APEA 3P EXAM WITH VERIFIED SOLUTIONS UPDATED 100

APEA 3P EXAM WITH
VERIFIED 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