Comprehensive APEA 3P Exam Key Concepts and Clinical Guidelines 2024

Which headache sign does not warrant an immediate investigation? Relieved with use of common analgesics ✔✔ During a migraine, what happens to the cerebral arteries? They dilate ✔✔ 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? He sleeps less than 4 hours nightly ✔✔ Which risk factor is not associated with breast cancer? Low socioeconomic status ✔✔ A 26-year-old woman with bulimia is likely to be: Of average weight ✔✔ What medication is used to relieve acute wheezing in a patient with asthma? Short acting beta agonist ✔✔ 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? Tagamet (cimetidine) ✔✔ What suggests hyperandrogenism in an adolescent female? Hirsutism ✔✔ Which is a synovial joint? Shoulder ✔✔ 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 to 2 ng/dL for the past 9 months. Today, the level is 0.4 ng/dL. What could account for this change? Regular use of an antacid ✔✔ A pediatric patient has areas of scaling on the scalp with round patches of hair loss. What is the likely diagnosis? Tinea capitis ✔✔ 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? Pernicious anemia due to insufficient intrinsic factor ✔✔ 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? Spinal stenosis ✔✔ Which is not a typical symptom of late-stage HIV? Persistent vomiting ✔✔ 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? Decrease in systemic vascular resistance ✔✔ 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? Continue the current therapy for 6-8 weeks ✔✔ Rapid HIV testing would be most appropriate for a patient with complaints of: Painful urination, dyspareunia, and penile or vaginal discharge ✔✔ What is a frequent side effect of SSRIs? Sexual dysfunction ✔✔ You might suspect small bowel obstruction in a patient who complains of: Vomiting and pain ✔✔ What finding would be suggestive of osteosarcoma in a pediatric patient? Pain in the affected bone ✔✔ What clinical manifestation suggests primary syphilis? Chancre ✔✔ What medication is used first-line for a patient with benign positional vertigo? Meclizine ✔✔ Which symptom is most associated with testicular torsion? Testicular pain ✔✔ A clinical breast exam should include palpation at the tail of Spence. Where is this located?