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University of Cincinnati
Cincinnati, Ohio
APEA - Advanced Practice Education
Associates
3P Pharmacotherapeutics, Pathophysiology
and Physical Assessment Exam
Course Title and Number: 3P Pharmacotherapeutics, Pathophysiology and Physical Assessment Exam Exam Title: Board Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
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APEA - Advanced Practice Education Associates 2024- 2025 Nurse Practitioner NP APEA – 3P Pharma, Patho and Physical Assessment Exam Latest Questions with Correct Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Cause of decreased digoxin levels - Answer>> Antacids What can Pyridium cause? - Answer>> Hemolytic Anemia What can PCOS result in? - Answer>> increased insulin levels, Androgens, hirsutism What is a characteristic of Placenta Previa - Answer>> painless red bleeding What is a characteristic of rheumatoid arthritis - Answer>> red hot joints What medications cause ototoxicity - Answer>> Aminoglycosides, loop diuretics quinine asa When examining the skin, multiple areas of circumscribed elevations of the
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than the left and reacts much slower to light. This condition may be indicative of: - Answer>> A tonic pupil During the type of seizure activity, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity is referred to as a: - Answer>> focal seizure that becomes generalized A female patient complains of weakness in both arms when transferring the wet clothes from the washer and placing them in the dryer. This finding could be suggestive of which type of weakness pattern? - Answer>> Symmetric To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be: - Answer>> In the right lateral fornix A serious disturbance in a person's mental abilities that results in a decreased awareness of one's environment and confused thinking is referred to as: - Answer>> Delirium Which of the following screening tests for hearing loss can detect both
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sensorineural and conductive hearing loss? - Answer>> Weber test Located on the anterior aspect of the distal femur, the patella slides on this groove during flexion and extension of the knee. The name of this groove is the: - Answer>> Trochlear groove A 86-year-old man with uncontrolled hypertension presents with sudden, intense left lower abdominal pain that radiates to the back. The pain is associated with a tearing sensation. These findings are MOST likely associated with: - Answer>> An abdominal aortic aneurysm (AAA) Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely: - Answer>> Vitreous floaters When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not easily palpated at the fundus, the fetus is said to be in: - Answer>> Transverse lie When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the
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back pain, osteoporosis is suspected. Positive findings would include all of the following except: - Answer>> Calf wasting Which stage of pressure is consistent with findings on dermatologic examination of a full thickness tissue loss and subcutaneous fat visible with mild slough on the right hip? - Answer>> Stage III The vertebral column angles sharply posteriorly and becomes immovable at the: - Answer>> Lumbosacral junction Which one of the following is at the HIGHEST risk for suicide? - Answer>> A 52-year-old white man When auscultating heart sounds arising from the aortic valve in an adult patient, place the stethoscope: - Answer>> Between the 2nd and 3rd intercostal spaces at the right upper sternal border Pain and crepitus over the patella suggests - Answer>> Roughening of the patellar undersurface Which one of the following findings is NOT typical in a patient who has delirium? - Answer>> Intact attention and concentration
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Men between the ages of 40 and 64 years should be screened yearly for: - Answer>> hypertension A term used to describe drainage from the nose is: - Answer>> Rhinorrhea Tenderness over the scapulohumeral muscle group with the inability to abduct the arm above the shoulder level would be consistent with all of the following except - Answer>> Synovitis of the glenohumeral joint In the older adult, the test for leg mobility is known as the: - Answer>> Timed "get up and go test" Which one of the following procedures would confirm a definitive medical diagnosis of Hirschsprung's disease? - Answer>> A rectal biopsy Hypofunctioning of the thyroid gland would lead to all the following disorders except: - Answer>> Graves' disease The fleshy projection of the earlobe is known as the: - Answer>> Lobule A 50-year-old male describes difficulty emptying his bladder. On exam, a distended bladder is noted following urination. This finding may be associated with - Answer>> Overflow incontinence
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consistent with: - Answer>> Lateral epicondylitis Which examination finding is defined as a congenital ventral displacement of the meatus on the penis? - Answer>> Hypospadias Bowel sounds may be increased in the presence of: - Answer>> early intestinal obstruction Eversion of the upper eyelid can be performed by placing the cotton applicator on the upper lid above the level of the internal tarsal plates and then: - Answer>> Gently pu Cystoscopy The axioscapular group of muscles include which on of the following? - Answer>> Trapezius A mental health condition characterized by over-the-top behavior such as emotional outbursts, noisy displays of temper, compulsive attention seeking and self-centered actions is: - Answer>> Histrionic Social phobia, panic disorder, and post-traumatic stress disorder (PTSD) are all examples of: - Answer>> Generalized anxiety disorder (GAD) In older adults, the presence of heart sound S suggests: - Answer>> Heart failure Depigmented macules appearing on the face, hands, feet, and other parts of the
