APEA 3P COMPREHENSIVE CERTIFICATION
TEST 2026 COMPLETE SOLUTIONS 100%
CORRECT
◉ Erythema Migrans (early Lyme disease): DX. Answer: Dx: • First
step is enzyme immunoassay (EIA) also knows as ELISA if negative
no further testing needed. If positive confirm with Western Blot test
(aka indirect immunofluorescence assay (IFA) for Borrelia
Burgdorferi
1. Enzyme immunoassay
2. western blot test (immunoflurorescence assay/ IFA)
Exam Tip: E before I
Will have increased ESR
◉ Erythema Migrans (early Lyme disease): TX. Answer: Doxycycline
is always first line for all ages
100 mg BID x 10-21 days
Remove ticks by grasping with tweezers or forceps close to the skin
and pulling gently with steady pressure. After removing the tick,
,clean area with rubbing alcohol, iodine scrub, or soap and water.
Dispose of the tick by flushing it into the toilet
◉ Tick repellant skin use. Answer: DEET
◉ Tick repellant clothing use. Answer: Permethrin
◉ Brown Recluse Spider Bite: SX. Answer: • Fever, chills • Nausea
and Vomiting • Located in the arms, upper legs, or the trunk • Bitten
area becomes swollen, red, and tender, or can be painless • Blisters
appear within 24-48 hours • Necrotic in center, which kills the tissue
**can be painless
◉ Brown Recluse Spider Bite treatment. Answer: Treatment: • Ice
packs to wound as the cold inactivates the toxin • Treat like cellulitis
of the skin • Antibiotic ointment at first and watch
◉ Skin lesions. Answer: primary skin lesions
Macule Vesicle Papule MVP Size: <1 CM
◉ Macule. Answer: Flat, nonpalpable, but visually distinct areas on
the skin surface with color different from the person's normal skin;
less than 1 cm
FRECKLE
,◉ Vesicle. Answer: elevated, raised lesion filled with serous fluid
(herpetic lesions)
◉ Papule. Answer: palpable solid lesion (acne, moles)
◉ primary skin lesions >1cm in size. Answer: Nodule
Plaque
Bullae (Blister)
Pustule
Wheal
◉ Nodule. Answer: raised solid lesion (BCC)
◉ Plaque. Answer: solid raised lesion with flat top (psoriasis)
◉ Bulla/Bullae. Answer: elevated superficial blister filled with
serous fluid (2nd degree burn, impetigo)
◉ Pustule. Answer: circumscribed elevated lesion containing pus
(acne pustules)
, ◉ Secondary Skin Lesions-Lichenification. Answer: thickening of the
epidermis with exaggeration of normal skin due to chronic skin
itching (eczema)
◉ Secondary skin lesions- Scale. Answer: flaking skin (psoriasis)
◉ Secondary skin condition-crust. Answer: dried exudate (impetigo)
◉ Secondary skin condition-ulceration. Answer: eroding of
epidermis and dermis (if deep can involve subcutaneous tissue)
◉ Secondary skin condition-scar. Answer: permanent fibrotic
change following damage to dermis (surgical scars)
◉ Secondary skin condition-keloids/hypertrophic scars. Answer:
overgrowth of scar tissue (more common in Black and Asian
descent)
◉ Rule of 9's. Answer: Head and neck = 9%
Upper Ex = 9% each
Lower Ex = 9% each
Front trunk = 18%
Back trunk = 18%
TEST 2026 COMPLETE SOLUTIONS 100%
CORRECT
◉ Erythema Migrans (early Lyme disease): DX. Answer: Dx: • First
step is enzyme immunoassay (EIA) also knows as ELISA if negative
no further testing needed. If positive confirm with Western Blot test
(aka indirect immunofluorescence assay (IFA) for Borrelia
Burgdorferi
1. Enzyme immunoassay
2. western blot test (immunoflurorescence assay/ IFA)
Exam Tip: E before I
Will have increased ESR
◉ Erythema Migrans (early Lyme disease): TX. Answer: Doxycycline
is always first line for all ages
100 mg BID x 10-21 days
Remove ticks by grasping with tweezers or forceps close to the skin
and pulling gently with steady pressure. After removing the tick,
,clean area with rubbing alcohol, iodine scrub, or soap and water.
Dispose of the tick by flushing it into the toilet
◉ Tick repellant skin use. Answer: DEET
◉ Tick repellant clothing use. Answer: Permethrin
◉ Brown Recluse Spider Bite: SX. Answer: • Fever, chills • Nausea
and Vomiting • Located in the arms, upper legs, or the trunk • Bitten
area becomes swollen, red, and tender, or can be painless • Blisters
appear within 24-48 hours • Necrotic in center, which kills the tissue
**can be painless
◉ Brown Recluse Spider Bite treatment. Answer: Treatment: • Ice
packs to wound as the cold inactivates the toxin • Treat like cellulitis
of the skin • Antibiotic ointment at first and watch
◉ Skin lesions. Answer: primary skin lesions
Macule Vesicle Papule MVP Size: <1 CM
◉ Macule. Answer: Flat, nonpalpable, but visually distinct areas on
the skin surface with color different from the person's normal skin;
less than 1 cm
FRECKLE
,◉ Vesicle. Answer: elevated, raised lesion filled with serous fluid
(herpetic lesions)
◉ Papule. Answer: palpable solid lesion (acne, moles)
◉ primary skin lesions >1cm in size. Answer: Nodule
Plaque
Bullae (Blister)
Pustule
Wheal
◉ Nodule. Answer: raised solid lesion (BCC)
◉ Plaque. Answer: solid raised lesion with flat top (psoriasis)
◉ Bulla/Bullae. Answer: elevated superficial blister filled with
serous fluid (2nd degree burn, impetigo)
◉ Pustule. Answer: circumscribed elevated lesion containing pus
(acne pustules)
, ◉ Secondary Skin Lesions-Lichenification. Answer: thickening of the
epidermis with exaggeration of normal skin due to chronic skin
itching (eczema)
◉ Secondary skin lesions- Scale. Answer: flaking skin (psoriasis)
◉ Secondary skin condition-crust. Answer: dried exudate (impetigo)
◉ Secondary skin condition-ulceration. Answer: eroding of
epidermis and dermis (if deep can involve subcutaneous tissue)
◉ Secondary skin condition-scar. Answer: permanent fibrotic
change following damage to dermis (surgical scars)
◉ Secondary skin condition-keloids/hypertrophic scars. Answer:
overgrowth of scar tissue (more common in Black and Asian
descent)
◉ Rule of 9's. Answer: Head and neck = 9%
Upper Ex = 9% each
Lower Ex = 9% each
Front trunk = 18%
Back trunk = 18%
