3P EXAM 2026 PRACTICE QUESTIONS WITH
COMPLETE VERIFIED SOLUTIONS
◉ MCV4 (meningococcal vaccine) Age 11-19. 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. Answer: Give one dose
of menactra or menveo if never had either
◉ Rocky mountain spotted fever (RMSF) symptoms. 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**
◉ RMSF pneumonic (RMSF). Answer: R-Rash
M-Muscle aches (myalgia)
,S-Stomach aches (nausea and vomiting)
F-Fever (>102 F)
◉ Rocky Mountain Spotted Fever (RMSF): Located:. Answer: •Think
"Rocky"- North Carolina, Oklahoma, Arkansas, Tennessee, Missouri
Spring to Fall (April to September)
◉ Rocky Mountain Spotted Fever (RMSF): DX. Answer: PCR assay by
indirect immunofluorescence antibody (IFA) assay for
immunoglobulin G (IgG) for Rickettsia Rickettsii
◉ Rocky Mountain Spotted Fever (RMSF): tx. Answer: Doxycycline is
always first line for all ages
100 mg every 12 hours x 7-10 days
Can be fatal if not treated within the first 5 days
◉ Erythema Migrans (early Lyme disease): Symptoms. Answer:
Usually appears in 7-14 days after being bitten by a deer tick; range
3-30 days
Target bull's-eye Rash is hot to touch with rough texture. Expanding
red rash with central clearing • Common locations are belt line,
axillary area, behind the knees, and groin area • Positive for flu like
symptoms. Lesions and rash resolve within a few weeks with or
without treatment
,◉ Erythema Migrans (early Lyme disease): DX. Answer: Dx: • First
step is enzyme immunoassay (EIA) also knows as ELISA if negative
no further testing needed. If positive confirm with Western Blot test
(aka indirect immunofluorescence assay (IFA) for Borrelia
Burgdorferi
1. Enzyme immunoassay
2. western blot test (immunoflurorescence assay/ IFA)
Exam Tip: E before I
Will have increased ESR
◉ Erythema Migrans (early Lyme disease): TX. Answer: Doxycycline
is always first line for all ages
100 mg BID x 10-21 days
Remove ticks by grasping with tweezers or forceps close to the skin
and pulling gently with steady pressure. After removing the tick,
clean area with rubbing alcohol, iodine scrub, or soap and water.
Dispose of the tick by flushing it into the toilet
◉ Tick repellant skin use. Answer: DEET
, ◉ Tick repellant clothing use. Answer: Permethrin
◉ Brown Recluse Spider Bite: SX. Answer: • Fever, chills • Nausea
and Vomiting • Located in the arms, upper legs, or the trunk • Bitten
area becomes swollen, red, and tender, or can be painless • Blisters
appear within 24-48 hours • Necrotic in center, which kills the tissue
**can be painless
◉ Brown Recluse Spider Bite treatment. Answer: Treatment: • Ice
packs to wound as the cold inactivates the toxin • Treat like cellulitis
of the skin • Antibiotic ointment at first and watch
◉ Skin lesions. Answer: primary skin lesions
Macule Vesicle Papule MVP Size: <1 CM
◉ Macule. Answer: Flat, nonpalpable, but visually distinct areas on
the skin surface with color different from the person's normal skin;
less than 1 cm
FRECKLE
◉ Vesicle. Answer: elevated, raised lesion filled with serous fluid
(herpetic lesions)
◉ Papule. Answer: palpable solid lesion (acne, moles)
COMPLETE VERIFIED SOLUTIONS
◉ MCV4 (meningococcal vaccine) Age 11-19. 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. Answer: Give one dose
of menactra or menveo if never had either
◉ Rocky mountain spotted fever (RMSF) symptoms. 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**
◉ RMSF pneumonic (RMSF). Answer: R-Rash
M-Muscle aches (myalgia)
,S-Stomach aches (nausea and vomiting)
F-Fever (>102 F)
◉ Rocky Mountain Spotted Fever (RMSF): Located:. Answer: •Think
"Rocky"- North Carolina, Oklahoma, Arkansas, Tennessee, Missouri
Spring to Fall (April to September)
◉ Rocky Mountain Spotted Fever (RMSF): DX. Answer: PCR assay by
indirect immunofluorescence antibody (IFA) assay for
immunoglobulin G (IgG) for Rickettsia Rickettsii
◉ Rocky Mountain Spotted Fever (RMSF): tx. Answer: Doxycycline is
always first line for all ages
100 mg every 12 hours x 7-10 days
Can be fatal if not treated within the first 5 days
◉ Erythema Migrans (early Lyme disease): Symptoms. Answer:
Usually appears in 7-14 days after being bitten by a deer tick; range
3-30 days
Target bull's-eye Rash is hot to touch with rough texture. Expanding
red rash with central clearing • Common locations are belt line,
axillary area, behind the knees, and groin area • Positive for flu like
symptoms. Lesions and rash resolve within a few weeks with or
without treatment
,◉ Erythema Migrans (early Lyme disease): DX. Answer: Dx: • First
step is enzyme immunoassay (EIA) also knows as ELISA if negative
no further testing needed. If positive confirm with Western Blot test
(aka indirect immunofluorescence assay (IFA) for Borrelia
Burgdorferi
1. Enzyme immunoassay
2. western blot test (immunoflurorescence assay/ IFA)
Exam Tip: E before I
Will have increased ESR
◉ Erythema Migrans (early Lyme disease): TX. Answer: Doxycycline
is always first line for all ages
100 mg BID x 10-21 days
Remove ticks by grasping with tweezers or forceps close to the skin
and pulling gently with steady pressure. After removing the tick,
clean area with rubbing alcohol, iodine scrub, or soap and water.
Dispose of the tick by flushing it into the toilet
◉ Tick repellant skin use. Answer: DEET
, ◉ Tick repellant clothing use. Answer: Permethrin
◉ Brown Recluse Spider Bite: SX. Answer: • Fever, chills • Nausea
and Vomiting • Located in the arms, upper legs, or the trunk • Bitten
area becomes swollen, red, and tender, or can be painless • Blisters
appear within 24-48 hours • Necrotic in center, which kills the tissue
**can be painless
◉ Brown Recluse Spider Bite treatment. Answer: Treatment: • Ice
packs to wound as the cold inactivates the toxin • Treat like cellulitis
of the skin • Antibiotic ointment at first and watch
◉ Skin lesions. Answer: primary skin lesions
Macule Vesicle Papule MVP Size: <1 CM
◉ Macule. Answer: Flat, nonpalpable, but visually distinct areas on
the skin surface with color different from the person's normal skin;
less than 1 cm
FRECKLE
◉ Vesicle. Answer: elevated, raised lesion filled with serous fluid
(herpetic lesions)
◉ Papule. Answer: palpable solid lesion (acne, moles)
