3P APEA /APEA 3P EXAM AND STUDYGUIDE 2024 ACT
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UAL EXAM COMPLETE 350 QUESTIONS ANDCORR
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ECTANSWERS (VERIFIED ANSWERS)
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|ALREADY GRADED A+||BRAND NEW VERSION!!
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MostfcommonftypefoffskinfcancerfinfUSAf-fANSWERSkinfcancer
Mostfcommonftypefoffskinfcancerf-fANSWERbasalfcellfcarcinoma
basalfcellfcarcinomafsymptomsf-
fANSWERAppearancefvaries;f smooth,fshinyf bump,fpinkf tofpearlyf white
Basalfcellfcarcinomafcommonflocationsf-
fANSWERcheeks,fnose,fface,fneck,f arms,fback
basalfcellfcarcinomafdiagnosisfgoldfstandardf-fANSWERbiopsy.fiffnotfanfoption,freferftofderm
Actinicfkeratosisf-
fANSWERPrecursorftofsquamousf cellf carcinomaf numerousfdry,f roundfandfp
inkftofredflesionsfw/froughfandfscalyftexture
-->fdoesfnotfheal,fslowfgrowingfinfsunfexposedfareas
Actinicfkeratosisfdiagnosisfgoldfstandardf-
fANSWERBiopsy.fiffnotfanfoption,f referf tofderm
Actinicfkeratosisftreatmentfgoldfstandardf-fANSWERsmall-fcryotherapy
large-fnumberf5-FUf(5-flouracilfakafefudex).f5-
FUfmedicationfCausesfskinftofooze,fcrust,fscabfandfbefred
**5-flouracil/fefudex-wearfsunscreen!!**
squamousfcellfcancerf-fANSWERchronicfredfscalyfroughftexturedflesionfw/firregularfborders
crustingforfbleedingfmayfbefpresent
Squamousfcellfcarcinomafcommonflocationsf-
fANSWERrimsf offears,f lips,f nose,ffacefandftopfoffhands
,precursorflesionftofsquamousfcellfcancerf-fANSWERactinicfkeratosis
squamousfcellfcarcinomafdiagnosisfby?f-
fANSWERbiopsyfgoldfstandard.fiffbiopsyfisfnotfanfoption,f referftofdermatologyf.
Riskffactorsfforfskinfcancer(melanomafandfbothfnon-melanoma)f-
fANSWERBlisteringfsunburnfasf afchild,fhistoryf offsunburns,flightf skin,fchronicf exposureftof
UVflightf(sunlight/tanningfbeds),fmoles,ffamilyfhxfforfskinfcancer
Melanomafsymptomsf(ABCDE)f-
fANSWERasymmetryf(shape/unevenftexture)fborderf (irregular/notched/blurred)
colorf(variegatedfcolorsffromfblack,fblue,fdarkftoflightfbrown)fdia
meterf (sizef >6mmf sizef off pencilf eraserf orf larger)fevolvingf(cha
ngesfinfcolor/size/shape)
mayfbefitchy
Acralflengtiginousfmelanomaf-
fANSWERMostf commonf typefoffmelanomaf infdarkfskinnedfindividualsf (blacksf &fasia
ns)
--
>flookfforflongitudinalfbrownftofblackfbandsfunderfthefnailbed.fafchangingfspotforfmolefi
nfthefpalms,forfthefsolesfofftheffeet
seborrheicfkeratosisf-fANSWERsoft,fround,fwart-
likefgrowthfthatfisflightftanftofblackfandflooksfpastedfon
asymptomaticf&benign
BacterialfMeningitisfBacteriaf-fANSWERStreptococcusfpneumoniae-
fmostf commonfstrain
Haemophilusfinfluenzaef
NeisseriafmeningitidisfE
scherichiafcoli
*others
Bacterialfmeningitisfsymptomsf(ClassicfTriad)f-
fANSWERHighffeverfNuchalf rigidity
rapidfchangefinfmentalfstatusfw/fheadachefTr
iad=neckfup
erythematousfspot-likefrashf(petechiae)fecchymosisftofpurple-
coloredflesionsf(purpura)fwhichfarefnon-blanchable
Isfbacterialfmeningitisfafreportablefdiseasef-fANSWERyes!
