AANPxfBoardxfQuestions
TherapeuticxfINRxfvaluesxfbelowxf____xfincreasexfstrokexfriskxfsixfold.xf-
xfcorrectxfanswer✔ ✔ 2
DiabeticxfRetinopathyxfFindingsxf-xfcorrectxfanswer✔ ✔
Microaneurysms
Neovascularization
CottonxfWoolxfSpots
Hardxfexudates
Allxfofxfthexffollowingxfwouldxfrequirexfthexfnursexfpractitionerxftoxfdelayxftesti
ngxfaxfpatient'sxfprostate-specificxfantigenxf(PSA),xfexcept:
a.xfUrinaryxfretention
b.xfUrinaryxftractxfinfection
c.xfAfterxfaxfdigitalxfrectalxfexam
d.xfVigorousxfexercisexf3xfdaysxfpriorxf-xfcorrectxfanswer✔ ✔
Vigorousxfexercisexf3xfdaysxfprior
PSAxftestingxfisxffalselyxfelevatedxfinxfaxfpatientxfwithxfurinaryxfretentionxfandxf
urinaryxftractxfinfectionxfandxfafterxfaxfdigitalxfrectalxfexam.xfVigorousxfexerci
,sexfdoesxfnotxfhavexftoxfbexfstoppedxf3xfdaysxfpriorxftoxftesting;xfhowever,xfvigor
ousxfexercisexfshouldxfbexfdiscouragedxfbeforexftestingxfbecausexfitxfwillxffalse
lyxfelevatexfthexfPSAxflevels.xfEjaculationxfwithinxf48xfhoursxfwillxfalsoxffalsel
yxfraisexfthexfPSAxflevel.
TicxfDouloureauxxf-xfcorrectxfanswer✔ ✔
Therexfarexftwoxftypesxfofxfticxfdouloureuxxf(trigeminalxfneuralgia).xf
Typexf1--presentsxfwithxfextreme,xfshock-
likexffacialxfpain,xfwhichxflastsxffromxfaxffewxfsecondsxftoxf2xfminutesxfperxfeve
ntxfandxfcanxflastxfupxftoxf2xfhoursxftotal.xfTypexf1xfdoesxfnotxfawakenxfthexfpatie
ntxfatxfnight.xf
Typexf2--
xfisxfaxfconstant,xfaching,xfburningxffacialxfpain xfwithxflessxfintensityxfbutxfmayxf
occurxfwithxfTypexf1.xfTypexf2xfisxfmorexfcommonxfinxfwomenxfandxfpeaksxfinxft
heirxf60s.xfTypexf2xfcanxfalsoxfbexfrelatedxftoxfsecondaryxfneurologicxfdiseasexfs
uchxfasxfmultiplexfsclerosisxforxfHSV-1.
Thexfnursexfpractitionerxfseesxfaxf58-year-
oldxffemalexfpatientxfwhoxfreportsxfabscessesxfandxfpustulesxfinxfthexfaxillaxfan
dxfgroinxfandxfunderxfthexfbreasts,xfwhichxfburstxfandxfdrainxfpurulentxfgreenxfdi
scharge.xfShexfhasxfaxfhistoryxfofxfsmokingxfandxfaxfbodyxfmassxfindexxf(BMI)xf
ofxf37.1.xf
Whichxfdiagnosisxfisxfmostxflikely?
,a.xfImpetigo
b.xfCarbuncles
c.xfShingles
d.xfHidradenitisxfsuppurativaxf-xfcorrectxfanswer✔ ✔
hidradenitisxfsuppurativa
Hidradenitisxfsuppurativaxfisxfmostxfcommonxfinxfwomenxf(3:1).xfSmokingxfa
ndxfobesityxfarexfsignificantxfriskxffactors.xfLesionsxfarexftreatedxfwithxftopicalx
fantibioticsxf(orxforalxfantibiotics,xfwarmxfcompresses,xfandxfpain xfmedication
s).xfInstitutexfdietxfchangesxftoxfreducexfhighxfglycemicxfandxfdairyxffoodxfintak
e.xfReferxftoxfaxfdermatologistxfforxfadditionalxftreatmentxfoptions.
InsulinxfLisproxf(Humalog)xf-xfcorrectxfanswer✔ ✔ Lisproxfisxfaxfrapid-
actingxfinsulinxfthatxfisxfusedxfonxfaxfslidingxfscalexftoxfworkxffromxfmealxftoxfme
al
Atopicxfdermatitisxf(eczema)xf-xfcorrectxfanswer✔ ✔
chronic,xfpruriticxfrashxfofxfthexfhands,xfflexuralxffolds,xfandxfneckxfthatxfcanxf
bexfexacerbatedxfbyxfstressxfandxfenvironmentalxffactors.
