APEA 3P Exam/PMHNP 3P exam prep With evolving (changes in color/size/shape)
may be itchy ii ii
ii ii ii
complete Questions and answers Latest 2024/25 Acral lengtiginous melanoma - Most common type of melanoma in dark skinned
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
individuals (blacks & asians)
ii ii ii ii
Most common type of skin cancer in USA - Skin cancer
ii ii ii ii ii ii ii ii ii ii ii ii
--> look for longitudinal brown to black bands under the nailbed. a changing spot or mole in
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
the palms, or the soles of the feet
ii ii ii ii ii ii ii ii
ii Most common type of skin cancer - basal cell carcinoma
ii ii ii ii ii ii ii ii ii ii ii
seborrheic keratosis - soft, round, wart-like growth that is light tan to black and looks
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
basal cell carcinoma symptoms - Appearance varies; smooth, shiny bump, pink to pearly
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
pasted on
ii ii
white
ii
asymptomatic &benign ii
ii Basal cell carcinoma common locations - cheeks, nose, face, neck, arms, back
ii ii ii ii ii ii ii ii ii ii ii ii ii
Bacterial Meningitis Bacteria - Streptococcus pneumoniae- most common strain
ii ii ii ii ii ii ii ii ii ii ii ii
Haemophilus influenzae ii
ii basal cell carcinoma diagnosis gold standard - biopsy. if not an option, refer to derm
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Neisseria meningitidis ii
Escherichia coli ii
Actinic keratosis - Precursor to squamous cell carcinoma
ii ii ii ii ii ii ii ii ii ii
*others
numerous dry, round and pink to red lesions w/ rough and scaly texture ii ii ii ii ii ii ii ii ii ii ii ii
--> does not heal, slow growing in sun exposed areas
ii ii ii ii ii ii ii ii ii
Bacterial meningitis symptoms (Classic Triad) - High fever
ii ii ii ii ii ii ii ii ii ii
Nuchal rigidity ii
Actinic keratosis diagnosis gold standard - Biopsy.
ii ii ii ii ii ii ii ii ii
rapid change in mental status w/ headache
ii ii ii ii ii ii ii
if not an option, refer to derm
ii ii ii ii ii ii
Triad=neck up ii
erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions (purpura) ii ii ii ii ii ii ii ii
Actinic keratosis treatment gold standard - small- cryotherapy
ii ii ii ii ii ii ii ii ii ii
which are non-blanchable
ii ii ii
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze, crust,
ii ii ii ii ii ii ii ii ii ii ii ii
scab and be red
ii ii ii ii ii
ii Is bacterial meningitis a reportable disease - yes!
ii ii ii ii ii ii ii ii ii
**5-flouracil/ efudex-wear sunscreen!!** ii ii
Treatment for Bacterial meningitis-patient - IV Abx ASAP, resp/droplet iso for first 24-48
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
squamous cell cancer - chronic red scaly rough textured lesion w/ irregular borders
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
hrs, hydrate (low maintenance after initial fluid correction), Maintain ventilation and reduce
ii ii ii ii ii ii ii ii ii ii ii ii
crusting or bleeding may be present ii ii ii ii ii
increased intra cranial pressure if present (dexamethosone(to reduce inflammation,
ii ii ii ii ii ii ii ii ii
mannitol to diurese the brain), low stim environment, tx complications that may arrive and
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Squamous cell carcinoma common locations - rims of ears, lips, nose, face and top of
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
support family
ii ii
hands
ii
Treatment for bacterial meningitis-close encounter - Close contacts should be treated w/
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii precursor lesion to squamous cell cancer - actinic keratosis ii ii ii ii ii ii ii ii ii ii
rifampin 600 mg q 12 hours x 2 days
ii ii ii ii ii ii ii ii ii
**Rifampin changes urine color to reddish orange and can stain contacts ii ii ii ii ii ii ii ii ii ii
squamous cell carcinoma diagnosis by? - biopsy gold standard. if biopsy is not an option,
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
refer to dermatology .
