ESTUDYR
ADVANCE PRACTICE NURSING NUR 6111 EXAM 1 2025 MULTICHOICE
ANSWERED QUESTIONS WITH DETAILED RATIONALES
1. A patient presents with red, scaly papules around hair shafts on the scalp; hairs break a few
millimeters above the skin and circular lesions have formed. In managing this tinea capitis, which of
the following are true? (Select all that apply)
A. Perform Wood’s lamp examination prior to treatment
B. Use 1% selenium sulfide shampoo twice weekly
C. Treat with oral terbinafine for 2–4 weeks
D. Culture negative post-treatment to confirm cure
E. Topical ketoconazole alone is sufficient
Correct: A, B, C, D
Rationale:
A. Wood’s lamp can identify some species (e.g. Microsporum).
B. Selenium sulfide (1 %–2.5 %) reduces spore shedding.
C. Oral terbinafine or griseofulvin is required for cure—topicals alone fail.
D. Re-culture confirms eradication.
2. A 60-year-old animal-shelter worker has erythematous, ring-like lesions with raised, scaly borders
on her buttocks and abdomen. Which initial test helps confirm tinea corporis?
A. Wood’s lamp examination
B. KOH skin scraping
C. Fungal culture only
D. Bacterial Gram stain
Correct: B
Rationale: KOH prep reveals segmented hyphae rapidly; culture can take weeks.
3. Which feature distinguishes atopic dermatitis from contact dermatitis, drug reactions, scabies, or
tinea?
A. Positive KOH scraping
B. Personal/family history of asthma or hay fever
C. Serpiginous burrows on web spaces
D. Pruritic lesions localized to flexural creases only
, ESTUDYR
Correct: B
Rationale: Atopic dermatitis is strongly associated with atopy (asthma, allergic rhinitis).
4. The cornerstone of skin care in atopic dermatitis is:
A. Daily topical steroids
B. Frequent bathing without emollients
C. Regular application of lubricants/emollients
D. Antihistamines alone
Correct: C
Rationale: Emollients restore barrier function; topical steroids are adjunctive.
5. Which statement about actinic keratoses is true?
A. They are benign and require no follow-up
B. They frequently regress without treatment
C. They are premalignant lesions that may progress to squamous cell carcinoma
D. They only occur on non–sun-exposed skin
Correct: C
Rationale: Actinic keratoses are dysplastic keratinocytes from UV damage and warrant treatment.
6. All of the following describe benign skin lesions EXCEPT:
A. Symmetrical shape
B. Uniform color
C. Well-defined borders
D. Variation in color within a single lesion
Correct: D
Rationale: Color variegation suggests malignancy (e.g., melanoma).
7. A 73-year-old woman has a painless, pearly, ulcerated nodule with rolled edges and telangiectasias
on her upper lip. The most likely diagnosis is:
A. Squamous cell carcinoma
B. Melanoma
C. Basal cell carcinoma
D. Merkel cell carcinoma
ADVANCE PRACTICE NURSING NUR 6111 EXAM 1 2025 MULTICHOICE
ANSWERED QUESTIONS WITH DETAILED RATIONALES
1. A patient presents with red, scaly papules around hair shafts on the scalp; hairs break a few
millimeters above the skin and circular lesions have formed. In managing this tinea capitis, which of
the following are true? (Select all that apply)
A. Perform Wood’s lamp examination prior to treatment
B. Use 1% selenium sulfide shampoo twice weekly
C. Treat with oral terbinafine for 2–4 weeks
D. Culture negative post-treatment to confirm cure
E. Topical ketoconazole alone is sufficient
Correct: A, B, C, D
Rationale:
A. Wood’s lamp can identify some species (e.g. Microsporum).
B. Selenium sulfide (1 %–2.5 %) reduces spore shedding.
C. Oral terbinafine or griseofulvin is required for cure—topicals alone fail.
D. Re-culture confirms eradication.
2. A 60-year-old animal-shelter worker has erythematous, ring-like lesions with raised, scaly borders
on her buttocks and abdomen. Which initial test helps confirm tinea corporis?
A. Wood’s lamp examination
B. KOH skin scraping
C. Fungal culture only
D. Bacterial Gram stain
Correct: B
Rationale: KOH prep reveals segmented hyphae rapidly; culture can take weeks.
3. Which feature distinguishes atopic dermatitis from contact dermatitis, drug reactions, scabies, or
tinea?
A. Positive KOH scraping
B. Personal/family history of asthma or hay fever
C. Serpiginous burrows on web spaces
D. Pruritic lesions localized to flexural creases only
, ESTUDYR
Correct: B
Rationale: Atopic dermatitis is strongly associated with atopy (asthma, allergic rhinitis).
4. The cornerstone of skin care in atopic dermatitis is:
A. Daily topical steroids
B. Frequent bathing without emollients
C. Regular application of lubricants/emollients
D. Antihistamines alone
Correct: C
Rationale: Emollients restore barrier function; topical steroids are adjunctive.
5. Which statement about actinic keratoses is true?
A. They are benign and require no follow-up
B. They frequently regress without treatment
C. They are premalignant lesions that may progress to squamous cell carcinoma
D. They only occur on non–sun-exposed skin
Correct: C
Rationale: Actinic keratoses are dysplastic keratinocytes from UV damage and warrant treatment.
6. All of the following describe benign skin lesions EXCEPT:
A. Symmetrical shape
B. Uniform color
C. Well-defined borders
D. Variation in color within a single lesion
Correct: D
Rationale: Color variegation suggests malignancy (e.g., melanoma).
7. A 73-year-old woman has a painless, pearly, ulcerated nodule with rolled edges and telangiectasias
on her upper lip. The most likely diagnosis is:
A. Squamous cell carcinoma
B. Melanoma
C. Basal cell carcinoma
D. Merkel cell carcinoma
