3P APEA EXAM
Difference between varicose vein and arteriosclerosis
- Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins
A patient has poorly controlled hypertension for more than 10 years. Indicate the most
likely position of his point of maximal impulse (PMI)
- 5th ICS, left of MCL
A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral
listening point. There is no audible click. His status has been monitored for the past two
years. This murmur is probably
- mitral stenosis
A patient who has diabetes presents with pain in his lower legs when he walks and pain
resolution with rest. When specifically asked about his pain in his lower leg, he likely will
report pain
- in the calf muscle
A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as
"sloughing of skin" and hospitalization. Which medication is contraindicated in this
patient?
- hydrochlorothiazide
A 75 year old patient who has aortic stenosis wants to know what symptoms indicate
worsening of his stenosis. the NP replies:
- shortness of breath and syncope
A 74 year old patient has PAD. Which item listed below is an important nonmodifiable
risk factor for PAD?
- diabetes
Benazepril should be d/c immediately if
- pregnancy occurs
aortic regurgitation characteristics
- long asymptomatic period follow by exercise intolerance, then dyspnea at rest
DVT classic symptoms
- swelling, pain, and discoloration of lower extremity
Characteristic of ACE-induced cough is that?
- usually begins two weeks of starting therapy