ii ii ii ii
**AVOID RIFAMPIN IN PREGNANCY ii ii ii
Risk factors for skin cancer(melanoma and both non-melanoma) - Blistering sunburn as a
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Brudzinkski sign (meningeal irritation) - Tests for meningeal irritation
ii ii ii ii ii ii ii ii ii ii ii
child, history of sunburns, light skin, chronic exposure to UV light (sunlight/tanning beds),
ii ii ii ii ii ii ii ii ii ii ii ii ii
Patient supine, raise BACK of head and flex chin towards chest
ii ii ii ii ii ii ii ii ii ii
moles, family hx for skin cancer
ii ii ii ii ii ii
+ result if pt automatically beds both hips
ii ii ii ii ii ii ii
--Brudzinski and back of head start with B as well as bends-- ii ii ii ii ii ii ii ii ii ii ii
Melanoma symptoms (ABCDE) - asymmetry (shape/uneven texture)
ii ii ii ii ii ii ii ii ii
border (irregular/notched/blurred) ii
ii Kernig's sign - Tests for meningeal irritation ii ii ii ii ii ii ii ii
color (variegated colors from black, blue, dark to light brown)
ii ii ii ii ii ii ii ii ii
diameter (size >6mm size of pencil eraser or larger) ii ii ii ii ii ii ii ii
, patient supine. flex patients hips and knees in a right angle, then slowly straighten/extend
ii ii ii ii ii ii ii ii ii ii ii ii ii
the legs up
ii ii ii ii 1. Enzyme immunoassay
ii ii
+ result if when the patient complains of pain during extension of leg
ii ii ii ii ii ii ii ii ii ii ii ii 2. western blot test (immunoflurorescence assay/ IFA)
ii ii ii ii ii ii ii
Exam Tip: E before I ii ii ii ii
MCV4 (meningococcal vaccine) Age 11-19 - Give one dose of menactra or menveo
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
primary dose given age 12 or younger give a booster at age 16-18
ii ii ii ii ii ii ii ii ii ii ii ii Will have increased ESR
ii ii ii
MCV4 (meningococcal vaccine) Age 19-21 - Give one dose of menactra or menveo if
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii Erythema Migrans (early Lyme disease): TX - Doxycycline is always first line for all ages
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
never had either
ii ii ii 100 mg BID x 10-21 days
ii ii ii ii ii ii
Rocky mountain spotted fever (RMSF) symptoms - Fever
ii ii ii ii ii ii ii ii ii ii Remove ticks by grasping with tweezers or forceps close to the skin and pulling gently with
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
chills steady pressure. After removing the tick, clean area with rubbing alcohol, iodine scrub, or
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
N/V soap and water. Dispose of the tick by flushing it into the toilet
ii ii ii ii ii ii ii ii ii ii ii ii ii
myalgia
arthralgia ii Tick repellant skin use - DEET
ii ii ii ii ii ii ii
2-5 days later develop petechial rash on forearms, ankles, and wrists that spreads towards
ii ii ii ii ii ii ii ii ii ii ii ii ii
trunk and becomes generalised. sometimes rash develops on palms and soles
ii ii ii ii ii ii ii ii ii ii ii ii Tick repellant clothing use - Permethrin
ii ii ii ii ii ii ii
**RASH DEVELOPS INWARDS** ii ii
Brown Recluse Spider Bite: SX - • Fever, chills • Nausea and Vomiting • Located in the
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii RMSF pneumonic (RMSF) - R-Rash ii ii ii ii ii ii ii arms, upper legs, or the trunk • Bitten area becomes swollen, red, and tender, or can be
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii M-Muscle aches (myalgia) ii ii ii painless • Blisters appear within 24-48 hours • Necrotic in center, which kills the tissue
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii S-Stomach aches (nausea and vomiting) ii ii ii ii ii **can be painless ii ii
ii F-Fever (>102 F) ii ii
Brown Recluse Spider Bite treatment - Treatment: • Ice packs to wound as the cold
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Rocky Mountain Spotted Fever (RMSF): Located: - •Think "Rocky"- North Carolina,
ii ii ii ii ii ii ii ii ii ii ii ii ii inactivates the toxin • Treat like cellulitis of the skin • Antibiotic ointment at first and watch
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Oklahoma, Arkansas, Tennessee, Missouri
ii ii ii ii ii
Spring to Fall (April to September)
ii ii ii ii ii ii Skin lesions - primary skin lesions
