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Exam (elaborations)

APEA 3P Exam Study Guide | Nurse Practitioner Practice Questions with Detailed Explanations

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Comprehensive study resource for the APEA 3P Exam. This guide reviews the three core nurse practitioner domains: Advanced Pathophysiology, Advanced Pharmacology, and Advanced Physical Assessment. Topics include disease mechanisms, pharmacologic management, comprehensive health assessment, diagnostic reasoning, differential diagnosis, clinical decision-making, laboratory interpretation, patient management, health promotion, and evidence-based practice. Organized practice questions with detailed explanations help reinforce advanced nursing concepts and support preparation for comprehensive assessments, graduate nursing coursework, and nurse practitioner certification readiness.

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A
P
E
1. Most common Skin cancer
t
y
p
2. Most common basal cell carcinoma
t
y
p
3. basal cell carcino- Appearance varies;
ma symptoms

4. Basal cell car- cheeks, nose, face, neck,
c
i
n
5. basal cell carci- biopsy. if not an option,
n
o
m
6. Actinic keratosis Precursor to squamous
numerous dry, round and
pink to red lesions w/
rough and scaly texture-->
7. Actinic keratosis Biopsy.
diagnosis gold if not an option, refer to
standard

8. Actinic keratosis small- cryotherapy
treatment gold large- number 5-FU (5-
standard crust, scab and be red
**5-flouracil/ efudex-wear
sunscreen!!**
9.



, A
P
E
squamous cell chronic red scaly rough
cancer crusting or bleeding may
be present
10. Squamous cell rims of ears, lips, nose,
c
a
r
11. precursor lesion actinic keratosis
t
o

12. squamous cell biopsy gold standard. if
c
a
r
13. Risk factors for Blistering sunburn as a
skin UV light
c
a
n
-

14. Melanoma symp- asymmetry
toms (ABCDE) border
color (variegated
colors from black,
blue, dark to light
brown) diameter
(size >6mm size of
15. Acral lengtigi- Most common type of
nous melanoma --> look for longitudinal
or mole in the palms, or the soles
of the feet


, APEA
3P
Exam
16. seborrheic ker- soft, round, wart-like growth that is
atosis asymptomatic &benign

17. Bacterial Menin- Streptococcus pneumoniae- most
gitis Bacteria Haemophilus influenzae
N
e
i
s
18. Bacterial menin- High fever
gitis symptoms Nuchal rigidity
(Classic Triad) rapid change in mental status w/
Triad=neck up
erythematous spot-like rash
(petechiae) ecchymosis to purple-
colored lesions (purpura) which are
19. Is bacterial yes!
m
en
in
20. Treatment for IV Abx ASAP, resp/droplet iso for first
Bacterial menin- initial fluid
gitis-patient pressure if present
the brain), low stim environment, tx
complications that may arrive and
support family
21. Treatment for Close contacts should be treated w/
bacterial menin- **Rifampin changes urine color to
gitis-close en-
counter **AVOID RIFAMPIN IN PREGNANCY

22. Tests for meningeal
irritation
Patient supine, raise BACK


, A
P
E
Brudzinkski sign + result if pt
(meningeal irrita- --Brudzinski and back of
tion)

23. Kernig's sign Tests for meningeal
patient supine. flex patients hips
and knees in a right angle, then
slowly straight-en/extend the
legs up
24. MCV4 (meningo- Give one dose of
coccal vaccine) primary dose given age
Age 11-19

25. MCV4 (meningo- Give one dose of
c
o
c
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
27. RMSF pneumonic R-Rash
(RMSF) M-Muscle aches
S-
Stoma
ch
28.

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