TreatmentfforfBacterialfmeningitis-patientf-
fANSWERIVfAbxf ASAP,f resp/dropletf isofforffirstf24-
48fhrs,fhydratef(lowfmaintenancefafterfinitialffluidfcorrection),fMaintainfventilationfandfredu
cefincreasedfintrafcranialfpressurefiffpresentf(dexamethosone(to
,reducefinflammation,fmannitolftofdiuresefthefbrain),flowfstimfenvironment,ftxfcomplicat
ionsfthatfmayfarrivefandfsupportffamily
Treatmentfforfbacterialfmeningitis-closefencounterf-
fANSWERClosefcontactsfshouldfbeftreatedf w/f rifampinf600fmgfqf 12f hoursf xf2f days
**Rifampinfchangesfurinefcolorftofreddishforangefandfcanfstainfcontacts
**AVOIDfRIFAMPINfINfPREGNANCY
Brudzinkskifsignf(meningealfirritation)f-
fANSWERTestsfforfmeningealf irritationfPatientfsupine,fraisefBACKf offheadfandffle
xfchinftowardsfchest
+fresultfiffptfautomaticallyfbedsfbothfhips
--BrudzinskifandfbackfoffheadfstartfwithfBfasfwellfasfbends--
Kernig'sfsignf-fANSWERTestsfforfmeningealfirritation
patientfsupine.fflexfpatientsfhipsfandfkneesfinfafrightfangle,fthenfslowlyfstraighten/exte
ndftheflegsfup
+fresultfiffwhenfthefpatientfcomplainsfoffpainfduringfextensionfoffleg
MCV4f(meningococcalfvaccine)fAgef11-19f-
fANSWERGivefonefdosef offmenactraforfmenveo
primaryfdosefgivenfagef12forfyoungerfgivefafboosterfatfagef16-18
MCV4f(meningococcalfvaccine)fAgef19-21f-
fANSWERGivefonefdosef offmenactraforfmenveof iffneverf hadfeither
Rockyfmountainfspottedffeverf(RMSF)fsymptomsf-
fANSWERFeverfchills
N/Vfmyal
giafarthra
lgia
2-
5fdaysflaterfdevelopfpetechialfrashfonfforearms,fankles,fandfwristsfthatfspreadsftowardsftrunk
fandfbecomesfgeneralised.fsometimesfrashfdevelopsfonfpalmsfandfsoles
**RASHfDEVELOPSfINWARDS**
RMSFfpneumonicf(RMSF)f-fANSWERR-Rash
f M-Musclefachesf(myalgia)
fS-Stomachfachesf(nauseafandfvomiting)
f F-Feverf(>102fF)
RockyfMountainfSpottedfFeverf(RMSF):fLocated:f-fANSWER•Thinkf"Rocky"-
f NorthfCarolina,fOklahoma,fArkansas,fTennessee,fMissouri
fSpringftofFallf(AprilftofSeptember)
, RockyfMountainfSpottedfFeverf(RMSF):fDXf-
fANSWERPCRf assayf byf indirectf immunofluorescencefantibodyf(IFA)fassayfforfimmunoglob
ulinfGf(IgG)fforfRickettsiafRickettsii
RockyfMountainfSpottedfFeverf(RMSF):ftxf-
fANSWERDoxycyclinefisfalwaysffirstflinefforfallfages
100fmgfeveryf12fhoursfxf7-10fdays
f Canfbeffatalfiffnotftreatedf withinftheffirstf5fdays
ErythemafMigransf(earlyfLymefdisease):fSymptomsf-fANSWERUsuallyfappearsfinf7-
14fdaysfafterfbeingfbittenfbyfafdeerftick;frangef3-30fdays
Targetfbull's-
eyefRashfisfhotftoftouchfwithfroughftexture.fExpandingfredfrashfwithfcentralfclearingf•fComm
onflocationsfarefbeltfline,faxillaryfarea,fbehindfthefknees,fandfgroinfareaf•fPositivefforffluflikef
