NURS 623 Exam REVIEW
QUESTIONS AND VERIFED
CORRECT ANSWERS
GRADED A+ [LATEST] 100%
GUARANTEED PASS
What is the non-pharmacologic and pharmacologic management for atopic dermatitis? -
CORRECT ANSWER-Mild emollients like Ceraphil as a substitute for soap. Soak and smear
method, soak in tepid bath and smear body with moisturizing cream, or petroleum jelly. Use a
humidifier.
Wet soaks or compresses with cool tap water or Burow's solution for wet inflamed sores for 20-
30 minutes, 4-6 times day. Topical corticosteroids should be placed on inflamed areas
immediately following the soak.
Doxepin (sinequan) can be used to help with the itch. TCA.
Singular 10mg daily
Prednisone 60mg, daily, for 7 days.
Immunomodulators Protopic, see relief in 3 days and have increased quality of life. 2nd line
treatment.
Bleach baths 1-2 a week for patients colonized with S. Aureus and at risk for secondary bacterial
skin infections.
Exacerbations are common in the fall.
,What is the cardinal symptom of contact dermatitis? - CORRECT ANSWER-Pruritic erythematous
rash
contact dermatitis - CORRECT ANSWER-Rough, red patches, weeping lesions with tiny vesicles.
What is the non-pharmacologic and pharmacologic management for contact dermatitis? -
CORRECT ANSWER-Moist compresses, Borow's Solution, or calamine lotion applied several
times a day.
Topical corticosteroids and oral steroids for severe cases.
Avoid triggers and avoid scratching to stop the spread.
Follow up in 1 week. Severe cases may be referred to dermatologist or allergist.
seborrheic dermatitis - CORRECT ANSWER-Skin condition caused by an inflammation of the
sebaceous glands. It is often characterized by redness, dry or oily scaling, crusting, and/or
itchiness. Pink, edematous skin covered with yellow, brown scales and crusts that appear greasy.
Typically at the hairline on the forehead, eyebrows, and nasal folds. This is a chronic with
remissions and exacerbations
Seborrheic dermatitis treatment - CORRECT ANSWER-OTC dandruff shampoo left on for 5-7
minutes
Resistant: 2.5% selenium sulfide shampoo, ketoconazole (Nizoral) shampoo used every other
day. Maintenance is 1-2 times a week.
Hydrocortisone for inflammation 0.5%-1.0% for the face and betamethasone valerate 0.1% for
the scalp after cleansing.
Exudative lesions use Burows solution 30 minute compresses TID.
Is seborrheic dermatitis contagious? - CORRECT ANSWER-No
, Psoriasis - CORRECT ANSWER-chronic, recurrent dermatosis marked by itchy, scaly, red plaques
covered by silvery gray scales. Typically found over the extensor areas of the body to include
elbows, knees, and scalp.
What is the Auspitz's sign? - CORRECT ANSWER-Multiple small sites of bleeding are noted when
the psoriasis scales are traumatically removed.
What is the goal of management for psoriasis? - CORRECT ANSWER-Control the disease so that
the patient no longer feels physically or psychologically hindered by the skin lesions. Decreasing
epidermal proliferation and underlying dermal inflammation through the use of topical
corticosteroids.
What is the first line pharmacotherapeutics for psoriasis if < 20% of the body is involved? -
CORRECT ANSWER-Topical agents are the first line therapy. Emollients twice daily.
When should you refer a patient with psoriasis to a dermatologist or psoriasis specialty clinic? -
CORRECT ANSWER-Newly diagnosed patients and patients with moderate to extensive skin
involvement (more than 20%). Patients with recalcitrant or with frequent flares. Patient with
inflammatory arthritis should be referred to Rheumatology.
What should be included in the patient education of psoriasis? - CORRECT ANSWER-This is NOT
contagious. It is important to avoid skin trauma, as this can create new lesions. Controlled sun
exposure will help, use high SPF sun screen. Strep infections need to be treated promptly. Try to
control or eliminate aggravating factors like stress and alcohol intake.
What is the clinical presentation of acne vulgaris? - CORRECT ANSWER-Comedomes are the
primary lesion in acne, it also includes papules, nodules, and cysts on the face, back, chest, and
upper arms. Between 12-25, peaking at age 15.
What is different in the presentation of rosacea versus acne? - CORRECT ANSWER-Comedones
are never found in rosacea. Easy flushing with alcohol & heat and is centrally located on cheeks,
nose, & chin. Telangiectasias can been seen in rosacea. Occurring between 30-60 years old.
