NURSE PRACTITIONER|VERIFIED QUESTIONS AND CORRECT DETAILED
ANSWERS|RATED AND GRADED A+ NEW UPDATE| 2026/2027
primary lesion - ANSWER✔ lesion that develops on previously unaltered skin
lesion - ANSWER✔ a region in an organ or tissue that has suffered damage thru injury or disease
secondary lesion - ANSWER✔ lesion that either changes impression over time or occurs when a
primary lesion is scratched it may be infected
macule - ANSWER✔ circumscribed flat area; different color and texture from surrounding tissue,
<1cm
ex.) ephelides (freckles), petechia, flat nevi (moles)
patch - ANSWER✔ a large macule; >1cm
ex.) mongolian spot, Cafe, au lair spot
papule - ANSWER✔ Small solid elevated lesion; <1cm
ex.) bug bite, elevated nevus (mole) or verruca (wart)
plaque - ANSWER✔ elevation of skin; >1cm; example psoriasis lesion
pustule - ANSWER✔ a visible accumulation of purulent fluid under skin; <1cm; examples acne and
impetigo
vesicle - ANSWER✔ a circumscribed elevation of skin contains "SEROUS FLUID: <1cm; examples,
herpes simples, varicella, shingles
nodule - ANSWER✔ solid mass of skin, is elevated or palpated >1cm; often extends deeper into
dermis: examples xanthoma and fibroma
,bulla - ANSWER✔ blister, circumscribed elevation containing fluid >1cm , extends only into
epidermis, examples burns, superficial blister, contact dermatitis
wheal - ANSWER✔ elevated white or pink compressible papule or plaque, a red, axon-mediated flare
often surround it, commonly associated with allergic reaction, examples PPD test and mosquito bites
cyst - ANSWER✔ any closed cavity or sac; contains fluid or semisolid material, normal or abnormal
epithelium. example sebaceous cyst
Abscess - ANSWER✔ a localized collection of purulent fluid in a cavity formed by disintegration or
necrosis of tissues >1cm
tumor - ANSWER✔ "MASS: > few cm in diameter; firm or soft; benign or malignant
configuration: annular - ANSWER✔ circular, begins in center and spreads to periphery
configuration: confluent - ANSWER✔ lesions run together
configuration: grouped - ANSWER✔ lesion cluster
configuration: gyrate - ANSWER✔ twisted, coiled, spiral and snake like
configuration: linear - ANSWER✔ scratch, streak, line stripe
configuration: polycyclic - ANSWER✔ annular lesions merge
configuration: solitary or discrete - ANSWER✔ individual and distinct lesions that remain separate
configuration: target (iris) - ANSWER✔ resembles iris of eye; lesion with concentric rings of color
, configuration: zosteriform - ANSWER✔ linear arrangement along nerve route
comedones - ANSWER✔ open are called black heads (openings capped with a blackened skin debris);
and closed are called white head (obstructed)
acne - ANSWER✔ can be comedones, pustules, papules (pimples and zits), cysts, nodules and scaring
nonpharmacological management of acne - ANSWER✔ wash several times daily with soap and water;
avoid topical oil based; use oil free cleansers and moisterizers
pharmacological management of acne - ANSWER✔ comedolytic agents: benzoyl peroxice, salicylic
acid, topical antibiotics (clindamycin, erythromycin, tetracycline and metronidazole for rosacea). May
consider oral antibiotics and oral contraceptives
folliculitis - ANSWER✔ inflammation of hair follicle; common cause staphylococci
furuncle - ANSWER✔ "boil" localized infection in hair follicle, caused by staph
carbuncle - ANSWER✔ >furuncle; may be necrotizing, staph
cellulitis - ANSWER✔ most common causes: out patients strep ; inpatient: gram negative (ecoli,
klebsiels, psuedomonsa, enterbacter, staph aureus and strep
MRSA - ANSWER✔ trimethoprm-sulfamethoxazole (bactrim); doxy, clindamycin
group a strep - ANSWER✔ bactrim + beta lactam (PCN, amoxicillin , keflex) or doxy/inocycline +beta
lactam or clindamycin
erysipelas - ANSWER✔ usually caused by strep, rapid progression of an erythematous, warm
