APEA 3P Exam
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1. Most common Skin cancer
type of skin can-
cer in USA
2. Most common basal cell carcinoma
type of skin can-
cer
3. basal cell carcino- Appearance varies; smooth, shiny bump, pink to pearly white
ma symptoms
4. Basal cell car- cheeks, nose, face, neck, arms, back
cinoma common
locations
5. basal cell carci- biopsy. if not an option, refer to derm
noma diagnosis
gold standard
6. Actinic keratosis 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
7. Actinic keratosis Biopsy.
diagnosis gold if not an option, refer to derm
standard
8. Actinic keratosis small- cryotherapy
treatment gold large- number 5-FU (5-flouracil aka efudex). 5-FU medication
standard Causesscab
crust, skinand
to ooze,
be red
**5-flouracil/ efudex-wear sunscreen!!**
9.
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squamous cell chronic red scaly rough textured lesion w/ irregular borders
cancer crusting or bleeding may be present
10. Squamous cell rims of ears, lips, nose, face and top of hands
carcinoma com-
mon locations
11. precursor lesion actinic keratosis
to squamous cell
cancer
12. squamous cell biopsy gold standard. if biopsy is not an option, refer to
carcinoma diag- dermatology .
nosis by?
13. Risk factors for Blistering sunburn as a child, history of sunburns, light skin,
skin chronic
UV lightexposure to
(sunlight/tanning beds), moles, family hx for skin
can- cancer
cer(melanoma
and both
non-melanoma)
14. Melanoma symp- asymmetry (shape/uneven texture)
toms (ABCDE) 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
15. Acral lengtigi- Most common type of melanoma in dark skinned individuals
nous melanoma (blacks
--> look&forasians)
longitudinal brown to black bands under the
nailbed.
or mole ina changing
the palms,spot
or the soles of the feet
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16. seborrheic ker- soft, round, wart-like growth that is light tan to black and looks
atosis pasted on
asymptomatic &benign
17. Bacterial Menin- Streptococcus pneumoniae- most common strain
gitis Bacteria Haemophilus influenzae
Neisseria
meningitidis
Escherichia coli
*others
18. Bacterial menin- High fever
gitis symptoms Nuchal rigidity
(Classic Triad) 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
19. Is bacterial yes!
meningitis a re-
portable disease
20. Treatment for IV Abx ASAP, resp/droplet iso for first 24-48 hrs, hydrate (low
Bacterial menin- maintenance
initial fluid correction), after
Maintain ventilation and reduce
gitis-patient pressure
increasedifintra
present (dexamethosone(to reduce inflammation,
cranial
mannitol
the brain),tolow
diurese
stim environment, tx complications that may
arrive and support family
21. Treatment for Close contacts should be treated w/ rifampin 600 mg q 12
bacterial menin- hours x 2 days
**Rifampin changes urine color to reddish orange and can stain
gitis-close en- contacts
counter **AVOID RIFAMPIN IN PREGNANCY
22. Tests for meningeal irritation
Patient supine, raise BACK of head and flex
chin towards chest
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Brudzinkski sign + result if pt automatically beds both hips
(meningeal irrita- --Brudzinski and back of head start with B as well as bends--
tion)
23. Kernig's sign Tests for meningeal irritation
patient supine. flex patients hips and knees in a right angle,
then slowly straight-en/extend the legs up
+ result if when the patient complains of pain during
extension of leg
24. MCV4 (meningo- Give one dose of menactra or menveo
coccal vaccine) primary dose given age 12 or younger give a booster at age 16-
Age 11-19 18
25. MCV4 (meningo- Give one dose of menactra or menveo if never had either
coccal vaccine)
Age 19-21
26. Rocky mountain Fever
spotted fever chills
(RMSF) symp- N/V
toms 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
**RASH DEVELOPS INWARDS**
27. RMSF pneumonic R-Rash
(RMSF) M-Muscle aches (myalgia)
S-Stomach aches (nausea and
vomiting)
F-Fever (>102 F)
28.