ii ii ii ii ii ii ii ii
Macule Vesicle Papule MVP Size: <1 CM ii ii ii ii ii ii
Rocky Mountain Spotted Fever (RMSF): DX - PCR assay by indirect
ii ii ii ii ii ii ii ii ii ii ii ii ii
immunofluorescence antibody (IFA) assay for immunoglobulin G (IgG) for Rickettsia
ii ii ii ii ii ii ii ii ii ii Macule - Flat, nonpalpable, but visually distinct areas on the skin surface with color
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Rickettsii
ii different from the person's normal skin; less than 1 cm
ii ii ii ii ii ii ii ii ii ii
FRECKLE
Rocky Mountain Spotted Fever (RMSF): tx - Doxycycline is always first line for all ages
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
100 mg every 12 hours x 7-10 days
ii ii ii ii ii ii ii ii ii Vesicle - elevated, raised lesion filled with serous fluid (herpetic lesions)
ii ii ii ii ii ii ii ii ii ii ii ii
Can be fatal if not treated within the first 5 days
ii ii ii ii ii ii ii ii ii ii ii
ii Papule - palpable solid lesion (acne, moles)
ii ii ii ii ii ii ii ii
Erythema Migrans (early Lyme disease): Symptoms - Usually appears in 7-14 days after
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
being bitten by a deer tick; range 3-30 days
ii ii ii ii ii ii ii ii ii ii ii primary skin lesions >1cm in size - Nodule ii ii ii ii ii ii ii ii ii
Target bull's-eye Rash is hot to touch with rough texture. Expanding red rash with central
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii Plaque
clearing • Common locations are belt line, axillary area, behind the knees, and groin area •
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii Bullae (Blister) ii
Positive for flu like symptoms. Lesions and rash resolve within a few weeks with or without
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii Pustule
treatment
ii ii Wheal
Erythema Migrans (early Lyme disease): DX - Dx: • First step is enzyme immunoassay
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii Nodule - raised solid lesion (BCC) ii ii ii ii ii ii ii
(EIA) also knows as ELISA if negative no further testing needed. If positive confirm with
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Western Blot test (aka indirect immunofluorescence assay (IFA) for Borrelia Burgdorferi
ii ii ii ii ii ii ii ii ii ii ii ii ii Plaque - solid raised lesion with flat top (psoriasis)
ii ii ii ii ii ii ii ii ii ii
may be itchy ii ii
ii ii ii
complete Questions and answers Latest 2024/25 Acral lengtiginous melanoma - Most common type of melanoma in dark skinned
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
individuals (blacks & asians)
ii ii ii ii
Most common type of skin cancer in USA - Skin cancer
ii ii ii ii ii ii ii ii ii ii ii ii
--> look for longitudinal brown to black bands under the nailbed. a changing spot or mole in
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
the palms, or the soles of the feet
ii ii ii ii ii ii ii ii
ii Most common type of skin cancer - basal cell carcinoma
ii ii ii ii ii ii ii ii ii ii ii
seborrheic keratosis - soft, round, wart-like growth that is light tan to black and looks
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
basal cell carcinoma symptoms - Appearance varies; smooth, shiny bump, pink to pearly
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
pasted on
ii ii
white
ii
asymptomatic &benign ii
ii Basal cell carcinoma common locations - cheeks, nose, face, neck, arms, back
ii ii ii ii ii ii ii ii ii ii ii ii ii
Bacterial Meningitis Bacteria - Streptococcus pneumoniae- most common strain
ii ii ii ii ii ii ii ii ii ii ii ii
Haemophilus influenzae ii
ii basal cell carcinoma diagnosis gold standard - biopsy. if not an option, refer to derm
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Neisseria meningitidis ii
Escherichia coli ii
Actinic keratosis - Precursor to squamous cell carcinoma
ii ii ii ii ii ii ii ii ii ii
*others
numerous dry, round and pink to red lesions w/ rough and scaly texture ii ii ii ii ii ii ii ii ii ii ii ii
--> does not heal, slow growing in sun exposed areas
ii ii ii ii ii ii ii ii ii
Bacterial meningitis symptoms (Classic Triad) - High fever
ii ii ii ii ii ii ii ii ii ii
Nuchal rigidity ii
Actinic keratosis diagnosis gold standard - Biopsy.
