APEA 3P EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS
#1 risk factor for COPD - correct answer-
smoking
Acanthosis Nigricans: symptoms - correct 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
Ace inhibitors - correct answer- -pril: HTN, HF.
AD: angioedema, cough, hypotension, hyperkalemia,
hepatotoxicity, neutropenia, agranulocytosis, pancreatitis,
SJS. Contra: pregnancy. Nursing: empty stomach, monitor
for infection, dry cough, use contraception (teratogenic),
avoid sports drinks/salt substitutes (extra K)
Acne medications to avoid in pregnancy (category X &C)
- correct answer- Category X: Topical tazarotene
(Tazorac), Accutane
,Category C: Topical retinoids (tretinoin, adapalene)
Acne Rosacea - correct answer- Symptoms: •
Chronic small acne like papules/pustules, and
telangiectasias around nose, mouth, and chin
symmetrically
Treatment: First line: o (Avoid triggers of flushing (EtOH,
excessive sun, spicy foods)
Metro gel or Azelex gel QD-BID
Low dose Tetracycline 250 mg QID or doxycycline 100 mg
QD if gel not effective or the patient has pustular/ocular
rosacea
Acne Vulgaris (common acne): treatment - correct
answer- First line is always topical retinoid such as
tretinoin cream (Retin-A)
Acne: Mild treatmetn - correct answer- open
comedones blackheads/closed comedones (whiteheads)
w/ or w/o papules
topical retinoid (Retin-A)
,**Acne will worsen during first 4-6 weeks**
IF no improvement in 8-12 weeks, increase dose or ADD
benzoyl peroxide and/or erythromycin
Acne: Moderate (topicals plus antibiotics) - correct
answer- papules and pustules with comedones (3
part treatment)
Topical retinoid (Retin-A) AND topical benzoyl peroxide
AND oral antibiotic (Tetracycline or Minocycline) x 3-4
weeks --> Exam usually asks about moderate
Acne: Severe - correct answer- painful
indurated nodule, cysts, abscesses, pustules
Accutane- check Liver function tests (LFTS)
must use 2 forms of contraceptives, monthly pregnancy
testing
only prescribe 1 month supply of medication
Usually, will refer to Dermatology
, Acoustic Neuroma (Vestibular Schwannoma):
Symptoms/DX/TX - correct answer- Symptoms:
Ages 30-60
Gradual onset, one-sided
Sensorineural hearing loss, tinnitus that is insidious; CN 8
Facial numbness and pain if it compresses CN 5
Dx: Order an MRI o Benign tumor of CN 8 causing
sensorineural hearing loss and tinnitus.
If it compresses on CN 5 will have facial numbness and
pain
Treatment: Surgery
Acral lengtiginous melanoma - correct 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
DETAILED VERIFIED ANSWERS
#1 risk factor for COPD - correct answer-
smoking
Acanthosis Nigricans: symptoms - correct 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
Ace inhibitors - correct answer- -pril: HTN, HF.
AD: angioedema, cough, hypotension, hyperkalemia,
hepatotoxicity, neutropenia, agranulocytosis, pancreatitis,
SJS. Contra: pregnancy. Nursing: empty stomach, monitor
for infection, dry cough, use contraception (teratogenic),
avoid sports drinks/salt substitutes (extra K)
Acne medications to avoid in pregnancy (category X &C)
- correct answer- Category X: Topical tazarotene
(Tazorac), Accutane
,Category C: Topical retinoids (tretinoin, adapalene)
Acne Rosacea - correct answer- Symptoms: •
Chronic small acne like papules/pustules, and
telangiectasias around nose, mouth, and chin
symmetrically
Treatment: First line: o (Avoid triggers of flushing (EtOH,
excessive sun, spicy foods)
Metro gel or Azelex gel QD-BID
Low dose Tetracycline 250 mg QID or doxycycline 100 mg
QD if gel not effective or the patient has pustular/ocular
rosacea
Acne Vulgaris (common acne): treatment - correct
answer- First line is always topical retinoid such as
tretinoin cream (Retin-A)
Acne: Mild treatmetn - correct answer- open
comedones blackheads/closed comedones (whiteheads)
w/ or w/o papules
topical retinoid (Retin-A)
,**Acne will worsen during first 4-6 weeks**
IF no improvement in 8-12 weeks, increase dose or ADD
benzoyl peroxide and/or erythromycin
Acne: Moderate (topicals plus antibiotics) - correct
answer- papules and pustules with comedones (3
part treatment)
Topical retinoid (Retin-A) AND topical benzoyl peroxide
AND oral antibiotic (Tetracycline or Minocycline) x 3-4
weeks --> Exam usually asks about moderate
Acne: Severe - correct answer- painful
indurated nodule, cysts, abscesses, pustules
Accutane- check Liver function tests (LFTS)
must use 2 forms of contraceptives, monthly pregnancy
testing
only prescribe 1 month supply of medication
Usually, will refer to Dermatology
, Acoustic Neuroma (Vestibular Schwannoma):
Symptoms/DX/TX - correct answer- Symptoms:
Ages 30-60
Gradual onset, one-sided
Sensorineural hearing loss, tinnitus that is insidious; CN 8
Facial numbness and pain if it compresses CN 5
Dx: Order an MRI o Benign tumor of CN 8 causing
sensorineural hearing loss and tinnitus.
If it compresses on CN 5 will have facial numbness and
pain
Treatment: Surgery
Acral lengtiginous melanoma - correct 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
