3p exam answers score: 94.67%.
Which headache sign does not warrant an immediate
investigation?
Question options:
aggravated or relieved by change of position
precipitated by Valsalva maneuver
new onset after age 50
relieved with use of common analgesics
Question 2
During a migraine, what happens to the cerebral arteries?
Question options:
they dilate
they constrict
they vibrate
they pulsate
Question 3
You are evaluating a 15 year old patient for bipolar disorder. His
parents tell you that he has severe mood swings, is easily
distracted, and constantly corrects his teachers. You would have
a high suspicion for bipolar if which symptom was present?
Question options:
he is forgetful
he sleeps less than 4 hours nightly
he does not complete tasks
he blurts out answers in class inappropriately
Question 4
Which risk factor is not associated with breast cancer?
Question options:
use of hormone replacement therapy
personal or family history of breast cancer
postmenopausal obesity
low socioeconomic status
Question 5
A 26 year old woman with bulimia is likely to be:
Question options:
of average weight
not concerned with weight
very underweight
very overweight
Question 6
What medication is used to relieve acute wheezing in a patient
with asthma?
Question options:
oral corticosteroid
short acting beta agonist
long acting beta agonist
inhaled corticosteroid
Question 7
You are evaluating an 80 year old patient for recent episodes of
incontinence and confusion. His family states that this is
unusual for him and he has become increasingly forgetful over
the past two weeks. Which medication might be responsible for
this?
Question options:
Coumadin (warfarin)
Vitamin B-12
Tagamet (cimetidine)
Altace (ramipril)
Question 8
What suggests hyperandrogenism in an adolescent female?
Question options:
polycystic ovaries
high pitched voice
obesity
hirsutism
Question 9
Which is a synovial joint?
Question options:
skull
vertebral bodies of the spine
shoulder
pubic symphysis of the pelvis
Question 10
A 67 year old woman with atrial fibrillation and an ejection
fraction of 48% is on digoxin and has had normal digoxin levels
of 0.8- 2 ng/dL for the past 9 months. Today, the level is 0.4
ng/dL. What could account for this change?
Question options:
regular use of an antacid
increased exercise
weight loss
decreased creatinine clearance
Question 11
Which medication is contraindicated in a child with acute
sinusitis?
Question options:
nasal steroids
decongestants
expectorants
antihistamines
Question 12
Which best describes the lower extremity calf pain associated
with peripheral artery disease?
Question options:
electric shock
pulsating pain
sharp, stabbing pain
dull aching or cramping
Question 13
Jugular venous distention accompanied by chest pain is
associated with:
Question options:
hypertension
asthma
pneumonia
heart failure
Question 14
Which immunization protects against a virus that is transmitted
through blood and body fluids and can lead to chronic liver
disease?
Question options:
Hepatitis C
Typhoid fever vaccine
Hepatitis A
Hepatitis B
Question 15
A pediatric patient has areas of scaling on the scalp with round
patches of hair loss. What is the likely diagnosis?
Question options:
alopecia areata
trichotillomania
tinea capitis
seborrheic dermatitis
Question 16
Your 70 year old patient complains of a sore mouth that
prevents her from eating. On exam you note a beefy red, glossy
smooth tongue. What do you suspect?
Question options:
cheilosis, a serious disease of the mouth and oropharynx
secondary hypothyroidism
pernicious anemia due to insufficient intrinsic factor
a neurological disorder such as Parkinson's disease
Question 17
A 62 year old male presents with leg pain and occasional
numbness that is worse with ambulation and improved with
lumbar flexion. What is the likely diagnosis?
Question options:
ankylosing spondylitis
cauda equina syndrome
bursitis
spinal stenosis
Question 18
Which is not a typical symptom of late stage HIV?
Question options:
lymphadenopathy of more than 3 months
persistent vomiting
night sweats
persistent, unexplained fatigue
Question 19
A pregnant patient presents for her 16 week prenatal visit. Her
blood pressure had reduced from 118/79 to 109/68. What
hemodynamic change is responsible for this?
