APEA 3P Elaborate Exam
Questions with 100% Verified
Answers | Latest Edition
1. Squamous cell carcinoma common locations - ANSWER rims of ears, lips,
nose, face and top of hands
2. precursor lesion to squamous cell cancer - ANSWER actinic keratosis
3. squamous cell carcinoma diagnosis by? - ANSWER biopsy gold standard. if
biopsy is not an option, refer to dermatology.
4. 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
5. Melanoma symptoms (ABCDE) - ANSWER asymmetry (shape/uneven
texture)
border (irregular/notched/blurred)
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
,6. 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
7. seborrheic keratosis - ANSWER soft, round, wart-like growth that is light
tan to black and looks pasted on
asymptomatic &benign
8. Bacterial Meningitis Bacteria - ANSWER Streptococcus pneumoniae- most
common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
9. 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
10.Is bacterial meningitis a reportable disease - ANSWER yes!
11.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
12.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
13.Brudzinkski sign (meningeal irritation) - ANSWER Tests for meningeal
irritation
14.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
15.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
16.MCV4 (meningococcal vaccine) Age 19-21 - ANSWER Give one dose of
menactra or menveo if never had either
, 17.Rocky mountain spotted fever (RMSF) symptoms - ANSWER Fever
chills
N/V
myalgia
arthralgia
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**
18.RMSF pneumonic (RMSF) - ANSWER R-Rash
M-Muscle aches (myalgia)
S-Stomach aches (nausea and vomiting)
F-Fever (>102 F)
19.Rocky Mountain Spotted Fever (RMSF): Located: - ANSWER •Think
"Rocky"- North Carolina, Oklahoma, Arkansas, Tennessee, Missouri
Spring to Fall (April to September)
20.Rocky Mountain Spotted Fever (RMSF): DX - ANSWER PCR assay by
indirect immunofluorescence antibody (IFA) assay for immunoglobulin G
(IgG) for Rickettsia Rickettsii
21.Rocky Mountain Spotted Fever (RMSF): tx - ANSWER Doxycycline is
always first line for all ages
100 mg every 12 hours x 7-10 days
Can be fatal if not treated within the first 5 days
Questions with 100% Verified
Answers | Latest Edition
1. Squamous cell carcinoma common locations - ANSWER rims of ears, lips,
nose, face and top of hands
2. precursor lesion to squamous cell cancer - ANSWER actinic keratosis
3. squamous cell carcinoma diagnosis by? - ANSWER biopsy gold standard. if
biopsy is not an option, refer to dermatology.
4. 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
5. Melanoma symptoms (ABCDE) - ANSWER asymmetry (shape/uneven
texture)
border (irregular/notched/blurred)
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
,6. 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
7. seborrheic keratosis - ANSWER soft, round, wart-like growth that is light
tan to black and looks pasted on
asymptomatic &benign
8. Bacterial Meningitis Bacteria - ANSWER Streptococcus pneumoniae- most
common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
9. 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
10.Is bacterial meningitis a reportable disease - ANSWER yes!
11.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
12.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
13.Brudzinkski sign (meningeal irritation) - ANSWER Tests for meningeal
irritation
14.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
15.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
16.MCV4 (meningococcal vaccine) Age 19-21 - ANSWER Give one dose of
menactra or menveo if never had either
, 17.Rocky mountain spotted fever (RMSF) symptoms - ANSWER Fever
chills
N/V
myalgia
arthralgia
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**
18.RMSF pneumonic (RMSF) - ANSWER R-Rash
M-Muscle aches (myalgia)
S-Stomach aches (nausea and vomiting)
F-Fever (>102 F)
19.Rocky Mountain Spotted Fever (RMSF): Located: - ANSWER •Think
"Rocky"- North Carolina, Oklahoma, Arkansas, Tennessee, Missouri
Spring to Fall (April to September)
20.Rocky Mountain Spotted Fever (RMSF): DX - ANSWER PCR assay by
indirect immunofluorescence antibody (IFA) assay for immunoglobulin G
(IgG) for Rickettsia Rickettsii
21.Rocky Mountain Spotted Fever (RMSF): tx - ANSWER Doxycycline is
always first line for all ages
100 mg every 12 hours x 7-10 days
Can be fatal if not treated within the first 5 days
