APEA 3P Exam STUDY GUUIDE QUESTIONS WITH COMPLETE SOLUTION

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
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)
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)