APEA 3P 2024-2025 EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) A+ GRADE ASSURED
MostDcommonDtypeDofDskinDcancerDinDUSAD-DcorrectDanswer-SkinDcancer
MostDcommonDtypeDofDskinDcancerD-DcorrectDanswer-basalDcellDcarcinoma
basalDcellDcarcinomaDsymptomsD-DcorrectDanswer-
AppearanceDvaries;Dsmooth,DshinyDbump,DpinkDtoDpearlyDwhite
BasalDcellDcarcinomaDcommonDlocationsD-DcorrectDanswer-cheeks,Dnose,Dface,Dneck,Darms,Dback
basalDcellDcarcinomaDdiagnosisDgoldDstandardD-DcorrectDanswer-biopsy.DifDnotDanDoption,DreferDtoDderm
ActinicDkeratosisD-DcorrectDanswer-PrecursorDtoDsquamousDcellDcarcinoma
numerousDdry,DroundDandDpinkDtoDredDlesionsDw/DroughDandDscalyDtexture
-->DdoesDnotDheal,DslowDgrowingDinDsunDexposedDareas
ActinicDkeratosisDdiagnosisDgoldDstandardD-DcorrectDanswer-Biopsy.
ifDnotDanDoption,DreferDtoDderm
ActinicDkeratosisDtreatmentDgoldDstandardD-DcorrectDanswer-small-Dcryotherapy
large-DnumberD5-FUD(5-flouracilDakaDefudex).D5-
FUDmedicationDCausesDskinDtoDooze,Dcrust,DscabDandDbeDredD
**5-flouracil/Defudex-wearDsunscreen!!**
squamousDcellDcancerD-DcorrectDanswer-chronicDredDscalyDroughDtexturedDlesionDw/DirregularDborders
crustingDorDbleedingDmayDbeDpresent
,SquamousDcellDcarcinomaDcommonDlocationsD-DcorrectDanswer-
rimsDofDears,Dlips,Dnose,DfaceDandDtopDofDhands
precursorDlesionDtoDsquamousDcellDcancerD-DcorrectDanswer-actinicDkeratosis
squamousDcellDcarcinomaDdiagnosisDby?D-DcorrectDanswer-
biopsyDgoldDstandard.DifDbiopsyDisDnotDanDoption,DreferDtoDdermatologyD.
RiskDfactorsDforDskinDcancer(melanomaDandDbothDnon-melanoma)D-DcorrectDanswer-
BlisteringDsunburnDasDaDchild,DhistoryDofDsunburns,DlightDskin,DchronicDexposureDtoDUVDlightD(sunlight/tann
ingDbeds),Dmoles,DfamilyDhxDforDskinDcancer
MelanomaDsymptomsD(ABCDE)D-DcorrectDanswer-asymmetryD(shape/unevenDtexture)
borderD(irregular/notched/blurred)
colorD(variegatedDcolorsDfromDblack,Dblue,DdarkDtoDlightDbrown)
diameterD(sizeD>6mmDsizeDofDpencilDeraserDorDlarger)
evolvingD(changesDinDcolor/size/shape)
mayDbeDitchy
AcralDlengtiginousDmelanomaD-DcorrectDanswer-
MostDcommonDtypeDofDmelanomaDinDdarkDskinnedDindividualsD(blacksD&Dasians)
--
>DlookDforDlongitudinalDbrownDtoDblackDbandsDunderDtheDnailbed.DaDchangingDspotDorDmoleDinDtheDpalms,D
orDtheDsolesDofDtheDfeet
seborrheicDkeratosisD-DcorrectDanswer-soft,Dround,Dwart-
likeDgrowthDthatDisDlightDtanDtoDblackDandDlooksDpastedDon
asymptomaticD&benign
BacterialDMeningitisDBacteriaD-DcorrectDanswer-StreptococcusDpneumoniae-DmostDcommonDstrainD
HaemophilusDinfluenzae
,NeisseriaDmeningitidis
EscherichiaDcoli
*others
BacterialDmeningitisDsymptomsD(ClassicDTriad)D-DcorrectDanswer-HighDfever
NuchalDrigidity
rapidDchangeDinDmentalDstatusDw/DheadacheD
Triad=neckDup
erythematousDspot-likeDrashD(petechiae)DecchymosisDtoDpurple-coloredDlesionsD(purpura)DwhichDareDnon-
blanchable
IsDbacterialDmeningitisDaDreportableDdiseaseD-DcorrectDanswer-yes!
