APEA 3P Exam Test Bank 2025/2026 | 150 Questions & Detailed Rationales | HealthStudyPro | Patho, Pharm, Physical Assessment ✅ Question 001 A patient presents with left-sided facial droop, inability to close the left eye, and no forehead sparing. Which cranial nerve is most likely affected?
- Trigeminal nerve (CN V)
- Facial nerve (CN VII)
- Oculomotor nerve (CN III)
- Glossopharyngeal nerve (CN IX)
Correct Answer: B
Rationale: The facial nerve (CN VII) controls facial muscle movement. A complete left-sided facial droop including the forehead suggests a peripheral CN VII palsy (e.g., Bell's palsy). 1 / 4
✅ Question 002 Which medication is contraindicated in a patient taking lisinopril and presenting with bilateral lower extremity swelling?
- Furosemide
- Losartan
- Amlodipine
- Hydrochlorothiazide
Correct Answer: C
Rationale: Amlodipine, a calcium channel blocker, commonly causes peripheral edema. Using it with an ACE inhibitor like lisinopril may worsen edema.✅ Question 003 A 70-year-old male presents with new onset hematuria, flank pain, and a palpable abdominal mass. Which diagnosis should be ruled out first?
- Nephrolithiasis
- Urinary tract infection
- Renal cell carcinoma
- Bladder cancer 2 / 4
Correct Answer: C
Rationale: Classic triad of renal cell carcinoma includes hematuria, flank pain, and palpable mass. This should be ruled out urgently.✅ Question 004 Which of the following insulin types has the fastest onset of action?
- Regular insulin
- NPH insulin
- Lispro (Humalog)
- Glargine (Lantus)
Correct Answer: C
Rationale: Lispro is a rapid-acting insulin with onset within 15 minutes, making it the fastest among options listed.✅ Question 005 You suspect appendicitis in a 24-year-old male. Which physical exam finding supports your diagnosis?
- Murphy's sign
- McBurney’s point tenderness 3 / 4
- Grey Turner’s sign
- Cullen's sign
Correct Answer: B
Rationale: McBurney’s point tenderness (1/3 distance from anterior superior iliac spine to umbilicus) is classic for appendicitis.✅ Question 006 Which drug class is first-line for treating generalized anxiety disorder (GAD)?
- Benzodiazepines
- SSRIs
- SNRIs
- Beta-blockers
Correct Answer: B
Rationale: SSRIs are first-line for GAD due to efficacy and safety in long-term use.Benzodiazepines are not first-line due to dependence risk.✅ Question 007 What is the primary function of the loop of Henle in the nephron?
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