NURS 5432 Final Exam UPDATED Questions and correct
ACTUAL Answers
What is the hallmark symptom of atopic dermatitis? - Intense pruritus ('the itch that
rashes').
What is the typical infant distribution of atopic dermatitis? - Face, cheeks, scalp,
extensor surfaces; spares diaper area.
What is the typical distribution of atopic dermatitis in older children/adults? -
Flexural surfaces (antecubital, popliteal).
What infections commonly complicate eczema? - Staphylococcus aureus and
herpes simplex.
What is the first-line daily treatment for eczema? - Emollients to restore the skin
barrier.
What is the rule for moisturizing after bathing in eczema? - Apply moisturizer
within 3 minutes of bathing.
Which topical medications inhibit T-cell activation in eczema? - Tacrolimus
(Protopic) and pimecrolimus (Elidel).
How does seborrheic dermatitis appear? - Greasy scales on erythematous skin.
, What are common locations of seborrheic dermatitis? - Scalp, nasolabial folds,
eyebrows, axilla, groin.
What conditions should sudden severe seborrhea raise concern for? - HIV or
diabetes mellitus.
What is the first-line treatment for scalp seborrhea? - Ketoconazole (Nizoral)
shampoo or selenium sulfide.
What is the key management step in contact dermatitis? - Remove the offending
agent.
What causes irritant contact dermatitis? - Soaps, detergents, frequent
handwashing.
What is the hallmark feature of allergic contact dermatitis? - Delayed
hypersensitivity reaction with pruritus.
What substance causes poison ivy rash? - Urushiol.
When are oral steroids indicated for contact dermatitis? - >10% body surface
area involvement.
Why should Medrol Dosepaks be avoided? - Cause rebound dermatitis.
What do satellite lesions in diaper rash suggest? - Candidal diaper dermatitis.
, What is the treatment for candidal diaper rash? - Nystatin cream + barrier
protection.
Acne is a disease of what structure? - Pilosebaceous unit.
What is stage 1 of acne pathophysiology? - Hyperkeratinization → clogged
follicles.
What is the first-line treatment targeting hyperkeratinization? - Topical retinoids
and benzoyl peroxide.
Which medication decreases sebum production in females? - Spironolactone.
What is the indication for isotretinoin? - Severe nodulocystic acne.
What is a major risk of isotretinoin? - Teratogenicity (iPLEDGE required).
What are common side effects of doxycycline? - GI upset and photosensitivity.
Rosacea is often mistaken for what condition? - Acne vulgaris.
What are common symptoms of rosacea? - Facial redness, pustules,
telangiectasias, flushing.
Does alcohol cause rosacea? - No, but it can worsen flushing.
ACTUAL Answers
What is the hallmark symptom of atopic dermatitis? - Intense pruritus ('the itch that
rashes').
What is the typical infant distribution of atopic dermatitis? - Face, cheeks, scalp,
extensor surfaces; spares diaper area.
What is the typical distribution of atopic dermatitis in older children/adults? -
Flexural surfaces (antecubital, popliteal).
What infections commonly complicate eczema? - Staphylococcus aureus and
herpes simplex.
What is the first-line daily treatment for eczema? - Emollients to restore the skin
barrier.
What is the rule for moisturizing after bathing in eczema? - Apply moisturizer
within 3 minutes of bathing.
Which topical medications inhibit T-cell activation in eczema? - Tacrolimus
(Protopic) and pimecrolimus (Elidel).
How does seborrheic dermatitis appear? - Greasy scales on erythematous skin.
, What are common locations of seborrheic dermatitis? - Scalp, nasolabial folds,
eyebrows, axilla, groin.
What conditions should sudden severe seborrhea raise concern for? - HIV or
diabetes mellitus.
What is the first-line treatment for scalp seborrhea? - Ketoconazole (Nizoral)
shampoo or selenium sulfide.
What is the key management step in contact dermatitis? - Remove the offending
agent.
What causes irritant contact dermatitis? - Soaps, detergents, frequent
handwashing.
What is the hallmark feature of allergic contact dermatitis? - Delayed
hypersensitivity reaction with pruritus.
What substance causes poison ivy rash? - Urushiol.
When are oral steroids indicated for contact dermatitis? - >10% body surface
area involvement.
Why should Medrol Dosepaks be avoided? - Cause rebound dermatitis.
What do satellite lesions in diaper rash suggest? - Candidal diaper dermatitis.
, What is the treatment for candidal diaper rash? - Nystatin cream + barrier
protection.
Acne is a disease of what structure? - Pilosebaceous unit.
What is stage 1 of acne pathophysiology? - Hyperkeratinization → clogged
follicles.
What is the first-line treatment targeting hyperkeratinization? - Topical retinoids
and benzoyl peroxide.
Which medication decreases sebum production in females? - Spironolactone.
What is the indication for isotretinoin? - Severe nodulocystic acne.
What is a major risk of isotretinoin? - Teratogenicity (iPLEDGE required).
What are common side effects of doxycycline? - GI upset and photosensitivity.
Rosacea is often mistaken for what condition? - Acne vulgaris.
What are common symptoms of rosacea? - Facial redness, pustules,
telangiectasias, flushing.
Does alcohol cause rosacea? - No, but it can worsen flushing.