indurated area (looks like sunburn,)
ANSWERS|RATED AND GRADED A+ NEW UPDATE| 2026/2027
primary lesion - ANSWER✔ lesion that develops on previously unaltered skin
lesion - ANSWER✔ a region in an organ or tissue that has suffered damage thru injury or disease
secondary lesion - ANSWER✔ lesion that either changes impression over time or occurs when a
primary lesion is scratched it may be infected
macule - ANSWER✔ circumscribed flat area; different color and texture from surrounding tissue,
<1cm
ex.) ephelides (freckles), petechia, flat nevi (moles)
patch - ANSWER✔ a large macule; >1cm
ex.) mongolian spot, Cafe, au lair spot
papule - ANSWER✔ Small solid elevated lesion; <1cm
ex.) bug bite, elevated nevus (mole) or verruca (wart)
plaque - ANSWER✔ elevation of skin; >1cm; example psoriasis lesion
pustule - ANSWER✔ a visible accumulation of purulent fluid under skin; <1cm; examples acne and
impetigo
vesicle - ANSWER✔ a circumscribed elevation of skin contains "SEROUS FLUID: <1cm; examples,
herpes simples, varicella, shingles
nodule - ANSWER✔ solid mass of skin, is elevated or palpated >1cm; often extends deeper into
dermis: examples xanthoma and fibroma
,bulla - ANSWER✔ blister, circumscribed elevation containing fluid >1cm , extends only into
epidermis, examples burns, superficial blister, contact dermatitis
wheal - ANSWER✔ elevated white or pink compressible papule or plaque, a red, axon-mediated flare
often surround it, commonly associated with allergic reaction, examples PPD test and mosquito bites
cyst - ANSWER✔ any closed cavity or sac; contains fluid or semisolid material, normal or abnormal
epithelium. example sebaceous cyst
Abscess - ANSWER✔ a localized collection of purulent fluid in a cavity formed by disintegration or
necrosis of tissues >1cm
tumor - ANSWER✔ "MASS: > few cm in diameter; firm or soft; benign or malignant
configuration: annular - ANSWER✔ circular, begins in center and spreads to periphery
configuration: confluent - ANSWER✔ lesions run together
configuration: grouped - ANSWER✔ lesion cluster
configuration: gyrate - ANSWER✔ twisted, coiled, spiral and snake like
configuration: linear - ANSWER✔ scratch, streak, line stripe
configuration: polycyclic - ANSWER✔ annular lesions merge
configuration: solitary or discrete - ANSWER✔ individual and distinct lesions that remain separate
configuration: target (iris) - ANSWER✔ resembles iris of eye; lesion with concentric rings of color
, configuration: zosteriform - ANSWER✔ linear arrangement along nerve route
comedones - ANSWER✔ open are called black heads (openings capped with a blackened skin debris);
and closed are called white head (obstructed)
acne - ANSWER✔ can be comedones, pustules, papules (pimples and zits), cysts, nodules and scaring
nonpharmacological management of acne - ANSWER✔ wash several times daily with soap and water;
avoid topical oil based; use oil free cleansers and moisterizers
pharmacological management of acne - ANSWER✔ comedolytic agents: benzoyl peroxice, salicylic
acid, topical antibiotics (clindamycin, erythromycin, tetracycline and metronidazole for rosacea). May
consider oral antibiotics and oral contraceptives
folliculitis - ANSWER✔ inflammation of hair follicle; common cause staphylococci
furuncle - ANSWER✔ "boil" localized infection in hair follicle, caused by staph
carbuncle - ANSWER✔ >furuncle; may be necrotizing, staph
cellulitis - ANSWER✔ most common causes: out patients strep ; inpatient: gram negative (ecoli,
klebsiels, psuedomonsa, enterbacter, staph aureus and strep
MRSA - ANSWER✔ trimethoprm-sulfamethoxazole (bactrim); doxy, clindamycin
group a strep - ANSWER✔ bactrim + beta lactam (PCN, amoxicillin , keflex) or doxy/inocycline +beta
lactam or clindamycin
erysipelas - ANSWER✔ usually caused by strep, rapid progression of an erythematous, warm
indurated area (looks like sunburn,)
