APEA 3P Exam
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1. Most common Skin cancer
type of skin can-
cer in USA
2. Most common basal cell carcinoma
type of skin can-
cer
3. basal cell carcino- Appearance varies; smooth, shiny bump, pink to pearly white
ma symptoms
4. Basal cell car- cheeks, nose, face, neck, arms, back
cinoma common
locations
5. basal cell carci- biopsy. if not an option, refer to derm
noma diagnosis
gold standard
6. 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
7. Actinic keratosis Biopsy.
diagnosis gold if not an option, refer to derm
standard
8. Actinic keratosis small- cryotherapy
treatment gold large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze,
standard crust, scab and be red
**5-flouracil/ efudex-wear sunscreen!!**
9.
, APEA 3P Exam
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squamous cell chronic red scaly rough textured lesion w/ irregular borders
cancer crusting or bleeding may be present
10. Squamous cell rims of ears, lips, nose, face and top of hands
carcinoma com-
mon locations
11. precursor lesion actinic keratosis
to squamous cell
cancer
12. squamous cell biopsy gold standard. if biopsy is not an option, refer to dermatology .
carcinoma diag-
nosis by?
13. Risk factors for Blistering sunburn as a child, history of sunburns, light skin, chronic exposure to
skin UV light (sunlight/tanning beds), moles, family hx for skin cancer
can-
cer(melanoma
and both
non-melanoma)
14. Melanoma symp- asymmetry (shape/uneven texture)
toms (ABCDE) border (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
15. Acral lengtigi- Most common type of melanoma in dark skinned individuals (blacks & asians)
nous melanoma --> look for longitudinal brown to black bands under the nailbed. a changing spot
or mole in the palms, or the soles of the feet
, APEA 3P Exam
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16. seborrheic ker- soft, round, wart-like growth that is light tan to black and looks pasted on
atosis asymptomatic &benign
17. Bacterial Menin- Streptococcus pneumoniae- most common strain
gitis Bacteria Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
18. Bacterial menin- High fever
gitis symptoms Nuchal rigidity
(Classic Triad) rapid change in mental status w/ headache
Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions
(purpura) which are non-blanchable
19. Is bacterial yes!
meningitis a re-
portable disease
20. Treatment for IV Abx ASAP, resp/droplet iso for first 24-48 hrs, hydrate (low maintenance after
Bacterial menin- initial fluid correction), Maintain ventilation and reduce increased intra cranial
gitis-patient pressure if present (dexamethosone(to reduce inflammation, mannitol to diurese
the brain), low stim environment, tx complications that may arrive and support
family
21. Treatment for Close contacts should be treated w/ rifampin 600 mg q 12 hours x 2 days
bacterial menin- **Rifampin changes urine color to reddish orange and can stain contacts
gitis-close en-
counter **AVOID RIFAMPIN IN PREGNANCY
22. Tests for meningeal irritation
Patient supine, raise BACK of head and flex chin towards chest
, APEA 3P Exam
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Brudzinkski sign + result if pt automatically beds both hips
(meningeal irrita- --Brudzinski and back of head start with B as well as bends--
tion)
23. Kernig's sign Tests for meningeal irritation
patient supine. flex patients hips and knees in a right angle, then slowly straight-
en/extend the legs up
+ result if when the patient complains of pain during extension of leg
24. MCV4 (meningo- Give one dose of menactra or menveo
coccal vaccine) primary dose given age 12 or younger give a booster at age 16-18
Age 11-19
25. MCV4 (meningo- Give one dose of menactra or menveo if never had either
coccal vaccine)
Age 19-21
26. Rocky mountain Fever
spotted fever chills
(RMSF) symp- N/V
toms 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**
27. RMSF pneumonic R-Rash
(RMSF) M-Muscle aches (myalgia)
S-Stomach aches (nausea and vomiting)
F-Fever (>102 F)
28.
