1
APEA 3P Exam 2026 Latest Questions
and Answers (100% Expert Answers)
A+
Most common type of skin cancer in USA [ Ans: ] Skin cancer
Most common type of skin cancer [ Ans: ] basal cell carcinoma
basal cell carcinoma symptoms [ Ans: ] Appearance varies; smooth, shiny
bump, pink to pearly white
Basal cell carcinoma common locations [ Ans: ] cheeks, nose, face, neck,
arms, back
basal cell carcinoma diagnosis gold standard [ Ans: ] biopsy. if not an
option, refer to derm
© 2026
Actinic keratosis [ Ans: ] 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 [ Ans: ] Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard [ Ans: ] 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!!*
,2
squamous cell cancer [ Ans: ] chronic red scaly rough textured lesion w/
irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations [ Ans: ] rims of ears, lips,
nose, face and top of hands
precursor lesion to squamous cell cancer [ Ans: ] actinic keratosis
squamous cell carcinoma diagnosis by? [ Ans: ] biopsy gold standard. if
biopsy is not an option, refer to dermatology .
Risk factors for skin cancer(melanoma and both non-melanoma) [ Ans: ]
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) [ Ans: ] asymmetry (shape/uneven texture)
© 2026
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 [ Ans: ] 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
,3
seborrheic keratosis [ Ans: ] soft, round, wart-like growth that is light tan
to black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria [ Ans: ] Streptococcus pneumoniae- most
common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) [ Ans: ] High fever
© 2026
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 [ Ans: ] yes!
Treatment for Bacterial meningitis-patient [ Ans: ] 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
, 4
Treatment for bacterial meningitis-close encounter [ Ans: ] 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) [ Ans: ] 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 [ Ans: ] Tests for meningeal irritation
© 2026
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 [ Ans: ] 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 [ Ans: ] Give one dose of
menactra or menveo if never had either
Rocky mountain spotted fever (RMSF) symptoms [ Ans: ] Fever
chills
N/V
APEA 3P Exam 2026 Latest Questions
and Answers (100% Expert Answers)
A+
Most common type of skin cancer in USA [ Ans: ] Skin cancer
Most common type of skin cancer [ Ans: ] basal cell carcinoma
basal cell carcinoma symptoms [ Ans: ] Appearance varies; smooth, shiny
bump, pink to pearly white
Basal cell carcinoma common locations [ Ans: ] cheeks, nose, face, neck,
arms, back
basal cell carcinoma diagnosis gold standard [ Ans: ] biopsy. if not an
option, refer to derm
© 2026
Actinic keratosis [ Ans: ] 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 [ Ans: ] Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard [ Ans: ] 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!!*
,2
squamous cell cancer [ Ans: ] chronic red scaly rough textured lesion w/
irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations [ Ans: ] rims of ears, lips,
nose, face and top of hands
precursor lesion to squamous cell cancer [ Ans: ] actinic keratosis
squamous cell carcinoma diagnosis by? [ Ans: ] biopsy gold standard. if
biopsy is not an option, refer to dermatology .
Risk factors for skin cancer(melanoma and both non-melanoma) [ Ans: ]
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) [ Ans: ] asymmetry (shape/uneven texture)
© 2026
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 [ Ans: ] 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
,3
seborrheic keratosis [ Ans: ] soft, round, wart-like growth that is light tan
to black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria [ Ans: ] Streptococcus pneumoniae- most
common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) [ Ans: ] High fever
© 2026
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 [ Ans: ] yes!
Treatment for Bacterial meningitis-patient [ Ans: ] 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
, 4
Treatment for bacterial meningitis-close encounter [ Ans: ] 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) [ Ans: ] 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 [ Ans: ] Tests for meningeal irritation
© 2026
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 [ Ans: ] 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 [ Ans: ] Give one dose of
menactra or menveo if never had either
Rocky mountain spotted fever (RMSF) symptoms [ Ans: ] Fever
chills
N/V
