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NURS 612 FINAL EXAM HEALTH ASSESSMENT & DIAGNOSTICS 1 STUDY GUIDE COMPLETE WITH VERIFIED ANSWERS

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NURS 612 FINAL EXAM HEALTH ASSESSMENT & DIAGNOSTICS 1 STUDY GUIDE COMPLETE WITH VERIFIED ANSWERS - What are the typical presentations for common skin disorders such as tinea infections, melanoma, carcinoma, herpes simplex, as well as descriptive findings such as vesicle, bullae, and papule? o Tinea Infections:  Cause • Fungal infection affecting the skin, hair, or nails  Types • Tinea Corporis  Ringworm o Circular, well-demarcated plaques w/ central clearing and raised, scaly borders o Itchy and may spread in ring-like pattern • Tinea Pedis  Athletes foot o Scaling, fissuring, and maceration between toes • Tinea Capitis o Scaly patches on scalp (may have hair loss) • Tinea Cruris  Jock Itch o Red, scaly rash in the groin  Diagnosis • KOH prep; Wood’s lamp o Melanoma  Cause • Malignant skin cancer (dangerous)  Presentation Irregulary shaped pigmented lesion with variation in color, size, and shape • ABCDE criteria: o Asymmetry o Border irregularity o Color variation  brown, black, red, white, and blue o Diameter  > 6 mm o Evolving  changes in size, shape, or symptoms (itching/bleeding)  Diagnosis • Biopsy • Dermatoscopy o Skin Carcinomas (benign)  Basal Cell Carcinoma (BCC) • Cause o Most common type of skin cancer • Presentation o Pearly or waxy papule o Common on sun-exposed areas  Squamous Cell Carcinoma • Cause o Firm, fast-growing, scaly, erythematous nodule or plaque o Often found on sun-exposed areas o Can arise from actinic keratoses Diagnosis o Biopsy o Dermatoscopy o Herpes Simplex Virus (HSV)  Cause • HSV-1 (oral) Hsv-2 (genital)  Presentation • Grouped vesicles on a erythematous base • Burning or tingling sensation before the lesions appear • May rupture  painful ulcers and then crust over • HSV-1  cold sores on lips and mouth • HSV-2  genital ulcers  Diagnosis o Vesicle  Small, fluid-filled blister  Examples: • Herpes simplex • Varicella (chickenpox) • Contact derm o Bullae  Large, fluid-filled blister  Examples • Bullous pemphigoid Burns • Impetigo o Papule  Small, solid, raised lesion  Examples • Warts (verruca vulgaris) • Acne vulgaris • Lichen planus - What are the lymph node names/locations reviewed in the videos? What is normal vs abnormal findings o Preauricular  In front of the ears o Postauricular  Behind the ears o Occipital  Bottom of back of the head o Tonsillar  Back of the throat o Submandibular

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lOMoAR cPSD| 60399657




NURS 612 FINAL EXAM HEALTH ASSESSMENT & DIAGNOSTICS
1 STUDY GUIDE COMPLETE WITH VERIFIED ANSWERS



- What are the typical presentations for common skin disorders such as tinea infections,
melanoma, carcinoma, herpes simplex, as well as descriptive findings such as vesicle,
bullae, and papule? o Tinea Infections:

 Cause

 Fungal infection affecting the skin, hair, or nails

 Types

 Tinea Corporis  Ringworm

o Circular, well-demarcated plaques w/ central clearing and
raised, scaly borders o Itchy and may spread in ring-like
pattern

• Tinea Pedis  Athletes foot o Scaling, fissuring,

and maceration between toes

• Tinea Capitis o Scaly patches on scalp (may have

hair loss)

• Tinea Cruris  Jock Itch o Red, scaly rash in the

groin

 Diagnosis

 KOH prep; Wood’s lamp

o Melanoma




(

, lOMoAR cPSD| 60399657





 Cause

 Malignant skin cancer (dangerous)

 Presentation

Irregulary shaped pigmented lesion with variation in color, size, and
shape

 ABCDE criteria: o

Asymmetry

o Border irregularity o Color variation  brown, black, red,

white, and blue

o Diameter  > 6 mm

o Evolving  changes in size, shape, or symptoms
(itching/bleeding)

 Diagnosis

• Biopsy

• Dermatoscopy

o Skin Carcinomas (benign)

 Basal Cell Carcinoma (BCC)

 Cause

o Most common type of skin cancer

 Presentation o Pearly or waxy papule o

Common on sun-exposed areas

 Squamous Cell Carcinoma

• Cause

, lOMoAR cPSD| 60399657





o Firm, fast-growing, scaly, erythematous nodule or plaque

o Often found on sun-exposed areas o Can arise from

actinic keratoses


Diagnosis

o Biopsy o Dermatoscopy

o Herpes Simplex Virus (HSV)

 Cause

• HSV-1 (oral) Hsv-2 (genital)

 Presentation

• Grouped vesicles on a erythematous base

• Burning or tingling sensation before the lesions
appear

• May rupture  painful ulcers and then crust over

• HSV-1  cold sores on lips and mouth

• HSV-2  genital ulcers

 Diagnosis o Vesicle

 Small, fluid-filled blister

 Examples:

• Herpes simplex

• Varicella (chickenpox)

• Contact derm o Bullae

 Large, fluid-filled blister

, lOMoAR cPSD| 60399657





 Examples

• Bullous pemphigoid

Burns

• Impetigo

o Papule

 Small, solid, raised lesion

 Examples

• Warts (verruca vulgaris)

• Acne vulgaris

• Lichen planus



- What are the lymph node names/locations reviewed in the videos? What is normal vs
abnormal findings o Preauricular

 In front of the ears

o Postauricular

 Behind the ears o

Occipital

 Bottom of back of

the head o Tonsillar

 Back of the throat

o Submandibular
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