Comp exam
An adolescent presents to your primary care clinic concerned about raised flat areas on the
extensor surfaces of both elbows and areas of the face. The patient denies any pruritis and
states there is just minimal scaling on the affected areas. To best treat this condition what
does the AGPCNP identify as the probable cause of these lesions?
Atopic dermatitis
Psoriasis
Guttate psoriasis
Seborrhea -
Psoriasis
When examining a patient's skin, the AGPCNP uses skin surface microscopy for what
purposes? Choose all the apply
Highlighting changes in color of pathological lesions by fluorescence
Assessing modifications in pigmentation throughout numerous lesions
Identifying lesion borders as regular or irregular
Differentiating masses in the epidermis as cystic or fluid
Identifying hair follicles, pores, and/or skin fissures in lesions -
Assessing modifications in pigmentation throughout numerous lesions
Identifying lesion borders as regular or irregular
Identifying hair follicles, pores, and/or skin fissures in lesions
During a an annual exam, the AGPCNP notes a suspicious area on the patient's nose. It is
raised, shiny, and slightly pigmented. What is the AGPCNP's next step?
Consult with a dermatologist about a possible melanoma
Refer the patient for a possible electrodessication and curettage
Tell the patient this is a squamous cell carcinoma
Tell the patient this is a benign lesion -
Refer the patient for a possible electrodessication and curettage
An older adult patient has been diagnosed with actinic keratosis. The patient and AGPCNP
discuss treatment options and together they decide cryosurgery is the option of choice. While
explaining the procedure , the AGPCNP states that cryosurgery is administered by:
Applying until the freeze spreads laterally 4 mm beyond the lesion's border
Applying until the freeze spreads laterally 1 mm beyond the lesion's border
Applying two or more freeze thaw cycles
Applying one to two freeze thaw cycles -
Applying one to two freeze thaw cycles
A patient returns for a follow up visit two weeks after being diagnosed with a herpetic
whitlow . At this time the AGPCNP notes a paronychial inflammation of the tendon sheath in
one finger that is recalcitrant to earlier treatment. What is the AGPCNP's priority for this
patient ?
Order a creatine clearance (CrCl) to evaluate renal function
Refer to the emergency department (ED)
Begin pharmaceutical treatment with an oral antiviral medication
Obtain a consult for an I & D of the lesion -
1|Page
, Refer to the emergency department (ED)
An adolescent presents to the primary care clinic with complaints of new "growths" on both
extensor areas of the elbows and the index finger of one hand. Aware that these are benign
epidermal neoplasms that can be caused by various types of human papilloma viruses (HPV)
the AGPCNP's initial course of action is:
Prescribe application of tretinoin cream
To treat with liquid nitrogen cryotherapy
Prescribe application of salicylic acid
Watchful waiting -
Watchful waiting
A treatment option for a patient with open lesions on a hairy portion of the body may be a
topical dermatological medication. What type of transport will the AGPCNP choose for the
topical medication?
Cream
Ointment
Powder
Gel -
Gel
Lesli is receiving a systemic antifungal for a severe tinea infection. The AGPCNP is aware
that antifungals may cause:
Renal Failure
Hepatoxicity
Skin discoloration
Respiratory difficulties -
Hepatoxicity
The AGPCNP student is assisting the preceptor with in in office dermatological surgical
procedure. The student is aware that ---------- is a sterile procedure.
Shave biopsy
Scissor excision
Punch biopsy
Curettage -
Punch biopsy
An AGPCNP has diagnosed a possible malignant melanoma lesion. In what manner would
the practitioner perform a biopsy?
Wide excision
Shave biopsy
Punch biopsy
Excisional biopsy -
Excisional biopsy
When providing education to a patient who currently is employed in an industrial plant, the
AGPCNP emphasizes the importance of which protective precaution?
Glasses with UVB protection
Polycarbonate goggles
Eye wash stations
2|Page
, 2mm polycarbonate safety glasses -
Polycarbonate goggles
A 21 year old female comes to your clinic with a complaint of a nodule on her upper right
eyelid that has been enlarging the past several days. The patient states she wears eye make up
daily and also uses contact lenses. Upon examination the lesion appears to be erythematous,
tender and it is warm to touch. The practitioner is aware that this condition is most likely
what type?
Hordeolum
Chalazion
Meibomian
Blepharitis -
Hordeolum
While working in an industrial plant, an employee sustained an injury from a sliver of glass
that penetrated the left eye. While reading the emergency department (ED) chart concerning
the patient's injury, the ED provider stated the sliver of glass remained in the eye. The
AGPCNP understands that this is what type of eye injury?
Penetrating eye injury
Perforating eye injury
Intraocular foreign body
Ruptured globe injury -
Intraocular foreign body
Under the progression of diabetic retinopathy, the presence of "cotton wool" spots can be
detected upon an ophthalmologic examination by the AGPCNP. The term "cotton wool"
spots refers to :
Retinal hemorrhage
Venous beading
Blood vessel proliferation
Microvascular infarctions -
Microvascular infarctions
When examining the eyes of an older patient, the AGPCNP suspects possible cataract
development in a patient with
Injection of conjunctiva
Excessive tearing
Corneal opacification
Asymmetric red reflex -
Asymmetric red reflex
Acute angle-closure glaucoma involves a sudden severe rise in interocular pressure . The
AGPCNP is aware that which of the following represents normal interocular pressure?
