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

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




VERIFIEDGRADEDBESTFOR ,i ,i ,i




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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,ifnotanoption,refertoderm
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Actinickeratosistreatmentgoldstandard(correctanswer)small- cryotherapy
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large-number5-FU(5-flouracilakaefudex).5-FUmedicationCauses skin to
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ooze, crust, scab and be red
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**5-flouracil/efudex-wearsunscreen!!** ,i ,i




squamouscellcancer(correctanswer)chronicredscalyroughtextured lesion ,i ,i ,i ,i ,i ,i ,i ,i ,i




w/ irregular borders
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crustingorbleedingmaybepresent ,i ,i ,i ,i ,i




Squamouscellcarcinomacommonlocations(correctanswer)rimsof ears, ,i ,i ,i ,i ,i ,i ,i ,i




lips, nose, face and top of hands
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precursorlesiontosquamouscellcancer(correctanswer)actinic keratosis
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squamouscellcarcinomadiagnosisby?(correctanswer)biopsygold ,i ,i ,i ,i ,i ,i ,i




standard. if biopsy is not an option, refer to dermatology .
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Riskfactorsforskincancer(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 cancer
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,Melanomasymptoms(ABCDE)(correctanswer)asymmetry (shape/uneven ,i ,i ,i ,i ,i




texture)
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border(irregular/notched/blurred) ,i




color(variegatedcolorsfromblack,blue,darktolightbrown) diameter (size
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>6mm size of pencil eraser or larger)
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evolving(changesincolor/size/shape) ,i ,i ,i




may be itchy
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Acrallengtiginousmelanoma(correctanswer)Mostcommontypeof
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melanoma in dark skinned individuals (blacks & asians)
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-->lookfor longitudinalbrowntoblackbandsunderthenailbed.a changing
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spot or mole in the palms, or the soles of the feet
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seborrheickeratosis(correctanswer)soft,round,wart-likegrowththatis light ,i ,i ,i ,i ,i ,i ,i ,i ,i




tan to black and looks pasted on
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asymptomatic&benign ,i




BacterialMeningitisBacteria(correctanswer)Streptococcus ,i ,i ,i ,i




pneumoniae- most common strain
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Haemophilusinfluenzae ,i




Neisseria meningitidis
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Escherichia coli
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*others

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




rapidchangeinmentalstatusw/headache Triad=neck
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,i up
erythematousspot-likerash(petechiae)ecchymosistopurple-colored lesions ,i ,i ,i ,i ,i ,i ,i




(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 fluid
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correction), Maintain ventilation and reduce increased intracranialpressure
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ifpresent(dexamethosone(toreduceinflammation, mannitol to diurese the
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brain), low stim environment, tx complications that may arrive and support
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family
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Treatment for bacterial meningitis-close encounter (correct answer)Close
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contactsshouldbetreatedw/rifampin600mgq12hours x 2 days
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**Rifampinchangesurinecolortoreddishorangeandcanstaincontacts ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i




**AVOIDRIFAMPININPREGNANCY ,i ,i ,i




Brudzinkskisign(meningealirritation)(correctanswer)Testsfor meningeal ,i ,i ,i ,i ,i ,i ,i




irritation
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