APEA 3P EXAM 2026/2027 EDITION QUESTIONS AND ANSWERS WITH RATIONALES

APEA 3P EXAM 2026/2027 EDITION QUESTIONS AND ANSWERS WITH RATIONALES

Which patient could be expected to have the highest systolic blood pressure?
A 21-year-old male
A 50-year-old perimenopausal female
A 35-year-old patient with Type 2 diabetes
A 75-year-old male
D.
Nearly 25% of the US population has hypertension. The greatest incidence is in older adults
because of changes in the intima of vessels as aging and calcium deposition occur. Males of any
age are more likely to be hypertensive than females of the same age. African American adults
have the highest incidence in the general population. Among adolescents, African Americans and
Hispanics have the highest rates. Hypertension occurs in 5-10% of pregnancies.
Mrs. Brandy is having contrast dye next week for a heart catheterization. What drug does NOT
need to be stopped prior to her catheterization?
Naproxen
Furosemide
Metformin
Losartan
D.
Naproxen and furosemide should be stopped for 24 hours prior to the catheterization. Metformin
should be stopped 48 hours prior to the catheterization. Furosemide is stopped because it
contributes to volume depletion. NSAIDs like naproxen are withheld because of the impact on
renal prostaglandin production. Metformin has been implicated in lactic acidosis when combined
with contrast dye in an impaired kidney.
In older adults, the three most common ailments are:
hearing loss, vision loss, hypertension.
hearing loss, hypertension, arthritis.
depression, vision loss, hypertension.
arthritis, hearing loss, depression.
B.
Hypertension and arthritis are the two most common ailments in older adults. Hearing loss
occurs in half to almost 2/3 of older adults. The most common form is known as presbycusis.
There is no consensus for the frequency of screening for hearing loss in older patients, but