APEA 3P Quiz with Verified Solutions
Rhogam is given at how many weeks gestation? - ✅✅ 27-28 weeks
Keloid - ✅✅ Hypertrophic scar that is invasive beyond point of original injury
What is Tinea Capitis and what is the treatment? - ✅✅ Scalp Ring-Worm.
Round, scaly patches on scalp (Cradle Cap). Treatment is Griseofulvin 500mg with
high fat meals for 4-6weeks
What is Tinea Corporis and what is the treatment? - ✅✅ Body Ring-Worm. Red,
scaly plaques on the body or trunk in a ring-like/circular pattern. Topical Azoles
(I.E. Clotrimazole) for 2 weeks.
How do you assess Melanoma? - ✅✅ ABCDE (Asymmetry, Border, Color,
Diameter >6mm, and Evolution/Elevation
Signs & Symptoms of Psoriasis? - ✅✅ Silvery-White Scales, Pitted Nails,
Positive Auspitz Sign (Pinpoint bleeding when lesions/scales are scraped)
Facts about Shingles (Herpes Zoster) - ✅✅ - Unilateral Dermatomal Rash which
starts as a painful red rash (patch) and progresses to blisters (vesicles).
- Post herpetic neuralgia pain is common and can last longer than 1 month after
rash resolves.
- May transmit chickenpox virus to unvaccinated & susceptible patients.
- Treatment consists of Acyclovir, Valacyclovir, or Famciclovir and most effective
if started within 48-72hrs of rash appearance.
Facts about Contact Dermatitis (Eczema) - ✅✅ - Papules or Vesicles typically
5mm or less which are red, raised bumps
- Skin becomes dry, scaly, and rough leading to formation of crusts or flakes on
skin surface
- If scratched or irritated, the skin may ooze
- Treatment consists of Corticosteroids, Antihistamines, Calcineurin Inhibitors
(Tacrolimus)
Facts about Acne Vulgaris - ✅✅ - Inflammatory skin disorder where androgen-
dependent sebaceous glands produce excess sebum.
,- Usually affects face, anterior & posterior chest, Upper Back, Shoulders, and
Arms
- Treatment consists of Erythromycin/Benzoyl Peroxide (Benzamycin)
- Education r/t Erythromycin/Benzoyl Peroxide includes limit exposure to sunlight
and can decrease resistance to erythromycin
Facts about Atopic Dermatitis - ✅✅ - Patchy plaque-like rash
- Can occur in people with other atopic conditions such as Asthma and Allergic
Rhinitis (Hay Fever)
Eye exam findings in DM & HTN - ✅✅ - AV Nicking = Arteries indent and
displace veins
- Cotton Wool Spots = White or grayish fluffy lesions on the retina
- Flame Hemorrhages = Flame-like hemorrhages along the retinal nerve fiber layer
- Dot & Blot Hemorrhages = Small hemorrhages caused by rupture of weakened
blood vessels - Hallmark sign of diabetic retinopathy
Acute Sinusitis tx for Adults & Pediatrics - ✅✅ - Viral is symptomatic treatment
only
- Bacterial tx is Amoxicillin 1st line if symptoms >10 days and include purulent
nasal discharge, fever, unilateral face/tooth pain
Snellen Test - ✅✅ Test of CN II (Optic Nerve)
Which medications can cause ototoxicity? - ✅✅ Aminoglycosides
Loop Diuretics
Quinine
ASA
Allergic Rhinitis - ✅✅ Eosinophils elevated in allergies, wheezes, parasites
tx is Fluticasone (Flonase)
Acute Bacterial Rhinosinusitis treatment - ✅✅ If patient is allergic to PCN, then
Doxycycline is the best alternative
Which Immunoglobulin is responsible for symptoms of Allergies & Allergic
Rhinitis? - ✅✅ IgE
What would cause decrease in Digoxin levels? - ✅✅ Antacids
, Taking Pyridium for UTI, what can Pyridium cause? - ✅✅ Hemolytic Anemia
What can PCOS result in? - ✅✅ Increased insulin levels (Hyperinsulinemia),
Androgens, Hirsutism
What are the anti-hypertensives used in pregnancy? - ✅✅ Methyldopa (Alpha-2-
Agonist), Labetalol, Nifedipine, Hydralazine
What is a characteristic of Placenta Previa? - ✅✅ Painless, red bleeding
What is a characteristic of Rheumatoid Arthritis? - ✅✅ Tender, warm, swollen
joints
Medications that can cause ototoxicity? - ✅✅ Aminoglycosides, loop diuretics,
NSAIDs, antihistamines, nasal decongestants
What is the treatment time for enterobiasis? - ✅✅ 2 weeks
What does MCV lab value measure? - ✅✅ Mean Corpuscular Volume helps
diagnose different types of anemia such as B12 & Folate (Macrocytic) and Fe
anemia (Microcytic)
What are Janeway lesions and what do they indicate? - ✅✅ They are irregular,
non-tender hemorrhagic macules located on the hands and feet. Seen in Infective
Endocarditis
What are Osler's Nodes and what do they indicate? - ✅✅ They are split pea-
sized, erythematous, tender nodules located on the pads of the fingers and toes.
Seen in Infective Endocarditis
What is the recommendation for Warfarin management when a patient misses a
dose? - ✅✅ If within 12 hours of the dose time, take it. If over 12 hours patient
will need an INR redraw
What do we need to know about aces and arbs? - ✅✅ A dry hacking cough is a
common side effect of aces and will go away within a week after discontinuing.
Aces & arbs are indicated for patients with DM, CKD, and HTN. Not
recommended as 1st line agent with African Americans & can cause angioedema.
