APEA 3P/ **APEA PREDICTOR EXAM QUESTION AND ANSWERS

APEA 3P/ **APEA PREDICTOR EXAM
QUESTION AND ANSWERS 100% ba




VERIFIEDGRADEDBESTFOR a
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DISTINCTION +**
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MostcommontypeofskincancerinUSA(correctanswer)Skincancer
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Mostcommontypeofskincancer(correctanswer)basalcellcarcinoma
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basalcellcarcinomasymptoms(correctanswer)Appearancevaries; smooth,
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shiny bump, pink to pearly white
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Basalcellcarcinomacommonlocations(correctanswer)cheeks,nose, face,
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neck, arms, back
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basalcellcarcinomadiagnosisgoldstandard(correctanswer)biopsy.if not an
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option, refer to derm
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Actinickeratosis(correctanswer)Precursortosquamouscellcarcinoma
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numerous dry, round and pink to red lesions w/ rough and scaly texture
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-->doesnotheal,slowgrowinginsunexposedareas
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Actinickeratosisdiagnosisgoldstandard(correctanswer)Biopsy.
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,ifnot anoption,referto derm
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Actinickeratosistreatmentgoldstandard(correctanswer)small- cryotherapy
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large-number5-FU(5-flouracilaka efudex).5-FU medicationCauses skin to
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ooze, crust, scab and be red
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**5-flouracil/efudex-wearsunscreen!!** ba ba




squamouscellcancer(correctanswer)chronicred scalyrough textured lesion
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w/ irregular borders
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crustingorbleedingmaybepresent ba ba ba ba ba




Squamouscellcarcinomacommonlocations(correctanswer)rimsof ears, ba ba ba ba ba ba ba ba




lips, nose, face and top of hands
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precursorlesiontosquamouscellcancer(correctanswer)actinic keratosis
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squamouscellcarcinomadiagnosisby?(correct answer)biopsy gold ba ba ba ba ba ba ba




standard. if biopsy is not an option, refer to dermatology .
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Riskfactorsfor skincancer(melanomaandbothnon-melanoma)(correct
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answer)Blistering sunburn as a child, history of sunburns, light skin, chronic
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exposure to UV light (sunlight/tanning beds), moles, family hx for skin
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cancer
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,Melanomasymptoms(ABCDE)(correctanswer)asymmetry (shape/uneven ba ba ba ba ba




texture)
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border(irregular/notched/blurred) ba




color(variegated colorsfromblack,blue,dark to light brown) diameter
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(size >6mm size of pencil eraser or larger)
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evolving(changesincolor/size/shape) ba ba ba




may be itchy
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Acrallengtiginousmelanoma(correctanswer)Mostcommontype of
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melanoma in dark skinned individuals (blacks & asians)
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--> look for longitudinal brown to blackbands under the nailbed.a changing
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spot or mole in the palms, or the soles of the feet
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seborrheic keratosis (correctanswer)soft,round,wart-like growththat is lightba ba ba ba ba ba ba ba ba




tan to black and looks pasted on
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asymptomatic&benign ba




BacterialMeningitisBacteria(correctanswer)Streptococcus ba ba ba ba




pneumoniae- most common strain
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Haemophilusinfluenzae ba




Neisseria meningitidis
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Escherichia coli
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*others

, Bacterialmeningitissymptoms(ClassicTriad)(correctanswer)High fever
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Nuchalrigidity ba




rapidchangeinmentalstatusw/headache Triad=neck
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ba up
erythematousspot-likerash (petechiae)ecchymosistopurple-colored ba ba ba ba ba ba




lesions (purpura) which are non-blanchable
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Isbacterialmeningitisareportabledisease(correctanswer)yes!
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Treatment for Bacterial meningitis-patient (correct answer)IVAbx ASAP,
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resp/droplet iso for first 24-48 hrs, hydrate (low maintenance after initial
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fluid correction), Maintain ventilation and reduce increased intracranial
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pressureif present(dexamethosone(toreduceinflammation, mannitol to
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diurese the brain), low stim environment, tx complications that may arrive
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and support family
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Treatment for bacterial meningitis-close encounter (correct answer)Close
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contactsshould be treatedw/rifampin 600 mg q 12 hours x 2 days
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**Rifampinchangesurinecolortoreddishorangeandcanstaincontacts ba ba ba ba ba ba ba ba ba ba




**AVOIDRIFAMPININPREGNANCY ba ba ba




Brudzinkskisign(meningealirritation)(correctanswer)Testsfor meningeal ba ba ba ba ba ba ba




irritation
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