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APEA 3P EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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APEA 3P EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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APEA 3P EXAM QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
MostIcommonItypeIofIskinIcancerIinIUSAI-IANSWERISkinIcancer
MostIcommonItypeIofIskinIcancerI-IANSWERIbasalIcellIcarcinoma
basalIcellIcarcinomaIsymptomsI-IANSWERIAppearanceIvaries;Ismooth,IshinyIbump,IpinkItoIpearlyIwhite
BasalIcellIcarcinomaIcommonIlocationsI-IANSWERIcheeks,Inose,Iface,Ineck,Iarms,Iback
basalIcellIcarcinomaIdiagnosisIgoldIstandardI-IANSWERIbiopsy.IifInotIanIoption,IreferItoIderm
ActinicIkeratosisI-IANSWERIPrecursorItoIsquamousIcellIcarcinoma
numerousIdry,IroundIandIpinkItoIredIlesionsIw/IroughIandIscalyItexture
-->IdoesInotIheal,IslowIgrowingIinIsunIexposedIareas
ActinicIkeratosisIdiagnosisIgoldIstandardI-IANSWERIBiopsy.
ifInotIanIoption,IreferItoIderm
ActinicIkeratosisItreatmentIgoldIstandardI-IANSWERIsmall-Icryotherapy
large-InumberI5-FUI(5-flouracilIakaIefudex).I5-FUImedicationICausesIskinItoIooze,Icrust,IscabIandIbeIredI
**5-flouracil/Iefudex-wearIsunscreen!!**
squamousIcellIcancerI-IANSWERIchronicIredIscalyIroughItexturedIlesionIw/IirregularIborders
crustingIorIbleedingImayIbeIpresent
SquamousIcellIcarcinomaIcommonIlocationsI-IANSWERIrimsIofIears,Ilips,Inose,IfaceIandItopIofIhands
,precursorIlesionItoIsquamousIcellIcancerI-IANSWERIactinicIkeratosis
squamousIcellIcarcinomaIdiagnosisIby?I-
IANSWERIbiopsyIgoldIstandard.IifIbiopsyIisInotIanIoption,IreferItoIdermatologyI.
RiskIfactorsIforIskinIcancer(melanomaIandIbothInon-melanoma)I-
IANSWERIBlisteringIsunburnIasIaIchild,IhistoryIofIsunburns,IlightIskin,IchronicIexposureItoIUVIlightI(sunlight/t
anningIbeds),Imoles,IfamilyIhxIforIskinIcancer
MelanomaIsymptomsI(ABCDE)I-IANSWERIasymmetryI(shape/unevenItexture)
borderI(irregular/notched/blurred)
colorI(variegatedIcolorsIfromIblack,Iblue,IdarkItoIlightIbrown)
diameterI(sizeI>6mmIsizeIofIpencilIeraserIorIlarger)
evolvingI(changesIinIcolor/size/shape)
mayIbeIitchy
AcralIlengtiginousImelanomaI-
IANSWERIMostIcommonItypeIofImelanomaIinIdarkIskinnedIindividualsI(blacksI&Iasians)
--
>IlookIforIlongitudinalIbrownItoIblackIbandsIunderItheInailbed.IaIchangingIspotIorImoleIinItheIpalms,IorItheIso
lesIofItheIfeet
seborrheicIkeratosisI-IANSWERIsoft,Iround,Iwart-likeIgrowthIthatIisIlightItanItoIblackIandIlooksIpastedIon
asymptomaticI&benign
BacterialIMeningitisIBacteriaI-IANSWERIStreptococcusIpneumoniae-ImostIcommonIstrainI
HaemophilusIinfluenzae
NeisseriaImeningitidis
EscherichiaIcoli
*others
,BacterialImeningitisIsymptomsI(ClassicITriad)I-IANSWERIHighIfever
NuchalIrigidity
rapidIchangeIinImentalIstatusIw/IheadacheI
Triad=neckIup
erythematousIspot-likeIrashI(petechiae)IecchymosisItoIpurple-coloredIlesionsI(purpura)IwhichIareInon-
blanchable
IsIbacterialImeningitisIaIreportableIdiseaseI-IANSWERIyes!
TreatmentIforIBacterialImeningitis-patientI-IANSWERIIVIAbxIASAP,Iresp/dropletIisoIforIfirstI24-
48Ihrs,IhydrateI(lowImaintenanceIafterIinitialIfluidIcorrection),IMaintainIventilationIandIreduceIincreasedIint
raIcranialIpressureIifIpresentI(dexamethosone(toIreduceIinflammation,ImannitolItoIdiureseItheIbrain),IlowIst
imIenvironment,ItxIcomplicationsIthatImayIarriveIandIsupportIfamily
TreatmentIforIbacterialImeningitis-closeIencounterI-
IANSWERICloseIcontactsIshouldIbeItreatedIw/IrifampinI600ImgIqI12IhoursIxI2Idays
**RifampinIchangesIurineIcolorItoIreddishIorangeIandIcanIstainIcontacts
**AVOIDIRIFAMPINIINIPREGNANCY
BrudzinkskiIsignI(meningealIirritation)I-IANSWERITestsIforImeningealIirritation
PatientIsupine,IraiseIBACKIofIheadIandIflexIchinItowardsIchest
+IresultIifIptIautomaticallyIbedsIbothIhips
--BrudzinskiIandIbackIofIheadIstartIwithIBIasIwellIasIbends--
Kernig'sIsignI-IANSWERITestsIforImeningealIirritation
patientIsupine.IflexIpatientsIhipsIandIkneesIinIaIrightIangle,IthenIslowlyIstraighten/extendItheIlegsIupI
+IresultIifIwhenItheIpatientIcomplainsIofIpainIduringIextensionIofIleg
MCV4I(meningococcalIvaccine)IAgeI11-19I-IANSWERIGiveIoneIdoseIofImenactraIorImenveo
, primaryIdoseIgivenIageI12IorIyoungerIgiveIaIboosterIatIageI16-18
MCV4I(meningococcalIvaccine)IAgeI19-21I-
IANSWERIGiveIoneIdoseIofImenactraIorImenveoIifIneverIhadIeither
RockyImountainIspottedIfeverI(RMSF)IsymptomsI-IANSWERIFever
chills
N/V
myalgia
arthralgia
2-
5IdaysIlaterIdevelopIpetechialIrashIonIforearms,Iankles,IandIwristsIthatIspreadsItowardsItrunkIandIbecomesIg
eneralised.IsometimesIrashIdevelopsIonIpalmsIandIsoles
**RASHIDEVELOPSIINWARDS**
RMSFIpneumonicI(RMSF)I-IANSWERIR-RashI
I M-MuscleIachesI(myalgia)I
I S-StomachIachesI(nauseaIandIvomiting)I
I F-FeverI(>102IF)
RockyIMountainISpottedIFeverI(RMSF):ILocated:I-IANSWERI•ThinkI"Rocky"-
INorthICarolina,IOklahoma,IArkansas,ITennessee,IMissouriI
I SpringItoIFallI(AprilItoISeptember)
RockyIMountainISpottedIFeverI(RMSF):IDXI-
IANSWERIPCRIassayIbyIindirectIimmunofluorescenceIantibodyI(IFA)IassayIforIimmunoglobulinIGI(IgG)IforIRic
kettsiaIRickettsii
RockyIMountainISpottedIFeverI(RMSF):ItxI-IANSWERIDoxycyclineIisIalwaysIfirstIlineIforIallIagesI
100ImgIeveryI12IhoursIxI7-10IdaysI
I CanIbeIfatalIifInotItreatedIwithinItheIfirstI5Idays
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