Question options:
decrease in cardiac output
decrease in systemic vascular resistance
decrease in stroke volume
decrease in preload
Question 20
Your 62 year old patient has been taking Griseofulvin 500 mg po
BID for 3 weeks to treat tinea capitis and has only had marginal
improvement. What is your next step?
Question options:
have the patient shave his head and warn him that hair regrowth will be slow
continue the current therapy for 6-8 weeks
Add 2.5% selenium sulfide shampoo twice weekly to the regimen
prescribe a short course or oral steroids
Question 21
Rapid HIV testing would be most appropriate for a patient with
complaints of:
Question options:
painful urination, dyspareunia, and penile or vaginal discharge
painful bowel movements, anal itching, and abnormal menstrual bleeding or painful and swollen tespainful urination, lower abdominal pain, and dyspareunia
fever, headache, and lymphadenopathy
Question 22
What is a frequent side effect of SSRIs?
Question options:
sexual dysfunction
delayed response time of 2-3 weeks
anorexia
depression
Question 23
You might suspect small bowel obstruction in a patient who
complains of:
Question options:
hematemesis and bloody stool
nausea and diarrhea
vomiting and pain
indigestion and anorexia
Question 24
What finding would be suggestive of osteosarcoma in a pediatric
patient?
Question options:
pathologic fracture
pain in the affected bone
repeat fracture
apophyseal avulsion
Question 25
What clinical manifestation suggests primary syphilis?
Question options:
no symptoms
a single painless genital lesion
rash marked by red or reddish-brown penny sized lesions on the palms and soles
poor muscle coordination
Question 26
What medication is used first line for a patient with benign
positional vertigo?
Question options:
pseudoephedrine
hydrochlorothiazide
promethazine
meclizine
Question 27
Which symptom is most associated with testicular torsion?
Question options:
testicular swelling
penile warts
erectile dysfunction
testicular pain
Question 28
A clinical breast exam should include palpation at the tail of
Spence. Where is this located?
Question options:
laterally across the anterior axillary fold
lower inner quadrant
lower outer quadrant
upper inner quadrant
Question 29
Which area does not drain to the right lymph duct?
Question options:
the right leg
the right arm
the right side of the head
the right upper thorax
Question 30
Which presentation is most suspicious for penile cancer?
Question options:
a group of small, scattered vesicles
a chancre
a nontender, indurated penile nodule
papules with a variety of shapes
Question 31
What is important to consider before prescribing metronidazole
for giardiasis?
Question options:
whether the patient drinks alcohol
whether the patient is at least 18 years of age
presence of a sulfa allergy
past medical history of peptic ulcer disease
Question 32
In which condition would the use of triptans for migraine
headaches be contraindicated?
Question options:
kidney stones
hypertension
osteoarthritis
vertigo
Question 33
Which is a true statement about varicose veins?
Question options:
They are usually diagnosed on clinical presentation.
They are not affected by pregnancy.
They are due to congenital valve deformities.
They are more symptomatic during ovulation.
Question 34
When measuring the fundal height of a pregnant woman at 32
weeks, which measurement would prompt the nurse practitioner
to suspect fetal growth restriction?
Question options:
29 cm
30 cm
31 cm
32 cm
Question 35
What is the term for excess fluid that accumulates in the pleural
cavity between the visceral and parietal spaces?
Question options:
pericardial effusion
pleural effusion
chylothorax
pleural empyema
Question 36
Which pathogen is associated with common UTIs?
Question options:
Streptococcus
Klebsiella
Proteus mirabalis
E coli
Question 37
Which medication inhibits blood coagulation by selectively
blocking the active site of factor X-a?
Question options:
Coumadin (warfarin)
Pradaxa (dabigatran)
Lovenox (enoxaparin)
Eliquis (apixaban)
Question 38
Which is a contraindication for menopausal estrogen
replacement therapy in a 55 year old woman?
