NRl 569/l NR569l Midterml Exam:l
Differentiall Diagnosisl inl Acutel Carel
Practicuml Guidel (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
Whatl doesl USPSTFl standl for?
Answer:
-l Unitedl Statesl Preventivel Servicesl Taskl Force
QUESTION
USPSTFl Guidelinel Ratings
Answer:
-l Gradel A:l USPSTFl recommendsl thisl service.l Therel isl al highl certaintyl thatl thel netl
benefitl isl substantial;l Offerl orl providel thisl service.
-l Gradel B:l Thel USPSTFl recommendsl thisl servicel Therel isl highl certaintyl thatl thel netl
benefitl isl moderatel orl therel isl moderatel certaintyl thatl thel netl benefitl isl moderatel orl
substantial;l Offerl orl providel thisl service.
-l Gradel C:l Thel USPSTFl recommendsl SELECTIVELYl offeringl orl providingl thisl servicel
tol individuall patientsl basedl onl professionall judgementl andl patientl preferences.l Therel isl
atl leastl moderatel certaintyl thatl thel netl benefitl isl small;l Offerl orl providel thisl servicel
forl selectedl patientsl dependingl onl individuall circumstances.l
-l Gradel D:l Thel USPSTFl recommendsl againstl thisl service.l Therel isl moderatel orl highl
certaintyl thatl thel servicel hasl nol netl benefitl orl thatl thel harmsl outweighl thel benefits;l
Discouragel thel usel ofl thisl service.l
,-l Il Statement:l Thel USPSTFl concludesl thatl thel currentl evidencel isl insufficientl tol assessl
thel balancel ofl benefitsl andl harmsl ofl thel service.l Evidencel isl lacking,l ofl poorl quality,l
orl conflicting,l andl thel balancel ofl benefitsl andl harmsl cannotl bel determined;l Readl thel
clinicall considerationsl sectionl ofl USPSTFl recommendationl statement.l Ifl thel servicel isl
offered,l patientsl shouldl understandl thel uncertaintyl aboutl thel balancel ofl benefitsl andl
harms.
QUESTION
Macule
Answer:
-l Description:l Flat,l inl thel planel ofl thel skin,l nonpalpable
-l Potentiall Cause:l Drugl rash,l virall exanthema,l syphilis,l HIV
QUESTION
Papule
Answer:
-l Description:l Small,l solid,l raised,l palpable
-l Potentiall Cause:l Viral,l allergicl reaction,l stigmatal ofl endocarditis
QUESTION
Nodule
Answer:
-l Description:l Largerl papule,l solid
-l Potentiall Cause:l Erythemal nodoscum,l fungall orl atypicall mycobacteriall infections
QUESTION
Vesicle/Bulla
,Answer:
-l Description:l Fluid-filledl blister,l usuallyl clearl orl bloodyl fluid.l
-l Potentiall cause:l Varicella,l HSV,l bullousl disease,l drugl eruptions
QUESTION
Pustule
Answer:
-l Description:l Small,l blisterl filledl withl pus.l
-l Potentiall Cause:l Bacteriall infectionl orl superl infection.
QUESTION
Plaque
Answer:
-l Description:l Flat,l likel al macule,l butl palpablel andl usuallyl larger;l mayl havel secondaryl
changesl suchl asl scalel orl crusting.
-l Potentiall Cause:l Psoriasis,l MCTD,l syphilis,l atypicall drugl eruption,l malignancy
QUESTION
Rosacea
Answer:
-l Rosaceal isl categorizedl asl beingl onel orl combinationl ofl thel following:l
erythematotelangiectatic,l papulopustular,l phymatous,l andl ocular.l Itl isl characterizedl byl
acneiforml inflammationl ofl thel centrall face,l withl eythema,l flushingl episodes,l
telangiectasias,l andl oftenl papulesl andl pustules.l **Usuallyl confinedl tol thel face.**
-l Inpatientl treatment:l Whenl rosaceal flushingl hasl predictablel triggers,l suchl asl spicyl
foods,l hotl drinks,l alcohol,l caffiene,l andl extremesl inl temperature,l avoidanceisl thel bestl
treatment.
