APEA 3P Exam
1.Most common type of skin cancer in USA: Skin cancer
2.Most common type of skin cancer: basal cell carcinoma
3.basal cell carcinoma symptoms: Appearance varies; smooth, shiny
bump, pink to pearly white
4.Basal cell carcinoma common locations: cheeks, nose, face, neck, arms,
back
5.basal cell carcinoma diagnosis gold standard: biopsy. if not an option,
refer to derm
6.Actinic keratosis: 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
7.Actinic keratosis diagnosis gold standard:
Biopsy. if not an option, refer to derm
,8.Actinic keratosis treatment gold standard: small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes
skin to ooze, crust, scab and be red
**5-flouracil/ efudex-wear sunscreen!!**
9.squamous cell cancer: chronic red scaly rough textured lesion w/
irregular borders
crusting or bleeding may be present
10.Squamous cell carcinoma common locations: rims of ears, lips, nose,
face and top of hands
11.precursor lesion to squamous cell cancer: actinic keratosis
12.squamous cell carcinoma diagnosis by?: biopsy gold standard. if
biopsy is not an option, refer to dermatology .
13.Risk factors for skin cancer(melanoma and both non-melanoma):
Blistering sunburn as a child, history of sunburns, light skin, chronic
exposure to UV light (sunlight/tanning beds), moles, family hx for skin
,cancer
14.Melanoma symptoms (ABCDE): asymmetry (shape/uneven
texture) border (irregular/notched/blurred)
color (variegated colors from black, blue, dark to
light brown) diameter (size >6mm size of pencil
eraser or larger) evolving (changes in
color/size/shape)
may be itchy
15.Acral lengtiginous melanoma: Most common type of melanoma in
dark skinned individuals (blacks & asians)
--> look for longitudinal brown to black bands under the nailbed. a
changing spot or mole in the palms, or the soles of the feet
, 16.seborrheic keratosis: soft, round, wart-like growth that is light tan to
black and looks pasted on
asymptomatic &benign
17.Bacterial Meningitis Bacteria: Streptococcus pneumoniae- most
common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
18.Bacterial meningitis symptoms (Classic Triad): High
fever Nuchal rigidity
rapid change in mental status w/
headache Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to purple-colored
1.Most common type of skin cancer in USA: Skin cancer
2.Most common type of skin cancer: basal cell carcinoma
3.basal cell carcinoma symptoms: Appearance varies; smooth, shiny
bump, pink to pearly white
4.Basal cell carcinoma common locations: cheeks, nose, face, neck, arms,
back
5.basal cell carcinoma diagnosis gold standard: biopsy. if not an option,
refer to derm
6.Actinic keratosis: 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
7.Actinic keratosis diagnosis gold standard:
Biopsy. if not an option, refer to derm
,8.Actinic keratosis treatment gold standard: small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes
skin to ooze, crust, scab and be red
**5-flouracil/ efudex-wear sunscreen!!**
9.squamous cell cancer: chronic red scaly rough textured lesion w/
irregular borders
crusting or bleeding may be present
10.Squamous cell carcinoma common locations: rims of ears, lips, nose,
face and top of hands
11.precursor lesion to squamous cell cancer: actinic keratosis
12.squamous cell carcinoma diagnosis by?: biopsy gold standard. if
biopsy is not an option, refer to dermatology .
13.Risk factors for skin cancer(melanoma and both non-melanoma):
Blistering sunburn as a child, history of sunburns, light skin, chronic
exposure to UV light (sunlight/tanning beds), moles, family hx for skin
,cancer
14.Melanoma symptoms (ABCDE): asymmetry (shape/uneven
texture) border (irregular/notched/blurred)
color (variegated colors from black, blue, dark to
light brown) diameter (size >6mm size of pencil
eraser or larger) evolving (changes in
color/size/shape)
may be itchy
15.Acral lengtiginous melanoma: Most common type of melanoma in
dark skinned individuals (blacks & asians)
--> look for longitudinal brown to black bands under the nailbed. a
changing spot or mole in the palms, or the soles of the feet
, 16.seborrheic keratosis: soft, round, wart-like growth that is light tan to
black and looks pasted on
asymptomatic &benign
17.Bacterial Meningitis Bacteria: Streptococcus pneumoniae- most
common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
18.Bacterial meningitis symptoms (Classic Triad): High
fever Nuchal rigidity
rapid change in mental status w/
headache Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to purple-colored
