APEA (PMHNP 3P Exam Prep) Complete
Study Guide / Newest Actual Exam Questions and
Correct Answers (Verified, Detailed Answers) A
Grade.
Terms in this set (204)
Most common type of skin Skin cancer
cancer in USA
Most common type of skin basal cell carcinoma
cancer
basal cell carcinoma Appearance varies; smooth, shiny bump, pink to pearly
symptoms white
Basal cell carcinoma common cheeks, nose, face, neck, arms, back
locations
basal cell carcinoma biopsy. if not an option, refer to derm
diagnosis gold standard
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
Actinic keratosis diagnosis Biopsy.
gold standard if not an option, refer to derm
Actinic keratosis treatment small- cryotherapy
gold standard 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!!*
, chronic red scaly rough textured lesion w/ irregular
squamous cell cancer
borders crusting or bleeding may be present
Squamous cell carcinoma rims of ears, lips, nose, face and top of hands
common locations
precursor lesion to actinic keratosis
squamous cell cancer
squamous cell carcinoma biopsy gold standard. if biopsy is not an option, refer to
diagnosis by? dermatology .
Risk factors for skin Blistering sunburn as a child, history of sunburns, light skin,
cancer(melanoma and both chronic exposure to UV light (sunlight/tanning beds), moles,
non-melanoma) family hx for skin cancer
Melanoma symptoms asymmetry (shape/uneven texture) border
(ABCDE) (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
Acral lengtiginous Most common type of melanoma in dark skinned individuals
melanoma (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 soft, round, wart-like growth that is light tan to black and
looks pasted on asymptomatic &benign
Streptococcus pneumoniae- most common strain
Haemophilus influenzae
Bacterial Meningitis
Neisseria meningitidis
Bacteria
Escherichia coli
*others
,Bacterial meningitis High fever Nuchal
symptoms (Classic Triad) rigidity
rapid change in mental status w/ headache Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to
purple-colored lesions (purpura) which are
nonblanchable
Is bacterial meningitis a yes!
reportable disease
Treatment for Bacterial IV Abx ASAP, resp/droplet iso for first 24-48 hrs, hydrate (low
meningitis-patient 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 Close contacts should be treated w/ rifampin 600 mg q 12
meningitis-close encounter hours x 2 days
**Rifampin changes urine color to reddish orange and can stain
contacts
**AVOID RIFAMPIN IN PREGNANCY
Brudzinkski sign Tests for meningeal irritation
(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--
Tests for meningeal irritation patient supine. flex patients
hips and knees in a right angle, then slowly
Kernig's sign
straighten/extend the legs up + result if when the patient
complains of pain during extension of leg
, MCV4 (meningococcal Give one dose of menactra or menveo primary dose given
vaccine) Age 11-19 age 12 or younger give a booster at age 16-18
MCV4 (meningococcal Give one dose of menactra or menveo if never had either
vaccine) Age 19-21
Rocky mountain spotted Fever
fever (RMSF) symptoms 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
*RASH DEVELOPS INWARDS*
RMSF pneumonic (RMSF) R-Rash
M-Muscle aches (myalgia)
S-Stomach aches (nausea and vomiting)
F-Fever (>102 F)
Rocky Mountain Spotted •Think "Rocky"- North Carolina, Oklahoma, Arkansas,
Fever (RMSF): Located: Tennessee, Missouri
Spring to Fall (April to September)
Rocky Mountain Spotted PCR assay by indirect immunofluorescence antibody
Fever (RMSF): DX (IFA) assay for immunoglobulin G (IgG) for Rickettsia
Rickettsii
Doxycycline is always first line for all ages
Rocky Mountain Spotted
100 mg every 12 hours x 7-10 days
Fever (RMSF): tx
Can be fatal if not treated within the first 5 days
Study Guide / Newest Actual Exam Questions and
Correct Answers (Verified, Detailed Answers) A
Grade.
Terms in this set (204)
Most common type of skin Skin cancer
cancer in USA
Most common type of skin basal cell carcinoma
cancer
basal cell carcinoma Appearance varies; smooth, shiny bump, pink to pearly
symptoms white
Basal cell carcinoma common cheeks, nose, face, neck, arms, back
locations
basal cell carcinoma biopsy. if not an option, refer to derm
diagnosis gold standard
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
Actinic keratosis diagnosis Biopsy.
gold standard if not an option, refer to derm
Actinic keratosis treatment small- cryotherapy
gold standard 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!!*
, chronic red scaly rough textured lesion w/ irregular
squamous cell cancer
borders crusting or bleeding may be present
Squamous cell carcinoma rims of ears, lips, nose, face and top of hands
common locations
precursor lesion to actinic keratosis
squamous cell cancer
squamous cell carcinoma biopsy gold standard. if biopsy is not an option, refer to
diagnosis by? dermatology .
Risk factors for skin Blistering sunburn as a child, history of sunburns, light skin,
cancer(melanoma and both chronic exposure to UV light (sunlight/tanning beds), moles,
non-melanoma) family hx for skin cancer
Melanoma symptoms asymmetry (shape/uneven texture) border
(ABCDE) (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
Acral lengtiginous Most common type of melanoma in dark skinned individuals
melanoma (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 soft, round, wart-like growth that is light tan to black and
looks pasted on asymptomatic &benign
Streptococcus pneumoniae- most common strain
Haemophilus influenzae
Bacterial Meningitis
Neisseria meningitidis
Bacteria
Escherichia coli
*others
,Bacterial meningitis High fever Nuchal
symptoms (Classic Triad) rigidity
rapid change in mental status w/ headache Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to
purple-colored lesions (purpura) which are
nonblanchable
Is bacterial meningitis a yes!
reportable disease
Treatment for Bacterial IV Abx ASAP, resp/droplet iso for first 24-48 hrs, hydrate (low
meningitis-patient 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 Close contacts should be treated w/ rifampin 600 mg q 12
meningitis-close encounter hours x 2 days
**Rifampin changes urine color to reddish orange and can stain
contacts
**AVOID RIFAMPIN IN PREGNANCY
Brudzinkski sign Tests for meningeal irritation
(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--
Tests for meningeal irritation patient supine. flex patients
hips and knees in a right angle, then slowly
Kernig's sign
straighten/extend the legs up + result if when the patient
complains of pain during extension of leg
, MCV4 (meningococcal Give one dose of menactra or menveo primary dose given
vaccine) Age 11-19 age 12 or younger give a booster at age 16-18
MCV4 (meningococcal Give one dose of menactra or menveo if never had either
vaccine) Age 19-21
Rocky mountain spotted Fever
fever (RMSF) symptoms 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
*RASH DEVELOPS INWARDS*
RMSF pneumonic (RMSF) R-Rash
M-Muscle aches (myalgia)
S-Stomach aches (nausea and vomiting)
F-Fever (>102 F)
Rocky Mountain Spotted •Think "Rocky"- North Carolina, Oklahoma, Arkansas,
Fever (RMSF): Located: Tennessee, Missouri
Spring to Fall (April to September)
Rocky Mountain Spotted PCR assay by indirect immunofluorescence antibody
Fever (RMSF): DX (IFA) assay for immunoglobulin G (IgG) for Rickettsia
Rickettsii
Doxycycline is always first line for all ages
Rocky Mountain Spotted
100 mg every 12 hours x 7-10 days
Fever (RMSF): tx
Can be fatal if not treated within the first 5 days
