AAPC CPC EXAM PREP COMPLIANCE AND
REGULATORY FINAL EXAM UPDATE 2025
QUESTIONActinic keratosis diagnosis gold standard - answer-Biopsy.
if not an option, refer to derm
QUESTIONActinic 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!!**
QUESTIONsquamous cell cancer - answer-chronic red scaly rough
textured lesion w/ irregular borders
crusting or bleeding may be present
Most common type of skin cancer in USA - answer-Skin cancer
QUESTIONMost common type of skin cancer - answer-basal cell
carcinoma
QUESTIONbasal cell carcinoma symptoms - answer-Appearance varies;
smooth, shiny bump, pink to pearly white
QUESTIONBasal cell carcinoma common locations - answer-cheeks, nose,
face, neck, arms, back
QUESTIONbasal cell carcinoma diagnosis gold standard - answer-biopsy.
if not an option, refer to derm
,QUESTIONActinic 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
QUESTIONSquamous cell carcinoma common locations - answer-rims of
ears, lips, nose, face and top of hands
QUESTIONprecursor lesion to squamous cell cancer - answer-actinic
keratosis
QUESTIONsquamous cell carcinoma diagnosis by? - answer-biopsy gold
standard. if biopsy is not an option, refer to dermatology .
QUESTIONRisk 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
QUESTIONMelanoma 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
QUESTIONAcral 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
,QUESTIONseborrheic keratosis - answer-soft, round, wart-like growth that
is light tan to black and looks pasted on
asymptomatic &benign
QUESTIONBacterial Meningitis Bacteria - answer-Streptococcus
pneumoniae- most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
QUESTIONBacterial 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
QUESTIONIs bacterial meningitis a reportable disease - answer-yes!
QUESTIONTreatment 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
QUESTIONTreatment 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
QUESTIONBrudzinkski 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--
QUESTIONKernig'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
QUESTIONMCV4 (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
QUESTIONMCV4 (meningococcal vaccine) Age 19-21 - answer-Give one
dose of menactra or menveo if never had either
QUESTIONRocky 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
REGULATORY FINAL EXAM UPDATE 2025
QUESTIONActinic keratosis diagnosis gold standard - answer-Biopsy.
if not an option, refer to derm
QUESTIONActinic 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!!**
QUESTIONsquamous cell cancer - answer-chronic red scaly rough
textured lesion w/ irregular borders
crusting or bleeding may be present
Most common type of skin cancer in USA - answer-Skin cancer
QUESTIONMost common type of skin cancer - answer-basal cell
carcinoma
QUESTIONbasal cell carcinoma symptoms - answer-Appearance varies;
smooth, shiny bump, pink to pearly white
QUESTIONBasal cell carcinoma common locations - answer-cheeks, nose,
face, neck, arms, back
QUESTIONbasal cell carcinoma diagnosis gold standard - answer-biopsy.
if not an option, refer to derm
,QUESTIONActinic 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
QUESTIONSquamous cell carcinoma common locations - answer-rims of
ears, lips, nose, face and top of hands
QUESTIONprecursor lesion to squamous cell cancer - answer-actinic
keratosis
QUESTIONsquamous cell carcinoma diagnosis by? - answer-biopsy gold
standard. if biopsy is not an option, refer to dermatology .
QUESTIONRisk 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
QUESTIONMelanoma 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
QUESTIONAcral 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
,QUESTIONseborrheic keratosis - answer-soft, round, wart-like growth that
is light tan to black and looks pasted on
asymptomatic &benign
QUESTIONBacterial Meningitis Bacteria - answer-Streptococcus
pneumoniae- most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
QUESTIONBacterial 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
QUESTIONIs bacterial meningitis a reportable disease - answer-yes!
QUESTIONTreatment 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
QUESTIONTreatment 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
QUESTIONBrudzinkski 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--
QUESTIONKernig'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
QUESTIONMCV4 (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
QUESTIONMCV4 (meningococcal vaccine) Age 19-21 - answer-Give one
dose of menactra or menveo if never had either
QUESTIONRocky 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
