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APE-3P-FINAL-EXAM-COMPREHENSIVE-REVIEW-OF-SKIN-DISORDERS: 300+ HIGH-YIELD CONCEPTS WITH CORRECT ANSWERS | GRADED A+ GUARANTEED PASS!!

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THE ULTIMATE XAPE-3P FINAL EXAM COMPREHENSIVE REVIEW OF SKIN DISORDERS – 300+ HIGH-YIELD CONCEPTS WITH CORRECT ANSWERS! GRADED A+ GUARANTEED PASS!! Are you an NP student struggling to master the MASSIVE dermatology content on the APEA 3P exam? YOUR SEARCH ENDS HERE. This is your COMPREHENSIVE REVIEW of skin disorders – featuring 300+ high-yield concepts covering everything from common skin cancers to rare dermatologic emergencies, all with correct answers and exam pearls to help you PASS ON YOUR FIRST TRY! What makes this comprehensive review an ABSOLUTE GAME-CHANGER? 300+ High-Yield Concepts with Correct Answers: Master the most frequently tested dermatology concepts on the 3P exam. Each concept is presented in a clear, concise format with correct answers and exam pearls that help you lock in the essential information. Comprehensive Coverage of ALL Dermatology Topics: Category Key Topics Covered Skin Cancers Basal cell carcinoma (most common skin cancer, pearly papules, cheeks/nose/face), squamous cell carcinoma (actinic keratosis precursor, chronic red scaly lesion, lips/ears/hands), melanoma (ABCDE – asymmetry, border, color, diameter 6mm, evolving; acral lentiginous melanoma in dark-skinned individuals), actinic keratosis (precursor to SCC, cryotherapy or 5-FU), seborrheic keratosis (benign "pasted-on" wart-like growth) Bacterial Skin Infections Cellulitis (diffuse pink-red, warm, poorly demarcated, lower legs – treat with cephalexin or Bactrim for MRSA), erysipelas (bright red plaque with elevated margins, face/shins – treat with dicloxacillin or cephalexin), impetigo (honey-colored crusts, most common in children 2-5 – treat with mupirocin topical or Keflex), MRSA (Bactrim, doxycycline, minocycline, clindamycin – avoid sulfa if allergic), human/animal bites (Augmentin, doxycycline if PCN allergic – cat bites higher infection risk) Fungal Infections Tinea corporis (ring-like rash with central clearing – topical azoles), tinea capitis (scaly round patches on scalp, black dot sign – oral griseofulvin ONLY, topical won't work), tinea cruris (groin rash – topical azoles), tinea pedis (scaling soles, "two feet and one hand" – topical azoles), onychomycosis/tinea unguium (yellow thickened nails – topical Penlac for fingernails, systemic antifungals for toenails), tinea versicolor (hypopigmented macules, "spaghetti and meatballs" on KOH – selenium sulfide or topical azoles), candidiasis (thrush – nystatin) Inflammatory Skin Disorders Psoriasis (extensor plaques with silvery scale, pitted nails, Auspitz sign, Koebner phenomenon – topical steroids, tar preps, anti-TNF), atopic dermatitis/eczema (inherited atopy, flexural folds, lichenification, IgE-mediated – topical steroids + emollients), contact dermatitis (vesicular bullae, painful bright red moist areas – stop exposure + topical steroids), acne vulgaris (topical retinoids first-line, benzoyl peroxide + antibiotics for moderate, Accutane for severe – avoid in pregnancy), acne rosacea (symmetrical papules/pustules/telangiectasias around nose/mouth – Metro gel, avoid triggers), seborrheic dermatitis (foam vehicle for hairline) Parasitic & Viral Skin Infections Scabies (interdigital webs, worse at night, never on scalp – permethrin 8-14 hours, treat everyone), pityriasis rosea (herald patch, Christmas tree pattern – self-limiting 4-6 weeks), molluscum contagiosum (white plug, dome-shaped with central umbilication – poxvirus, watchful waiting, cryotherapy), herpes zoster/shingles (unilateral dermatome, painful vesicles – antivirals within 72 hours), varicella/chickenpox (macules → papules → vesicles → crusts – supportive, acyclovir within 24 hours), herpetic whitlow (HSV on finger/thumb – self-limiting, acyclovir if recurrent), lichen planus (flat-topped purple bumps with Wickham's striae – topical steroids) Dermatologic Emergencies Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis (target/bull's-eye rash, mucosal involvement, sloughing – SANA(p): Sulfonamides, Anticonvulsants, NSAIDs, Allopurinol, PCN), cellulitis with red streaks (lymphangitis – treat promptly), necrotizing fasciitis (surgical emergency), Rocky Mountain spotted fever (petechial rash on forearms/ankles/wrists spreading inward – doxycycline, fatal if not treated within 5 days), Brown recluse spider bite (painless bite, necrotic center, blisters – ice packs, treat