3P Exam Questions with 100% Correct Answers
Most common type of skin cancer in USA
Most common type of skin cancer
basal cell carcinoma symptoms
Basal cell carcinoma common locations
basal cell carcinoma diagnosis gold standard
Actinic keratosis
Actinic keratosis diagnosis gold standard
Act...
3P EXAM QUESTIONS AND ANSWERS ALL 204
QUESTIONS AND ANSWERS
1). Most common type of skin cancer in usa
Ans: Skin cancer
2). Most common type of skin cancer
Ans: basal cell carcinoma
3). Basal cell carcinoma symptoms
Ans: Appearance varies; smooth, shiny bump, pink to pearly white
4). Basal cell carcinoma common locations
Ans: cheeks, nose, face, neck, arms, back
5). Basal cell carcinoma diagnosis gold standard
Ans: biopsy. if not an option, refer to derm
6). Actinic keratosis
Ans: 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
Ans: Biopsy.
if not an option, refer to derm
8). Actinic keratosis treatment gold standard
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, Ans: 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
Ans: chronic red scaly rough textured lesion w/ irregular borders
crusting or bleeding may be present
10). Squamous cell carcinoma common locations
Ans: rims of ears, lips, nose, face and top of hands
11). Precursor lesion to squamous cell cancer
Ans: actinic keratosis
12). Squamous cell carcinoma diagnosis by?
Ans: biopsy gold standard. if biopsy is not an option, refer to dermatology .
13). Risk factors for skin cancer(melanoma and both non-melanoma)
Ans: 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)
Ans: 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
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, 15). Acral lengtiginous melanoma
Ans: 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
Ans: soft, round, wart-like growth that is light tan to black and looks pasted on
asymptomatic &benign
17). Bacterial meningitis bacteria
Ans: Streptococcus pneumoniae- most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Ans: High fever
Nuchal rigidity
rapid change in mental status w/ headache
Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions (purpura)
which are non-blanchable
19). Is bacterial meningitis a reportable disease
Ans: yes!
20). Treatment for bacterial meningitis-patient
Ans: IV Abx ASAP, resp/droplet iso for first 24-48 hrs, hydrate (low maintenance after
initial fluid correction), Maintain ventilation and reduce increased intra cranial pressure if
present (dexamethosone(to reduce inflammation, mannitol to diurese the brain), low
stim environment, tx complications that may arrive and support family
21). Treatment for bacterial meningitis-close encounter
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, Ans: Close contacts should be treated w/ rifampin 600 mg q 12 hours x 2 days
**Rifampin changes urine color to reddish orange and can stain contacts
**AVOID RIFAMPIN IN PREGNANCY
22). Brudzinkski sign (meningeal irritation)
Ans: Tests for meningeal irritation
Patient supine, raise BACK of head and flex chin towards chest
+ result if pt automatically beds both hips
--Brudzinski and back of head start with B as well as bends--
23). Kernig's sign
Ans: Tests for meningeal irritation
patient supine. flex patients hips and knees in a right angle, then slowly straighten/
extend the legs up
+ result if when the patient complains of pain during extension of leg
24). Mcv4 (meningococcal vaccine) age 11-19
Ans: Give one dose of menactra or menveo
primary dose given age 12 or younger give a booster at age 16-18
25). Mcv4 (meningococcal vaccine) age 19-21
Ans: Give one dose of menactra or menveo if never had either
26). Rocky mountain spotted fever (rmsf) symptoms
Ans: Fever
chills
N/V
myalgia
arthralgia
2-5 days later develop petechial rash on forearms, ankles, and wrists that spreads
towards trunk and becomes generalised. sometimes rash develops on palms and soles
**RASH DEVELOPS INWARDS**
27). Rmsf pneumonic (rmsf)
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