QUESTIONS AND VERIFED
CORRECT ANSWERS
GRADED A+ [LATEST] 100%
GUARANTEED PASS
What is the non-pharmacologic and pharmacologic management for atopic dermatitis? -
CORRECT ANSWER-Mild emollients like Ceraphil as a substitute for soap. Soak and smear
method, soak in tepid bath and smear body with moisturizing cream, or petroleum jelly. Use a
humidifier.
Wet soaks or compresses with cool tap water or Burow's solution for wet inflamed sores for 20-
30 minutes, 4-6 times day. Topical corticosteroids should be placed on inflamed areas
immediately following the soak.
Doxepin (sinequan) can be used to help with the itch. TCA.
Singular 10mg daily
Prednisone 60mg, daily, for 7 days.
Immunomodulators Protopic, see relief in 3 days and have increased quality of life. 2nd line
treatment.
Bleach baths 1-2 a week for patients colonized with S. Aureus and at risk for secondary bacterial
skin infections.
Exacerbations are common in the fall.
,What is the cardinal symptom of contact dermatitis? - CORRECT ANSWER-Pruritic erythematous
rash
contact dermatitis - CORRECT ANSWER-Rough, red patches, weeping lesions with tiny vesicles.
What is the non-pharmacologic and pharmacologic management for contact dermatitis? -
CORRECT ANSWER-Moist compresses, Borow's Solution, or calamine lotion applied several
times a day.
Topical corticosteroids and oral steroids for severe cases.
Avoid triggers and avoid scratching to stop the spread.
Follow up in 1 week. Severe cases may be referred to dermatologist or allergist.
seborrheic dermatitis - CORRECT ANSWER-Skin condition caused by an inflammation of the
sebaceous glands. It is often characterized by redness, dry or oily scaling, crusting, and/or
itchiness. Pink, edematous skin covered with yellow, brown scales and crusts that appear greasy.
Typically at the hairline on the forehead, eyebrows, and nasal folds. This is a chronic with
remissions and exacerbations
Seborrheic dermatitis treatment - CORRECT ANSWER-OTC dandruff shampoo left on for 5-7
minutes
Resistant: 2.5% selenium sulfide shampoo, ketoconazole (Nizoral) shampoo used every other
day. Maintenance is 1-2 times a week.
Hydrocortisone for inflammation 0.5%-1.0% for the face and betamethasone valerate 0.1% for
the scalp after cleansing.
Exudative lesions use Burows solution 30 minute compresses TID.
Is seborrheic dermatitis contagious? - CORRECT ANSWER-No
, Psoriasis - CORRECT ANSWER-chronic, recurrent dermatosis marked by itchy, scaly, red plaques
covered by silvery gray scales. Typically found over the extensor areas of the body to include
elbows, knees, and scalp.
What is the Auspitz's sign? - CORRECT ANSWER-Multiple small sites of bleeding are noted when
the psoriasis scales are traumatically removed.
What is the goal of management for psoriasis? - CORRECT ANSWER-Control the disease so that
the patient no longer feels physically or psychologically hindered by the skin lesions. Decreasing
epidermal proliferation and underlying dermal inflammation through the use of topical
corticosteroids.
What is the first line pharmacotherapeutics for psoriasis if < 20% of the body is involved? -
CORRECT ANSWER-Topical agents are the first line therapy. Emollients twice daily.
When should you refer a patient with psoriasis to a dermatologist or psoriasis specialty clinic? -
CORRECT ANSWER-Newly diagnosed patients and patients with moderate to extensive skin
involvement (more than 20%). Patients with recalcitrant or with frequent flares. Patient with
inflammatory arthritis should be referred to Rheumatology.
What should be included in the patient education of psoriasis? - CORRECT ANSWER-This is NOT
contagious. It is important to avoid skin trauma, as this can create new lesions. Controlled sun
exposure will help, use high SPF sun screen. Strep infections need to be treated promptly. Try to
control or eliminate aggravating factors like stress and alcohol intake.
What is the clinical presentation of acne vulgaris? - CORRECT ANSWER-Comedomes are the
primary lesion in acne, it also includes papules, nodules, and cysts on the face, back, chest, and
upper arms. Between 12-25, peaking at age 15.
What is different in the presentation of rosacea versus acne? - CORRECT ANSWER-Comedones
are never found in rosacea. Easy flushing with alcohol & heat and is centrally located on cheeks,
nose, & chin. Telangiectasias can been seen in rosacea. Occurring between 30-60 years old.
