication
What is first line treatment for PAD? Correct Answer walking and
physical activity to improve circulation. second line is an aspirin or
anti-platelet
What should we tell our patients with PAD NOT to do? Correct
Answer do not elevate the feet; keep them down
,How do we diagnose PAD? Correct Answer an ABI < 7; doppler
can also be used to diagnose as well but is the second choice
What are s/s of peripheral vascular disease? Correct Answer
think V meaning volume overload aka edema, may ache or be
uncomfortable but is not painful, bounding pulses, ruddy
discoloration
If a patient is on Coumadin but then they may need to go on an
antibiotic for an infection and Bactrim is the drug of choice, what
should you do? Correct Answer Bactrim increases INR so we
would want to decrease the coumadin dose while the patient is on
this
If a patient is on Coumadin but then they may need to go on
Rifampin, what should you do? Correct Answer Rifampin
decreases INR so we'd want to increase the coumadin dose
If a patient on coumadin's INR is 3.1-4 ,what should you do?
Correct Answer decrease the weekly dose by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do?
Correct Answer hold one dose then decrease the weekly dose by
10%
If a patient's INR is greater than 5, what should you do? Correct
Answer consult cards, likely would hold two doses then decrease
the weekly dose
An anorexic patient will have a BMI of what? Correct Answer
less than 18
, What is primary amenorrhea? Correct Answer when the patient
has never gotten their period before (there is an absence of
menarche) but they have all of their secondary sex characteristics
Secondary amenorrhea is a lack of menses after _________ of
not having a period; but you have had one before Correct Answer
3 months
What do we need to do first when a patient comes in with
secondary amenorrhea? Correct Answer rule out pregnancy
Anorexia can put you at risk for what? Correct Answer
osteoporosis, amenorrhea, cardiac damage
Amenorrhea is considered a risk factor for what? Correct Answer
osteoporosis
What is the best indication of an anorexic patient doing better?
They tell you they are eating more, they have weight gain, or they
get their period back? Correct Answer they get their period back
If a pregnant woman has syphilis, what should we do? Correct
Answer treat it with penicillin while she is pregnant because there
is risk for spontaneous abortion
What is the causative organism of mastitis? Correct Answer
staph
What is the first line treatment for mastitis? Correct Answer
keflex (a cephalosporin). If that doesn't work, then try another
antibiotic. If that STILL doesn't work, then refer for an ultrasound
What is one of the biggest risk factors for cervical cancer?
Correct Answer numerous sexual partners
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