NURS 623 MARYVILLE EXAM 3
COMPREHENSIVE TEST PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
EXPERT VERIFIED GRADED A+
◉ herpes simplex. Answer: Oral or genital, can be asymptomatic.
Tenderness, pain, mild paresthesia's, or burning before onset.
Prodrome can include headache, fever, muscle ache,
lymphadenopathy, local pain. Grouped vesicles on erythematous
base.
No cure.
Oral: lip ointment Blistex. OTC Abreva. Denavir for extensive lesions.
Genital: Valacyclovir and famciclovir better choices
◉ acne vulgaris. Answer: Located on face, chest, back, and upper
outer arms.
· Mild = total lesions <30, noninflammatory. Comedones with small
papules.
· Moderate = total lesions 30-125, inflammation. Papules & pustules
with yellow/green tops.
· Severe = lesions > 125, nodulocystic acne.
,Treatments:
Tretinoin, topical vs. systemic antibiotics, Isotretinoin
◉ Rosacea. Answer: Chronic, central face, persistent erythema
telangiectasia, erythematous papules.
Treatment :
Avoid triggers, topical flagyl (may take 6-8 wks), PO tetracycline,
minocycline, or doxycycline
◉ Atopic Dermatitis (eczema). Answer: o A chronic inflammatory
skin disorder with a complex pathogenesis involving genetic
susceptibility, immunologic and epidermal barrier dysfunction, and
environmental factors.
o Pruritus is the primary symptom; skin lesions range from mild
erythema to severe lichenification.
o Presents as red patches with white scales on top
o Chronic and recurring.
◉ Atopic dermatitis treatment. Answer: o Moisturizers
o Avoidance of allergic and irritant triggers- avoid frequent bathing
with hot water
•Burrow's solution, silver nitrate solutions (to dry out lesions)
,•Topical steroids for inflammation
•Petrolatum/emollients to maintain hydration
◉ Contact Dermatitis. Answer: o a rash that occurs at the site of
exposure to a substance capable of producing an allergic or irritant
skin response.
Cause:
o Noxious, irritating substances or substances to which the patient
has developed a skin allergy.
o Direct exposure to substance that triggers an immune response (T-
cell mediated response)
o May be allergic or irritant induced
Ex: poison ivy
◉ Contact dermatitis treatment. Answer: o Treated topically with
evaporative measures.
· the application of repeated cycles of cool water compresses
followed by drying.
o Once the weeping and oozing have stopped, application of:
·-potent topical steroids two times a day to the affected areas for two
to three weeks.
o It may be necessary to treat with oral steroids for two to three
weeks- if more than 10% of the body
, It will usually take one to three weeks for the allergen to be entirely
removed from the skin so that the rash resolves entirely.
◉ Seborrheic Dermatitis. Answer: o Common in Parkinson's patients
and patients with HIV. Severe cases should prompt you to look for
risk factors of HIV
o Caused by Increased production of sebum
o Scaly, greasy rash- affected skin is pink, edematous, and cover with
yellow to brown scales and crusts.
o Usually seen on scalp, forehead, eyebrows, and area surrounding
the nose/ears.
o Common in infancy and called "cradle cap"
Subjective- pink scaling rash located on face and scalp, typically male
. May itch
Objective- scaly patches that may be slightly papular. Each patch is
surrounded by erythema. Greasy and appear yellow.
◉ Seborrheic Dermatitis treatment. Answer: OTC dandruff shampoo,
leave on 5-7 mins to be effective.
COMPREHENSIVE TEST PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
EXPERT VERIFIED GRADED A+
◉ herpes simplex. Answer: Oral or genital, can be asymptomatic.
Tenderness, pain, mild paresthesia's, or burning before onset.
Prodrome can include headache, fever, muscle ache,
lymphadenopathy, local pain. Grouped vesicles on erythematous
base.
No cure.
Oral: lip ointment Blistex. OTC Abreva. Denavir for extensive lesions.
Genital: Valacyclovir and famciclovir better choices
◉ acne vulgaris. Answer: Located on face, chest, back, and upper
outer arms.
· Mild = total lesions <30, noninflammatory. Comedones with small
papules.
· Moderate = total lesions 30-125, inflammation. Papules & pustules
with yellow/green tops.
· Severe = lesions > 125, nodulocystic acne.
,Treatments:
Tretinoin, topical vs. systemic antibiotics, Isotretinoin
◉ Rosacea. Answer: Chronic, central face, persistent erythema
telangiectasia, erythematous papules.
Treatment :
Avoid triggers, topical flagyl (may take 6-8 wks), PO tetracycline,
minocycline, or doxycycline
◉ Atopic Dermatitis (eczema). Answer: o A chronic inflammatory
skin disorder with a complex pathogenesis involving genetic
susceptibility, immunologic and epidermal barrier dysfunction, and
environmental factors.
o Pruritus is the primary symptom; skin lesions range from mild
erythema to severe lichenification.
o Presents as red patches with white scales on top
o Chronic and recurring.
◉ Atopic dermatitis treatment. Answer: o Moisturizers
o Avoidance of allergic and irritant triggers- avoid frequent bathing
with hot water
•Burrow's solution, silver nitrate solutions (to dry out lesions)
,•Topical steroids for inflammation
•Petrolatum/emollients to maintain hydration
◉ Contact Dermatitis. Answer: o a rash that occurs at the site of
exposure to a substance capable of producing an allergic or irritant
skin response.
Cause:
o Noxious, irritating substances or substances to which the patient
has developed a skin allergy.
o Direct exposure to substance that triggers an immune response (T-
cell mediated response)
o May be allergic or irritant induced
Ex: poison ivy
◉ Contact dermatitis treatment. Answer: o Treated topically with
evaporative measures.
· the application of repeated cycles of cool water compresses
followed by drying.
o Once the weeping and oozing have stopped, application of:
·-potent topical steroids two times a day to the affected areas for two
to three weeks.
o It may be necessary to treat with oral steroids for two to three
weeks- if more than 10% of the body
, It will usually take one to three weeks for the allergen to be entirely
removed from the skin so that the rash resolves entirely.
◉ Seborrheic Dermatitis. Answer: o Common in Parkinson's patients
and patients with HIV. Severe cases should prompt you to look for
risk factors of HIV
o Caused by Increased production of sebum
o Scaly, greasy rash- affected skin is pink, edematous, and cover with
yellow to brown scales and crusts.
o Usually seen on scalp, forehead, eyebrows, and area surrounding
the nose/ears.
o Common in infancy and called "cradle cap"
Subjective- pink scaling rash located on face and scalp, typically male
. May itch
Objective- scaly patches that may be slightly papular. Each patch is
surrounded by erythema. Greasy and appear yellow.
◉ Seborrheic Dermatitis treatment. Answer: OTC dandruff shampoo,
leave on 5-7 mins to be effective.