ii ii ii ii ii ii ii ii ii
rapid change in mental status w/ headache
ii ii ii ii ii ii ii
if not an option, refer to derm
ii ii ii ii ii ii
Triad=neck up ii
erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions (purpura) ii ii ii ii ii ii ii ii
Actinic keratosis treatment gold standard - small- cryotherapy
ii ii ii ii ii ii ii ii ii ii
which are non-blanchable
ii ii ii
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze, crust,
ii ii ii ii ii ii ii ii ii ii ii ii
scab and be red
ii ii ii ii ii
ii Is bacterial meningitis a reportable disease - yes!
ii ii ii ii ii ii ii ii ii
**5-flouracil/ efudex-wear sunscreen!!** ii ii
Treatment for Bacterial meningitis-patient - IV Abx ASAP, resp/droplet iso for first 24-48
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
squamous cell cancer - chronic red scaly rough textured lesion w/ irregular borders
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
hrs, hydrate (low maintenance after initial fluid correction), Maintain ventilation and reduce
ii ii ii ii ii ii ii ii ii ii ii ii
crusting or bleeding may be present ii ii ii ii ii
increased intra cranial pressure if present (dexamethosone(to reduce inflammation,
ii ii ii ii ii ii ii ii ii
mannitol to diurese the brain), low stim environment, tx complications that may arrive and
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Squamous cell carcinoma common locations - rims of ears, lips, nose, face and top of
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
support family
ii ii
hands
ii
Treatment for bacterial meningitis-close encounter - Close contacts should be treated w/
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii precursor lesion to squamous cell cancer - actinic keratosis ii ii ii ii ii ii ii ii ii ii
rifampin 600 mg q 12 hours x 2 days
ii ii ii ii ii ii ii ii ii
**Rifampin changes urine color to reddish orange and can stain contacts ii ii ii ii ii ii ii ii ii ii
squamous cell carcinoma diagnosis by? - biopsy gold standard. if biopsy is not an option,
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
refer to dermatology .
ii ii ii ii
**AVOID RIFAMPIN IN PREGNANCY ii ii ii
Risk factors for skin cancer(melanoma and both non-melanoma) - Blistering sunburn as a
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Brudzinkski sign (meningeal irritation) - Tests for meningeal irritation
ii ii ii ii ii ii ii ii ii ii ii
child, history of sunburns, light skin, chronic exposure to UV light (sunlight/tanning beds),
ii ii ii ii ii ii ii ii ii ii ii ii ii
Patient supine, raise BACK of head and flex chin towards chest
ii ii ii ii ii ii ii ii ii ii
moles, family hx for skin cancer
ii ii ii ii ii ii
+ result if pt automatically beds both hips
ii ii ii ii ii ii ii
--Brudzinski and back of head start with B as well as bends-- ii ii ii ii ii ii ii ii ii ii ii
Melanoma symptoms (ABCDE) - asymmetry (shape/uneven texture)
ii ii ii ii ii ii ii ii ii
border (irregular/notched/blurred) ii
ii Kernig's sign - Tests for meningeal irritation ii ii ii ii ii ii ii ii
color (variegated colors from black, blue, dark to light brown)
ii ii ii ii ii ii ii ii ii
diameter (size >6mm size of pencil eraser or larger) ii ii ii ii ii ii ii ii
, patient supine. flex patients hips and knees in a right angle, then slowly straighten/extend
ii ii ii ii ii ii ii ii ii ii ii ii ii
the legs up
ii ii ii ii 1. Enzyme immunoassay
ii ii
+ result if when the patient complains of pain during extension of leg
ii ii ii ii ii ii ii ii ii ii ii ii 2. western blot test (immunoflurorescence assay/ IFA)
ii ii ii ii ii ii ii
Exam Tip: E before I ii ii ii ii
MCV4 (meningococcal vaccine) Age 11-19 - Give one dose of menactra or menveo
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
primary dose given age 12 or younger give a booster at age 16-18
ii ii ii ii ii ii ii ii ii ii ii ii Will have increased ESR
ii ii ii
MCV4 (meningococcal vaccine) Age 19-21 - Give one dose of menactra or menveo if
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii Erythema Migrans (early Lyme disease): TX - Doxycycline is always first line for all ages
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
never had either
ii ii ii 100 mg BID x 10-21 days
ii ii ii ii ii ii
Rocky mountain spotted fever (RMSF) symptoms - Fever
