Final Exam Nurs 623/ 624 correctly answered

Final Exam Nurs 623/ 624 correctly answeredSimon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause? a. "You must be under a lot of stress lately." b. "It is hereditary. Did your father experience this also?" c. "The cause is unknown, but we suspect it is due to an immunologic mechanism." d. "We'll have to do some tests." "The cause is unknown, but we suspect it is due to an immunologic mechanism." Which of the following is "a linear crack extending from the epidermis to the dermis?" a. An ulcer b. A fissure c. Lichenification d. An excoriation A fissure A bulla is: a. A vesicle larger than 1 cm in diameter b. An elevated solid mass with a hard texture; the shape and borders can be regular or irregular c. A superficial elevated lesion filled with purulent fluid d. Thinning of the skin (epidermis and dermis) that appears white or translucent A vesicle larger than 1 cm in diameter An example of ecchymosis is: a. A hematoma b. A keloid c. A bruise d. A patch A bruise When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are? a. Spores b. Leukocytes c. Pseudohyphae d. Epithelial cells Spores Your patient is in her second trimester of pregnancy and has a yeast infection. Which of the following is a treatment that you usually recommend/order in nonpregnant patients, but is listed as a Pregnancy category D? a. Vagistat vaginal cream b. Monistat combination pack c. Terazol vaginal cream d. Diflucan, 150 mg Diflucan, 150 mg Tinea unguium is also known as: a. Onychomycosis b. Tinea versicolor c. Tinea manuum d. Tinea corporis Onychomycosis Sally, age 25, presents with impetigo that has been diagnosed as infected with Staphylococcus. The clinical presentation is pruritic tender, red vesicles surrounded by erythema with a rash that is ulcerating. Her recent treatment has not been adequate. Which type of impetigo is this? a. Bullous impetigo b. Staphylococcal scalded skin syndrome (SSSS) c. Nonbullous impetigo d. Ecthyma Ecthyma Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin reveals crepitus due to gas production by which anaerobic bacteria? a. Staphylococcal aureus b. Clostridium perfringens c. S. pyrogenes d. Streptococcus Clostridium perfringens When using the microscope for an intravaginal infection, you see something translucent and colorless. What do you suspect? a. A piece of hair or a thread b. Hyphae c. Leukocytes d. Spores Hyphae Marci has a wart on her hand. She says she heard something about "silver duct tape therapy." What do you tell her about his? a. It is an old wives' tale. b. It is used as a last resort. c. Salicylic acid is more effective. d. It is a simple treatment that should be tried first. It is a simple treatment that should be tried first. Which is the most potent and irritating dose of tretinoin? a. 0.05% liquid formulation b. 0.1% cream c. 1% foam d. 0.02% cream 0.05% liquid formulation Of the following types of cellulitis, which is a streptococcal infection of the superficial layers of the skin that does not involve the subcutaneous layers? a. Necrotizing fasciitis b. Periorbital cellulitis c. Erysipelas d. "Flesh-eating" cellulitis Erysipelas Mandy presents with a cauliflower-like wart in her anogenital region. You suspect it was sexually transmitted and document this as a: a. Filiform/digitate wart b. Dysplastic cervical lesion c. Condyloma acuminata d. Koilocytosis Condyloma acuminata Jeffrey has atopic dermatitis. You are prescribing a low-dose topical corticosteroid for him. Which would be a good choice? a. Betamethasone dipropionate 0.05% b. Hydrocortisone base 2.5% c. Halcinonide 0.1% d. Desonide 0.05% Hydrocortisone base 2.5% Harvey has a rubbery, smooth, round mass on his chest that is compressible and has a soft-to-very-firm texture. What do you diagnose this as? a. A lipoma b. A nevi c. A skin tag d. A possible adenoma A lipoma Which of the following statements is accurate when you are removing a seborrheic keratosis lesion using liquid nitrogen? a. Do not use lidocaine as it may potentiate bleeding. b. Pinch the skin taut together. c. Use gel foam to control bleeding. d. This should be performed by a dermatologist only. Use gel foam to control bleeding. The "B" in the ABCDEs of assessing skin cancer represents: a. Biopsy b. Best practice c. Boundary d. Border irregularity Asymmetry BORDER IRREGULARITY Color not uniform Diameter 6 mm Evolving size, shape or color. The majority of HSV-1 and HSV-2 infections are asymptomatic so that only which elevated antibody titer shows evidence of previous infection? a. IgA b. IgE c. IgG d. IgM IgG Eighty percent of men have noticeable hair loss by what age? a. 35 b. 50 c. 70 d. 85 85 Prevalence of psoriasis is highest in which group? a. Scandinavians b. African Americans c. Asians d. Native Americans Scandinavians The most common precancerous skin lesion found in Caucasians is: a. A skin tag b. Actinic keratosis c. A melanoma d. A basal cell lesion Actinic keratosis Ian, age 62, presents with a wide, diffuse area of erythematous skin on his lower left leg that is warm and tender to palpation. There is some edema involved. You suspect: a. Necrotizing fasciitis b. Kaposi's sarcoma c. Cellulitis d. A diabetic ulcer Cellulitis Josh, aged 22, has tinea versicolor. Which description is the most likely for this condition? a. There are round, hypopigmented macules on his back. b. Josh has red papules on his face. c. There are crusted plaques in Josh's groin area. d. There are white streaks on his neck. There are round, hypopigmented macules on his back. Tori is on systemic antifungals for a bad tinea infection. You are aware that the antifungals may cause: a. Renal failure b. Skin discoloration c. Breathing difficulties d. Hepatotoxicity Hepatotoxicity Which scalp problem can be caused by a fever and certain drugs? a. Telogen effluvium (TE) b. Trichotillomania c. Psoriasis d. Alopecia areata Telogen effluvium (TE) Why do people of African descent have a lower incidence of non-melanoma skin cancer? a. They have an increased number of melanocytes. b. Their darker skin protects from ultraviolet radiation. c. Their skin is thicker. d. Their immune system is stronger. Their darker skin protects from ultraviolet radiation Which statement is true regarding chloasma, the 'mask of pregnancy'? a. It is caused by a decrease in the melanocyte-stimulating hormone during pregnancy. b. This condition only occurs on the face. c. Exposure to sunlight will even out the discoloration. d. It is caused by increased levels of estrogen and progesterone. It is caused by increased levels of estrogen and progesterone. When instructing your elderly client about treating her xerosis, what do you tell her? a. A daily hot bath may help the associated pruritus. b. Rub the skin briskly to make sure it is completely dry after bathing. c. Only take short tepid showers. d. Use a gel that is alcohol-based after bathing to soften the skin. Only take short tepid showers. Which medication used for scabies is safe for children 2 months and older? a. Permethrin cream b. Lindane c. Crotamiton lotion and cream d. Ivermectin Permethrin cream Which of the following is an infraorbital fold skin manifestation in a patient with atopic dermatitis? a. Keratosis pilaris b. Dennie's sign c. Keratoconus d. Pityriasis alba Dennie's sign Which of the following statements about performing cryosurgery for actinic keratosis is true? a. It is better to slightly overfreeze the area, so you only have to do it once. b. Using liquid nitrogen, freeze each lesion for at least 30 seconds. c. Every lesion should be biopsied after using liquid nitrogen. d. The 'freeze balls' should be approximately one-and-a-half times as wide as they are deep. The 'freeze balls' should be approximately one-and-a-half times as wide as they are deep.