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1. Most common Skin cancer
type of skin can-
cer in USA
2. Most common basal cell carcinoma
type of skin can-
cer
3. basal cell carcino- Appearance varies; smooth, shiny bump, pink to pearly white
ma symptoms
4. Basal cell car- cheeks, nose, face, neck, arms, back
cinoma common
locations
5. basal cell carci- biopsy. if not an option, refer to derm
noma diagnosis
gold standard
6. Actinic keratosis 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
7. Actinic keratosis Biopsy.
diagnosis gold if not an option, refer to derm
standard
8. Actinic keratosis small- cryotherapy
treatment gold large- number 5-FU (5-flouracil aka efudex). 5-FU medication
standard Causesscab
crust, skinand
to ooze,
be red
**5-flouracil/ efudex-wear sunscreen!!**
9.
, APEA 3P Exam
Study online at
https://quizlet.com/_evwt1h
squamous cell chronic red scaly rough textured lesion w/ irregular borders
cancer crusting or bleeding may be present
10. Squamous cell rims of ears, lips, nose, face and top of hands
carcinoma com-
mon locations
11. precursor lesion actinic keratosis
to squamous cell
cancer
12. squamous cell biopsy gold standard. if biopsy is not an option, refer to
carcinoma diag- dermatology .
nosis by?
13. Risk factors for Blistering sunburn as a child, history of sunburns, light skin,
skin chronic
UV lightexposure to
(sunlight/tanning beds), moles, family hx for skin
can- cancer
cer(melanoma
and both
non-melanoma)
14. Melanoma symp- asymmetry (shape/uneven texture)
toms (ABCDE) 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
15. Acral lengtigi- Most common type of melanoma in dark skinned individuals
nous melanoma (blacks
--> look&forasians)
longitudinal brown to black bands under the
nailbed.
or mole ina changing
the palms,spot
or the soles of the feet
, APEA 3P Exam
Study online at
https://quizlet.com/_evwt1h
16. seborrheic ker- soft, round, wart-like growth that is light tan to black and looks
atosis pasted on
asymptomatic &benign
17. Bacterial Menin- Streptococcus pneumoniae- most common strain
gitis Bacteria Haemophilus influenzae
Neisseria
meningitidis
Escherichia coli
*others
18. Bacterial menin- High fever
gitis symptoms Nuchal rigidity
(Classic Triad) 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
19. Is bacterial yes!
meningitis a re-
portable disease
20. Treatment for IV Abx ASAP, resp/droplet iso for first 24-48 hrs, hydrate (low
Bacterial menin- maintenance
initial fluid correction), after
Maintain ventilation and reduce
gitis-patient pressure
increasedifintra
present (dexamethosone(to reduce inflammation,
cranial
mannitol
the brain),tolow
diurese
stim environment, tx complications that may
arrive and support family
21. Treatment for Close contacts should be treated w/ rifampin 600 mg q 12
bacterial menin- hours x 2 days
**Rifampin changes urine color to reddish orange and can stain
gitis-close en- contacts
counter **AVOID RIFAMPIN IN PREGNANCY
22. Tests for meningeal irritation
Patient supine, raise BACK of head and flex
chin towards chest
, APEA 3P Exam
Study online at
https://quizlet.com/_evwt1h
Brudzinkski sign + result if pt automatically beds both hips
(meningeal irrita- --Brudzinski and back of head start with B as well as bends--
tion)
23. Kernig's sign Tests for meningeal irritation
patient supine. flex patients hips and knees in a right angle,
then slowly straight-en/extend the legs up
+ result if when the patient complains of pain during
extension of leg
24. MCV4 (meningo- Give one dose of menactra or menveo
coccal vaccine) primary dose given age 12 or younger give a booster at age 16-
Age 11-19 18
25. MCV4 (meningo- Give one dose of menactra or menveo if never had either
coccal vaccine)
Age 19-21
26. Rocky mountain Fever
spotted fever chills
(RMSF) symp- N/V
toms 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
**RASH DEVELOPS INWARDS**
27. RMSF pneumonic R-Rash
(RMSF) M-Muscle aches (myalgia)
S-Stomach aches (nausea and
vomiting)
F-Fever (>102 F)
28.