Question options:
history of phlebitis
family history of lung cancer
prior breast or uterine carcinoma
current or past migraine headaches
Question 39
During abdominal exam, which sound over the bulging area of
the abdomen would indicate ascitic fluid?
Question options:
tympany
dullness
hyperresonance
normal resonance
Question 40
What is a typical finding in a patient with a meniscal tear?
Question options:
fixed patellar subluxation
positive McMurray's test
audible click at the joint line
positive anterior drawer test
Question 41
What is the most common presenting symptom of a woman with
trichomoniasis?
Question options:
vaginal discharge
painless, ulcerated vulvar lesion with vaginal discharge
dyspareunia and abdominal pain
fever, papules, and vaginal discharge with burning
Question 42
What is the single dose treatment for chlamydia?
Question options:
Rocephin (ceftriaxone) 250 mg IM
Zithromax (azithromycin) 1 g po
Vibramycin (doxycycline) 200 mg po
Flagyl (metronidazole) 2 g po
Question 43
What is the mechanism of action of prostaglandin E1 in a patient
with transposition of the great arteries?
Question options:
to prevent cyanotic episodes by trapping blood in the lower extremities
to produce vasodilation and adequate oxygen saturation
to maintain patency of the great arteries
to maintain equal pressure in the ventricles
Question 44
How do 5-alpha reductase inhibitors work to reduce the
symptoms of BPH?
Question options:
relax smooth muscle in the bladder neck
decrease the size of the prostate
relax smooth muscle in the prostate capsule
increase blood flow to the prostate
Question 45
Which condition is best treated by using alpha adrenergic
antagonists?
Question options:
renal insufficiency
urge incontinence
functional incontinence
overflow incontinence
Question 46
What should not be prescribed for migraine prophylaxis in a 42
year old woman?
Question options:
verapamil (Verelan)
amitriptyline (Elavil)
metoprolol (Lopressor)
sumatriptan (Imitrex)
Question 47
How would a 60 year old man typically describe prostate pain?
Question options:
Located in the glans penis
Located in the suprapubic area
Located in the perineum
Located in the lower back
Question 48
What is the most common characteristic among patients with
migraine headache?
Question options:
initial onset after age 35
weakness
family history
focal deficits
Question 49
Which patient would be at highest risk for contracting TB?
Question options:
A nursing home resident
A low income immigrant
A person who smoke 2 packs per day
Someone who had recent contact with an infected patient
Question 50
Which is not a location of pain associated with kidney and ureter
disorders?
Question options:
suprapubic
abdominal
flank
back
Question 51
Which medication is appropriate for a woman with bladder
sphincter dysfunction and stress incontinence?
Question options:
Minipress (prazosin)
Urecholine (bethanechol)
Urispas (flavoxate)
pseudoephedrine
Question 52
Which condition is associated with chronic, bloody diarrhea?
Question options:
celiac disease
irritable bowel syndrome
Hepatitis A
Crohn's disease
Question 53
Which medication is indicated for patients with Generalized
Anxiety Disorder (GAD)?
Question options:
Citalopram (Celexa)
Imipramine (Tofranil)
Buspirone (Buspar)
Bupropion (Wellbutrin)
Question 54
At what point in pregnancy should Rh negative women receive
Rhogam (Rho D immune globulin)?
Question options:
6 weeks
35 weeks
28 weeks
12 weeks
Question 55
Which is common among patients with psoriasis?
Question options:
pruritis, positive Auspitz sign, and pitted nails
pruritis, pitted nails, and satellite lesions
dermatomal rash and satellite lesions
pitted nails and plaques
Question 56
What historical finding may predispose a patient to testicular
cancer?
Question options:
epididymitis
inguinal hernia
testicular torsion
cryptorchidism
Question 57
What would you advise for a patient taking an oral
glucocorticoid?
Question options:
take it in an empty stomach
crush it in applesauce
chew it prior to a high fat meal
take it with food
Question 58
A child with enuresis should be treated with nasal desmopressin
(DDAVP) for which symptom?
