Maryville Nurs 623 Exam 1 2026/2027
Practice Questions & Detailed Answers
Basics with skin conditions - correct answer-•Alopecia
•Rash
•Pruritus
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
HPI questions for skin problems - correct answer-Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
,•Family history
Is it:
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
Pigmentation/Changes of the skin Diff diagnosis - correct answer-Nevi- brown,
beige or pink(< 5mm)
Melanoma
Related to pregnancy- melasma (mask of pregnancy)
Addison disease
Side effect of medication- steroid therapy
skin lesions - correct answer-Macule - flat, nonpalpable (freckle, petechia)
Papule - PALPABLE, solid elevation of skin (elevated nevus)
Nodule - elevated solid mass, deeper and firmer than papule (wart)
Tumor - solid mass deep in subcutaneous tissue (epithelioma)
Wheal - irregularly shaped, elevated area (hive, mosquito bite
,Vesicle - elevation of skin with serous (clear) fluid
Pustule - similar to vesicle but filled with pus (acne)
Ulcer - deep loss of skin (venous statis ulcer)
Atophy - thinning of skin
Bullae-Clear fluid-filled blisters > 10 mm in diameter. These may be caused by
burns, bites, irritant or allergic contact dermatitis, and drug reactions.
primary versus secondary skin lesions - correct answer-Primary skin lesions are
those which develop as a direct result of the disease process.
Secondary lesions are those which evolve from primary lesions or develop as a
consequence of the patient's activities.
Parasitic Skin Infections - correct answer-scabies and lice
Scabies - correct answer-Highly contagious infestation that occurs mainly in
children, young adults, health care workers, and institutionalized persons of all
ages.
Subjective: Complaints of intense itching that is usually more severe at night.
, Objective:Earliest physical sign is small 1 to 2 mm red papules located in areas of
body most attractive to mites. Itching, excoriation, , crusting, and scaling may be
present making it hard to see scabies.
Diagnostics:Ink burrow test
Scabies treatment - correct answer-Permethrin 5% cream (Remember you have 5
fingers)- leave on for 8-14 hours then shower- daily for 7 days.
Oral antihistamines for itching, topical steroids for itching.
The entire household must be treated. Everything should be washed with hot
water/detergent, treat any infection that is present.
Starve mites by sealing them in a bag for about 10 days.
Lice treatment - correct answer-Permethrin 1% leave on for 10 mins then rinse.
May repeat in 7 days if needed.
Fungal skin infections - correct answer-· Candidiasis- bright, beefy red rash treat
with topical antifungal,
· Dermatophytoses - the tineas (ringworm)
· Onychomycosis treat with Terbinafine for 6-12 weeks (only 73-79% effective,
educate patient.
Practice Questions & Detailed Answers
Basics with skin conditions - correct answer-•Alopecia
•Rash
•Pruritus
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
HPI questions for skin problems - correct answer-Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
,•Family history
Is it:
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
Pigmentation/Changes of the skin Diff diagnosis - correct answer-Nevi- brown,
beige or pink(< 5mm)
Melanoma
Related to pregnancy- melasma (mask of pregnancy)
Addison disease
Side effect of medication- steroid therapy
skin lesions - correct answer-Macule - flat, nonpalpable (freckle, petechia)
Papule - PALPABLE, solid elevation of skin (elevated nevus)
Nodule - elevated solid mass, deeper and firmer than papule (wart)
Tumor - solid mass deep in subcutaneous tissue (epithelioma)
Wheal - irregularly shaped, elevated area (hive, mosquito bite
,Vesicle - elevation of skin with serous (clear) fluid
Pustule - similar to vesicle but filled with pus (acne)
Ulcer - deep loss of skin (venous statis ulcer)
Atophy - thinning of skin
Bullae-Clear fluid-filled blisters > 10 mm in diameter. These may be caused by
burns, bites, irritant or allergic contact dermatitis, and drug reactions.
primary versus secondary skin lesions - correct answer-Primary skin lesions are
those which develop as a direct result of the disease process.
Secondary lesions are those which evolve from primary lesions or develop as a
consequence of the patient's activities.
Parasitic Skin Infections - correct answer-scabies and lice
Scabies - correct answer-Highly contagious infestation that occurs mainly in
children, young adults, health care workers, and institutionalized persons of all
ages.
Subjective: Complaints of intense itching that is usually more severe at night.
, Objective:Earliest physical sign is small 1 to 2 mm red papules located in areas of
body most attractive to mites. Itching, excoriation, , crusting, and scaling may be
present making it hard to see scabies.
Diagnostics:Ink burrow test
Scabies treatment - correct answer-Permethrin 5% cream (Remember you have 5
fingers)- leave on for 8-14 hours then shower- daily for 7 days.
Oral antihistamines for itching, topical steroids for itching.
The entire household must be treated. Everything should be washed with hot
water/detergent, treat any infection that is present.
Starve mites by sealing them in a bag for about 10 days.
Lice treatment - correct answer-Permethrin 1% leave on for 10 mins then rinse.
May repeat in 7 days if needed.
Fungal skin infections - correct answer-· Candidiasis- bright, beefy red rash treat
with topical antifungal,
· Dermatophytoses - the tineas (ringworm)
· Onychomycosis treat with Terbinafine for 6-12 weeks (only 73-79% effective,
educate patient.