TreatmentDforDBacterialDmeningitis-patientD-DcorrectDanswer-IVDAbxDASAP,Dresp/dropletDisoDforDfirstD24-
48Dhrs,DhydrateD(lowDmaintenanceDafterDinitialDfluidDcorrection),DMaintainDventilationDandDreduceDincreas
edDintraDcranialDpressureDifDpresentD(dexamethosone(toDreduceDinflammation,DmannitolDtoDdiureseDtheDb
rain),DlowDstimDenvironment,DtxDcomplicationsDthatDmayDarriveDandDsupportDfamily
TreatmentDforDbacterialDmeningitis-closeDencounterD-DcorrectDanswer-
CloseDcontactsDshouldDbeDtreatedDw/DrifampinD600DmgDqD12DhoursDxD2Ddays
**RifampinDchangesDurineDcolorDtoDreddishDorangeDandDcanDstainDcontacts
**AVOIDDRIFAMPINDINDPREGNANCY
BrudzinkskiDsignD(meningealDirritation)D-DcorrectDanswer-TestsDforDmeningealDirritation
PatientDsupine,DraiseDBACKDofDheadDandDflexDchinDtowardsDchest
+DresultDifDptDautomaticallyDbedsDbothDhips
--BrudzinskiDandDbackDofDheadDstartDwithDBDasDwellDasDbends--
Kernig'sDsignD-DcorrectDanswer-TestsDforDmeningealDirritation
, patientDsupine.DflexDpatientsDhipsDandDkneesDinDaDrightDangle,DthenDslowlyDstraighten/extendDtheDlegsDupD
+DresultDifDwhenDtheDpatientDcomplainsDofDpainDduringDextensionDofDleg
MCV4D(meningococcalDvaccine)DAgeD11-19D-DcorrectDanswer-GiveDoneDdoseDofDmenactraDorDmenveo
primaryDdoseDgivenDageD12DorDyoungerDgiveDaDboosterDatDageD16-18
MCV4D(meningococcalDvaccine)DAgeD19-21D-DcorrectDanswer-
GiveDoneDdoseDofDmenactraDorDmenveoDifDneverDhadDeither
RockyDmountainDspottedDfeverD(RMSF)DsymptomsD-DcorrectDanswer-Fever
chills
N/V
myalgia
arthralgia
2-
5DdaysDlaterDdevelopDpetechialDrashDonDforearms,Dankles,DandDwristsDthatDspreadsDtowardsDtrunkDandDbec
omesDgeneralised.DsometimesDrashDdevelopsDonDpalmsDandDsoles
**RASHDDEVELOPSDINWARDS**
RMSFDpneumonicD(RMSF)D-DcorrectDanswer-R-RashD
D M-MuscleDachesD(myalgia)D
D S-StomachDachesD(nauseaDandDvomiting)D
D F-FeverD(>102DF)
RockyDMountainDSpottedDFeverD(RMSF):DLocated:D-DcorrectDanswer-•ThinkD"Rocky"-
DNorthDCarolina,DOklahoma,DArkansas,DTennessee,DMissouriD
D SpringDtoDFallD(AprilDtoDSeptember)
RockyDMountainDSpottedDFeverD(RMSF):DDXD-DcorrectDanswer-
PCRDassayDbyDindirectDimmunofluorescenceDantibodyD(IFA)DassayDforDimmunoglobulinDGD(IgG)DforDRicketts
iaDRickettsii
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) A+ GRADE ASSURED
MostDcommonDtypeDofDskinDcancerDinDUSAD-DcorrectDanswer-SkinDcancer
MostDcommonDtypeDofDskinDcancerD-DcorrectDanswer-basalDcellDcarcinoma
basalDcellDcarcinomaDsymptomsD-DcorrectDanswer-
AppearanceDvaries;Dsmooth,DshinyDbump,DpinkDtoDpearlyDwhite
