PMHNP APEA 3P EXAM PREP QUESTIONS AND ANSWERS
PMHNP APEA 3P EXAM PREP QUESTIONS AND
ANSWERS (VERIFIED ANSWERS GRADED A+) LATEST
UPDATE 2024/2025 // DOWNLOAD AND PASS
Most common type of skin cancer in USA - ANSWER : Skin cancer
Most common type of skin cancer - ANSWER : basal cell carcinoma
basal cell carcinoma symptoms - ANSWER : Appearance varies; smooth,
shiny bump, pink to pearly white
Basal cell carcinoma common locations - ANSWER : cheeks, nose, face,
neck, arms, back
basal cell carcinoma diagnosis gold standard - ANSWER : biopsy. if not an
option, refer to derm
Actinic keratosis - ANSWER : 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 - ANSWER : Biopsy. if
not an option, refer to derm
1|Page
, PMHNP APEA 3P EXAM PREP QUESTIONS AND ANSWERS
Actinic keratosis treatment gold standard - ANSWER : 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 - ANSWER : chronic red scaly rough textured lesion
w/ irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations - ANSWER : rims of ears, lips,
nose, face and top of hands
precursor lesion to squamous cell cancer - ANSWER : actinic keratosis
squamous cell carcinoma diagnosis by? - ANSWER : biopsy gold standard. if
biopsy is not an option, refer to dermatology .
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
Melanoma symptoms (ABCDE) - ANSWER : asymmetry (shape/uneven
texture)
border (irregular/notched/blurred)
2|Page
, PMHNP APEA 3P EXAM PREP QUESTIONS AND ANSWERS
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 - 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
seborrheic keratosis - ANSWER : soft, round, wart-like growth that is light
tan to black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria - ANSWER : Streptococcus pneumoniae- most
common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) - ANSWER : High fever Nuchal
rigidity
rapid change in mental status w/ headache
3|Page
, PMHNP APEA 3P EXAM PREP QUESTIONS AND ANSWERS
Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to purple-colored
lesions (purpura) which are non-blanchable
Is bacterial meningitis a reportable disease - ANSWER : yes!
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
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
Brudzinkski sign (meningeal irritation) - ANSWER : Tests for meningeal
irritation
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--
4|Page
PMHNP APEA 3P EXAM PREP QUESTIONS AND
ANSWERS (VERIFIED ANSWERS GRADED A+) LATEST
UPDATE 2024/2025 // DOWNLOAD AND PASS
Most common type of skin cancer in USA - ANSWER : Skin cancer
Most common type of skin cancer - ANSWER : basal cell carcinoma
basal cell carcinoma symptoms - ANSWER : Appearance varies; smooth,
shiny bump, pink to pearly white
Basal cell carcinoma common locations - ANSWER : cheeks, nose, face,
neck, arms, back
basal cell carcinoma diagnosis gold standard - ANSWER : biopsy. if not an
option, refer to derm
Actinic keratosis - ANSWER : 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 - ANSWER : Biopsy. if
not an option, refer to derm
1|Page
, PMHNP APEA 3P EXAM PREP QUESTIONS AND ANSWERS
Actinic keratosis treatment gold standard - ANSWER : 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 - ANSWER : chronic red scaly rough textured lesion
w/ irregular borders
crusting or bleeding may be present
Squamous cell carcinoma common locations - ANSWER : rims of ears, lips,
nose, face and top of hands
precursor lesion to squamous cell cancer - ANSWER : actinic keratosis
squamous cell carcinoma diagnosis by? - ANSWER : biopsy gold standard. if
biopsy is not an option, refer to dermatology .
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
Melanoma symptoms (ABCDE) - ANSWER : asymmetry (shape/uneven
texture)
border (irregular/notched/blurred)
2|Page
, PMHNP APEA 3P EXAM PREP QUESTIONS AND ANSWERS
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 - 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
seborrheic keratosis - ANSWER : soft, round, wart-like growth that is light
tan to black and looks pasted on
asymptomatic &benign
Bacterial Meningitis Bacteria - ANSWER : Streptococcus pneumoniae- most
common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) - ANSWER : High fever Nuchal
rigidity
rapid change in mental status w/ headache
3|Page
, PMHNP APEA 3P EXAM PREP QUESTIONS AND ANSWERS
Triad=neck up
erythematous spot-like rash (petechiae) ecchymosis to purple-colored
lesions (purpura) which are non-blanchable
Is bacterial meningitis a reportable disease - ANSWER : yes!
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
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
Brudzinkski sign (meningeal irritation) - ANSWER : Tests for meningeal
irritation
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--
4|Page
