APEA 3P PREDICTOR EXAM Question
and Answers GRADED A+ Latest
Updates 2025
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 .
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
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
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
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
Rocky mountain spotted fever (RMSF) symptoms (correct answer)Fever
chills
N/V
myalgia
arthralgia
2-5 days later develop petechial rash on forearms, ankles, and wrists that
spreads towards trunk and becomes generalised. sometimes rash
develops on palms and soles
**RASH DEVELOPS INWARDS**
and Answers GRADED A+ Latest
Updates 2025
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 .
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
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
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
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
Rocky mountain spotted fever (RMSF) symptoms (correct answer)Fever
chills
N/V
myalgia
arthralgia
2-5 days later develop petechial rash on forearms, ankles, and wrists that
spreads towards trunk and becomes generalised. sometimes rash
develops on palms and soles
**RASH DEVELOPS INWARDS**
