Page 1 of 116
PMHNP APEA 3P EXAM PREP COMPLETE 350 QUESTIONS AND
CORRECT DETAILED ANSWERS JUST RELEASED 2 LATEST 2024-
2025 UPDATED VERSIONS
VERSION A
What are the risk factors for skin cancer(melanoma and both non-melanoma) -
CORRECT ANSWER✔✔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) - CORRECT ANSWER✔✔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
, Page 2 of 116
Acral lengtiginous melanoma - CORRECT ANSWER✔✔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 - CORRECT ANSWER✔✔soft, round, wart-like growth that is
light tan to black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria - CORRECT ANSWER✔✔Streptococcus pneumoniae-
most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) - CORRECT ANSWER✔✔High fever
Nuchal rigidity
, Page 3 of 116
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 - CORRECT ANSWER✔✔yes!
Treatment for Bacterial meningitis-patient - CORRECT ANSWER✔✔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 - CORRECT ANSWER✔✔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
, Page 4 of 116
Brudzinkski sign (meningeal irritation) - CORRECT ANSWER✔✔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 - CORRECT ANSWER✔✔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 - CORRECT ANSWER✔✔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 - CORRECT ANSWER✔✔Give one dose
of menactra or menveo if never had either
PMHNP APEA 3P EXAM PREP COMPLETE 350 QUESTIONS AND
CORRECT DETAILED ANSWERS JUST RELEASED 2 LATEST 2024-
2025 UPDATED VERSIONS
VERSION A
What are the risk factors for skin cancer(melanoma and both non-melanoma) -
CORRECT ANSWER✔✔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) - CORRECT ANSWER✔✔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
, Page 2 of 116
Acral lengtiginous melanoma - CORRECT ANSWER✔✔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 - CORRECT ANSWER✔✔soft, round, wart-like growth that is
light tan to black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria - CORRECT ANSWER✔✔Streptococcus pneumoniae-
most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) - CORRECT ANSWER✔✔High fever
Nuchal rigidity
, Page 3 of 116
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 - CORRECT ANSWER✔✔yes!
Treatment for Bacterial meningitis-patient - CORRECT ANSWER✔✔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 - CORRECT ANSWER✔✔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
, Page 4 of 116
Brudzinkski sign (meningeal irritation) - CORRECT ANSWER✔✔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 - CORRECT ANSWER✔✔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 - CORRECT ANSWER✔✔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 - CORRECT ANSWER✔✔Give one dose
of menactra or menveo if never had either
