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APEA 3P EXAM NEWEST UPDATE 2024 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) FROM A VERIFIED SOURCE ALREADY GRADED A+$17.99
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erythematous spot-like rash (petechiae) ecchymosis to purple-colored lesions (purpura) which are non-
blanchable
Is bacterial meningitis a reportable disease - ANSWER-yes!
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
color (variegated colors from black, blue, dark to light brown)
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
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
Brudzinkski sign (meningeal irritation) - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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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