APEA 3P/ **APEA PREDICTOR EXAM b b b b b
QUESTION AND ANSWERS 100% VER b b b b
IFIED GRADED BEST FOR DISTINCTI b b b b
ON +** b
Most common type of skin cancer in USA (correct answer)Skin cancer
b b b b b b b b b b
Most common type of skin cancer (correct answer)basal cell carcinoma
b b b b b b b b b
basal cell carcinoma symptoms (correct answer)Appearance varies;smoot
b b b b b b b
h, shiny bump, pink to pearly white
b b b b b b
Basal cell carcinoma common locations (correct answer)cheeks, nose,fac
b b b b b b b b
e, neck, arms, back
b b b
basal cell carcinoma diagnosis gold standard (correct answer)biopsy. ifnot
b b b b b b b b b b
an option, refer to derm
b b b b
Actinic keratosis (correct answer)Precursor to squamous cell carcinoman
b b b b b b b b
umerous dry, round and pink to red lesions w/ rough and scaly texture
b b b b b b b b b b b b
--> does not heal, slow growing in sun exposed areas
b b b b b b b b b
Actinic keratosis diagnosis gold standard (correct answer)Biopsy.
b b b b b b
,if not an option, refer to derm
b b b b b b
Actinic keratosis treatment gold standard (correct answer)small-
b b b b b b
cryotherapy
b
large- number 5-FU (5-flouracil aka efudex). 5-
b b b b b b
FU medication Causesskin to ooze, crust, scab and be red
b b b b b b b b b b
**5-flouracil/ efudex-wear sunscreen!!** b b
squamous cell cancer (correct answer)chronic red scaly rough texturedlesi
b b b b b b b b b
on w/ irregular borders
b b b
crusting or bleeding may be present b b b b b
Squamous cell carcinoma common locations (correct answer)rims ofears,
b b b b b b b b b
lips, nose, face and top of hands
b b b b b b
precursor lesion to squamous cell cancer (correct answer)actinickeratosis
b b b b b b b b
squamous cell carcinoma diagnosis by? (correct answer)biopsy goldstand
b b b b b b b b
ard. if biopsy is not an option, refer to dermatology .
b b b b b b b b b b
Risk factors for skin cancer(melanoma and both non-
b b b b b b b
melanoma) (correctanswer)Blistering sunburn as a child, history of sunbur
b b b b b b b b b
ns, light skin, chronic exposure to UV light (sunlight/tanning beds), moles,
b b b b b b b b b b b
family hx for skin cancer b b b b
,Melanoma symptoms (ABCDE) (correct answer)asymmetry(shape/unev
b b b b b
en texture)
b
border (irregular/notched/blurred)
b
color (variegated colors from black, blue, dark to light brown)di
b b b b b b b b b b
ameter (size >6mm size of pencil eraser or larger)
b b b b b b b b
evolving (changes in color/size/shape)b b b b
may be itchy b b
Acral lengtiginous melanoma (correct answer)Most common type ofmela
b b b b b b b b
noma in dark skinned individuals (blacks & asians)
b b b b b b b
--
> look for longitudinal brown to black bands under the nailbed. achanging
b b b b b b b b b b b b b
spot or mole in the palms, or the soles of the feet
b b b b b b b b b b b
seborrheic keratosis (correct answer)soft, round, wart-
b b b b b
like growth that islight tan to black and looks pasted on
b b b b b b b b b b b
asymptomatic &benign b
Bacterial Meningitis Bacteria (correct answer)Streptococcus
b b b b b
pneumoniae- most common strain b b b
Haemophilus influenzae b b
Neisseria meningitidis E b b
scherichia coli b
*others
, Bacterial meningitis symptoms (Classic Triad) (correct answer)Highfever
b b b b b b b
Nuchal rigidity b
rapid change in mental status w/ headacheT
b b b b b b b
riad=neck up b
erythematous spot-like rash (petechiae) ecchymosis to purple-
b b b b b b
coloredlesions (purpura) which are non-blanchable
b b b b b
Is bacterial meningitis a reportable disease (correct answer)yes!