2-7 mmHg
12-22 mm Hg
24-40 mm Hg
44-80 mmHg -
12-22 mm Hg
3|Page
An adolescent presents to your primary care clinic concerned about raised flat areas on the
extensor surfaces of both elbows and areas of the face. The patient denies any pruritis and
states there is just minimal scaling on the affected areas. To best treat this condition what
does the AGPCNP identify as the probable cause of these lesions?
Atopic dermatitis
Psoriasis
Guttate psoriasis
Seborrhea -
Psoriasis
When examining a patient's skin, the AGPCNP uses skin surface microscopy for what
purposes? Choose all the apply
Highlighting changes in color of pathological lesions by fluorescence
Assessing modifications in pigmentation throughout numerous lesions
Identifying lesion borders as regular or irregular
Differentiating masses in the epidermis as cystic or fluid
Identifying hair follicles, pores, and/or skin fissures in lesions -
Assessing modifications in pigmentation throughout numerous lesions
Identifying lesion borders as regular or irregular
Identifying hair follicles, pores, and/or skin fissures in lesions
During a an annual exam, the AGPCNP notes a suspicious area on the patient's nose. It is
raised, shiny, and slightly pigmented. What is the AGPCNP's next step?
Consult with a dermatologist about a possible melanoma
Refer the patient for a possible electrodessication and curettage
Tell the patient this is a squamous cell carcinoma
Tell the patient this is a benign lesion -
Refer the patient for a possible electrodessication and curettage
An older adult patient has been diagnosed with actinic keratosis. The patient and AGPCNP
discuss treatment options and together they decide cryosurgery is the option of choice. While
explaining the procedure , the AGPCNP states that cryosurgery is administered by:
Applying until the freeze spreads laterally 4 mm beyond the lesion's border
Applying until the freeze spreads laterally 1 mm beyond the lesion's border
Applying two or more freeze thaw cycles
Applying one to two freeze thaw cycles -
Applying one to two freeze thaw cycles
A patient returns for a follow up visit two weeks after being diagnosed with a herpetic
whitlow . At this time the AGPCNP notes a paronychial inflammation of the tendon sheath in
one finger that is recalcitrant to earlier treatment. What is the AGPCNP's priority for this
patient ?
Order a creatine clearance (CrCl) to evaluate renal function
Refer to the emergency department (ED)
Begin pharmaceutical treatment with an oral antiviral medication
Obtain a consult for an I & D of the lesion -
1|Page
, Refer to the emergency department (ED)
An adolescent presents to the primary care clinic with complaints of new "growths" on both
extensor areas of the elbows and the index finger of one hand. Aware that these are benign
epidermal neoplasms that can be caused by various types of human papilloma viruses (HPV)
the AGPCNP's initial course of action is:
Prescribe application of tretinoin cream
To treat with liquid nitrogen cryotherapy
Prescribe application of salicylic acid
Watchful waiting -
Watchful waiting
A treatment option for a patient with open lesions on a hairy portion of the body may be a
topical dermatological medication. What type of transport will the AGPCNP choose for the
topical medication?
Cream
Ointment
Powder
Gel -
Gel
Lesli is receiving a systemic antifungal for a severe tinea infection. The AGPCNP is aware
that antifungals may cause:
Renal Failure
Hepatoxicity
Skin discoloration
Respiratory difficulties -
Hepatoxicity
The AGPCNP student is assisting the preceptor with in in office dermatological surgical
procedure. The student is aware that ---------- is a sterile procedure.
Shave biopsy
Scissor excision
Punch biopsy
Curettage -
Punch biopsy
An AGPCNP has diagnosed a possible malignant melanoma lesion. In what manner would
the practitioner perform a biopsy?
Wide excision
Shave biopsy
Punch biopsy
Excisional biopsy -
Excisional biopsy
When providing education to a patient who currently is employed in an industrial plant, the
AGPCNP emphasizes the importance of which protective precaution?
Glasses with UVB protection
Polycarbonate goggles
Eye wash stations
2|Page
, 2mm polycarbonate safety glasses -
Polycarbonate goggles
A 21 year old female comes to your clinic with a complaint of a nodule on her upper right
eyelid that has been enlarging the past several days. The patient states she wears eye make up
daily and also uses contact lenses. Upon examination the lesion appears to be erythematous,
tender and it is warm to touch. The practitioner is aware that this condition is most likely
what type?
Hordeolum
Chalazion
Meibomian
Blepharitis -
Hordeolum
While working in an industrial plant, an employee sustained an injury from a sliver of glass
that penetrated the left eye. While reading the emergency department (ED) chart concerning
the patient's injury, the ED provider stated the sliver of glass remained in the eye. The
AGPCNP understands that this is what type of eye injury?
Penetrating eye injury
Perforating eye injury
Intraocular foreign body
Ruptured globe injury -
Intraocular foreign body
Under the progression of diabetic retinopathy, the presence of "cotton wool" spots can be
detected upon an ophthalmologic examination by the AGPCNP. The term "cotton wool"
spots refers to :
Retinal hemorrhage
Venous beading
Blood vessel proliferation
Microvascular infarctions -
Microvascular infarctions
When examining the eyes of an older patient, the AGPCNP suspects possible cataract
development in a patient with
Injection of conjunctiva
Excessive tearing
Corneal opacification
Asymmetric red reflex -
Asymmetric red reflex
Acute angle-closure glaucoma involves a sudden severe rise in interocular pressure . The
AGPCNP is aware that which of the following represents normal interocular pressure?
2-7 mmHg
12-22 mm Hg
24-40 mm Hg
44-80 mmHg -
12-22 mm Hg
3|Page
