APEA PHARMACOLOGY NEWEST ACTUAL
EXAM PAPER 2026 TEST BANK QUESTIONS
AND ACCURATE ANSWERS GRADED A+
⩥ Varicella Zoster Virus (VZV): symptoms/lab/treatment.
Answer: Symptoms:
Contagious for 48 hours before and until all lesions are crusted over
Low grade fever
Generalized lymphadenopathy
Intense itching • Erythematous macules • Papules develop over
macules, then vesicles erupt • "Initially on trunk, then scalp and face"
Labs: • Gold Standard: PCR
Treatment: • Supportive, antihistamines • Oral Acyclovir if given within
the first 24 hours; will work best
⩥ Subungual Hematoma:Treatment.
Answer: Treat subungual hematoma by trephination
If blood is not drained and the hematoma involves ≥25%, there is a high
risk of ischemic damage to nail matrix
Use either a large paperclip or 18-gauge needle and heat up the tip
Position at 90 and apply steady pressure until you have blood draining
,Remove either the paperclip or needle and gently evacuate the blood
⩥ Systemic Lupus Erythematosus: symptoms/treatment.
Answer: Symptoms: •Maculopapular butterfly-shaped rash on the
middle of the face (malar rash) •May have nonpruritic thick scaly red
rashes on sun-exposed areas
Treatment: • Refer to rheumatology • Avoid sunlight and other UV light
exposure can worsen the disease • Wear broad-spectrum sunblock that's
effective against UVA and UVB
⩥ Molluscum Contagiosum: cause/symptoms/tx.
Answer: Cause: • Poxvirus
Symptoms: • White plug, dome shaped with central umbilication •
Highly contagious (spreads via skin-to-skin contact)
Treatment: • Typically resolves on its own if immunocompetent
(watchful waiting) o Other options: cryotherapy, curettage, cantharidin •
If sexually active CDC considers this an STI if in genital region
⩥ Stevens-Johnson Syndrome (SJS)/Toxic Epidermal Necrolysis (TEN):
symptoms.
,Answer: Symptoms: • Classic is target or bull's-eye rash that occurs
abruptly • Hives and blisters • Petechiae and purpura • Necrosis with
sloughing of tissue • Extensive mucosal involvement • Prodrome of
fever with flu like symptoms
⩥ Stevens-Johnson Syndrome (SJS)/Toxic Epidermal Necrolysis (TEN):
Triggers.
Answer: Mnemonic: SANA(p)
• Sulfonamides
• Anticonvulsants
• NSAIDs
• Allopurinol
• PCN
**HIV patients are at a higher risk for SJS & TEN**
⩥ Acanthosis Nigricans: symptoms.
Answer: Velvety hyperpigmented patches most common on back of neck
or skin folds • Usually associated with diabetes, metabolic syndrome,
obesity, and cancer of the GI tract
⩥ Scarlet Fever (Scarlatina): Symptoms.
, Answer: "Sandpaper textured-pink rash with sore throat" Strawberry
tongue, rash starts on head and neck, spreads to trunk. The skin THEN
desquamates (peels/sheds)
Associated with strep throat
⩥ Lichen Planus: symptoms & Treatment.
Answer: Symptoms: • Small flat topped, red to purple bumps that may
have white scales/flakes • Wispy grey white streaks called Wickham's
striae • Found on the inner wrists, forearms, and ankles. If on scalp
causes hair loss • Can be found in vulva and vagina with soreness,
burning, and rawness
Treatment: Topical Steroids (even in vaginal area for Lichen Sclerosus)
⩥ Anthrax: Symptoms & treatment.
Answer: Symptoms: Animals/hides/hair/wool
Lesions begin as papules that enlarges quickly within 24-48 hrs.