symptoms.fLesionsfandfrashfresolvefwithinfaffewfweeksfwithforfwithoutftreatment
ErythemafMigransf(earlyfLymefdisease):fDXf-
fANSWERDx:f •f Firstf stepf isf enzymef immunoassayf (EIA)falsof knowsfasfELISAfiffnegativef noff
urtherftestingfneeded.fIffpositivefconfirmfwithfWesternfBlotftestf(akafindirectfimmunofluoresc
encefassayf(IFA)fforfBorreliafBurgdorferi
1. Enzymefimmunoassay
2. westernfblotftestf(immunoflurorescencefassay/fIFA)fE
xamfTip:fEfbeforefI
WillfhavefincreasedfESR
ErythemafMigransf(earlyfLymefdisease):fTXf-
fANSWERDoxycyclinefisfalwaysffirstflinefforf allfages
100fmgfBIDfxf10-21fdays
Removefticksfbyfgraspingfwithftweezersforfforcepsfcloseftofthefskinfandfpullingfgentlyfwithfste
adyfpressure.fAfterfremovingftheftick,fcleanfareafwithfrubbingfalcohol,fiodinefscrub,forfsoapfan
dfwater.fDisposefofftheftickfbyfflushingfitfintoftheftoilet
Tickfrepellantfskinfusef-fANSWERDEET
Tickfrepellantfclothingfusef-fANSWERPermethrin
BrownfReclusefSpiderfBite:fSXf-
fANSWER•fFever,f chillsf •fNauseafandf Vomitingf•f Locatedf inf thefarms,fupperf legs,forf theftr
unkf•fBittenfareafbecomesfswollen,fred,fandftender,forfcanfbefpainlessf•fBlistersfappearfwi
thinf24-48fhoursf•fNecroticfinfcenter,fwhichfkillsftheftissue
**canfbefpainless
f f f f f f f f
UAL EXAM COMPLETE 350 QUESTIONS ANDCORR
f f f f f f
ECTANSWERS (VERIFIED ANSWERS)
f f f
|ALREADY GRADED A+||BRAND NEW VERSION!!
f f f f
MostfcommonftypefoffskinfcancerfinfUSAf-fANSWERSkinfcancer
Mostfcommonftypefoffskinfcancerf-fANSWERbasalfcellfcarcinoma
basalfcellfcarcinomafsymptomsf-
fANSWERAppearancefvaries;f smooth,fshinyf bump,fpinkf tofpearlyf white
Basalfcellfcarcinomafcommonflocationsf-
fANSWERcheeks,fnose,fface,fneck,f arms,fback
basalfcellfcarcinomafdiagnosisfgoldfstandardf-fANSWERbiopsy.fiffnotfanfoption,freferftofderm
Actinicfkeratosisf-
fANSWERPrecursorftofsquamousf cellf carcinomaf numerousfdry,f roundfandfp
inkftofredflesionsfw/froughfandfscalyftexture
-->fdoesfnotfheal,fslowfgrowingfinfsunfexposedfareas
Actinicfkeratosisfdiagnosisfgoldfstandardf-
fANSWERBiopsy.fiffnotfanfoption,f referf tofderm
Actinicfkeratosisftreatmentfgoldfstandardf-fANSWERsmall-fcryotherapy
large-fnumberf5-FUf(5-flouracilfakafefudex).f5-
FUfmedicationfCausesfskinftofooze,fcrust,fscabfandfbefred
**5-flouracil/fefudex-wearfsunscreen!!**
squamousfcellfcancerf-fANSWERchronicfredfscalyfroughftexturedflesionfw/firregularfborders
crustingforfbleedingfmayfbefpresent
Squamousfcellfcarcinomafcommonflocationsf-
fANSWERrimsf offears,f lips,f nose,ffacefandftopfoffhands
,precursorflesionftofsquamousfcellfcancerf-fANSWERactinicfkeratosis
squamousfcellfcarcinomafdiagnosisfby?f-
fANSWERbiopsyfgoldfstandard.fiffbiopsyfisfnotfanfoption,f referftofdermatologyf.
