1
APEA 3P Exam 2026 Questions and
Answers (100% Correct Answers)
Already Graded A+
Most common type of skin cancer in USA Ans: Skin cancer
Most common type of skin cancer Ans: basal cell carcinoma
© 2026 Assignment
basal cell carcinoma symptoms Ans: Appearance varies;
smooth, shiny bump, pink to pearly white
Guru01 - Stuvia
Basal cell carcinoma common locations Ans: cheeks, nose,
Expert
face, neck, arms, back
basal cell carcinoma diagnosis gold standard Ans: biopsy. if
not an option, refer to derm
Actinic keratosis Ans: 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 Ans: Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard Ans: small-
cryotherapy
, 2
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 Ans: chronic red scaly rough textured
lesion w/ irregular borders
crusting or bleeding may be present
© 2026 Assignment
Squamous cell carcinoma common locations Ans: rims of ears,
lips, nose, face and top of hands
Guru01 - Stuvia
Expert
precursor lesion to squamous cell cancer Ans: actinic keratosis
squamous cell carcinoma diagnosis by? Ans: biopsy gold
standard. if biopsy is not an option, refer to dermatology .
Risk factors for skin cancer(melanoma and both non-
melanoma) Ans: 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) Ans: 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)
, 3
may be itchy
Acral lengtiginous melanoma Ans: 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 Ans: soft, round, wart-like growth that is
© 2026 Assignment
light tan to black and looks pasted on
asymptomatic &benign
Guru01 - Stuvia
Expert
Bacterial Meningitis Bacteria Ans: Streptococcus pneumoniae-
most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) Ans: High fever
Nuchal rigidity
rapid change in mental status w/ headache
Triad=neck up
, 4
erythematous spot-like rash (petechiae) ecchymosis to purple-
colored lesions (purpura) which are non-blanchable
Is bacterial meningitis a reportable disease Ans: yes!
Treatment for Bacterial meningitis-patient Ans: 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
© 2026 Assignment
family
Guru01 - Stuvia
Treatment for bacterial meningitis-close encounter Ans: Close
Expert
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) Ans: 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--
Kernig's sign Ans: Tests for meningeal irritation
patient supine. flex patients hips and knees in a right angle,
then slowly straighten/extend the legs up
APEA 3P Exam 2026 Questions and
Answers (100% Correct Answers)
Already Graded A+
Most common type of skin cancer in USA Ans: Skin cancer
Most common type of skin cancer Ans: basal cell carcinoma
© 2026 Assignment
basal cell carcinoma symptoms Ans: Appearance varies;
smooth, shiny bump, pink to pearly white
Guru01 - Stuvia
Basal cell carcinoma common locations Ans: cheeks, nose,
Expert
face, neck, arms, back
basal cell carcinoma diagnosis gold standard Ans: biopsy. if
not an option, refer to derm
Actinic keratosis Ans: 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 Ans: Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard Ans: small-
cryotherapy
, 2
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 Ans: chronic red scaly rough textured
lesion w/ irregular borders
crusting or bleeding may be present
© 2026 Assignment
Squamous cell carcinoma common locations Ans: rims of ears,
lips, nose, face and top of hands
Guru01 - Stuvia
Expert
precursor lesion to squamous cell cancer Ans: actinic keratosis
squamous cell carcinoma diagnosis by? Ans: biopsy gold
standard. if biopsy is not an option, refer to dermatology .
Risk factors for skin cancer(melanoma and both non-
melanoma) Ans: 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) Ans: 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)
, 3
may be itchy
Acral lengtiginous melanoma Ans: 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 Ans: soft, round, wart-like growth that is
© 2026 Assignment
light tan to black and looks pasted on
asymptomatic &benign
Guru01 - Stuvia
Expert
Bacterial Meningitis Bacteria Ans: Streptococcus pneumoniae-
most common strain
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
*others
Bacterial meningitis symptoms (Classic Triad) Ans: High fever
Nuchal rigidity
rapid change in mental status w/ headache
Triad=neck up
, 4
erythematous spot-like rash (petechiae) ecchymosis to purple-
colored lesions (purpura) which are non-blanchable
Is bacterial meningitis a reportable disease Ans: yes!
Treatment for Bacterial meningitis-patient Ans: 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
© 2026 Assignment
family
Guru01 - Stuvia
Treatment for bacterial meningitis-close encounter Ans: Close
Expert
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) Ans: 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--
Kernig's sign Ans: Tests for meningeal irritation
patient supine. flex patients hips and knees in a right angle,
then slowly straighten/extend the legs up