Develop necrosis and ulceration (sort of like a recluse spider bite)
Not contagious
Treatment: Doxycycline, Cipro, or Levaquin BID x 7-10 days
If you suspect BIOTERRORISM treat for 60 days
EXAM PAPER 2026 TEST BANK QUESTIONS
AND ACCURATE ANSWERS GRADED A+
⩥ Varicella Zoster Virus (VZV): symptoms/lab/treatment.
Answer: Symptoms:
Contagious for 48 hours before and until all lesions are crusted over
Low grade fever
Generalized lymphadenopathy
Intense itching • Erythematous macules • Papules develop over
macules, then vesicles erupt • "Initially on trunk, then scalp and face"
Labs: • Gold Standard: PCR
Treatment: • Supportive, antihistamines • Oral Acyclovir if given within
the first 24 hours; will work best
⩥ Subungual Hematoma:Treatment.
Answer: Treat subungual hematoma by trephination
If blood is not drained and the hematoma involves ≥25%, there is a high
risk of ischemic damage to nail matrix
Use either a large paperclip or 18-gauge needle and heat up the tip
Position at 90 and apply steady pressure until you have blood draining
,Remove either the paperclip or needle and gently evacuate the blood
⩥ Systemic Lupus Erythematosus: symptoms/treatment.
Answer: Symptoms: •Maculopapular butterfly-shaped rash on the
middle of the face (malar rash) •May have nonpruritic thick scaly red
rashes on sun-exposed areas
Treatment: • Refer to rheumatology • Avoid sunlight and other UV light
exposure can worsen the disease • Wear broad-spectrum sunblock that's
effective against UVA and UVB
⩥ Molluscum Contagiosum: cause/symptoms/tx.
Answer: Cause: • Poxvirus
Symptoms: • White plug, dome shaped with central umbilication •
Highly contagious (spreads via skin-to-skin contact)
Treatment: • Typically resolves on its own if immunocompetent
(watchful waiting) o Other options: cryotherapy, curettage, cantharidin •
If sexually active CDC considers this an STI if in genital region
⩥ Stevens-Johnson Syndrome (SJS)/Toxic Epidermal Necrolysis (TEN):
symptoms.
,Answer: Symptoms: • Classic is target or bull's-eye rash that occurs
abruptly • Hives and blisters • Petechiae and purpura • Necrosis with
sloughing of tissue • Extensive mucosal involvement • Prodrome of
fever with flu like symptoms
⩥ Stevens-Johnson Syndrome (SJS)/Toxic Epidermal Necrolysis (TEN):
Triggers.
Answer: Mnemonic: SANA(p)
• Sulfonamides
• Anticonvulsants
• NSAIDs
• Allopurinol
• PCN
**HIV patients are at a higher risk for SJS & TEN**
⩥ Acanthosis Nigricans: symptoms.
Answer: Velvety hyperpigmented patches most common on back of neck
or skin folds • Usually associated with diabetes, metabolic syndrome,
obesity, and cancer of the GI tract
⩥ Scarlet Fever (Scarlatina): Symptoms.
, Answer: "Sandpaper textured-pink rash with sore throat" Strawberry
tongue, rash starts on head and neck, spreads to trunk. The skin THEN
desquamates (peels/sheds)
Associated with strep throat
⩥ Lichen Planus: symptoms & Treatment.
Answer: Symptoms: • Small flat topped, red to purple bumps that may
have white scales/flakes • Wispy grey white streaks called Wickham's
striae • Found on the inner wrists, forearms, and ankles. If on scalp
causes hair loss • Can be found in vulva and vagina with soreness,
burning, and rawness
Treatment: Topical Steroids (even in vaginal area for Lichen Sclerosus)
⩥ Anthrax: Symptoms & treatment.
Answer: Symptoms: Animals/hides/hair/wool
Lesions begin as papules that enlarges quickly within 24-48 hrs.
Develop necrosis and ulceration (sort of like a recluse spider bite)
Not contagious
Treatment: Doxycycline, Cipro, or Levaquin BID x 7-10 days
If you suspect BIOTERRORISM treat for 60 days