Riskffactorsfforfskinfcancer(melanomafandfbothfnon-melanoma)f-
fANSWERBlisteringfsunburnfasf afchild,fhistoryf offsunburns,flightf skin,fchronicf exposureftof
UVflightf(sunlight/tanningfbeds),fmoles,ffamilyfhxfforfskinfcancer
Melanomafsymptomsf(ABCDE)f-
fANSWERasymmetryf(shape/unevenftexture)fborderf (irregular/notched/blurred)
colorf(variegatedfcolorsffromfblack,fblue,fdarkftoflightfbrown)fdia
meterf (sizef >6mmf sizef off pencilf eraserf orf larger)fevolvingf(cha
ngesfinfcolor/size/shape)
mayfbefitchy
Acralflengtiginousfmelanomaf-
fANSWERMostf commonf typefoffmelanomaf infdarkfskinnedfindividualsf (blacksf &fasia
ns)
--
>flookfforflongitudinalfbrownftofblackfbandsfunderfthefnailbed.fafchangingfspotforfmolefi
nfthefpalms,forfthefsolesfofftheffeet
seborrheicfkeratosisf-fANSWERsoft,fround,fwart-
likefgrowthfthatfisflightftanftofblackfandflooksfpastedfon
asymptomaticf&benign
BacterialfMeningitisfBacteriaf-fANSWERStreptococcusfpneumoniae-
fmostf commonfstrain
Haemophilusfinfluenzaef
NeisseriafmeningitidisfE
scherichiafcoli
*others
Bacterialfmeningitisfsymptomsf(ClassicfTriad)f-
fANSWERHighffeverfNuchalf rigidity
rapidfchangefinfmentalfstatusfw/fheadachefTr
iad=neckfup
erythematousfspot-likefrashf(petechiae)fecchymosisftofpurple-
coloredflesionsf(purpura)fwhichfarefnon-blanchable
Isfbacterialfmeningitisfafreportablefdiseasef-fANSWERyes!
TreatmentfforfBacterialfmeningitis-patientf-
fANSWERIVfAbxf ASAP,f resp/dropletf isofforffirstf24-
48fhrs,fhydratef(lowfmaintenancefafterfinitialffluidfcorrection),fMaintainfventilationfandfredu
cefincreasedfintrafcranialfpressurefiffpresentf(dexamethosone(to
,reducefinflammation,fmannitolftofdiuresefthefbrain),flowfstimfenvironment,ftxfcomplicat
ionsfthatfmayfarrivefandfsupportffamily
Treatmentfforfbacterialfmeningitis-closefencounterf-
fANSWERClosefcontactsfshouldfbeftreatedf w/f rifampinf600fmgfqf 12f hoursf xf2f days
**Rifampinfchangesfurinefcolorftofreddishforangefandfcanfstainfcontacts
**AVOIDfRIFAMPINfINfPREGNANCY
Brudzinkskifsignf(meningealfirritation)f-
fANSWERTestsfforfmeningealf irritationfPatientfsupine,fraisefBACKf offheadfandffle
xfchinftowardsfchest
+fresultfiffptfautomaticallyfbedsfbothfhips
--BrudzinskifandfbackfoffheadfstartfwithfBfasfwellfasfbends--
Kernig'sfsignf-fANSWERTestsfforfmeningealfirritation
patientfsupine.fflexfpatientsfhipsfandfkneesfinfafrightfangle,fthenfslowlyfstraighten/exte
ndftheflegsfup
+fresultfiffwhenfthefpatientfcomplainsfoffpainfduringfextensionfoffleg
MCV4f(meningococcalfvaccine)fAgef11-19f-
fANSWERGivefonefdosef offmenactraforfmenveo
primaryfdosefgivenfagef12forfyoungerfgivefafboosterfatfagef16-18
