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Apea 3p Exam Newest Graded And Verified
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Apea 3p Exam 2024-2025 Newest Graded AndVerified
Animal bites: - Correct Answer-Cat bites have a higher risk of infection that dog
bites Redness, swelling, pain
Systemic symptoms may develop within 12-24 hours
Treatment for human bites and animal bites - Correct Answer-•Augmentin
875/125 mg BID x 10 days or IV antibiotics in ER Penicillin Allergy § Doxycycline
BID or Bactrim DS BID PLUS Flagyl BID or Clindamycin TID
Also give Tetanus booster if needed
Evaluate for rabies prophylaxis
Tetanus Vaccination - Correct Answer-Initial series (3 doses) DTaP (infants to age
6): 5 doses Ages 7 and older
Td or Tdap Need every 10 years for lifetime Common reaction: pain at injection
site in 24-48 hours
Contaminated wounds: give one dose if last dose was more than 5 years ago or is
due
Impetigo - Correct Answer-Bacteria (Gram Positive): Beta Streptococcus or
Streptococcus aureus
,Most common bacterial skin infection in young children ages 2-5
Most common type of skin cancer in USA - Correct Answer-Skin cancer
Most common type of skin cancer - Correct Answer-basal cell carcinoma
basal cell carcinoma symptoms - Correct Answer-Appearance varies; smooth,
shiny bump, pink to pearly white
Basal cell carcinoma common locations - Correct Answer-cheeks, nose, face, neck,
arms, back
basal cell carcinoma diagnosis gold standard - Correct Answer-biopsy. if not an
option, refer to derm
Actinic keratosis - Correct 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 - Correct Answer-Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard - Correct 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 - Correct Answer-chronic red scaly rough textured lesion w/
irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations - Correct Answer-rims of ears, lips,
nose, face and top of hands
precursor lesion to squamous cell cancer - Correct Answer-actinic keratosis
squamous cell carcinoma diagnosis by? - Correct Answer-biopsy gold standard. if
biopsy is not an option, refer to dermatology .
Risk factors for skin cancer(melanoma and both non-melanoma) - Correct
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) - Correct 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 - Correct 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 - Correct Answer-soft, round, wart-like growth that is light
tan to black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria - Correct Answer-Streptococcus pneumoniae- most
common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) - Correct 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 - Correct Answer-yes!
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