ToxicxfEpidermalxfNecrolysisxf(TEN)xf-xfcorrectxfanswer✔ ✔
TENxfisxfthexfresultxfofxfaxfseverexfskinxfreactionxftoxfmedicationsxfsuchxfasxfa
, llopurinol,xfnonsteroidalxfanti-
inflammatoryxfdrugsxf(NSAIDs),xfandxfanticonvulsants.
Melanomaxf-xfcorrectxfanswer✔ ✔
Melanomaxfarexfnevixfwithxfunevenxftexture,xfirregularxfborders,xfvariegate
dxfcolors,xfsizexflargerxfthanxf6xfmm,xfandxfchangingxfsizexf(thexfmnemonicxfA
BCDExfstandsxfforxfasymmetry,xfborderxfirregularity,xfcolorxfvariationsxfinxfth
exfsamexfregion,xfdiameterxf>6xfmm,xfandxfenlargementxforxfchangexfinxfsizexfo
verxftime),xfandxftheyxfcanxfbexfpruritic.xfRiskxffactorsxfincludexffamilyxfhistory
xfofxfmelanomaxf(10%xfofxfcases),xfextensive/intensexfsunlightxfexposure,xfbli
steringxfsunburnxfinxfchildhood,xftanningxfbeds,xfandxfatypicalxfnevus
Seborrheicxfkeratosesxf-xfcorrectxfanswer✔ ✔
Seborrheicxfkeratosesxfarexfsoft,xffleshy,xfpainlessxfgrowthsxfthatxfarexflocat
edxfmostlyxfonxfthexfback.xfSkinxflesionsxflookxflikexftheyxfarexf"pasted"xfonxfthe
xfskinxfandxfcanxfrangexfinxfcolorxffromxflightxftanxftoxfblack.
Acanthosisxfnigricansxf-xfcorrectxfanswer✔ ✔
Acanthosisxfnigricansxfarexfdiffuse,xfsoftxfthickeningsxfofxfthexfskinxfusually
xflocatedxfatxfthexfneckxfandxfaxilla.xfTheyxfarexfalsoxfassociatedxfwithxfdiabetes
,xfmetabolicxfsyndrome,xfobesity,xfandxfgastrointestinalxfcancer.
Acrochordonxf-xfcorrectxfanswer✔ ✔
Acrochordonsxf(skinxftags)xfarexfpainless,xfpedunculatedxfoutgrowthsxfofxfs
kinxfthatxfarexfcommonxfinxfthexfneckxfandxfaxillaryxfareas.xfIfxfthexfgrowthsxfar
TherapeuticxfINRxfvaluesxfbelowxf____xfincreasexfstrokexfriskxfsixfold.xf-
xfcorrectxfanswer✔ ✔ 2
DiabeticxfRetinopathyxfFindingsxf-xfcorrectxfanswer✔ ✔
Microaneurysms
Neovascularization
CottonxfWoolxfSpots
Hardxfexudates
Allxfofxfthexffollowingxfwouldxfrequirexfthexfnursexfpractitionerxftoxfdelayxftesti
ngxfaxfpatient'sxfprostate-specificxfantigenxf(PSA),xfexcept:
a.xfUrinaryxfretention
b.xfUrinaryxftractxfinfection
c.xfAfterxfaxfdigitalxfrectalxfexam
d.xfVigorousxfexercisexf3xfdaysxfpriorxf-xfcorrectxfanswer✔ ✔
Vigorousxfexercisexf3xfdaysxfprior
PSAxftestingxfisxffalselyxfelevatedxfinxfaxfpatientxfwithxfurinaryxfretentionxfandxf
urinaryxftractxfinfectionxfandxfafterxfaxfdigitalxfrectalxfexam.xfVigorousxfexerci
,sexfdoesxfnotxfhavexftoxfbexfstoppedxf3xfdaysxfpriorxftoxftesting;xfhowever,xfvigor
ousxfexercisexfshouldxfbexfdiscouragedxfbeforexftestingxfbecausexfitxfwillxffalse
lyxfelevatexfthexfPSAxflevels.xfEjaculationxfwithinxf48xfhoursxfwillxfalsoxffalsel
yxfraisexfthexfPSAxflevel.
TicxfDouloureauxxf-xfcorrectxfanswer✔ ✔
Therexfarexftwoxftypesxfofxfticxfdouloureuxxf(trigeminalxfneuralgia).xf
Typexf1--presentsxfwithxfextreme,xfshock-
likexffacialxfpain,xfwhichxflastsxffromxfaxffewxfsecondsxftoxf2xfminutesxfperxfeve
ntxfandxfcanxflastxfupxftoxf2xfhoursxftotal.xfTypexf1xfdoesxfnotxfawakenxfthexfpatie
ntxfatxfnight.xf
Typexf2--
xfisxfaxfconstant,xfaching,xfburningxffacialxfpain xfwithxflessxfintensityxfbutxfmayxf
occurxfwithxfTypexf1.xfTypexf2xfisxfmorexfcommonxfinxfwomenxfandxfpeaksxfinxft
heirxf60s.xfTypexf2xfcanxfalsoxfbexfrelatedxftoxfsecondaryxfneurologicxfdiseasexfs
uchxfasxfmultiplexfsclerosisxforxfHSV-1.
