ASSESSMENT EXAMINATION: COMPREHENSIVE QUESTIONS
AND ANSWERS GRADED A+
◉ spider angioma (telangiectasia). Answer: dilated radiating
capillaries surrounding a central arteriole on the face, forearms, and
hands
radiating telangiectases blanch under diascopy, the center does not
red in color f>m
liver disease, young children, hyperestrogenic states
treat with electrocautery and laser surgery up to
1.5cm
◉ dermatographia test. Answer: take your fingernail run along the
skin wait a few seconds, if you see the mark still there elevating that
is positive response
◉ seborrheic keratosis. Answer: a benign skin growth that has a
waxy or "pasted on" look
◉ actinic keratosis. Answer: a precancerous skin growth that occurs
on sun-damaged skin
solar lentigo. Answer: "liver spot" "sun spots" in elderly; increased
melanocytes
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◉ Atopic Dermatitis (Eczema). Answer: chronic inflammation of the
skin; rash occurs in face, neck , elbows, knees, and upper trunk of
the body along with itching
subjective data: itching, allergic rhinitis/asthma hx, ask about
exposure to rule out other things
◉ atopic dermatitis acute. Answer: redness and weeoing vesicles
◉ atopic dermatitis subacute. Answer: erythema and scaling
◉ atopic dermatitis chronic. Answer: thick plaques in this stage
◉ what differentiates atopic dermatitis vs psoriasis. Answer: the fact
that atopic dermatitis is seen on flexures
◉ psoriasis. Answer: chronic skin condition producing red lesions
covered with silvery scales, possible pitting nails
◉ auspitz sign, psoriasis. Answer: pinpoint bleeding from exposure
of dermal papillae when scales scraped off
Folliculitis. Answer: inflammation of hair follicles, marked by rash
with small red bumps, pustules, tenderness, and itching; common on
the neck, armpit, and groin area usually crust over as it heals
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◉ Folliculitis treatment. Answer: regular cleansing of affected area,
topical antibiotics, electric shaver instead of razor usually can heal
◉ Furuncle (boil). Answer: pus-filled abscess due to infection of a
hair follicle, red hot tender, purulent
◉ cellulitis. Answer: diffuse, acute infection of the skin marked by
local heat, redness, pain, and swelling
not defined borders but can try to draw a line around it usually
unilaterally
◉ tinea. Answer: infection of the skin caused by a fungus different
kinds named by areas on body, check for changes to hair, skin,
nails, scaling, erythema, and any activities that promote the
growth
◉ tinea lesion. Answer: usually annular, redness, scaling, hair loss
diagnosis tinea. Answer: skin scraping with KOH- hyphae will be
present or
woods lamp
◉ pityriasis rosea. Answer: self-limiting inflammation of unknown
cause, sudden onset of herald lesion, rash, itching, usually young
adults (spring)