b b b b b b b
Treatment for Bacterial meningitis-
b b b
patient (correct answer)IV Abx ASAP, resp/droplet iso for first 24-
b b b b b b b b b
48 hrs, hydrate (low maintenance after initial fluid correction), Maintain v
b b b b b b b b b b
entilation and reduce increased intra cranial pressure if present (dexameth
b b b b b b b b b
osone(to reduce inflammation,mannitol to diurese the brain), low stim env
b b b b b b b b b b
ironment, tx complications that may arrive and support family
b b b b b b b b
Treatment for bacterial meningitis-
b b b
close encounter (correct answer)Close contacts should be treated w/ rifam
b b b b b b b b b
pin 600 mg q 12 hoursx 2 days
b b b b b b b b
**Rifampin changes urine color to reddish orange and can stain contacts
b b b b b b b b b b
**AVOID RIFAMPIN IN PREGNANCY b b b
Brudzinkski sign (meningeal irritation) (correct answer)Tests formeninge
b b b b b b b
al irritation
b
QUESTION AND ANSWERS 100% VER b b b b
IFIED GRADED BEST FOR DISTINCTI b b b b
ON +** b
Most common type of skin cancer in USA (correct answer)Skin cancer
b b b b b b b b b b
Most common type of skin cancer (correct answer)basal cell carcinoma
b b b b b b b b b
basal cell carcinoma symptoms (correct answer)Appearance varies;smoot
b b b b b b b
h, shiny bump, pink to pearly white
b b b b b b
Basal cell carcinoma common locations (correct answer)cheeks, nose,fac
b b b b b b b b
e, neck, arms, back
b b b
basal cell carcinoma diagnosis gold standard (correct answer)biopsy. ifnot
b b b b b b b b b b
an option, refer to derm
b b b b
Actinic keratosis (correct answer)Precursor to squamous cell carcinoman
b b b b b b b b
umerous dry, round and pink to red lesions w/ rough and scaly texture
b b b b b b b b b b b b
--> does not heal, slow growing in sun exposed areas
b b b b b b b b b
Actinic keratosis diagnosis gold standard (correct answer)Biopsy.
b b b b b b
,if not an option, refer to derm
b b b b b b
Actinic keratosis treatment gold standard (correct answer)small-
b b b b b b
cryotherapy
b
large- number 5-FU (5-flouracil aka efudex). 5-
b b b b b b
FU medication Causesskin to ooze, crust, scab and be red
b b b b b b b b b b
**5-flouracil/ efudex-wear sunscreen!!** b b
squamous cell cancer (correct answer)chronic red scaly rough texturedlesi
b b b b b b b b b
on w/ irregular borders
b b b
crusting or bleeding may be present b b b b b
Squamous cell carcinoma common locations (correct answer)rims ofears,
b b b b b b b b b
lips, nose, face and top of hands
b b b b b b
precursor lesion to squamous cell cancer (correct answer)actinickeratosis
b b b b b b b b
squamous cell carcinoma diagnosis by? (correct answer)biopsy goldstand
b b b b b b b b
ard. if biopsy is not an option, refer to dermatology .
b b b b b b b b b b
Risk factors for skin cancer(melanoma and both non-
b b b b b b b
melanoma) (correctanswer)Blistering sunburn as a child, history of sunbur
b b b b b b b b b
ns, light skin, chronic exposure to UV light (sunlight/tanning beds), moles,
b b b b b b b b b b b
family hx for skin cancer b b b b
,Melanoma symptoms (ABCDE) (correct answer)asymmetry(shape/unev
b b b b b
en texture)
b
border (irregular/notched/blurred)
b
color (variegated colors from black, blue, dark to light brown)di
b b b b b b b b b b
ameter (size >6mm size of pencil eraser or larger)
b b b b b b b b
evolving (changes in color/size/shape)b b b b
may be itchy b b
Acral lengtiginous melanoma (correct answer)Most common type ofmela
b b b b b b b b
noma in dark skinned individuals (blacks & asians)
b b b b b b b
--
> look for longitudinal brown to black bands under the nailbed. achanging
b b b b b b b b b b b b b
spot or mole in the palms, or the soles of the feet
b b b b b b b b b b b
seborrheic keratosis (correct answer)soft, round, wart-
b b b b b
like growth that islight tan to black and looks pasted on
b b b b b b b b b b b
asymptomatic &benign b
Bacterial Meningitis Bacteria (correct answer)Streptococcus
b b b b b
pneumoniae- most common strain b b b
Haemophilus influenzae b b
Neisseria meningitidis E b b
scherichia coli b
*others
, Bacterial meningitis symptoms (Classic Triad) (correct answer)Highfever
b b b b b b b
Nuchal rigidity b
rapid change in mental status w/ headacheT
b b b b b b b
riad=neck up b
erythematous spot-like rash (petechiae) ecchymosis to purple-
b b b b b b
coloredlesions (purpura) which are non-blanchable
b b b b b
Is bacterial meningitis a reportable disease (correct answer)yes!
b b b b b b b
Treatment for Bacterial meningitis-
b b b
patient (correct answer)IV Abx ASAP, resp/droplet iso for first 24-
b b b b b b b b b
48 hrs, hydrate (low maintenance after initial fluid correction), Maintain v
b b b b b b b b b b
entilation and reduce increased intra cranial pressure if present (dexameth
b b b b b b b b b
osone(to reduce inflammation,mannitol to diurese the brain), low stim env
b b b b b b b b b b
ironment, tx complications that may arrive and support family
b b b b b b b b
Treatment for bacterial meningitis-
b b b
close encounter (correct answer)Close contacts should be treated w/ rifam
b b b b b b b b b
pin 600 mg q 12 hoursx 2 days
b b b b b b b b
**Rifampin changes urine color to reddish orange and can stain contacts
b b b b b b b b b b
**AVOID RIFAMPIN IN PREGNANCY b b b
Brudzinkski sign (meningeal irritation) (correct answer)Tests formeninge
b b b b b b b
al irritation
b
