APEA 3P Practice Questions

APEA 3P Practice Questions

• The groove of the metacarpophalangeal joint can be palpated by having the patient:
• Flex his hand
• When auscultating breath sounds in a patient who has left sided heart failure, the

breath sounds are:

• 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:
• Peripheral artery disease

4. Olecranon bursitis may be caused by all of the following except:

• Frozen shoulder

5. In patients who have allergic rhinitis, the nasal mucosa appears:

• Pale
• A term used to describe an increase in muscular bulk with diminished strength is:
• pseudohypertrophy
• If abdominal pain persists when the patient raises his head and shoulders, the origin of

the tenderness is probably:

• 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:

• Intestinal obstruction
• Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and

around the macular area. These findings are consistent with:

• Microaneurysms

10. Symptoms of a subdural hematoma include:

• 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:

• Parkinson’s disease
• When discussing the musculoskeletal system, all of the following statements related to

articular structure disease are true except which one?

• Articular disease is usually due to stiffness or pain

13. Focal tenderness over the trochanter confirms:

• Bursitis
• Assessing the neurological status of a child with a ventriculoperitoneal shunt should

include:

• Use of the Glasgow coma scale
• The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is:
• Salty taste on the skin
• A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be

present at birth and enlarge during the first 10 to 15 months is characteristic of a:

• Cavernous hemangioma

17. The hamstring muscles flex the knee and are located on the:

• Posterior aspect of the thigh
• Ophthalmoscopic examination reveals dark specks noted between the fundus and the

lens. These specks are most likely:

• 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:

• 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 of:

• Flexion

21. To locate the twelfth rib, palpate:

• Between the spine and the lateral chest

22. Walking on the toes and heels may reveal:

• Distal muscular weakness in the legs
• When performing a bimanual exam of the vagina, the examiner should lubricate the

index and middle fingers of a gloved hand. From a standing position, the fingers should

be inserted into the vagina while exerting pressure primarily:

• Posteriorly
• During pregnancy, which hormone results in increased blood viscosity?
• Erythropoietin

25. Resting tremors refer to those tremors that disappear:

• With voluntary movement
• A patient presents with complaints of bright red stools over the past week. This

symptom could be consistent with:

• Cancer of the sigmoid colon

27. Mydriasis is a term used to describe:

• Dilation of the pupils
• When performing a musculoskeletal exam on a patient with mechanical low back pain,

osteoporosis is suspected. Positive findings would include all of the following except:

• 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?

• Stage III
• The vertebral column angles sharply posteriorly and becomes immovable at the:
• Lumbosacral junction
• Which one of the following is at the HIGHEST risk for suicide?
• A 52-year-old white man
• When auscultating heart sounds arising from the aortic valve in an adult patient, place

the stethoscope:

• Between the 2

nd and 3 rd intercostal spaces at the right upper sternal border

33. Pain and crepitus over the patella suggests:

• Roughening of the patellar undersurface
• Which one of the following findings is NOT typical in a patient who has delirium?

• Intact attention and concentration
• When examining the skin, multiple areas of circumscribed elevations of the skin filled

with serous fluid measuring approximately 0.5cm were noted. These types of lesions

could be seen in:

• Herpes simplex or varicella
• The principal muscles involved when closing the mouth are innervated by which cranial

nerve?

• Cranial nerve V (Trigeminal)
• The structure that creates a channel for the vertebral artery is known as the:
• Transverse Foramen
• Which of the following is NOT a compliant patient with type 1 diabetes?
• Polycythemia

39. When suspecting pediculosis capitis, the chief complaint is:

• Itching
• The structure that appears as the large swelling posteriorly on the superior ramus of the

ischium and bears most of the weight in sitting, is known as the:

• Ischial tuberosity
• When percussing the posterior chest, which one of the following techniques would be

omitted?

• Percuss areas over the scapulae
• On examination of the pupils, both are round but the right pupil appears larger than the

left and reacts much slower to light. This condition may be indicative of:

• 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:

• 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?

• 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:

• 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:

• Delirium
• Which of the following screening tests for hearing loss can detect both sensorineural

and conductive hearing loss?

• 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:

• 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:

• An abdominal aortic aneurysm (AAA)

50. Men between the ages of 40 and 64 years should be screened yearly for:

• hypertension

51. A term used to describe drainage from the nose is:

• 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:

• Synovitis of the glenohumeral joint

53. In the older adult, the test for leg mobility is known as the:

• Timed “get up and go test”
• Which one of the following procedures would confirm a definitive medical diagnosis of

Hirschsprung’s disease?

• A rectal biopsy
• Hypofunctioning of the thyroid gland would lead to all the following disorders except:
• Graves’ disease

56. The fleshy projection of the earlobe is known as the:

• 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:

• Overflow incontinence
• When performing an examination of the external genitalia of a female patient, a small

firm, round cystic nodule in the labia is identified. This lesion is most consistent with:

• Epidermoid cyst
• Passive flexion, varus stress, and external rotation of the lower leg evaluates the:
• Medial meniscus
• When examining the knee, swelling above and adjacent to the patella was noted. This

finding could be suggestive of:

• Synovial thickening over the knee joint
• While assessing the cranial nerves, the NP touches the cornea lightly with a wisp of

cotton. This maneuver assesses which cranial nerve?

• Cranial nerve V, Trigeminal
• The NP instructs the patient to look over one shoulder, then the other. This maneuver

would assess cervical:

• Rotation
• During a speculum exam of the cervix the speculum is maintained in an open position

by:

• Gently tightening the thumb screw on the speculum
• The NP is examining the elbow of a 16-year-old male athlete. Increased pain is noted

when he tries to extend his wrist against resistance. This finding is most consistent with:

• Lateral epicondylitis