ii ii ii ii ii ii ii ii ii ii Remove ticks by grasping with tweezers or forceps close to the skin and pulling gently with
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
chills steady pressure. After removing the tick, clean area with rubbing alcohol, iodine scrub, or
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
N/V soap and water. Dispose of the tick by flushing it into the toilet
ii ii ii ii ii ii ii ii ii ii ii ii ii
myalgia
arthralgia ii Tick repellant skin use - DEET
ii ii ii ii ii ii ii
2-5 days later develop petechial rash on forearms, ankles, and wrists that spreads towards
ii ii ii ii ii ii ii ii ii ii ii ii ii
trunk and becomes generalised. sometimes rash develops on palms and soles
ii ii ii ii ii ii ii ii ii ii ii ii Tick repellant clothing use - Permethrin
ii ii ii ii ii ii ii
**RASH DEVELOPS INWARDS** ii ii
Brown Recluse Spider Bite: SX - • Fever, chills • Nausea and Vomiting • Located in the
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii RMSF pneumonic (RMSF) - R-Rash ii ii ii ii ii ii ii arms, upper legs, or the trunk • Bitten area becomes swollen, red, and tender, or can be
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii M-Muscle aches (myalgia) ii ii ii painless • Blisters appear within 24-48 hours • Necrotic in center, which kills the tissue
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii S-Stomach aches (nausea and vomiting) ii ii ii ii ii **can be painless ii ii
ii F-Fever (>102 F) ii ii
Brown Recluse Spider Bite treatment - Treatment: • Ice packs to wound as the cold
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Rocky Mountain Spotted Fever (RMSF): Located: - •Think "Rocky"- North Carolina,
ii ii ii ii ii ii ii ii ii ii ii ii ii inactivates the toxin • Treat like cellulitis of the skin • Antibiotic ointment at first and watch
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Oklahoma, Arkansas, Tennessee, Missouri
ii ii ii ii ii
Spring to Fall (April to September)
ii ii ii ii ii ii Skin lesions - primary skin lesions
ii ii ii ii ii ii ii ii
Macule Vesicle Papule MVP Size: <1 CM ii ii ii ii ii ii
Rocky Mountain Spotted Fever (RMSF): DX - PCR assay by indirect
ii ii ii ii ii ii ii ii ii ii ii ii ii
immunofluorescence antibody (IFA) assay for immunoglobulin G (IgG) for Rickettsia
ii ii ii ii ii ii ii ii ii ii Macule - Flat, nonpalpable, but visually distinct areas on the skin surface with color
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Rickettsii
ii different from the person's normal skin; less than 1 cm
ii ii ii ii ii ii ii ii ii ii
FRECKLE
Rocky Mountain Spotted Fever (RMSF): tx - Doxycycline is always first line for all ages
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
100 mg every 12 hours x 7-10 days
ii ii ii ii ii ii ii ii ii Vesicle - elevated, raised lesion filled with serous fluid (herpetic lesions)
ii ii ii ii ii ii ii ii ii ii ii ii
Can be fatal if not treated within the first 5 days
ii ii ii ii ii ii ii ii ii ii ii
ii Papule - palpable solid lesion (acne, moles)
ii ii ii ii ii ii ii ii
Erythema Migrans (early Lyme disease): Symptoms - Usually appears in 7-14 days after
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
being bitten by a deer tick; range 3-30 days
ii ii ii ii ii ii ii ii ii ii ii primary skin lesions >1cm in size - Nodule ii ii ii ii ii ii ii ii ii
Target bull's-eye Rash is hot to touch with rough texture. Expanding red rash with central
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii Plaque
clearing • Common locations are belt line, axillary area, behind the knees, and groin area •
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii Bullae (Blister) ii
Positive for flu like symptoms. Lesions and rash resolve within a few weeks with or without
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii Pustule
treatment
ii ii Wheal
Erythema Migrans (early Lyme disease): DX - Dx: • First step is enzyme immunoassay
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii Nodule - raised solid lesion (BCC) ii ii ii ii ii ii ii
(EIA) also knows as ELISA if negative no further testing needed. If positive confirm with
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Western Blot test (aka indirect immunofluorescence assay (IFA) for Borrelia Burgdorferi
ii ii ii ii ii ii ii ii ii ii ii ii ii Plaque - solid raised lesion with flat top (psoriasis)
ii ii ii ii ii ii ii ii ii ii
