APEA QBANK AANP EXAM SCRIPT 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS
◉ Animal bites:.
Answer: Cat bites have a higher risk of infection that dog bites
Redness, swelling, pain
Systemic symptoms may develop within 12-24 hours
◉ Treatment for human bites and animal bites.
Answer: •Augmentin 875/125 mg BID x 10 days or IV antibiotics in
ER Penicillin Allergy § Doxycycline BID or Bactrim DS BID PLUS
Flagyl BID or Clindamycin TID
Also give Tetanus booster if needed
Evaluate for rabies prophylaxis
◉ Tetanus Vaccination.
Answer: Initial series (3 doses) DTaP (infants to age 6): 5 doses Ages
7 and older
,Td or Tdap Need every 10 years for lifetime Common reaction: pain
at injection site in 24-48 hours
Contaminated wounds: give one dose if last dose was more than 5
years ago or is due
◉ Impetigo.
Answer: Bacteria (Gram Positive): Beta Streptococcus or
Streptococcus aureus
Most common bacterial skin infection in young children ages 2-5
◉ Impetigo symptoms.
Answer: Itchy pink-red lesions, evolve into vesiculopustules that
rupture easily, honeycolored crusts (from dried serous exudate)
Very pruritic and contagious
◉ Impetigo Treatment.
Answer: Order C&S of fluid
Severe Case= Keflex or Dicloxacillin QID x 10 days
,Penicillin Allergy o Give Azithromycin 250 mg x 5 days or o
Clindamycin x 10 days
**If no blisters- topical mupirocin ointment (bactroban) 2% x 10
days
◉ Acne Vulgaris (common acne): treatment.
Answer: First line is always topical retinoid such as tretinoin cream
(Retin-A)
◉ Acne: Mild treatmetn.
Answer: open comedones blackheads/closed comedones
(whiteheads) w/ or w/o papules
topical retinoid (Retin-A)
**Acne will worsen during first 4-6 weeks**
IF no improvement in 8-12 weeks, increase dose or ADD benzoyl
peroxide and/or erythromycin
◉ Acne: Moderate (topicals plus antibiotics).
Answer: papules and pustules with comedones (3 part treatment)
Topical retinoid (Retin-A) AND topical benzoyl peroxide AND oral
antibiotic (Tetracycline or Minocycline) x 3-4 weeks --> Exam
usually asks about moderate
, ◉ Acne: Severe.
Answer: painful indurated nodule, cysts, abscesses, pustules
Accutane- check Liver function tests (LFTS)
must use 2 forms of contraceptives, monthly pregnancy testing
only prescribe 1 month supply of medication
Usually, will refer to Dermatology
◉ Topical retinoid side effects.
Answer: Irritation, dry skin, flaking, redness during first 4 weeks
due to increase in skin turnover
After washing face wait 30 minutes before applying medication to
help minimize irritation
◉ Acne medications to avoid in pregnancy (category X &C).
Answer: Category X: Topical tazarotene (Tazorac), Accutane
Category C: Topical retinoids (tretinoin, adapalene)
◉ Acne Rosacea.
COMPLETE QUESTIONS AND CORRECT
ANSWERS
◉ Animal bites:.
Answer: Cat bites have a higher risk of infection that dog bites
Redness, swelling, pain
Systemic symptoms may develop within 12-24 hours
◉ Treatment for human bites and animal bites.
Answer: •Augmentin 875/125 mg BID x 10 days or IV antibiotics in
ER Penicillin Allergy § Doxycycline BID or Bactrim DS BID PLUS
Flagyl BID or Clindamycin TID
Also give Tetanus booster if needed
Evaluate for rabies prophylaxis
◉ Tetanus Vaccination.
Answer: Initial series (3 doses) DTaP (infants to age 6): 5 doses Ages
7 and older
,Td or Tdap Need every 10 years for lifetime Common reaction: pain
at injection site in 24-48 hours
Contaminated wounds: give one dose if last dose was more than 5
years ago or is due
◉ Impetigo.
Answer: Bacteria (Gram Positive): Beta Streptococcus or
Streptococcus aureus
Most common bacterial skin infection in young children ages 2-5
◉ Impetigo symptoms.
Answer: Itchy pink-red lesions, evolve into vesiculopustules that
rupture easily, honeycolored crusts (from dried serous exudate)
Very pruritic and contagious
◉ Impetigo Treatment.
Answer: Order C&S of fluid
Severe Case= Keflex or Dicloxacillin QID x 10 days
,Penicillin Allergy o Give Azithromycin 250 mg x 5 days or o
Clindamycin x 10 days
**If no blisters- topical mupirocin ointment (bactroban) 2% x 10
days
◉ Acne Vulgaris (common acne): treatment.
Answer: First line is always topical retinoid such as tretinoin cream
(Retin-A)
◉ Acne: Mild treatmetn.
Answer: open comedones blackheads/closed comedones
(whiteheads) w/ or w/o papules
topical retinoid (Retin-A)
**Acne will worsen during first 4-6 weeks**
IF no improvement in 8-12 weeks, increase dose or ADD benzoyl
peroxide and/or erythromycin
◉ Acne: Moderate (topicals plus antibiotics).
Answer: papules and pustules with comedones (3 part treatment)
Topical retinoid (Retin-A) AND topical benzoyl peroxide AND oral
antibiotic (Tetracycline or Minocycline) x 3-4 weeks --> Exam
usually asks about moderate
, ◉ Acne: Severe.
Answer: painful indurated nodule, cysts, abscesses, pustules
Accutane- check Liver function tests (LFTS)
must use 2 forms of contraceptives, monthly pregnancy testing
only prescribe 1 month supply of medication
Usually, will refer to Dermatology
◉ Topical retinoid side effects.
Answer: Irritation, dry skin, flaking, redness during first 4 weeks
due to increase in skin turnover
After washing face wait 30 minutes before applying medication to
help minimize irritation
◉ Acne medications to avoid in pregnancy (category X &C).
Answer: Category X: Topical tazarotene (Tazorac), Accutane
Category C: Topical retinoids (tretinoin, adapalene)
◉ Acne Rosacea.
