Nurs 623/ 624 Final Exam Questions with 100% Correct Answers

Simon 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." Correct Answer "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 Correct Answer 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 Correct Answer 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 Correct Answer 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 Correct Answer 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 Correct Answer Diflucan, 150 mg Tinea unguium is also known as: a. Onychomycosis b. Tinea versicolor c. Tinea manuum d. Tinea corporis Correct Answer 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 Correct Answer 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 Correct Answer 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 Correct Answer 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. Correct Answer 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 Correct Answer 0.05% liquid formulation