APEA 3P EXAM ACTUAL EXAM ALL QUESTIONS AND 100% CORRECT ANSWERS ALREADY GRADED A+

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APEA3P EXAM||ACTUAL EXAMALL QUESTIONSAN
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D 100% CORRECT ANSWERS ALREADY GRADED A+
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|| LATEST AND COMPLETE VERSION 2024 WITH VER
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IFIED SOLUTIONS|| ASSURED PASS!!
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1. Most common type of skin cancer in USA: Skin cancer
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2. Most common type of skin cancer: basal cell carcinoma
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3. basal cell carcinoma symptoms: Appearance varies; smooth, shiny bump,pi
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nk to pearly white
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4. Basal cell carcinoma common locations: cheeks, nose, face, neck, arms,ba
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ck
5. basal cell carcinoma diagnosis gold standard: biopsy. if not an option, referto d
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erm
6. Actinic keratosis: Precursor to squamous cell carcinoma numerous
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dry, round and pink to red lesions w/ rough and scaly texture
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--> does not heal, slow growing in sun exposed areas
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7. Actinic keratosis diagnosis gold standard: Biopsy. if not an option, refer toder
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m
8. Actinic keratosis treatment gold standard: small- cryotherapy
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large- number 5-FU (5-flouracil aka efudex). 5-
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FU medication Causes skin toooze, crust, scab and be red
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**5-flouracil/ efudex-wear sunscreen!!** f f




9. squamous cell cancer: chronic red scaly rough textured lesion w/ irregularbo
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rders
crusting or bleeding may be present
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10. Squamous cell carcinoma common locations: rims of ears, lips, nose, facean f f f f f f f f f f f


d top of hands
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11. precursor lesion to squamous cell cancer: actinic keratosis f f f f f f f




12. squamous cell carcinoma diagnosis by?: biopsy gold standard. if biopsy isnot f f f f f f f f f f f f


an option, refer to dermatology .
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13. Risk factors for skin cancer(melanoma and both non- f f f f f f f


melanoma): Blisteringsunburn as a child, history of sunburns, light skin, chronic exp
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osure to UV light (sunlight/tanning beds), moles, family hx for skin cancer
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14. Melanoma symptoms (ABCDE): asymmetry (shape/uneven texture) border(i f f f f f f f


rregular/notched/blurred)
color (variegated colors from black, blue, dark to light brown) diameter (size
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>6mm size of pencil eraser or larger) evolving (changes in color/size/shape)may be
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itchy
15. Acral lengtiginous melanoma: Most common type of melanoma in darkski
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nned individuals (blacks & asians)
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--
> look for longitudinal brown to black bands under the nailbed. a changing spotor mole
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in the palms, or the soles of the feet
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16. seborrheic keratosis: soft, round, wart- f f f f


like growth that is light tan to blackand looks pasted on
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asymptomatic &benign f




17. Bacterial Meningitis Bacteria: Streptococcus pneumoniae- f f f f


most commonstrain
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Haemophilus influenzae Neisseria meningitidis Escherichia coli f f f f f




*others
18. Bacterial meningitis symptoms (Classic Triad): High fever Nuchal rigidityra
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pid change in mental status w/ headache Triad=neck up
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erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions (pur- f f f f f f f f


pura) which are non-blanchable
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19. Is bacterial meningitis a reportable disease: yes!
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20. Treatment for Bacterial meningitis- f f f


patient: IV Abx ASAP, resp/droplet isofor first 24-
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48 hrs, hydrate (low maintenance after initial fluid correction),
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Maintain
ventilation and reduce increased intra cranial pressure if present (dexamethosone(to r
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educe inflammation, mannitol to diurese the brain), low stimenvironment, tx com-
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plications that may arrive and support family
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21. Treatment for bacterial meningitis- f f f


close encounter: Close contacts should betreated w/ rifampin 600 mg q 12 hours x 2 day
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s
**Rifampin changes urine color to reddish orange and can stain contacts
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**AVOID RIFAMPIN IN PREGNANCY f f f




22. Brudzinkski sign (meningeal irritation): Tests for meningeal irritation Patientsu f f f f f f f f f


pine, raise BACK of head and flex chin towards chest
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+ result if pt automatically beds both hips
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--Brudzinski and back of head start with B as well as bends-- f f f f f f f f f f f




23. Kernig's sign: Tests for meningeal irritation f f f f f




patient supine. flex patients hips and knees in a right angle, then slowly straight-
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en/extend the legs up
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+ result if when the patient complains of pain during extension of leg
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24. MCV4 (meningococcal vaccine) Age 11- f f f f


19: Give one dose of menactra ormenveo
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primary dose given age 12 or younger give a booster at age 16-18
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25. MCV4 (meningococcal vaccine) Age 19- f f f f


21: Give one dose of menactra ormenveo if never had either
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26. Rocky mountain spotted fever (RMSF) symptoms: Fever chillsN
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/V myalgia arthralgia
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2-
5 days later develop petechial rash on forearms, ankles, and wrists that spreadstowards
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trunk and becomes generalised. sometimes rash develops on palms and soles
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**RASH DEVELOPS INWARDS** f f




27. RMSF pneumonic (RMSF): R-Rash M- f f f f




Muscle aches (myalgia)S-Stomach aches (nausea and vomiting) F-
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Fever (>102 F) f f




28. Rocky Mountain Spotted Fever (RMSF): Located:: •Think "Rocky"- f f f f f f f


NorthCarolina, Oklahoma, Arkansas, Tennessee, Missouri
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Spring to Fall (April to September) f f f f f




29. Rocky Mountain Spotted Fever (RMSF): DX: PCR assay by indirect im
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muno-
fluorescence antibody (IFA) assay for immunoglobulin G (IgG) forRickettsia R
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ick- ettsii f




30. Rocky Mountain Spotted Fever (RMSF): tx: Doxycycline is always first linefor
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all agesf




100 mg every 12 hours x 7-10 days
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Can be fatal if not treated within the first 5 days
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31. Erythema Migrans (early Lyme disease): Symptoms: Usually appears in 7- f f f f f f f f f


14 days after being bitten by a deer tick; range 3-30 days
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Target bull's- f


eye Rash is hot to touch with rough texture. Expanding red rash withcentral clearing •
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Common locations are belt line, axillary area, behind the knees,and groin area • Positi
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ve for flu like symptoms. Lesions and rash resolve within afew weeks with or without
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treatment
32. Erythema Migrans (early Lyme disease): DX: Dx: • First step is enzyme immu f f f f f f f f f f f f


noassay (EIA) also knows as ELISA if negative no further testing needed. Ifpositive c
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onfirm with Western Blot test (aka indirect immunofluorescence assay (IFA) for Bor
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relia Burgdorferi f




1. Enzyme immunoassay f