MCV4f(meningococcalfvaccine)fAgef19-21f-
fANSWERGivefonefdosef offmenactraforfmenveof iffneverf hadfeither
Rockyfmountainfspottedffeverf(RMSF)fsymptomsf-
fANSWERFeverfchills
N/Vfmyal
giafarthra
lgia
2-
5fdaysflaterfdevelopfpetechialfrashfonfforearms,fankles,fandfwristsfthatfspreadsftowardsftrunk
fandfbecomesfgeneralised.fsometimesfrashfdevelopsfonfpalmsfandfsoles
**RASHfDEVELOPSfINWARDS**
RMSFfpneumonicf(RMSF)f-fANSWERR-Rash
f M-Musclefachesf(myalgia)
fS-Stomachfachesf(nauseafandfvomiting)
f F-Feverf(>102fF)
RockyfMountainfSpottedfFeverf(RMSF):fLocated:f-fANSWER•Thinkf"Rocky"-
f NorthfCarolina,fOklahoma,fArkansas,fTennessee,fMissouri
fSpringftofFallf(AprilftofSeptember)
, RockyfMountainfSpottedfFeverf(RMSF):fDXf-
fANSWERPCRf assayf byf indirectf immunofluorescencefantibodyf(IFA)fassayfforfimmunoglob
ulinfGf(IgG)fforfRickettsiafRickettsii
RockyfMountainfSpottedfFeverf(RMSF):ftxf-
fANSWERDoxycyclinefisfalwaysffirstflinefforfallfages
100fmgfeveryf12fhoursfxf7-10fdays
f Canfbeffatalfiffnotftreatedf withinftheffirstf5fdays
ErythemafMigransf(earlyfLymefdisease):fSymptomsf-fANSWERUsuallyfappearsfinf7-
14fdaysfafterfbeingfbittenfbyfafdeerftick;frangef3-30fdays
Targetfbull's-
eyefRashfisfhotftoftouchfwithfroughftexture.fExpandingfredfrashfwithfcentralfclearingf•fComm
onflocationsfarefbeltfline,faxillaryfarea,fbehindfthefknees,fandfgroinfareaf•fPositivefforffluflikef
symptoms.fLesionsfandfrashfresolvefwithinfaffewfweeksfwithforfwithoutftreatment
ErythemafMigransf(earlyfLymefdisease):fDXf-
fANSWERDx:f •f Firstf stepf isf enzymef immunoassayf (EIA)falsof knowsfasfELISAfiffnegativef noff
urtherftestingfneeded.fIffpositivefconfirmfwithfWesternfBlotftestf(akafindirectfimmunofluoresc
encefassayf(IFA)fforfBorreliafBurgdorferi
1. Enzymefimmunoassay
2. westernfblotftestf(immunoflurorescencefassay/fIFA)fE
xamfTip:fEfbeforefI
WillfhavefincreasedfESR
ErythemafMigransf(earlyfLymefdisease):fTXf-
fANSWERDoxycyclinefisfalwaysffirstflinefforf allfages
100fmgfBIDfxf10-21fdays
Removefticksfbyfgraspingfwithftweezersforfforcepsfcloseftofthefskinfandfpullingfgentlyfwithfste
adyfpressure.fAfterfremovingftheftick,fcleanfareafwithfrubbingfalcohol,fiodinefscrub,forfsoapfan
dfwater.fDisposefofftheftickfbyfflushingfitfintoftheftoilet
Tickfrepellantfskinfusef-fANSWERDEET
Tickfrepellantfclothingfusef-fANSWERPermethrin
BrownfReclusefSpiderfBite:fSXf-
fANSWER•fFever,f chillsf •fNauseafandf Vomitingf•f Locatedf inf thefarms,fupperf legs,forf theftr
unkf•fBittenfareafbecomesfswollen,fred,fandftender,forfcanfbefpainlessf•fBlistersfappearfwi
thinf24-48fhoursf•fNecroticfinfcenter,fwhichfkillsftheftissue
**canfbefpainless