, Rosaceal ofl atl leastl moderatel severityl isl treatedl withl combinationl therapy,l includingl al
topicall wash,l topicall antibiotics,l andl orall antibiotics.
QUESTION
Physicall Assessmentl ofl thel Skinl (Order)
Answer:
1.l Askl thel patientl tol changel intol al gownl withl thel openingl inl thel backl andl clothesl
removedl exceptl forl underwear.l
2.l Performl handl hygiene.
3.l Startl byl examiningl thel hairl andl scalp.l Notel thel distribution,l texture,l andl quantityl ofl
ofl hair.l Then,l usingl yourl fingersl orl al cotton-tippedl applicator,l separatel thel hairl tol
examinel thel scalpl froml onel sidel tol thel other.
4.l Nowl inspectl thel headl andl neck,l includingl forehead,l eyesl (includingl eyelids,l
conjunctivae,l andl sclerae),l nose,l ears,l cheeks,l lips,l orall cavity,l andl chin.l Examinationl
shouldl alsol includel inspectionl ofl terminall hairl ofl thel eyebrows,l eyelashes,l andl beard.
5.l Askl thel patientl tol leanl forwardl andl inspectl thel upperl back.
6.l Nowl inspectl thel shoulders,l armsl andl hands.l Inspectl thel fingernails.l Notel theirl color,l
shape,l andl anyl lesions.l Longitudinall bandsl ofl pigmentl arel normall inl peoplel withl
darkerl skin.l
7.l Nowl inspectl thel chestl andl abdomen.l Youl mayl wantl tol inspectl thel axillael atl thisl
point.
8.l Inspectl thel anteriorl thighsl andl legs.
9.l Inspectl thel feetl andl toes.l Inspectl andl palpatel thel toenails,l andl inspectl thel solesl andl
areasl betweenl toes.l
10.l Inspectl thel lowerl backl andl anteriorl thighsl andl legs.
11.l Inspectl thel breasts,l axillae,l andl genitalia,l includingl axillaryl andl pubicl hair.
Differentiall Diagnosisl inl Acutel Carel
Practicuml Guidel (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
Whatl doesl USPSTFl standl for?
Answer:
-l Unitedl Statesl Preventivel Servicesl Taskl Force
QUESTION
USPSTFl Guidelinel Ratings
Answer:
-l Gradel A:l USPSTFl recommendsl thisl service.l Therel isl al highl certaintyl thatl thel netl
benefitl isl substantial;l Offerl orl providel thisl service.
-l Gradel B:l Thel USPSTFl recommendsl thisl servicel Therel isl highl certaintyl thatl thel netl
benefitl isl moderatel orl therel isl moderatel certaintyl thatl thel netl benefitl isl moderatel orl
substantial;l Offerl orl providel thisl service.
-l Gradel C:l Thel USPSTFl recommendsl SELECTIVELYl offeringl orl providingl thisl servicel
tol individuall patientsl basedl onl professionall judgementl andl patientl preferences.l Therel isl
atl leastl moderatel certaintyl thatl thel netl benefitl isl small;l Offerl orl providel thisl servicel
forl selectedl patientsl dependingl onl individuall circumstances.l
-l Gradel D:l Thel USPSTFl recommendsl againstl thisl service.l Therel isl moderatel orl highl
certaintyl thatl thel servicel hasl nol netl benefitl orl thatl thel harmsl outweighl thel benefits;l
Discouragel thel usel ofl thisl service.l
,-l Il Statement:l Thel USPSTFl concludesl thatl thel currentl evidencel isl insufficientl tol assessl
thel balancel ofl benefitsl andl harmsl ofl thel service.l Evidencel isl lacking,l ofl poorl quality,l
orl conflicting,l andl thel balancel ofl benefitsl andl harmsl cannotl bel determined;l Readl thel
clinicall considerationsl sectionl ofl USPSTFl recommendationl statement.l Ifl thel servicel isl
offered,l patientsl shouldl understandl thel uncertaintyl aboutl thel balancel ofl benefitsl andl
harms.
