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
Downloaded by Collins Mwaniki ()
, lOMoAR cPSD| 57629747
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
Downloaded by Collins Mwaniki ()