Thexfnursexfpractitionerxfseesxfaxf58-year-
oldxffemalexfpatientxfwhoxfreportsxfabscessesxfandxfpustulesxfinxfthexfaxillaxfan
dxfgroinxfandxfunderxfthexfbreasts,xfwhichxfburstxfandxfdrainxfpurulentxfgreenxfdi
scharge.xfShexfhasxfaxfhistoryxfofxfsmokingxfandxfaxfbodyxfmassxfindexxf(BMI)xf
ofxf37.1.xf
Whichxfdiagnosisxfisxfmostxflikely?
,a.xfImpetigo
b.xfCarbuncles
c.xfShingles
d.xfHidradenitisxfsuppurativaxf-xfcorrectxfanswer✔ ✔
hidradenitisxfsuppurativa
Hidradenitisxfsuppurativaxfisxfmostxfcommonxfinxfwomenxf(3:1).xfSmokingxfa
ndxfobesityxfarexfsignificantxfriskxffactors.xfLesionsxfarexftreatedxfwithxftopicalx
fantibioticsxf(orxforalxfantibiotics,xfwarmxfcompresses,xfandxfpain xfmedication
s).xfInstitutexfdietxfchangesxftoxfreducexfhighxfglycemicxfandxfdairyxffoodxfintak
e.xfReferxftoxfaxfdermatologistxfforxfadditionalxftreatmentxfoptions.
InsulinxfLisproxf(Humalog)xf-xfcorrectxfanswer✔ ✔ Lisproxfisxfaxfrapid-
actingxfinsulinxfthatxfisxfusedxfonxfaxfslidingxfscalexftoxfworkxffromxfmealxftoxfme
al
Atopicxfdermatitisxf(eczema)xf-xfcorrectxfanswer✔ ✔
chronic,xfpruriticxfrashxfofxfthexfhands,xfflexuralxffolds,xfandxfneckxfthatxfcanxf
bexfexacerbatedxfbyxfstressxfandxfenvironmentalxffactors.
ToxicxfEpidermalxfNecrolysisxf(TEN)xf-xfcorrectxfanswer✔ ✔
TENxfisxfthexfresultxfofxfaxfseverexfskinxfreactionxftoxfmedicationsxfsuchxfasxfa
, llopurinol,xfnonsteroidalxfanti-
inflammatoryxfdrugsxf(NSAIDs),xfandxfanticonvulsants.
Melanomaxf-xfcorrectxfanswer✔ ✔
Melanomaxfarexfnevixfwithxfunevenxftexture,xfirregularxfborders,xfvariegate
dxfcolors,xfsizexflargerxfthanxf6xfmm,xfandxfchangingxfsizexf(thexfmnemonicxfA
BCDExfstandsxfforxfasymmetry,xfborderxfirregularity,xfcolorxfvariationsxfinxfth
exfsamexfregion,xfdiameterxf>6xfmm,xfandxfenlargementxforxfchangexfinxfsizexfo
verxftime),xfandxftheyxfcanxfbexfpruritic.xfRiskxffactorsxfincludexffamilyxfhistory
xfofxfmelanomaxf(10%xfofxfcases),xfextensive/intensexfsunlightxfexposure,xfbli
steringxfsunburnxfinxfchildhood,xftanningxfbeds,xfandxfatypicalxfnevus
Seborrheicxfkeratosesxf-xfcorrectxfanswer✔ ✔
Seborrheicxfkeratosesxfarexfsoft,xffleshy,xfpainlessxfgrowthsxfthatxfarexflocat
edxfmostlyxfonxfthexfback.xfSkinxflesionsxflookxflikexftheyxfarexf"pasted"xfonxfthe
xfskinxfandxfcanxfrangexfinxfcolorxffromxflightxftanxftoxfblack.
Acanthosisxfnigricansxf-xfcorrectxfanswer✔ ✔
Acanthosisxfnigricansxfarexfdiffuse,xfsoftxfthickeningsxfofxfthexfskinxfusually
xflocatedxfatxfthexfneckxfandxfaxilla.xfTheyxfarexfalsoxfassociatedxfwithxfdiabetes
,xfmetabolicxfsyndrome,xfobesity,xfandxfgastrointestinalxfcancer.
Acrochordonxf-xfcorrectxfanswer✔ ✔
Acrochordonsxf(skinxftags)xfarexfpainless,xfpedunculatedxfoutgrowthsxfofxfs
kinxfthatxfarexfcommonxfinxfthexfneckxfandxfaxillaryxfareas.xfIfxfthexfgrowthsxfar