BasalDcellDcarcinomaDcommonDlocationsD-DcorrectDanswer-cheeks,Dnose,Dface,Dneck,Darms,Dback
basalDcellDcarcinomaDdiagnosisDgoldDstandardD-DcorrectDanswer-biopsy.DifDnotDanDoption,DreferDtoDderm
ActinicDkeratosisD-DcorrectDanswer-PrecursorDtoDsquamousDcellDcarcinoma
numerousDdry,DroundDandDpinkDtoDredDlesionsDw/DroughDandDscalyDtexture
-->DdoesDnotDheal,DslowDgrowingDinDsunDexposedDareas
ActinicDkeratosisDdiagnosisDgoldDstandardD-DcorrectDanswer-Biopsy.
ifDnotDanDoption,DreferDtoDderm
ActinicDkeratosisDtreatmentDgoldDstandardD-DcorrectDanswer-small-Dcryotherapy
large-DnumberD5-FUD(5-flouracilDakaDefudex).D5-
FUDmedicationDCausesDskinDtoDooze,Dcrust,DscabDandDbeDredD
**5-flouracil/Defudex-wearDsunscreen!!**
squamousDcellDcancerD-DcorrectDanswer-chronicDredDscalyDroughDtexturedDlesionDw/DirregularDborders
crustingDorDbleedingDmayDbeDpresent
,SquamousDcellDcarcinomaDcommonDlocationsD-DcorrectDanswer-
rimsDofDears,Dlips,Dnose,DfaceDandDtopDofDhands
precursorDlesionDtoDsquamousDcellDcancerD-DcorrectDanswer-actinicDkeratosis
squamousDcellDcarcinomaDdiagnosisDby?D-DcorrectDanswer-
biopsyDgoldDstandard.DifDbiopsyDisDnotDanDoption,DreferDtoDdermatologyD.
RiskDfactorsDforDskinDcancer(melanomaDandDbothDnon-melanoma)D-DcorrectDanswer-
BlisteringDsunburnDasDaDchild,DhistoryDofDsunburns,DlightDskin,DchronicDexposureDtoDUVDlightD(sunlight/tann
ingDbeds),Dmoles,DfamilyDhxDforDskinDcancer
MelanomaDsymptomsD(ABCDE)D-DcorrectDanswer-asymmetryD(shape/unevenDtexture)
borderD(irregular/notched/blurred)
colorD(variegatedDcolorsDfromDblack,Dblue,DdarkDtoDlightDbrown)
diameterD(sizeD>6mmDsizeDofDpencilDeraserDorDlarger)
evolvingD(changesDinDcolor/size/shape)
mayDbeDitchy
AcralDlengtiginousDmelanomaD-DcorrectDanswer-
MostDcommonDtypeDofDmelanomaDinDdarkDskinnedDindividualsD(blacksD&Dasians)
--
>DlookDforDlongitudinalDbrownDtoDblackDbandsDunderDtheDnailbed.DaDchangingDspotDorDmoleDinDtheDpalms,D
orDtheDsolesDofDtheDfeet
seborrheicDkeratosisD-DcorrectDanswer-soft,Dround,Dwart-
likeDgrowthDthatDisDlightDtanDtoDblackDandDlooksDpastedDon
asymptomaticD&benign
BacterialDMeningitisDBacteriaD-DcorrectDanswer-StreptococcusDpneumoniae-DmostDcommonDstrainD
HaemophilusDinfluenzae
,NeisseriaDmeningitidis
EscherichiaDcoli
*others
BacterialDmeningitisDsymptomsD(ClassicDTriad)D-DcorrectDanswer-HighDfever
NuchalDrigidity
rapidDchangeDinDmentalDstatusDw/DheadacheD
Triad=neckDup
erythematousDspot-likeDrashD(petechiae)DecchymosisDtoDpurple-coloredDlesionsD(purpura)DwhichDareDnon-
blanchable
IsDbacterialDmeningitisDaDreportableDdiseaseD-DcorrectDanswer-yes!
