APEA QBANK AANP COMPREHENSIVE
EXAMINATION 2026 FULL QUESTION SET
WITH VERIFIED SOLUTIONS
◉ Lichen Planus: symptoms & Treatment.
Answer: Symptoms: • Small flat topped, red to purple bumps that
may have white scales/flakes • Wispy grey white streaks called
Wickham's striae • Found on the inner wrists, forearms, and ankles.
If on scalp causes hair loss • Can be found in vulva and vagina with
soreness, burning, and rawness
Treatment: Topical Steroids (even in vaginal area for Lichen
Sclerosus)
◉ Anthrax: Symptoms & treatment.
Answer: Symptoms: Animals/hides/hair/wool
Lesions begin as papules that enlarges quickly within 24-48 hrs.
Develop necrosis and ulceration (sort of like a recluse spider bite)
Not contagious
Treatment: Doxycycline, Cipro, or Levaquin BID x 7-10 days
,If you suspect BIOTERRORISM treat for 60 days
Prophylaxis antibiotics are Cipro and Doxy
◉ Hidradenitis Suppurativa: Symptoms & Treatment.
Answer: Symptoms:
Recurrent episodes of painful large and tender red nodules,
abscesses, and pustules in the axilla (most common), groin, perianal,
and inframammary
Due to occlusion of the hair follicles and pilosebaceous glands
(apocrine glands)
Treatment: •Avoid skin trauma, wear loose light clothing, avoid
excessive heat, and friction
Smoking cessation, lose weight if obese
Avoid deodorant
Doxycycline QD to BID x several months
◉ Blepharitis (inflammation of the eyelids): Symptoms/treatment.
Answer: Symptoms: Bilateral red and swollen edges of eyelids
May have fine scales
More common with seborrheic dermatitis
,Treatment: Scrub eyelids in warm water and baby shampoo
◉ Pterygium (Surfer's eye): Symptoms/Treatment.
Answer: Symptoms:
Triangular-shaped white to yellow superficial growth
On nasal side
Caused by long term UV damage
Treatment:
Surgical remove if it grows into the pupil
Prevention: wear sunglasses
◉ Pinguecula (think of Ping-Pong): Symptoms/Treatment.
Answer: Symptoms: White to yellowish small round superficial
lesion on each side of the cornea Caused by long-term UV damage
Treatment: • Prevention: wear sunglasses
◉ Chalazion: Symptoms & Treatment.
Answer: Symptoms:
Small painless nodule
, Chronic inflammation of the meibomian gland (specialized sweat
gland)
Grows gradually
Treatment: • Hot compress QID if large otherwise no treatment
◉ Hordeolum (Stye): Symptoms and Treatment.
Answer: Symptoms: Painful • Swollen • Red, warm, abscess, and it's
acute Think Hordeolum "Hurts"
Treatment: • Hot compress until it drains QID • Avoid wearing eye
make-up • Erythromycin or dicloxacillin QID if preseptal cellulitis
develops 17 o Refer to ophthalmology for I&D
◉ Senile arcus: Symptoms and Treatment.
Answer: Symptoms: White-gray ring on edge of cornea in elderly
and is bilateral Normal finding in elderly Result of lipid deposit
Treatment: None
Age less than 50 check lipid profile
◉ Xanthelasma: Symptoms and treatment/ DX.
EXAMINATION 2026 FULL QUESTION SET
WITH VERIFIED SOLUTIONS
◉ Lichen Planus: symptoms & Treatment.
Answer: Symptoms: • Small flat topped, red to purple bumps that
may have white scales/flakes • Wispy grey white streaks called
Wickham's striae • Found on the inner wrists, forearms, and ankles.
If on scalp causes hair loss • Can be found in vulva and vagina with
soreness, burning, and rawness
Treatment: Topical Steroids (even in vaginal area for Lichen
Sclerosus)
◉ Anthrax: Symptoms & treatment.
Answer: Symptoms: Animals/hides/hair/wool
Lesions begin as papules that enlarges quickly within 24-48 hrs.
Develop necrosis and ulceration (sort of like a recluse spider bite)
Not contagious
Treatment: Doxycycline, Cipro, or Levaquin BID x 7-10 days
,If you suspect BIOTERRORISM treat for 60 days
Prophylaxis antibiotics are Cipro and Doxy
◉ Hidradenitis Suppurativa: Symptoms & Treatment.
Answer: Symptoms:
Recurrent episodes of painful large and tender red nodules,
abscesses, and pustules in the axilla (most common), groin, perianal,
and inframammary
Due to occlusion of the hair follicles and pilosebaceous glands
(apocrine glands)
Treatment: •Avoid skin trauma, wear loose light clothing, avoid
excessive heat, and friction
Smoking cessation, lose weight if obese
Avoid deodorant
Doxycycline QD to BID x several months
◉ Blepharitis (inflammation of the eyelids): Symptoms/treatment.
Answer: Symptoms: Bilateral red and swollen edges of eyelids
May have fine scales
More common with seborrheic dermatitis
,Treatment: Scrub eyelids in warm water and baby shampoo
◉ Pterygium (Surfer's eye): Symptoms/Treatment.
Answer: Symptoms:
Triangular-shaped white to yellow superficial growth
On nasal side
Caused by long term UV damage
Treatment:
Surgical remove if it grows into the pupil
Prevention: wear sunglasses
◉ Pinguecula (think of Ping-Pong): Symptoms/Treatment.
Answer: Symptoms: White to yellowish small round superficial
lesion on each side of the cornea Caused by long-term UV damage
Treatment: • Prevention: wear sunglasses
◉ Chalazion: Symptoms & Treatment.
Answer: Symptoms:
Small painless nodule
, Chronic inflammation of the meibomian gland (specialized sweat
gland)
Grows gradually
Treatment: • Hot compress QID if large otherwise no treatment
◉ Hordeolum (Stye): Symptoms and Treatment.
Answer: Symptoms: Painful • Swollen • Red, warm, abscess, and it's
acute Think Hordeolum "Hurts"
Treatment: • Hot compress until it drains QID • Avoid wearing eye
make-up • Erythromycin or dicloxacillin QID if preseptal cellulitis
develops 17 o Refer to ophthalmology for I&D
◉ Senile arcus: Symptoms and Treatment.
Answer: Symptoms: White-gray ring on edge of cornea in elderly
and is bilateral Normal finding in elderly Result of lipid deposit
Treatment: None
Age less than 50 check lipid profile
◉ Xanthelasma: Symptoms and treatment/ DX.