like cellulitis), anthrax (papule → necrosis → ulceration – doxycycline, cipro, treat 60 days if bioterrorism) Ocular Disorders Blepharitis (bilateral red swollen eyelids, fine scales – scrub with warm water and baby shampoo), pterygium (surfer's eye – triangular white/yellow growth on nasal side, surgical removal), pinguecula (white/yellowish small round lesion – prevention with sunglasses), chalazion (small painless nodule – hot compresses), hordeolum/stye (painful red warm abscess – hot compresses, erythromycin if preseptal cellulitis), senile arcus (white-gray ring on cornea in elderly, check lipids if age 50), xanthelasma (soft yellow flat plaques – check fasting lipid profile), allergic conjunctivitis (bilateral itchy, stringy discharge – oral antihistamines, olopatadine drops), bacterial conjunctivitis (yellow-green crusting – topical fluoroquinolones), viral conjunctivitis (pink eye – supportive, highly contagious), herpes keratitis (fern-like lesion on fluorescein – ophthalmologist STAT), corneal abrasion (severe pain, foreign body sensation – erythromycin ointment, DO NOT PATCH), acute angle-closure glaucoma (severe eye pain, cloudy cornea, fixed mid-dilated pupil – ER STAT), papilledema (swollen optic disc due to increased ICP – ER), primary open-angle glaucoma (gradual peripheral vision loss – beta-blockers or prostaglandin drops, avoid beta-blockers in asthma/COPD), cataracts (night vision issues, glare, halos – red reflex test), age-related macular degeneration (painless central vision loss, straight lines appear curved – Amsler grid), retinal detachment (sudden floaters, flashes, curtain – ER STAT), dacryocystitis (lacrimal sac infection – massage + systemic antibiotics) ENT/Ear Disorders Meniere's disease (VAST – Vertigo, Aural fullness, Sensorineural hearing loss, Tinnitus – meclizine, antiemetics), acoustic neuroma (gradual unilateral sensorineural hearing loss, tinnitus, CN VIII – MRI, surgery), cholesteatoma (cauliflower, foul smell, hearing loss – SURGERY), Battle sign (bruising behind ear – basilar skull fracture – ER), BPPV (vertigo 1 minute with head movement – Dix-Hallpike, Epley maneuver), vestibular neuritis/labyrinthitis (sudden severe vertigo, N/V – ondansetron, methylprednisolone), acute otitis media (red bulging TM, decreased mobility, ear pain – high-dose amoxicillin, Augmentin if recent antibiotics), otitis media with effusion (sterile fluid, NOT red TM – observe 3 months, treat like allergies), otitis externa/swimmer's ear (tender ear canal, purulent discharge – topical Cortisporin or Cipro HC), presbycusis (symmetric high-frequency sensorineural hearing loss – associated with aging), acute bacterial rhinosinusitis (URI symptoms 10 days, unilateral facial pain – Augmentin, levofloxacin if PCN allergic), allergic rhinitis (pale boggy nasal mucosa, clear discharge – Flonase, azelastine), epistaxis (anterior nosebleed – blow nose, Afrin spray, pinch 10 minutes) Systemic Conditions Acanthosis nigricans (velvety hyperpigmented patches on neck/skin folds – associated with diabetes, metabolic syndrome, obesity), scarlet fever (sandpaper texture rash, strawberry tongue – associated with strep throat), systemic lupus erythematosus (malar butterfly rash – avoid sunlight), hidradenitis suppurativa (recurrent painful nodules in axilla/groin – doxycycline, smoking cessation), koilonychia (spoon-shaped nails – iron deficiency anemia), herpes zoster ophthalmicus (V1 branch of trigeminal – ophthalmologist STAT) Pharmacology Topical steroids (7 classes, avoid class I-III on children and sensitive skin), Accutane (check LFTs, 2 forms of contraception, monthly pregnancy tests, 1 month supply only), 5-FU/efudex (causes oozing/crusting – wear sunscreen!), benzoyl peroxide (photosensitivity), retinoids (apply 30 minutes after washing to minimize irritation), tetracyclines + warfarin (decrease warfarin dose), statins (check LFTs before starting, hold if rhabdomyolysis), antifungals (meds ending in -azole), griseofulvin (gold standard for tinea capitis – check LFTs, avoid alcohol), metronidazole/Flagyl (treats trichomoniasis, bacterial vaginosis), rifampin (turns urine reddish-orange, avoid in pregnancy) Diagnostic Tests Biopsy (gold standard for skin cancer diagnosis), KOH prep (spaghetti and meatballs = tinea versicolor), ELISA/Western blot (Lyme disease – E before I), PCR (RMSF, VZV), Monospot (infectious mononucleosis), Centor Criteria (strep throat), Dix-Hallpike (BPPV), fluorescein dye (herpes keratitis = fern-like, corneal abrasion = irregular uptake), Tzanck smear (HSV/VZV), Wood's lamp (tinea capitis)