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1. Most common Skin cancer
type of skin can-
cer in USA
2. Most common basal cell carcinoma
type of skin can-
cer
3. basal cell carcino- Appearance varies; smooth, shiny bump, pink to pearly white
ma symptoms
4. Basal cell car- cheeks, nose, face, neck, arms, back
cinoma common
locations
5. basal cell carci- biopsy. if not an option, refer to derm
noma diagnosis
gold standard
6. 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
7. Actinic keratosis Biopsy.
diagnosis gold if not an option, refer to derm
standard
8. Actinic keratosis small- cryotherapy
treatment gold large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze,
standard crust, scab and be red
**5-flouracil/ efudex-wear sunscreen!!**
9.
, APEA 3P Exam
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squamous cell chronic red scaly rough textured lesion w/ irregular borders
cancer crusting or bleeding may be present
10. Squamous cell rims of ears, lips, nose, face and top of hands
carcinoma com-
mon locations
11. precursor lesion actinic keratosis
to squamous cell
cancer
12. squamous cell biopsy gold standard. if biopsy is not an option, refer to dermatology .
carcinoma diag-
nosis by?
13. Risk factors for Blistering sunburn as a child, history of sunburns, light skin, chronic exposure to
skin UV light (sunlight/tanning beds), moles, family hx for skin cancer
can-
cer(melanoma
and both
non-melanoma)
14. Melanoma symp- asymmetry (shape/uneven texture)
toms (ABCDE) border (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
15. Acral lengtigi- Most common type of melanoma in dark skinned individuals (blacks & asians)
nous melanoma --> look for longitudinal brown to black bands under the nailbed. a changing spot
or mole in the palms, or the soles of the feet
, APEA 3P Exam
Study online at https://quizlet.com/_evwt1h
16. seborrheic ker- soft, round, wart-like growth that is light tan to black and looks pasted on
atosis asymptomatic &benign
17. Bacterial Menin- Streptococcus pneumoniae- most common strain
gitis Bacteria Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
18. Bacterial menin- High fever
gitis symptoms Nuchal rigidity
(Classic Triad) rapid change in mental status w/ headache
Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions
(purpura) which are non-blanchable
19. Is bacterial yes!
meningitis a re-
portable disease
20. Treatment for IV Abx ASAP, resp/droplet iso for first 24-48 hrs, hydrate (low maintenance after
Bacterial menin- initial fluid correction), Maintain ventilation and reduce increased intra cranial
gitis-patient pressure if present (dexamethosone(to reduce inflammation, mannitol to diurese
the brain), low stim environment, tx complications that may arrive and support
family
21. Treatment for Close contacts should be treated w/ rifampin 600 mg q 12 hours x 2 days
bacterial menin- **Rifampin changes urine color to reddish orange and can stain contacts
gitis-close en-
counter **AVOID RIFAMPIN IN PREGNANCY
22. Tests for meningeal irritation
Patient supine, raise BACK of head and flex chin towards chest
, APEA 3P Exam
Study online at https://quizlet.com/_evwt1h
Brudzinkski sign + result if pt automatically beds both hips
(meningeal irrita- --Brudzinski and back of head start with B as well as bends--
tion)
23. Kernig's sign Tests for meningeal irritation
patient supine. flex patients hips and knees in a right angle, then slowly straight-
en/extend the legs up
+ result if when the patient complains of pain during extension of leg
24. MCV4 (meningo- Give one dose of menactra or menveo
coccal vaccine) primary dose given age 12 or younger give a booster at age 16-18
Age 11-19
25. MCV4 (meningo- Give one dose of menactra or menveo if never had either
coccal vaccine)
Age 19-21
26. Rocky mountain Fever
spotted fever chills
(RMSF) symp- N/V
toms 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**
27. RMSF pneumonic R-Rash
(RMSF) M-Muscle aches (myalgia)
S-Stomach aches (nausea and vomiting)
F-Fever (>102 F)
28.
