1|Page
APEA 3P EXAM PREDICTOR 2024/2025: 100% ACCURATE
TEST BANK & PRACTICE QUESTIONS (BEST A+ SCORE
GUARANTEED) – FREE DOWNLOAD + EXPERT TIPS!"
Cellulitis treatment - ANSWER-First line: Abscess/cellulitis is I&D (if <5 cm
no PO antibiotic needed) • Check for tetanus vaccine status
Nonpurulent: Cephalexin (Keflex) 500 mg or Dicloxacillin q 6 hours for 5-
10 days
Purulent (MRSA): Wound culture o Follow up in 48 hours Bactrim BS BID
x 10 days o If you suspect osteomyelitis order an MRI
If allergic to Penicillin: Azithromycin (Z-Pack x 5 days)
Erysipelas: - ANSWER-Bacteria: Group A Streptococcus
Located: • Involves upper dermis and superficial lymphatics • Found on the
cheeks and shins
Erysipelas: Symptoms - ANSWER-Symptoms: • Bright red plaque or
induration with sharp or elevated margins on the face or lower legs • If fever
and chills present pt. is septic (hospitalization is recommended)
,2|Page
Erysipelas: Treatment - ANSWER-If treating facial erysipelas assume
MRSA is present.
Use appropriate antibiotics or refer to ER if septic
Dicloxacillin QID, Cephalexin or Clindamycin x 10 days
If allergic to Penicillin: Azithromycin (Z-Pack x 5 days)
MRSA: Treatment - ANSWER-Bactrim
Doxycycline
Minocycline
Clindamycin
--> If patient is allergic to Sulfa do not use Bactrim
Human bites - ANSWER-"Dirtiest" bite of all. Watch for closed-fist injuries
of the hands (may involve joint capsule and tendon damage). Eikenella
corrodens & numerous bacteria may be involved
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
,3|Page
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
, 4|Page
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)
APEA 3P EXAM PREDICTOR 2024/2025: 100% ACCURATE
TEST BANK & PRACTICE QUESTIONS (BEST A+ SCORE
GUARANTEED) – FREE DOWNLOAD + EXPERT TIPS!"
Cellulitis treatment - ANSWER-First line: Abscess/cellulitis is I&D (if <5 cm
no PO antibiotic needed) • Check for tetanus vaccine status
Nonpurulent: Cephalexin (Keflex) 500 mg or Dicloxacillin q 6 hours for 5-
10 days
Purulent (MRSA): Wound culture o Follow up in 48 hours Bactrim BS BID
x 10 days o If you suspect osteomyelitis order an MRI
If allergic to Penicillin: Azithromycin (Z-Pack x 5 days)
Erysipelas: - ANSWER-Bacteria: Group A Streptococcus
Located: • Involves upper dermis and superficial lymphatics • Found on the
cheeks and shins
Erysipelas: Symptoms - ANSWER-Symptoms: • Bright red plaque or
induration with sharp or elevated margins on the face or lower legs • If fever
and chills present pt. is septic (hospitalization is recommended)
,2|Page
Erysipelas: Treatment - ANSWER-If treating facial erysipelas assume
MRSA is present.
Use appropriate antibiotics or refer to ER if septic
Dicloxacillin QID, Cephalexin or Clindamycin x 10 days
If allergic to Penicillin: Azithromycin (Z-Pack x 5 days)
MRSA: Treatment - ANSWER-Bactrim
Doxycycline
Minocycline
Clindamycin
--> If patient is allergic to Sulfa do not use Bactrim
Human bites - ANSWER-"Dirtiest" bite of all. Watch for closed-fist injuries
of the hands (may involve joint capsule and tendon damage). Eikenella
corrodens & numerous bacteria may be involved
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
,3|Page
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
, 4|Page
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)