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APEA 3P Exam - APEA Practice questions

, lOMoAR cPSD| 57629747




Most common type of skin cancer in USA
Skin cancer
Most common type of skin cancer
basal cell carcinoma basal cell
carcinoma symptoms
Appearance varies; smooth, shiny bump, pink to pearly white
Basal cell carcinoma common locations
cheeks, nose, face, neck, arms, back basal cell
carcinoma diagnosis gold standard
biopsy. if not an option, refer to derm
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 gold standard Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard
small- cryotherapy
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!!*
squamous cell cancer
chronic red scaly rough textured lesion w/ irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations rims of ears, lips,
nose, face and top of hands precursor lesion to squamous cell
cancer actinic keratosis squamous cell carcinoma diagnosis by?
biopsy gold standard. if biopsy is not an option, refer to dermatology .
Risk factors for skin cancer(melanoma and both non-melanoma)
Blistering sunburn as a child, history of sunburns, light skin, chronic exposure to UV light
(sunlight/tanning beds), moles, family hx for skin cancer
Melanoma symptoms (ABCDE)
asymmetry (shape/uneven texture)
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
Acral lengtiginous melanoma
Most common type of melanoma in dark skinned individuals (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 Bacterial Meningitis Bacteria




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Streptococcus pneumoniae- most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad)
High fever
Nuchal rigidity
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
Is bacterial meningitis a reportable disease
yes!
Treatment for Bacterial meningitis-patient
IV Abx ASAP, resp/droplet iso for first 24-48 hrs, hydrate (low 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
meningitis-close encounter
Close contacts should be treated w/ rifampin 600 mg q 12 hours x 2 days
**Rifampin changes urine color to reddish orange and can stain contacts

**AVOID RIFAMPIN IN PREGNANCY
Brudzinkski sign (meningeal irritation)
Tests for 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-Kernig's
sign
Tests for meningeal irritation
patient supine. flex patients hips and knees in a right angle, then slowly straighten/extend the
legs up
+ result if when the patient complains of pain during extension of leg
MCV4 (meningococcal vaccine) Age 11-19
Give one dose of menactra or menveo
primary dose given age 12 or younger give a booster at age 16-18
MCV4 (meningococcal vaccine) Age 19-21
Give one dose of menactra or menveo if never had either
Rocky mountain spotted fever (RMSF) symptoms
Fever
chills
N/V




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