APEA 3P NEWEST UPGRADED 2025-2026 REAL FINAL EXAM
WITH DETAILED QUESTIONS AND COMPLETE VERIFIED BOLD
ANSWERS ALREADY A+ GRADED
Most common type of skin cancer in USA
Skin cancer
Most common type of skin cancer
basal cell carcinoma
basal cell carcinoma symptoms
Appearance varies; smooth, shiny bump, pink to pearly white
Basal cell carcinoma common locations
cheeks, nose, face, neck, arms, back
basal cell carcinoma diagnosis gold standard
biopsy. if not an option, refer to derm
,Actinic keratosis
Precursor to squamous cell carcinoma
numerous dry, round and pink to red lesions w/ rough and scaly texture
--> does not heal, slow growing in sun exposed areas
Actinic keratosis diagnosis gold standard
Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard
small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze, crust, scab
and be red
*5-flouracil/ efudex-wear sunscreen!!*
squamous cell cancer
chronic red scaly rough textured lesion w/ irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations
rims of ears, lips, nose, face and top of hands
,precursor lesion to squamous cell cancer
actinic keratosis
squamous cell carcinoma diagnosis by?
biopsy gold standard. if biopsy is not an option, refer to dermatology.
Risk factors for skin cancer (melanoma and both non-melanoma)
Blistering sunburn as a child, history of sunburns, light skin, chronic exposure to UV light
(sunlight/tanning beds), moles, family hx for skin cancer
Melanoma symptoms (ABCDE)
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
Acral lengtiginous melanoma
, 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
seborrheic keratosis
soft, round, wart-like growth that is light tan to black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria
Streptococcus pneumoniae- most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad)
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
WITH DETAILED QUESTIONS AND COMPLETE VERIFIED BOLD
ANSWERS ALREADY A+ GRADED
Most common type of skin cancer in USA
Skin cancer
Most common type of skin cancer
basal cell carcinoma
basal cell carcinoma symptoms
Appearance varies; smooth, shiny bump, pink to pearly white
Basal cell carcinoma common locations
cheeks, nose, face, neck, arms, back
basal cell carcinoma diagnosis gold standard
biopsy. if not an option, refer to derm
,Actinic keratosis
Precursor to squamous cell carcinoma
numerous dry, round and pink to red lesions w/ rough and scaly texture
--> does not heal, slow growing in sun exposed areas
Actinic keratosis diagnosis gold standard
Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard
small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze, crust, scab
and be red
*5-flouracil/ efudex-wear sunscreen!!*
squamous cell cancer
chronic red scaly rough textured lesion w/ irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations
rims of ears, lips, nose, face and top of hands
,precursor lesion to squamous cell cancer
actinic keratosis
squamous cell carcinoma diagnosis by?
biopsy gold standard. if biopsy is not an option, refer to dermatology.
Risk factors for skin cancer (melanoma and both non-melanoma)
Blistering sunburn as a child, history of sunburns, light skin, chronic exposure to UV light
(sunlight/tanning beds), moles, family hx for skin cancer
Melanoma symptoms (ABCDE)
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
Acral lengtiginous melanoma
, 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
seborrheic keratosis
soft, round, wart-like growth that is light tan to black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria
Streptococcus pneumoniae- most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad)
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
