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APEA 3P Exam PMHNP 3P exam prep Study Guide Solutions Most common type of skin cancer in USA - ANSWER-Skin cancer Most common type of skin cancer - ANSWER-basal cell carcinoma basal cell carcinoma symptoms - ANSWER-Appearance varies; smooth, shiny bump, pink to pearly white Basal cell carcino...

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  • October 29, 2024
  • 61
  • 2024/2025
  • Exam (elaborations)
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  • apea 3p exam pmhnp 3p exam prep study guide soluti

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©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




APEA 3P Exam PMHNP 3P exam prep

Study Guide Solutions


Most common type of skin cancer in USA - ANSWER✔✔-Skin cancer


Most common type of skin cancer - ANSWER✔✔-basal cell carcinoma


basal cell carcinoma symptoms - ANSWER✔✔-Appearance varies; smooth, shiny bump, pink to pearly

white


Basal cell carcinoma common locations - ANSWER✔✔-cheeks, nose, face, neck, arms, back


basal cell carcinoma diagnosis gold standard - ANSWER✔✔-biopsy. if not an option, refer to derm


Actinic keratosis - ANSWER✔✔-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 - ANSWER✔✔-Biopsy.


if not an option, refer to derm


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, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Actinic keratosis treatment gold standard - ANSWER✔✔-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 - ANSWER✔✔-chronic red scaly rough textured lesion w/ irregular borders


crusting or bleeding may be present


Squamous cell carcinoma common locations - ANSWER✔✔-rims of ears, lips, nose, face and top of hands


precursor lesion to squamous cell cancer - ANSWER✔✔-actinic keratosis


squamous cell carcinoma diagnosis by? - ANSWER✔✔-biopsy gold standard. if biopsy is not an option,

refer to dermatology .


Risk factors for skin cancer(melanoma and both non-melanoma) - ANSWER✔✔-Blistering sunburn as a

child, history of sunburns, light skin, chronic exposure to UV light (sunlight/tanning beds), moles, family

hx for skin cancer


Melanoma symptoms (ABCDE) - ANSWER✔✔-asymmetry (shape/uneven texture)


border (irregular/notched/blurred)


color (variegated colors from black, blue, dark to light brown)



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, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




diameter (size >6mm size of pencil eraser or larger)


evolving (changes in color/size/shape)


may be itchy


Acral lengtiginous melanoma - ANSWER✔✔-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


seborrheic keratosis - ANSWER✔✔-soft, round, wart-like growth that is light tan to black and looks

pasted on


asymptomatic &benign


Bacterial Meningitis Bacteria - ANSWER✔✔-Streptococcus pneumoniae- most common strain


Haemophilus influenzae


Neisseria meningitidis


Escherichia coli


*others




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, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Bacterial meningitis symptoms (Classic Triad) - ANSWER✔✔-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


Is bacterial meningitis a reportable disease - ANSWER✔✔-yes!


Treatment for Bacterial meningitis-patient - ANSWER✔✔-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 - ANSWER✔✔-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


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