FNP 1 LATEST
DERMATOLOGY
FINAL EXAM
What is Breslow's depth? - ANSWERS-- a system for grading the depth
to which a melanoma tumor has invaded the skin
- also used to stage melanoma & estimate survival rates
What underlying condition are skin tags associated with? - ANSWERS-
(also called Acrochordons)
insulin resistance, metabolic syndrome
What underlying conditions are acanthosis nigricans associated with? -
ANSWERS-obesity, type 2 DM
What is the histological progression of Solar lentigo? - ANSWERS-
Solar lentigo: hyperpigmented lesion, occurring on sun exposed areas.
Typically benign, however may spread over the years ----> progressing
to Lentigo Maligna, a superficial spreading melanoma
**ask about changes in skin lesions
END OF
PAGE
1
, FNP 1 LATEST
DERMATOLOGY
FINAL EXAM
What does a BASAL CELL CARCINOMA look like? - ANSWERS-
Raised, pink, pearly appearance
slow growing
What are the risk factors for Basal Cell Carcinoma? - ANSWERS-Sun
exposure, genetic component
What are the risk factors for Malignant Melanoma? - ANSWERS-Sun
exposure, genetic predisposition, >= 50 common moles, red or light
colored hair/ light eye color, solar lentigines/ freckles, severe blistering
sun burns in childhood, immunosuppression, personal history of any
skin cancer
What does a MALIGNANT MELANOMA look like? - ANSWERS-
Asymmetrical, irregular borders, color variation (blue/black color within
larger pigmented lesion), diameter >6mm, rapidly changing
END OF
PAGE
2
, FNP 1 LATEST
DERMATOLOGY
FINAL EXAM
Pityrosporum Folliculitis: presentation, organism, treatment -
ANSWERS-classic presentation: papules and pustules, symmetrical
along trunk, chest, extremities, itchy, worse with heat *no comedones
(not acne)
organism involved: hair follicles infected with yeast
treatment: oral/ topical antifungals
What is the treatment for yeast/ candida? - ANSWERS-Antifungals:
clotrimazole cream BID x2-4 weeks, **keep area DRY
Vaginal yeast: Fluconazole 150mg PO single dose
Tinea manuum: classic presentation, organism involved, risk factors,
treatment - ANSWERS-Dermatophyte infection of the hand:
hyperkeratotic eruption on the palm or annular plaques similar to tinea
corporis on the dorsal hand *often with tinea pedis
END OF
PAGE
3
, FNP 1 LATEST
DERMATOLOGY
FINAL EXAM
Treatment: terbinafine 1% cream BID x2 weeks, or 250mg PO x2 weeks
Tinea unguium: classic presentation, organism involved, risk factors,
treatment - ANSWERS-dermatophyte onychomycosis infection of the
nail
Terbinafine PO is first line treatment:
Fingernail: 250mg QD x6 weeks
Toenail: 250mg QDx 12 weeks
Fungal/ tinea & yeast/candida treatment, pregnancy - ANSWERS-
Topical- Clotrimazole
Vaginal- nystatin
Scabies: classic presentation, organism involved, risk factors, treatment -
ANSWERS-classic presentation: wavy or linear burrows, typically in
flexor surfaces, folds, from neck down (infants from neck up)
organism involved: Sarcoptes scabiei
END OF
PAGE
4
DERMATOLOGY
FINAL EXAM
What is Breslow's depth? - ANSWERS-- a system for grading the depth
to which a melanoma tumor has invaded the skin
- also used to stage melanoma & estimate survival rates
What underlying condition are skin tags associated with? - ANSWERS-
(also called Acrochordons)
insulin resistance, metabolic syndrome
What underlying conditions are acanthosis nigricans associated with? -
ANSWERS-obesity, type 2 DM
What is the histological progression of Solar lentigo? - ANSWERS-
Solar lentigo: hyperpigmented lesion, occurring on sun exposed areas.
Typically benign, however may spread over the years ----> progressing
to Lentigo Maligna, a superficial spreading melanoma
**ask about changes in skin lesions
END OF
PAGE
1
, FNP 1 LATEST
DERMATOLOGY
FINAL EXAM
What does a BASAL CELL CARCINOMA look like? - ANSWERS-
Raised, pink, pearly appearance
slow growing
What are the risk factors for Basal Cell Carcinoma? - ANSWERS-Sun
exposure, genetic component
What are the risk factors for Malignant Melanoma? - ANSWERS-Sun
exposure, genetic predisposition, >= 50 common moles, red or light
colored hair/ light eye color, solar lentigines/ freckles, severe blistering
sun burns in childhood, immunosuppression, personal history of any
skin cancer
What does a MALIGNANT MELANOMA look like? - ANSWERS-
Asymmetrical, irregular borders, color variation (blue/black color within
larger pigmented lesion), diameter >6mm, rapidly changing
END OF
PAGE
2
, FNP 1 LATEST
DERMATOLOGY
FINAL EXAM
Pityrosporum Folliculitis: presentation, organism, treatment -
ANSWERS-classic presentation: papules and pustules, symmetrical
along trunk, chest, extremities, itchy, worse with heat *no comedones
(not acne)
organism involved: hair follicles infected with yeast
treatment: oral/ topical antifungals
What is the treatment for yeast/ candida? - ANSWERS-Antifungals:
clotrimazole cream BID x2-4 weeks, **keep area DRY
Vaginal yeast: Fluconazole 150mg PO single dose
Tinea manuum: classic presentation, organism involved, risk factors,
treatment - ANSWERS-Dermatophyte infection of the hand:
hyperkeratotic eruption on the palm or annular plaques similar to tinea
corporis on the dorsal hand *often with tinea pedis
END OF
PAGE
3
, FNP 1 LATEST
DERMATOLOGY
FINAL EXAM
Treatment: terbinafine 1% cream BID x2 weeks, or 250mg PO x2 weeks
Tinea unguium: classic presentation, organism involved, risk factors,
treatment - ANSWERS-dermatophyte onychomycosis infection of the
nail
Terbinafine PO is first line treatment:
Fingernail: 250mg QD x6 weeks
Toenail: 250mg QDx 12 weeks
Fungal/ tinea & yeast/candida treatment, pregnancy - ANSWERS-
Topical- Clotrimazole
Vaginal- nystatin
Scabies: classic presentation, organism involved, risk factors, treatment -
ANSWERS-classic presentation: wavy or linear burrows, typically in
flexor surfaces, folds, from neck down (infants from neck up)
organism involved: Sarcoptes scabiei
END OF
PAGE
4
