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APEA 3P Exam Latest 2024/2025 Questions and Answers
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APEA 3P Exam Latest 2024/2025 Questions and Answers
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APEA 3P Exam Latest 2024/2025Questions and Answers
#1srisksfactorsforsCOPDs-scorrectsanswers--smoking
AcanthosissNigricans:ssymptomss-scorrectsanswers--
Velvetyshyperpigmentedspatchessmostscommonsonsbacksofsnecksorsskinsfoldss•sUsuallysas
sociatedswithsdiabetes,smetabolicssyndrome,sobesity,sandscancersofsthesGIstract
Acesinhibitorss-scorrectsanswers---
pril:sHTN,sHF.sAD:sangioedema,scough,shypotension,shyperkalemia,shepatotoxicity,sneutr
openia,sagranulocytosis,spancreatitis,sSJS.sContra:spregnancy.sNursing:semptysstomach,s
monitorsforsinfection,sdryscough,susescontraceptions(teratogenic),savoidssportssdrinks/saltss
ubstitutess(extrasK)
Acnesmedicationsstosavoidsinspregnancys(categorysXs&C)s-scorrectsanswers--
CategorysX:sTopicalstazarotenes(Tazorac),sAccutanes
s CategorysC:sTopicalsretinoidss(tretinoin,sadapalene)
AcnesRosaceas-scorrectsanswers--
Symptoms:s•sChronicssmallsacneslikespapules/pustules,sandstelangiectasiassaroundsnose,s
mouth,sandschinssymmetricallys
Treatment:sFirstsline:sos(Avoidstriggerssofsflushings(EtOH,sexcessivessun,sspicysfoods)s
sMetrosgelsorsAzelexsgelsQD-BIDs
sLowsdosesTetracyclines250smgsQIDsorsdoxycyclines100smgsQDsifsgelsnotseffectivesorsthespa
tientshasspustular/ocularsrosacea
AcnesVulgariss(commonsacne):streatments-scorrectsanswers--
Firstslinesissalwaysstopicalsretinoidssuchsasstretinoinscreams(Retin-A)
Acne:sMildstreatmetns-scorrectsanswers--
openscomedonessblackheads/closedscomedoness(whiteheads)sw/sorsw/ospapules
topicalsretinoids(Retin-A)
**Acneswillsworsensduringsfirsts4-6sweeks**
IFsnosimprovementsins8-
12sweeks,sincreasesdosesorsADDsbenzoylsperoxidesand/orserythromycin
Acne:sModerates(topicalssplussantibiotics)s-scorrectsanswers--
papulessandspustulesswithscomedoness(3spartstreatment)
,Topicalsretinoids(Retin-
A)sANDstopicalsbenzoylsperoxidesANDsoralsantibiotics(TetracyclinesorsMinocycline)sxs3-
4sweekss-->sExamsusuallysaskssaboutsmoderate
Acne:sSeveres-scorrectsanswers--painfulsinduratedsnodule,scysts,sabscesses,spustules
sAccutane-schecksLiversfunctionstestss(LFTS)
smustsuses2sformssofscontraceptives,smonthlyspregnancystesting
s onlysprescribes1smonthssupplysofsmedications
Usually,swillsreferstosDermatology
AcousticsNeuromas(VestibularsSchwannoma):sSymptoms/DX/TXs-scorrectsanswers--
Symptoms:sAgess30-60s
Gradualsonset,sone-sideds
Sensorineuralshearingsloss,stinnitussthatsissinsidious;sCNs8s
FacialsnumbnesssandspainsifsitscompressessCNs5
Dx:sOrdersansMRIsosBenignstumorsofsCNs8scausingssensorineuralshearingslosssandstinnitus.
