APEA 3P Exam Prep 2025: High-Yield Study Guide & Practice Questions

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APEA 3P Exam (NEW UPDATED VERSION) LATEST ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS)- GUARANTEED
PASS A+ UPDATED 2026




Most common type of skin cancer in USA - CORRECT ANSWER Skin cancer



QUESTION : Most common type of skin cancer - CORRECT ANSWER basal cell
carcinoma



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



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



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



QUESTION : 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



QUESTION : Actinic keratosis diagnosis gold standard - CORRECT ANSWER
Biopsy.
if not an option, refer to derm




2026 2027 GRADED A+

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QUESTION : 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!!**



QUESTION : squamous cell cancer - CORRECT ANSWER chronic red scaly rough
textured lesion w/ irregular borders
crusting or bleeding may be present



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



QUESTION : precursor lesion to squamous cell cancer - CORRECT ANSWER actinic
keratosis



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



QUESTION : 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



QUESTION : 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




2026 2027 GRADED A+

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QUESTION : 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



QUESTION : seborrheic keratosis - CORRECT ANSWER soft, round, wart-like growth
that is light tan to black and looks pasted on
asymptomatic &benign



QUESTION : Bacterial Meningitis Bacteria - CORRECT ANSWER Streptococcus
pneumoniae- most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others



QUESTION : 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



QUESTION : Is bacterial meningitis a reportable disease - CORRECT ANSWER yes!



QUESTION : Treatment for Bacterial meningitis-patient - CORRECT 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




2026 2027 GRADED A+

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QUESTION : Treatment for bacterial meningitis-close encounter - CORRECT 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



QUESTION : Brudzinkski sign (meningeal irritation) - CORRECT 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--



QUESTION : Kernig's sign - CORRECT 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



QUESTION : MCV4 (meningococcal vaccine) Age 11-19 - CORRECT ANSWER Give
one dose of menactra or menveo
primary dose given age 12 or younger give a booster at age 16-18



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



QUESTION : Rocky mountain spotted fever (RMSF) symptoms - CORRECT 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


2026 2027 GRADED A+