Question options:
daytime incontinence
urinary pain
secondary enuresis
nocturnal enuresis
Question 59
Which medication is not contraindicated in a patient with sulfa
allergy?
Question options:
celecoxib (Celebrex)
sumatriptan (Imitrex)
glimepride (Amaryl)
silver sulfadiazine (Silvadene)
Question 60
What is likely to be elevated in a woman with polycystic ovarian
syndrome?
Question options:
renin
estrogen
insulin
progesterone
Question 61
Which medication should not be prescribed during an acute gout
flare?
Question options:
Colchicine
Steroids
NSAIDs
Allopurinol
Question 62
A Hispanic woman at 26 weeks of pregnancy tells you that she
has been eating ice. What should the NP do?
Question options:
check the patient for diabetes
encourage her to eat more at mealtimes
tell her this is a dangerous cultural practice
check the patient for anemia
Question 63
A 40 year old female patient has breasts with a soft texture, but
uneven contour bilaterally. What is the most likely diagnosis?
Question options:
malignancy
normal finding
fibroadenoma
cystic breasts
Question 64
What test of renal function is the best measure of renal
insufficiency?
Question options:
24 hour creatinine clearance
serum creatinine
serum uric acid
BUN
Question 65
You are seeing a 63 year old male who has decreased chest
expansion, symmetric thorax with moderate kyphosis, and
bilateral diaphragm distention of 2 cm. What is the most likely
diagnosis?
Question options:
pleural effusion
COPD
rib fracture
pneumothorax
Question 66
Which cranial nerves are assessed when assessing bilateral eye
movement?
Question options:
II, III, IV
III, IV, and VI
III, IV, VII
II, IV, VI
Question 67
What pathological finding is noted in asthma?
Question options:
hypertrophy of smooth muscle
necrosis of small airways
absence of goblet cells
absence of ciliary regeneration
Question 68
Which type of incontinence is most likely in a patient with
Alzheimer's disease who cannot reach the toilet in time?
Question options:
Urge
Stress
Overflow
Functional
Question 69
Using GTPAL nomenclature, how would you document a patient
currently pregnant with a history of an uncomplicated term
vaginal delivery, preterm delivery of liveborn twins, and an 8
week elective abortion?
Question options:
G4 T1 P1 A1 L3
G3 T1 P1 A1 L3
G4 T1 P2 A1 L3
G5 T1 P2 A2 L2
Question 70
The right lymphatic ducts drain into what part of the circulatory
system?
Question options:
arteriovenous
venous
capillary bed
arterial
Question 71
What is the most likely presenting symptom in a pediatric
patient with croup?
Question options:
nocturnal symptoms
shortness of breath
A barking cough
sudden onset of symptoms
Question 72
Which medication targets postprandial glucose by blocking its
transport across the intestine into the bloodstream?
Question options:
acarbose (Precose)
glipizide (Glucotrol)
metformin (Glucophage)
rosiglitazone (Avandia)
Question 73
Which type of insulin will help to reduce nocturnal
hypoglycemia?
Question options:
NPH
regular
immediate-acting
long-acting
Question 74
What symptoms in a college student living in a dorm would be
suspicious for atypical community acquired pneumonia?
Question options:
temp of 102, dyspnea, and diminished lung sounds on auscultation
low grade fever, malaise, and crackles audible throughout the lung fields
temp of 101.2, sore throat, and diminished lung sounds on auscultation
low grade fever, malaise, and clear lung fields on auscultation
Question 75
How would you describe the lesions of condyloma accuminata in
a male patient?
Question options:
a chancre
a red, nontender, enlarging nodule with induration
a group of small, scattered vesicles
multiple papular lesions with a verrucous appearance
Version | 2022 |
Category | Exam (elaborations) |
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Authors | qwivy.com |
Pages | 29 |
Language | English |
Tags | APEA 3P Exam 75 All Correct Questions & Answers |
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