APEA 3P EXAM WITH CORRECT ANSWERS AND QUESTIONS GRADED A+
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Course
APEA 3P
Institution
APEA 3P
APEA 3P EXAM WITH
CORRECT ANSWERS AND QUESTIONS
GRADED A+
Most common type of skin cancer in USA - ANS-Skin cancer
Most common type of skin cancer - ANS-basal cell carcinoma
basal cell carcinoma symptoms - ANS-Appearance varies; smooth, shiny bump, pink to pearly white
Vesicle - ANS-elevat...
Basal cell carcinoma common locations - ANS-cheeks, nose, face, neck, arms, back
basal cell carcinoma diagnosis gold standard - ANS-biopsy. if not an option, refer to derm
,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
Actinic keratosis diagnosis gold standard - ANS-Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard - 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!!**
squamous cell cancer - ANS-chronic red scaly rough textured lesion w/ irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations - ANS-rims of ears, lips, nose, face and top of hands
precursor lesion to squamous cell cancer - ANS-actinic keratosis
squamous cell carcinoma diagnosis by? - ANS-biopsy gold standard. if biopsy is not an option, refer to
dermatology .
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
erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions (purpura) which are non-
blanchable
Is bacterial meningitis a reportable disease - ANS-yes!
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
, Treatment for bacterial meningitis-close encounter - 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
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--
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
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
MCV4 (meningococcal vaccine) Age 19-21 - ANS-Give one dose of menactra or menveo if never had
either
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**
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