TreatmentDforDBacterialDmeningitis-patientD-DcorrectDanswer-IVDAbxDASAP,Dresp/dropletDisoDforDfirstD24-
48Dhrs,DhydrateD(lowDmaintenanceDafterDinitialDfluidDcorrection),DMaintainDventilationDandDreduceDincreas
edDintraDcranialDpressureDifDpresentD(dexamethosone(toDreduceDinflammation,DmannitolDtoDdiureseDtheDb
rain),DlowDstimDenvironment,DtxDcomplicationsDthatDmayDarriveDandDsupportDfamily
TreatmentDforDbacterialDmeningitis-closeDencounterD-DcorrectDanswer-
CloseDcontactsDshouldDbeDtreatedDw/DrifampinD600DmgDqD12DhoursDxD2Ddays
**RifampinDchangesDurineDcolorDtoDreddishDorangeDandDcanDstainDcontacts
**AVOIDDRIFAMPINDINDPREGNANCY
BrudzinkskiDsignD(meningealDirritation)D-DcorrectDanswer-TestsDforDmeningealDirritation
PatientDsupine,DraiseDBACKDofDheadDandDflexDchinDtowardsDchest
+DresultDifDptDautomaticallyDbedsDbothDhips
--BrudzinskiDandDbackDofDheadDstartDwithDBDasDwellDasDbends--
Kernig'sDsignD-DcorrectDanswer-TestsDforDmeningealDirritation
, patientDsupine.DflexDpatientsDhipsDandDkneesDinDaDrightDangle,DthenDslowlyDstraighten/extendDtheDlegsDupD
+DresultDifDwhenDtheDpatientDcomplainsDofDpainDduringDextensionDofDleg
MCV4D(meningococcalDvaccine)DAgeD11-19D-DcorrectDanswer-GiveDoneDdoseDofDmenactraDorDmenveo
primaryDdoseDgivenDageD12DorDyoungerDgiveDaDboosterDatDageD16-18
MCV4D(meningococcalDvaccine)DAgeD19-21D-DcorrectDanswer-
GiveDoneDdoseDofDmenactraDorDmenveoDifDneverDhadDeither
RockyDmountainDspottedDfeverD(RMSF)DsymptomsD-DcorrectDanswer-Fever
chills
N/V
myalgia
arthralgia
2-
5DdaysDlaterDdevelopDpetechialDrashDonDforearms,Dankles,DandDwristsDthatDspreadsDtowardsDtrunkDandDbec
omesDgeneralised.DsometimesDrashDdevelopsDonDpalmsDandDsoles
**RASHDDEVELOPSDINWARDS**
RMSFDpneumonicD(RMSF)D-DcorrectDanswer-R-RashD
D M-MuscleDachesD(myalgia)D
D S-StomachDachesD(nauseaDandDvomiting)D
D F-FeverD(>102DF)
RockyDMountainDSpottedDFeverD(RMSF):DLocated:D-DcorrectDanswer-•ThinkD"Rocky"-
DNorthDCarolina,DOklahoma,DArkansas,DTennessee,DMissouriD
D SpringDtoDFallD(AprilDtoDSeptember)
RockyDMountainDSpottedDFeverD(RMSF):DDXD-DcorrectDanswer-
PCRDassayDbyDindirectDimmunofluorescenceDantibodyD(IFA)DassayDforDimmunoglobulinDGD(IgG)DforDRicketts
iaDRickettsii