APEA 3P Exam Study Guide

APEA 3P Exam Study Guide Correctly Answered and Graded A+ | Latest 2025 / 2026

Question:

Herpetic Whitlow (caused by herpes simplex): symptoms and treatment

Answer:

Symptoms: HSV 1 or HSV 2 infection

Abrupt onset of small red papules/bumps which become vesicular Extremely painful, tingling, and burning sensation. Usually on index finger or

thumb Treatment:

Rest, elevation, and NSAIDs -As this is a self-limiting infection

If recurrent or severe infection can prescribe oral acyclovir

DO NOT chose topical acyclovir as an option because it's expensive and does not work well

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Question:

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

Question:

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

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Question:

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

Question:

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

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Question:

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

Question:

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**

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