1
APEA 3P EXAM NEWEST 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Most common type of skin cancer in USA - ANSWER Skin cancer
Most common type of skin cancer - ANSWER basal cell carcinoma
basal cell carcinoma symptoms - ANSWER Appearance varies; smooth, shiny
bump, pink to pearly white
Basal cell carcinoma common locations - ANSWER cheeks, nose, face, neck, arms,
back
basal cell carcinoma diagnosis gold standard - ANSWER biopsy. if not an option,
refer to derm
Actinic keratosis - 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
Actinic keratosis diagnosis gold standard - ANSWER Biopsy.
if not an option, refer to derm
,2
Actinic keratosis treatment gold standard - 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 - ANSWER chronic red scaly rough textured lesion w/
irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations - ANSWER rims of ears, lips, nose,
face and top of hands
precursor lesion to squamous cell cancer - ANSWER actinic keratosis
squamous cell carcinoma diagnosis by? - ANSWER biopsy gold standard. if biopsy
is not an option, refer to dermatology .
Risk factors for skin cancer(melanoma and both non-melanoma) - 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) - 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)
,3
evolving (changes in color/size/shape)
may be itchy
Acral lengtiginous melanoma - 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 - ANSWER soft, round, wart-like growth that is light tan to
black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria - ANSWER Streptococcus pneumoniae- most
common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) - 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
, 4
Is bacterial meningitis a reportable disease - ANSWER yes!
Treatment for Bacterial meningitis-patient - 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 - 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) - 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 - 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
APEA 3P EXAM NEWEST 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Most common type of skin cancer in USA - ANSWER Skin cancer
Most common type of skin cancer - ANSWER basal cell carcinoma
basal cell carcinoma symptoms - ANSWER Appearance varies; smooth, shiny
bump, pink to pearly white
Basal cell carcinoma common locations - ANSWER cheeks, nose, face, neck, arms,
back
basal cell carcinoma diagnosis gold standard - ANSWER biopsy. if not an option,
refer to derm
Actinic keratosis - 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
Actinic keratosis diagnosis gold standard - ANSWER Biopsy.
if not an option, refer to derm
,2
Actinic keratosis treatment gold standard - 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 - ANSWER chronic red scaly rough textured lesion w/
irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations - ANSWER rims of ears, lips, nose,
face and top of hands
precursor lesion to squamous cell cancer - ANSWER actinic keratosis
squamous cell carcinoma diagnosis by? - ANSWER biopsy gold standard. if biopsy
is not an option, refer to dermatology .
Risk factors for skin cancer(melanoma and both non-melanoma) - 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) - 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)
,3
evolving (changes in color/size/shape)
may be itchy
Acral lengtiginous melanoma - 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 - ANSWER soft, round, wart-like growth that is light tan to
black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria - ANSWER Streptococcus pneumoniae- most
common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) - 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
, 4
Is bacterial meningitis a reportable disease - ANSWER yes!
Treatment for Bacterial meningitis-patient - 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 - 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) - 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 - 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
