1
APEA 3P Exam Questions with Correct
Answers | Updated (100% Correct Answers)
Most common type of skin cancer in USA Answer: Skin cancer
Most common type of skin cancer Answer: basal cell carcinoma
basal cell carcinoma symptoms Answer: Appearance varies; smooth,
shiny bump, pink to pearly white
Basal cell carcinoma common locations Answer: cheeks, nose, face,
neck, arms, back
basal cell carcinoma diagnosis gold standard Answer: biopsy. if not
an option, refer to derm
Actinic 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
Actinic keratosis diagnosis gold standard Answer: Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard Answer: small-
cryotherapy
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,2
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 Answer: chronic red scaly rough textured
lesion w/ irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations Answer: rims of ears,
lips, nose, face and top of hands
precursor lesion to squamous cell cancer Answer: actinic keratosis
squamous cell carcinoma diagnosis by? Answer: biopsy gold
standard. if biopsy is not an option, refer to dermatology .
Risk 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
Melanoma symptoms (ABCDE) Answer: asymmetry (shape/uneven
texture)
border (irregular/notched/blurred)
color (variegated colors from black, blue, dark to light brown)
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,3
diameter (size >6mm size of pencil eraser or larger)
evolving (changes in color/size/shape)
may be itchy
Acral 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
seborrheic keratosis Answer: soft, round, wart-like growth that is
light tan to black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria Answer: Streptococcus pneumoniae-
most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) Answer: High fever
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, 4
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 Answer: yes!
Treatment 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
Treatment 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
Brudzinkski sign (meningeal irritation) Answer: Tests for meningeal
irritation
© 2025 All rights reserved
APEA 3P Exam Questions with Correct
Answers | Updated (100% Correct Answers)
Most common type of skin cancer in USA Answer: Skin cancer
Most common type of skin cancer Answer: basal cell carcinoma
basal cell carcinoma symptoms Answer: Appearance varies; smooth,
shiny bump, pink to pearly white
Basal cell carcinoma common locations Answer: cheeks, nose, face,
neck, arms, back
basal cell carcinoma diagnosis gold standard Answer: biopsy. if not
an option, refer to derm
Actinic 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
Actinic keratosis diagnosis gold standard Answer: Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard Answer: small-
cryotherapy
© 2025 All rights reserved
,2
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 Answer: chronic red scaly rough textured
lesion w/ irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations Answer: rims of ears,
lips, nose, face and top of hands
precursor lesion to squamous cell cancer Answer: actinic keratosis
squamous cell carcinoma diagnosis by? Answer: biopsy gold
standard. if biopsy is not an option, refer to dermatology .
Risk 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
Melanoma symptoms (ABCDE) Answer: asymmetry (shape/uneven
texture)
border (irregular/notched/blurred)
color (variegated colors from black, blue, dark to light brown)
© 2025 All rights reserved
,3
diameter (size >6mm size of pencil eraser or larger)
evolving (changes in color/size/shape)
may be itchy
Acral 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
seborrheic keratosis Answer: soft, round, wart-like growth that is
light tan to black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria Answer: Streptococcus pneumoniae-
most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) Answer: High fever
© 2025 All rights reserved
, 4
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 Answer: yes!
Treatment 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
Treatment 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
Brudzinkski sign (meningeal irritation) Answer: Tests for meningeal
irritation
© 2025 All rights reserved
