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APEA 3P EXAM QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS 2024 $10.59   Add to cart

Exam (elaborations)

APEA 3P EXAM QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS 2024

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APEA 3P EXAM QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS 2024

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  • August 28, 2024
  • 37
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • APEA 3P
  • APEA 3P
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APEA 3P EXAM QUESTIONS AND
ANSWERS WITH VERIFIED SOLUTIONS
2024
Most common type of skin cancer in USA - ANSWER Skin cancer



Most common type of skin cancer - ANSWER basal cell carcinoma



basal cell carcinoma symptoms - ANSWER Appearance varies; smooth, shiny bump, pink to pearly white



Basal cell carcinoma common locations - ANSWER cheeks, nose, face, neck, arms, back



basal cell carcinoma diagnosis gold standard - ANSWER biopsy. if not an option, refer to derm



Actinic keratosis - ANSWER Precursor to squamous cell carcinoma

numerous dry, round and pink to red lesions w/ rough and scaly texture

--> does not heal, slow growing in sun exposed areas



Actinic keratosis diagnosis gold standard - ANSWER Biopsy.

if not an option, refer to derm



Actinic keratosis treatment gold standard - ANSWER small- cryotherapy

large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze, crust, scab and be red

**5-flouracil/ efudex-wear sunscreen!!**



squamous cell cancer - ANSWER chronic red scaly rough textured lesion w/ irregular borders

crusting or bleeding may be present



Squamous cell carcinoma common locations - ANSWER rims of ears, lips, nose, face and top of hands

,precursor lesion to squamous cell cancer - ANSWER actinic keratosis



squamous cell carcinoma diagnosis by? - ANSWER biopsy gold standard. if biopsy is not an option, refer
to dermatology .



Risk factors for skin cancer(melanoma and both non-melanoma) - ANSWER Blistering sunburn as a child,
history of sunburns, light skin, chronic exposure to UV light (sunlight/tanning beds), moles, family hx for
skin cancer



Melanoma symptoms (ABCDE) - ANSWER asymmetry (shape/uneven texture)

border (irregular/notched/blurred)

color (variegated colors from black, blue, dark to light brown)

diameter (size >6mm size of pencil eraser or larger)

evolving (changes in color/size/shape)

may be itchy



Acral lengtiginous melanoma - ANSWER Most common type of melanoma in dark skinned individuals
(blacks & asians)

--> look for longitudinal brown to black bands under the nailbed. a changing spot or mole in the palms,
or the soles of the feet



seborrheic keratosis - ANSWER soft, round, wart-like growth that is light tan to black and looks pasted on

asymptomatic &benign



Bacterial Meningitis Bacteria - ANSWER Streptococcus pneumoniae- most common strain

Haemophilus influenzae

Neisseria meningitidis

Escherichia coli

*others

,Bacterial meningitis symptoms (Classic Triad) - ANSWER High fever

Nuchal rigidity

rapid change in mental status w/ headache

Triad=neck up

erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions (purpura) which are non-
blanchable



Is bacterial meningitis a reportable disease - ANSWER yes!



Treatment for Bacterial meningitis-patient - ANSWER IV Abx ASAP, resp/droplet iso for first 24-48 hrs,
hydrate (low maintenance after initial fluid correction), Maintain ventilation and reduce increased intra
cranial pressure if present (dexamethosone(to reduce inflammation, mannitol to diurese the brain), low
stim environment, tx complications that may arrive and support family



Treatment for bacterial meningitis-close encounter - ANSWER Close contacts should be treated w/
rifampin 600 mg q 12 hours x 2 days

**Rifampin changes urine color to reddish orange and can stain contacts



**AVOID RIFAMPIN IN PREGNANCY



Brudzinkski sign (meningeal irritation) - ANSWER Tests for meningeal irritation

Patient supine, raise BACK of head and flex chin towards chest

+ result if pt automatically beds both hips

--Brudzinski and back of head start with B as well as bends--



Kernig's sign - ANSWER Tests for meningeal irritation

patient supine. flex patients hips and knees in a right angle, then slowly straighten/extend the legs up

+ result if when the patient complains of pain during extension of leg



MCV4 (meningococcal vaccine) Age 11-19 - ANSWER Give one dose of menactra or menveo

primary dose given age 12 or younger give a booster at age 16-18

, MCV4 (meningococcal vaccine) Age 19-21 - ANSWER Give one dose of menactra or menveo if never had
either



Rocky mountain spotted fever (RMSF) symptoms - ANSWER Fever

chills

N/V

myalgia

arthralgia

2-5 days later develop petechial rash on forearms, ankles, and wrists that spreads towards trunk and
becomes generalised. sometimes rash develops on palms and soles

**RASH DEVELOPS INWARDS**



RMSF pneumonic (RMSF) - ANSWER R-Rash

M-Muscle aches (myalgia)

S-Stomach aches (nausea and vomiting)

F-Fever (>102 F)



Rocky Mountain Spotted Fever (RMSF): Located: - ANSWER •Think "Rocky"- North Carolina, Oklahoma,
Arkansas, Tennessee, Missouri

Spring to Fall (April to September)



Rocky Mountain Spotted Fever (RMSF): DX - ANSWER PCR assay by indirect immunofluorescence
antibody (IFA) assay for immunoglobulin G (IgG) for Rickettsia Rickettsii



Rocky Mountain Spotted Fever (RMSF): tx - ANSWER Doxycycline is always first line for all ages

100 mg every 12 hours x 7-10 days

Can be fatal if not treated within the first 5 days



Erythema Migrans (early Lyme disease): Symptoms - ANSWER Usually appears in 7-14 days after being
bitten by a deer tick; range 3-30 days

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