s
IfsitscompressessonsCNs5swillshavesfacialsnumbnesssandspain
Treatment:sSurgery
Acralslengtiginoussmelanomas-scorrectsanswers--
Mostscommonstypesofsmelanomasinsdarksskinnedsindividualss(blackss&sasians)
--
>slooksforslongitudinalsbrownstosblacksbandssundersthesnailbed.saschangingsspotsorsmolesinst
hespalms,sorsthessolessofsthesfeet
Actinicskeratosiss-scorrectsanswers--Precursorstossquamousscellscarcinoma
numeroussdry,sroundsandspinkstosredslesionssw/sroughsandsscalystexture
-->sdoessnotsheal,sslowsgrowingsinssunsexposedsareas
Actinicskeratosissdiagnosissgoldsstandards-scorrectsanswers--Biopsy.
ifsnotsansoption,sreferstosderm
Actinicskeratosisstreatmentsgoldsstandards-scorrectsanswers--small-scryotherapy
large-snumbers5-FUs(5-flouracilsakasefudex).s5-
FUsmedicationsCausessskinstosooze,scrust,sscabsandsbesreds
**5-flouracil/sefudex-wearssunscreen!!**
AcutesAngle-ClosuresGlaucoma:symptomssandstreatments-scorrectsanswers--
NormalsICP:s8-21
AcutesanglesglaucomasICPs>21
Symptoms:s
, AcutesonsetsofssevereseyesPAINs
Decreased/BlurredsVisions•sFrontalsHeadachesNausea/Vomiting
sCloudyscorneas
Mid-dilatedsoval/ovoidsshapespupilsandsinsasfixedspositionsPupilsdoessnotsrespondstoslight
Treatment:sERsSTAT
TIP:sDiscscuppingsissonlysseenswithsglaucomaswhichsisscausedsbysincreasedsICP
AcutesBacterialsRhinosinusitiss(ABRS):sbacterias&ssymptomss-scorrectsanswers--
Bacteria:sStreptococcusspneumoniae,sH.sinfluenzae,sViral
Symptoms:sPersistentsURIssymptomssfors10sdayssorsmoresorsascoldsthatsresolvedsbutssymp
tomssreturneds•sUnilateralsfacialspain/pressuresorsastoothaches(uppersmolarspain)swithsnasa
lscongestions•sPurulentsnasalsand/orspostnasalsdrips(mayshavesascoughswhenssupine)sFront
alssinusitis:s§sFrontalsheadachesorsheadachesbehindsoneseyesMaxillaryssinusitis:s§sFacialsp
ainsandsuppersmolarstoothspain
Transillumination:sCompareseachsside.sAffectedssidesmaysbesdullersorssmaller
Treatment:sEithersimmediatesantibioticstreatmentsorsobservationsFirstsLine:sAugmentins200
0smg/125smgsBIDsxs5-
7sdayssSymptomsrelief:sSalinesirrigations,snasalssteroids,sNSAIDssforspains
Dosnotsusesantihistaminessorsdecongestants
PenicillinsAllergy:sLevofloxacins750smgsQDsxs5-7sdayssorsDoxycyclinesBIDsxs5-7sdays
AcutesOtitissMedias(AOM)(ThinksofsMediasforsMiddlesEar):sStrains&ssymptomss&streatments
-scorrectsanswers--
Bacteria:sStreptococcusspneumonias(others:sHaemophilussinfluenza,sMoraxellascatarrhali
s)s
Highsratesofsbeta-lactamasesresistance
Symptoms:sUnilateralsearspains(otalgia)s
Poppingsnoises,sandsmuffledshearing,sEithersafebrilesorslow-
gradesfever,sThestympanicsmembranescansrupture.sBloodsandspusscansbesseensonsthespillo
wsuponsawakeningswithsreliefsofsearspains,TMswillsbesred.sBulgingsandsthesconesofslightswillsb
esabnormalsorsdisplaceds,Mostsobjectivesfinding:sDecreasedsmobilityspersthestympanogram
swhichswillsbesasflatsline
Treatment:sNOsantibioticsusesinsthespriorsmonth:sosAmoxicillinshighsdoses(firstsline):s1000sm
gsTIDsxs5-7sdayss
Nextsantibioticschoicessare:s23s
Augmentinsxs5-7sdayssosOmnicefsorscefpodoximesBIDsxs5-7sdays
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