QUESTION
Macule
Answer:
-l Description:l Flat,l inl thel planel ofl thel skin,l nonpalpable
-l Potentiall Cause:l Drugl rash,l virall exanthema,l syphilis,l HIV
QUESTION
Papule
Answer:
-l Description:l Small,l solid,l raised,l palpable
-l Potentiall Cause:l Viral,l allergicl reaction,l stigmatal ofl endocarditis
QUESTION
Nodule
Answer:
-l Description:l Largerl papule,l solid
-l Potentiall Cause:l Erythemal nodoscum,l fungall orl atypicall mycobacteriall infections
QUESTION
Vesicle/Bulla
,Answer:
-l Description:l Fluid-filledl blister,l usuallyl clearl orl bloodyl fluid.l
-l Potentiall cause:l Varicella,l HSV,l bullousl disease,l drugl eruptions
QUESTION
Pustule
Answer:
-l Description:l Small,l blisterl filledl withl pus.l
-l Potentiall Cause:l Bacteriall infectionl orl superl infection.
QUESTION
Plaque
Answer:
-l Description:l Flat,l likel al macule,l butl palpablel andl usuallyl larger;l mayl havel secondaryl
changesl suchl asl scalel orl crusting.
-l Potentiall Cause:l Psoriasis,l MCTD,l syphilis,l atypicall drugl eruption,l malignancy
QUESTION
Rosacea
Answer:
-l Rosaceal isl categorizedl asl beingl onel orl combinationl ofl thel following:l
erythematotelangiectatic,l papulopustular,l phymatous,l andl ocular.l Itl isl characterizedl byl
acneiforml inflammationl ofl thel centrall face,l withl eythema,l flushingl episodes,l
telangiectasias,l andl oftenl papulesl andl pustules.l **Usuallyl confinedl tol thel face.**
-l Inpatientl treatment:l Whenl rosaceal flushingl hasl predictablel triggers,l suchl asl spicyl
foods,l hotl drinks,l alcohol,l caffiene,l andl extremesl inl temperature,l avoidanceisl thel bestl
treatment.
, Rosaceal ofl atl leastl moderatel severityl isl treatedl withl combinationl therapy,l includingl al
topicall wash,l topicall antibiotics,l andl orall antibiotics.
QUESTION
Physicall Assessmentl ofl thel Skinl (Order)
Answer:
1.l Askl thel patientl tol changel intol al gownl withl thel openingl inl thel backl andl clothesl
removedl exceptl forl underwear.l
2.l Performl handl hygiene.
3.l Startl byl examiningl thel hairl andl scalp.l Notel thel distribution,l texture,l andl quantityl ofl
ofl hair.l Then,l usingl yourl fingersl orl al cotton-tippedl applicator,l separatel thel hairl tol
examinel thel scalpl froml onel sidel tol thel other.
4.l Nowl inspectl thel headl andl neck,l includingl forehead,l eyesl (includingl eyelids,l
conjunctivae,l andl sclerae),l nose,l ears,l cheeks,l lips,l orall cavity,l andl chin.l Examinationl
shouldl alsol includel inspectionl ofl terminall hairl ofl thel eyebrows,l eyelashes,l andl beard.
5.l Askl thel patientl tol leanl forwardl andl inspectl thel upperl back.
6.l Nowl inspectl thel shoulders,l armsl andl hands.l Inspectl thel fingernails.l Notel theirl color,l
shape,l andl anyl lesions.l Longitudinall bandsl ofl pigmentl arel normall inl peoplel withl
darkerl skin.l
7.l Nowl inspectl thel chestl andl abdomen.l Youl mayl wantl tol inspectl thel axillael atl thisl
point.
8.l Inspectl thel anteriorl thighsl andl legs.
9.l Inspectl thel feetl andl toes.l Inspectl andl palpatel thel toenails,l andl inspectl thel solesl andl
areasl betweenl toes.l
10.l Inspectl thel lowerl backl andl anteriorl thighsl andl legs.
11.l Inspectl thel breasts,l axillae,l andl genitalia,l includingl axillaryl andl pubicl hair.