NR-509-APEA-3P-Exam-Week-8 QUESTIONS
AND VERIFIED AND EXPLAINED ANSWERS
2025
Most common type of skin cancer in USA - answer-Skin cancer
Most common type of skin cancer - answer-basal cell carcinoma
basal cell carcinoma symptoms - answer-Appearance varies; smooth, shiny bump,
pink to pearly white
Basal cell carcinoma common locations - answer-cheeks, nose, face, neck, arms,
back
basal cell carcinoma diagnosis gold standard - answer-biopsy. if not an option,
refer to derm
Actinic keratosis - answer-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
,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 - answer-Symptoms: • Chronic small acne like papules/pustules,
and telangiectasias around nose, mouth, and chin symmetrically
Treatment: First line: o (Avoid triggers of flushing (EtOH, excessive sun, spicy
foods)
Metro gel or Azelex gel QD-BID
Low dose Tetracycline 250 mg QID or doxycycline 100 mg QD if gel not effective
or the patient has pustular/ocular rosacea
Psoriasis - answer-Symptoms: • Inherited condition (atopy)
Pruritic erythematous plaques
Fine silvery-white scales with pitted fingernails
Occurs on scalp, elbows, knees, sacrum, and intergluteal folds (extensor surfaces)
Migratory arthritis
Psoriasis treatment - answer-Treatment: • Topical steroids o Seven classes of
steroids 10 o Avoid class I-III on children, and sensitive skin (face, groin, etc.) o
Class I- super potent o Class VII least potent • Tar preps (mild cases) • Anti-TNF
AND VERIFIED AND EXPLAINED ANSWERS
2025
Most common type of skin cancer in USA - answer-Skin cancer
Most common type of skin cancer - answer-basal cell carcinoma
basal cell carcinoma symptoms - answer-Appearance varies; smooth, shiny bump,
pink to pearly white
Basal cell carcinoma common locations - answer-cheeks, nose, face, neck, arms,
back
basal cell carcinoma diagnosis gold standard - answer-biopsy. if not an option,
refer to derm
Actinic keratosis - answer-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
,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 - answer-Symptoms: • Chronic small acne like papules/pustules,
and telangiectasias around nose, mouth, and chin symmetrically
Treatment: First line: o (Avoid triggers of flushing (EtOH, excessive sun, spicy
foods)
Metro gel or Azelex gel QD-BID
Low dose Tetracycline 250 mg QID or doxycycline 100 mg QD if gel not effective
or the patient has pustular/ocular rosacea
Psoriasis - answer-Symptoms: • Inherited condition (atopy)
Pruritic erythematous plaques
Fine silvery-white scales with pitted fingernails
Occurs on scalp, elbows, knees, sacrum, and intergluteal folds (extensor surfaces)
Migratory arthritis
Psoriasis treatment - answer-Treatment: • Topical steroids o Seven classes of
steroids 10 o Avoid class I-III on children, and sensitive skin (face, groin, etc.) o
Class I- super potent o Class VII least potent • Tar preps (mild cases) • Anti-TNF
