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NUR 621 MODULE 3 COMPLETE EXAM QUESTIONS 151-220:
ADVANCED PATHOPHYSIOLOGY & CLINICAL ASSESSMENT 2026
UPDATE | UTICA COLLEGE | A+ GRADED
SECTION 1: SKIN LESIONS & DERMATOLOGIC ASSESSMENT
(Questions 1-10)
Q1. A 62-year-old patient presents with a wide, diffuse area of erythematous skin on the
lower left leg that is warm and tender to palpation with edema. What is the most likely
diagnosis?
A. Cellulitis
B. Diabetic ulcer
C. Necrotizing fasciitis
D. Kaposi's sarcoma
Correct Answer: A. Cellulitis
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Rationale: Cellulitis is an acute bacterial infection of the dermis and subcutaneous tissue. Key
findings include diffuse erythema, warmth, tenderness, and edema. Diabetic ulcers are
localized open sores. Necrotizing fasciitis presents with severe pain out of proportion to
findings and rapid systemic toxicity. Kaposi's sarcoma appears as purple-red nodules or plaques,
not acutely warm/tender .
Q2. Which scalp problem can be caused by fever and certain drugs?
A. Alopecia areata
B. Telogen effluvium (TE)
C. Psoriasis
D. Trichotillomania
Correct Answer: B. Telogen effluvium (TE)
Rationale: Telogen effluvium is diffuse, temporary hair shedding that occurs when a large
number of hairs shift into the telogen (resting) phase. Triggers include fever, illness, surgery,
childbirth, medications, and stress. Alopecia areata is autoimmune and patchy. Psoriasis
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presents with scaly plaques. Trichotillomania is compulsive hair pulling, not triggered by fever
or drugs .
Q3. A patient has a rubbery, smooth, round mass on their chest that is compressible with a
soft-to-very-firm texture. What is the most likely diagnosis?
A. Adenoma
B. Nevus
C. Skin tag
D. Lipoma
Correct Answer: D. Lipoma
Rationale: Lipoma is a benign tumor of adipose tissue. Features include rubbery, smooth,
round, compressible texture that can feel soft to firm, and is mobile under the skin. Adenomas
are benign glandular tumors of internal organs. A nevus is a pigmented mole. A skin tag
(acrochordon) is a soft, pedunculated growth .
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Q4. When staging a malignant melanoma using Clark's levels, which level extends into the
reticular dermis?
A. Level III
B. Level IV
C. Level II
D. Level I
Correct Answer: B. Level IV
Rationale: Clark's Levels of Melanoma Invasion: Level I is confined to epidermis (in situ). Level II
invades the papillary dermis. Level III fills the papillary dermis but does not enter the reticular
dermis. Level IV invades the reticular dermis. Level V invades the subcutaneous tissue .
Q5. A 22-year-old has tinea versicolor. Which description is most likely for this condition?
A. Red papules on the face
B. Round, hypopigmented macules on the back
C. Crusted plaques in the groin area
NUR 621 MODULE 3 COMPLETE EXAM QUESTIONS 151-220:
ADVANCED PATHOPHYSIOLOGY & CLINICAL ASSESSMENT 2026
UPDATE | UTICA COLLEGE | A+ GRADED
SECTION 1: SKIN LESIONS & DERMATOLOGIC ASSESSMENT
(Questions 1-10)
Q1. A 62-year-old patient presents with a wide, diffuse area of erythematous skin on the
lower left leg that is warm and tender to palpation with edema. What is the most likely
diagnosis?
A. Cellulitis
B. Diabetic ulcer
C. Necrotizing fasciitis
D. Kaposi's sarcoma
Correct Answer: A. Cellulitis
, 2
Rationale: Cellulitis is an acute bacterial infection of the dermis and subcutaneous tissue. Key
findings include diffuse erythema, warmth, tenderness, and edema. Diabetic ulcers are
localized open sores. Necrotizing fasciitis presents with severe pain out of proportion to
findings and rapid systemic toxicity. Kaposi's sarcoma appears as purple-red nodules or plaques,
not acutely warm/tender .
Q2. Which scalp problem can be caused by fever and certain drugs?
A. Alopecia areata
B. Telogen effluvium (TE)
C. Psoriasis
D. Trichotillomania
Correct Answer: B. Telogen effluvium (TE)
Rationale: Telogen effluvium is diffuse, temporary hair shedding that occurs when a large
number of hairs shift into the telogen (resting) phase. Triggers include fever, illness, surgery,
childbirth, medications, and stress. Alopecia areata is autoimmune and patchy. Psoriasis
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presents with scaly plaques. Trichotillomania is compulsive hair pulling, not triggered by fever
or drugs .
Q3. A patient has a rubbery, smooth, round mass on their chest that is compressible with a
soft-to-very-firm texture. What is the most likely diagnosis?
A. Adenoma
B. Nevus
C. Skin tag
D. Lipoma
Correct Answer: D. Lipoma
Rationale: Lipoma is a benign tumor of adipose tissue. Features include rubbery, smooth,
round, compressible texture that can feel soft to firm, and is mobile under the skin. Adenomas
are benign glandular tumors of internal organs. A nevus is a pigmented mole. A skin tag
(acrochordon) is a soft, pedunculated growth .
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Q4. When staging a malignant melanoma using Clark's levels, which level extends into the
reticular dermis?
A. Level III
B. Level IV
C. Level II
D. Level I
Correct Answer: B. Level IV
Rationale: Clark's Levels of Melanoma Invasion: Level I is confined to epidermis (in situ). Level II
invades the papillary dermis. Level III fills the papillary dermis but does not enter the reticular
dermis. Level IV invades the reticular dermis. Level V invades the subcutaneous tissue .
Q5. A 22-year-old has tinea versicolor. Which description is most likely for this condition?
A. Red papules on the face
B. Round, hypopigmented macules on the back
C. Crusted plaques in the groin area
