PMHNP APEA 3P EXAM LATEST QUESTIONS WITH CORRECT VERIFIED SOLUTIONS ALREADY GRADED A+ VERSION A AND B

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PMHNP APEA 3P EXAM LATEST 2024-2025 QUESTIONS
WITH CORRECT VERIFIED SOLUTIONS ALREADY GRADED
A+ VERSION A AND B


Most common type of skin cancer in USA - CORRECT ANSWER✔✔Skin cancer




Most common type of skin cancer - CORRECT ANSWER✔✔basal cell carcinoma




basal cell carcinoma symptoms - CORRECT ANSWER✔✔Appearance varies; smooth, shiny
bump, pink to pearly white




Basal cell carcinoma common locations - CORRECT ANSWER✔✔cheeks, nose, face, neck, arms,
back




basal cell carcinoma diagnosis gold standard - CORRECT ANSWER✔✔biopsy. if not an option,
refer to derm




Actinic keratosis - CORRECT ANSWER✔✔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


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Actinic keratosis diagnosis gold standard - CORRECT ANSWER✔✔Biopsy.

if not an option, refer to derm




Actinic keratosis treatment gold standard - CORRECT ANSWER✔✔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 - CORRECT ANSWER✔✔chronic red scaly rough textured lesion w/
irregular borders

crusting or bleeding may be present




Squamous cell carcinoma common locations - CORRECT ANSWER✔✔rims of ears, lips, nose,
face and top of hands




precursor lesion to squamous cell cancer - CORRECT ANSWER✔✔actinic keratosis




squamous cell carcinoma diagnosis by? - CORRECT ANSWER✔✔biopsy gold standard. if biopsy is
not an option, refer to dermatology .



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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




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




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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

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


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