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body due to the lack of melanin are termed: - Answer>> Vitiligo Restrictions of internal and external rotation of the hip are sensitive indicators of: - Answer>> Arthritis Which of the following neurological findings indicate the need for further evaluation? - Answer>> Weak and ineffective sucking movements The infant with the lowest risk of developing elevated levels of bilirubin is the one who: - Answer>> Breast feeds within the first hour of life The patient experiences a sudden loss of consciousness with falling without movements and injury may occur. The type of a seizure is consistent with: - Answer>> Myoclonic atonic seizure When assessing the skin, it has a velvety appearance and is warm to touch. This could be associated with: - Answer>> Hyperthyroidism Breath sounds auscultated over the periphery of the lung fields are quiet and wispy during the inspiratory phase followed by a short, almost silent
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When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: - Answer>> vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion The ankle-brachial index is a screening test used to assess a person's risk for: - Answer>> Peripheral artery disease Olecranon bursitis may be caused by all of the following except: - Answer>> Frozen shoulder In patients who have allergic rhinitis, the nasal mucosa appears: - Answer>> Pale A term used to describe an increase in muscular bulk with diminished strength is: - Answer>> pseudohypertrophy If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably: - Answer>> In the abdominal wall On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with: - Answer>> Intestinal obstruction Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in
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and around the macular area. These findings are consistent with: - Answer>> Microaneurysms Symptoms of a subdural hematoma include: - Answer>> Noticeable bleeding between the dura and the cerebrum on x-ray On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with: - Answer>> Parkinson's disease When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one? - Answer>> Articular disease is usually due to stiffness or pain Focal tenderness over the trochanter confirms: - Answer>> Bursitis Assessing the neurological status of a child with a ventriculoperitoneal shunt should include: - Answer>> Use of the Glasgow coma scale The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is: - Answer>> Salty taste on the skin reddish blue, irregularly shaped, solid and spongy mass of blood vessels that
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pansystolic and heard loudest at the apex with radiation to the left axilla. These findings are consistent with: - Answer>> Mitral regurgitation v26-year-old man with a past medical history of sickle cell disease arrives at the office with complaints of a penile erection that has lasted 4 hours. He is experiencing symptoms of: - Answer>> Low flow priapism On ophthalmoscopic examination, glaucomatous cupping appears: - Answer>> Pale Hairy leukoplakia may be associated with: - Answer>> AIDS To estimate the expected delivery date (EDD) using Naegele's rule, if the last menses was March 3, 2014, the EDD would be: - Answer>> December 10th, 2014 The infraorbital or maxillary, buccinator, and supramandibular lymph nodes drain lymphatic fluid from the: - Answer>> eyelids, the conjunctiva, and the skin and mucous membrane of the nose and cheek A whitish sebaceous secretion that collects between the glans and foreskin or in the vulva is known as: - Answer>> Smegma
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The bony structures of the shoulder include all of the following except: - Answer>> Teres minor Murmurs audible during pregnancy may suggest: - Answer>> Anemia A fine rhythmic oscillation of the eyes is termed: - Answer>> Nystagmus The whispered voice test allows the examiner to screen for: - Answer>> General hearing loss Treatment period for enterobiasis - Answer>> 2 weeks What is MCV indicative on CBC - Answer>> High- macrocytic (like b12) Low- microcytic (like Fe) How many weeks gestation is Rhogham given - Answer>> 27 Weeks What to do if forgot a dose of Warfarin - Answer>> If under 12 hours take missed dose, if over skip and need INR redraw Contraindication for hydrochlorothiazide - Answer>> Sulfa allergy, asthma, pun hypersensitivity When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring approximately 0.5cm were noted.
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To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be - Answer>> in the right lateral fornix A serious disturbance in a person's mental abilities that results in a decreased awareness of one's environment and confused thinking is referred to as: - Answer>> Delirium Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss - Answer>> Weber Test Located on the anterior aspect of the distal femur, the patella slides on the groove during flexion and extension of the knee. The name of this groove is the - Answer>> Trochlear groove An 86 year old man with uncontrolled hypertension presents with sudden, intense left lower abdominal pain that radiates to the back. The pain is associated with a tearing sensation. These findings are most likely associated with: - Answer>> Abdominal Aortic Aneurysm Ophthalmoscope examination reveals dark specks noted between the fungus and the lens. These specks are most likely: - Answer>> Vitreous floaters When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not
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easily palpated at the funds the fetus is said to be in: - Answer>> transverse lie When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the shoulder girdle would be an example: - Answer>> Flexion To locate the twelfth rib, palpate: - Answer>> between the spine and lateral chest Walking on the toes and heels may reveal - Answer>> Distal muscular weakness in the legs Extra (Abnormal) heart sounds - Answer>> s3- CHF, possible normal for adolescent athletes s4- LVH, poorly controlled HTN, unstable angina Medication treatment for Coronary artery disease - Answer>> Statins- Atorvastatin/ rovustatin *use high dose meds for LDL >150, watch for LFTs and arthralgia. Change type and dose with problems. What do statins do - Answer>> Stabilization of plaque Treatment for Heart Failure - Answer>> Ace-I, ARB, ARNI with BB and aldosterone receptor antagonist Scabies treatment - Answer>> topical Permethrin massaged from head to soles of feet and wash off with shower or bath after 8-14 hours. Treat again in 1 week Macule - Answer>> Freckle <1cm
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