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APEA 3P EXAM LATEST ACTUL QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+
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APEA 3P EXAM LATEST ACTUL QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+
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APEA 3P EXAM LATEST 2024-2025 ACTUL QUESTIONS AND CORRECTDETAILED ANSWERS GRADED A+
Rocky Mountain Spotted Fever (RMSF): Located: - ASNWER-•Think "Rocky"- North
Carolina, Oklahoma, Arkansas, Tennessee, Missouri
Spring to Fall (April to September)
Rocky Mountain Spotted Fever (RMSF): DX - ASNWER-PCR assay by indirect
immunofluorescence antibody (IFA) assay for immunoglobulin G (IgG) for
Rickettsia Rickettsii
Rocky Mountain Spotted Fever (RMSF): tx - ASNWER-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
,Most common type of skin cancer in USA - ASNWER-Skin cancer
Most common type of skin cancer - ASNWER-basal cell carcinoma
basal cell carcinoma symptoms - ASNWER-Appearance varies; smooth, shiny
bump, pink to pearly white
Basal cell carcinoma common locations - ASNWER-cheeks, nose, face, neck, arms,
back
basal cell carcinoma diagnosis gold standard - ASNWER-biopsy. if not an option,
refer to derm
Actinic keratosis - ASNWER-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 - ASNWER-Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard - ASNWER-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 - ASNWER-chronic red scaly rough textured lesion w/
irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations - ASNWER-rims of ears, lips, nose,
face and top of hands
precursor lesion to squamous cell cancer - ASNWER-actinic keratosis
squamous cell carcinoma diagnosis by? - ASNWER-biopsy gold standard. if biopsy
is not an option, refer to dermatology .
Risk factors for skin cancer(melanoma and both non-melanoma) - ASNWER-
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) - ASNWER-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 - ASNWER-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 - ASNWER-soft, round, wart-like growth that is light tan to
black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria - ASNWER-Streptococcus pneumoniae- most
common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) - ASNWER-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 - ASNWER-yes!
Treatment for Bacterial meningitis-patient - ASNWER-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
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