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

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