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APEA 3P EXAM WITH VERIFIED SOLUTIONS UPDATED 100
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APEA 3P EXAM WITH VERIFIED SOLUTIONS UPDATED 100
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APEA 3P EXAM WITHVERIFIED SOLUTIONS
UPDATED 100%
MostbcommonbtypebofbskinbcancerbinbUSAb-bcorrectbanswer-Skinbcancer
Mostbcommonbtypebofbskinbcancerb-bcorrectbanswer-basalbcellbcarcinoma
basalbcellbcarcinomabsymptomsb-bcorrectbanswer-
Appearancebvaries;bsmooth,bshinybbump,bpinkbtobpearlybwhite
Basalbcellbcarcinomabcommonblocationsb-bcorrectbanswer-
cheeks,bnose,bface,bneck,barms,bback
basalbcellbcarcinomabdiagnosisbgoldbstandardb-bcorrectbanswer-
biopsy.bifbnotbanboption,breferbtobderm
Actinicbkeratosisb-bcorrectbanswer-Precursorbtobsquamousbcellbcarcinoma
numerousbdry,broundbandbpinkbtobredblesionsbw/broughbandbscalybtexture
-->bdoesbnotbheal,bslowbgrowingbinbsunbexposedbareas
Actinicbkeratosisbdiagnosisbgoldbstandardb-bcorrectbanswer-Biopsy.
ifbnotbanboption,breferbtobderm
Actinicbkeratosisbtreatmentbgoldbstandardb-bcorrectbanswer-small-bcryotherapy
,large-bnumberb5-FUb(5-flouracilbakabefudex).b5-
FUbmedicationbCausesbskinbtobooze,bcrust,bscabbandbbebredb
**5-flouracil/befudex-wearbsunscreen!!**
squamousbcellbcancerb-bcorrectbanswer-
chronicbredbscalybroughbtexturedblesionbw/birregularbborders
crustingborbbleedingbmaybbebpresent
Squamousbcellbcarcinomabcommonblocationsb-bcorrectbanswer-
rimsbofbears,blips,bnose,bfacebandbtopbofbhands
precursorblesionbtobsquamousbcellbcancerb-bcorrectbanswer-actinicbkeratosis
squamousbcellbcarcinomabdiagnosisbby?b-bcorrectbanswer-
biopsybgoldbstandard.bifbbiopsybisbnotbanboption,breferbtobdermatologyb.
Riskbfactorsbforbskinbcancer(melanomabandbbothbnon-melanoma)b-bcorrectbanswer-
Blisteringbsunburnbasbabchild,bhistorybofbsunburns,blightbskin,bchronicbexposurebtobU
Vblightb(sunlight/tanningbbeds),bmoles,bfamilybhxbforbskinbcancer
Melanomabsymptomsb(ABCDE)b-bcorrectbanswer-
asymmetryb(shape/unevenbtexture)
borderb(irregular/notched/blurred)
colorb(variegatedbcolorsbfrombblack,bblue,bdarkbtoblightbbrown)
diameterb(sizeb>6mmbsizebofbpencilberaserborblarger)
evolvingb(changesbinbcolor/size/shape)
maybbebitchy
Acralblengtiginousbmelanomab-bcorrectbanswer-
Mostbcommonbtypebofbmelanomabinbdarkbskinnedbindividualsb(blacksb&basians)
--
>blookbforblongitudinalbbrownbtobblackbbandsbunderbthebnailbed.babchangingbspotbor
bmolebinbthebpalms,borbthebsolesbofbthebfeet
seborrheicbkeratosisb-bcorrectbanswer-soft,bround,bwart-
likebgrowthbthatbisblightbtanbtobblackbandblooksbpastedbon
asymptomaticb&benign
BacterialbMeningitisbBacteriab-bcorrectbanswer-Streptococcusbpneumoniae-
bmostbcommonbstrainb
Haemophilusbinfluenzae
Neisseriabmeningitidis
Escherichiabcoli
*others
Bacterialbmeningitisbsymptomsb(ClassicbTriad)b-bcorrectbanswer-Highbfever
Nuchalbrigidity
rapidbchangebinbmentalbstatusbw/bheadacheb
Triad=neckbup
, erythematousbspot-likebrashb(petechiae)becchymosisbtobpurple-
coloredblesionsb(purpura)bwhichbarebnon-blanchable
Isbbacterialbmeningitisbabreportablebdiseaseb-bcorrectbanswer-yes!
TreatmentbforbBacterialbmeningitis-patientb-bcorrectbanswer-
IVbAbxbASAP,bresp/dropletbisobforbfirstb24-
48bhrs,bhydrateb(lowbmaintenancebafterbinitialbfluidbcorrection),bMaintainbventilationb
andbreducebincreasedbintrabcranialbpressurebifbpresentb(dexamethosone(tobreducebi
nflammation,bmannitolbtobdiuresebthebbrain),blowbstimbenvironment,btxbcomplications
bthatbmaybarrivebandbsupportbfamily
Treatmentbforbbacterialbmeningitis-closebencounterb-bcorrectbanswer-
Closebcontactsbshouldbbebtreatedbw/brifampinb600bmgbqb12bhoursbxb2bdays
**Rifampinbchangesburinebcolorbtobreddishborangebandbcanbstainbcontacts
**AVOIDbRIFAMPINbINbPREGNANCY
Brudzinkskibsignb(meningealbirritation)b-bcorrectbanswer-
Testsbforbmeningealbirritation
Patientbsupine,braisebBACKbofbheadbandbflexbchinbtowardsbchest
+bresultbifbptbautomaticallybbedsbbothbhips
--BrudzinskibandbbackbofbheadbstartbwithbBbasbwellbasbbends--
Kernig'sbsignb-bcorrectbanswer-Testsbforbmeningealbirritation
patientbsupine.bflexbpatientsbhipsbandbkneesbinbabrightbangle,bthenbslowlybstraighten
/extendbtheblegsbupb
+bresultbifbwhenbthebpatientbcomplainsbofbpainbduringbextensionbofbleg
MCV4b(meningococcalbvaccine)bAgeb11-19b-bcorrectbanswer-
Givebonebdosebofbmenactraborbmenveo
primarybdosebgivenbageb12borbyoungerbgivebabboosterbatbageb16-18
MCV4b(meningococcalbvaccine)bAgeb19-21b-bcorrectbanswer-
Givebonebdosebofbmenactraborbmenveobifbneverbhadbeither
Rockybmountainbspottedbfeverb(RMSF)bsymptomsb-bcorrectbanswer-Fever
chills
N/V
myalgia
arthralgia
2-
5bdaysblaterbdevelopbpetechialbrashbonbforearms,bankles,bandbwristsbthatbspreadsbt
owardsbtrunkbandbbecomesbgeneralised.bsometimesbrashbdevelopsbonbpalmsbandbs
oles
**RASHbDEVELOPSbINWARDS**
RMSFbpneumonicb(RMSF)b-bcorrectbanswer-R-Rashb
bM-Musclebachesb(myalgia)b
bS-Stomachbachesb(nauseabandbvomiting)b
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