Nur 520 Advanced health Assessment-Skin Questions With
Complete Solutions
2 types of hair Correct Answers vellus- fine hair covers most of
body
and terminal- coarse hair- scalp, eyebrows, pubic regions,
face/chest of males
2 types of sweat glands Correct Answers eccrine-coiled tubes
open directly to skin, make dilute saline sweat; help control
body temp
apocrine- make thick milky secretion opening to hair follicle-
found in axillae, anogenital, nipples navel, active w/ puberty,
bacterial flora reacts w/ apocrine= B.O. smell
a critical factor when assessing skin lesions is the:
a. time of year when lesion noted
b. presence of hairline recession
c. Distribution of lesions or abnormalities
d. coexistance of axillary sweating Correct Answers C.
distribution of lesions or abnormalities
ABCDE method Correct Answers if 2 or more of these are
present, risk of melanoma increases and biopsy should be
considered.
ABCDE Rule Correct Answers -Asymmetry (of one side of
mole compared to the other)
-Border irregularity (esp, if ragged, notched, or blurred)
,-Color variation (moe than 2 colors esp blue-black, white, or
red)
-Diameter >6mm (approximately the size of pencil eraser)
-Evolving (or changing rapidly in size, symptoms, or
morphology) *most sensitive
ABCDEF pneumonic Correct Answers assessement tool for
malignant melanoma
ABCDEF= 7 signs of MM
A- Asymmetry in shape- 1/2 not like other 1/2
B- Border irregular-scalloped
C- color is mottled- many shades
D- Diameter large: >6mm (pencil eraser)
E- elevation varied
F- Feeling- sensation of itching, tenderness, pain
Acral lentiginous Correct Answers type of melanoma- usually
on palms/soles or under nails, more common in AA and asian
descent
flat,irregular margins and pigmentation
rapidly becomes nodular
early vertical growth and rapid metastasis
5-10%MM
Actinic Keratosis Correct Answers scaly plaque precursor to
Squamous cell carcinoma, and is in mostly sun exposed areas-
w/ yellowish tint
alopecia Correct Answers hair loss; can be diffuse, patchy, or
total
, Angioedema Correct Answers recurring episodes of non-
inflammatory swelling of skin, brain, viscera, and mm onset
may be rapid
Annular Correct Answers ring shape configuration of lesion
areas of bruising typical to abuse Correct Answers core, upper
extremeties, non-prominences (you didn't fall on that)
Atopic Dermatitis Correct Answers aka Eczema- uncontrolled
scratching in response to itching
description: red papules and plaques, appearance of vesicles,
pustules weeping and crusting
may see secondary skin changes from chronic
itching/excoriation (linear erosion or lichenification)
60% in 1st year of life, 30% develops years 1-5
-personal/FH of allergic rhinitis or asthma
Auspitz sign Correct Answers small dot of blood seen w/
removal of a scale
Basal cell carcinoma Correct Answers most common type of
Skin cancer
malignant,slow growing- almost never metastasize, can be
invasive/destructive
seen in: sun exposure sites, > 40 years old, M>F
appearance: translucent, pearly papule, can be an ulcer w/ rolled
border and crust, pink or red, smooth glistening
- a flaky spots that reoccurs/goes away
smokers-by lips
Complete Solutions
2 types of hair Correct Answers vellus- fine hair covers most of
body
and terminal- coarse hair- scalp, eyebrows, pubic regions,
face/chest of males
2 types of sweat glands Correct Answers eccrine-coiled tubes
open directly to skin, make dilute saline sweat; help control
body temp
apocrine- make thick milky secretion opening to hair follicle-
found in axillae, anogenital, nipples navel, active w/ puberty,
bacterial flora reacts w/ apocrine= B.O. smell
a critical factor when assessing skin lesions is the:
a. time of year when lesion noted
b. presence of hairline recession
c. Distribution of lesions or abnormalities
d. coexistance of axillary sweating Correct Answers C.
distribution of lesions or abnormalities
ABCDE method Correct Answers if 2 or more of these are
present, risk of melanoma increases and biopsy should be
considered.
ABCDE Rule Correct Answers -Asymmetry (of one side of
mole compared to the other)
-Border irregularity (esp, if ragged, notched, or blurred)
,-Color variation (moe than 2 colors esp blue-black, white, or
red)
-Diameter >6mm (approximately the size of pencil eraser)
-Evolving (or changing rapidly in size, symptoms, or
morphology) *most sensitive
ABCDEF pneumonic Correct Answers assessement tool for
malignant melanoma
ABCDEF= 7 signs of MM
A- Asymmetry in shape- 1/2 not like other 1/2
B- Border irregular-scalloped
C- color is mottled- many shades
D- Diameter large: >6mm (pencil eraser)
E- elevation varied
F- Feeling- sensation of itching, tenderness, pain
Acral lentiginous Correct Answers type of melanoma- usually
on palms/soles or under nails, more common in AA and asian
descent
flat,irregular margins and pigmentation
rapidly becomes nodular
early vertical growth and rapid metastasis
5-10%MM
Actinic Keratosis Correct Answers scaly plaque precursor to
Squamous cell carcinoma, and is in mostly sun exposed areas-
w/ yellowish tint
alopecia Correct Answers hair loss; can be diffuse, patchy, or
total
, Angioedema Correct Answers recurring episodes of non-
inflammatory swelling of skin, brain, viscera, and mm onset
may be rapid
Annular Correct Answers ring shape configuration of lesion
areas of bruising typical to abuse Correct Answers core, upper
extremeties, non-prominences (you didn't fall on that)
Atopic Dermatitis Correct Answers aka Eczema- uncontrolled
scratching in response to itching
description: red papules and plaques, appearance of vesicles,
pustules weeping and crusting
may see secondary skin changes from chronic
itching/excoriation (linear erosion or lichenification)
60% in 1st year of life, 30% develops years 1-5
-personal/FH of allergic rhinitis or asthma
Auspitz sign Correct Answers small dot of blood seen w/
removal of a scale
Basal cell carcinoma Correct Answers most common type of
Skin cancer
malignant,slow growing- almost never metastasize, can be
invasive/destructive
seen in: sun exposure sites, > 40 years old, M>F
appearance: translucent, pearly papule, can be an ulcer w/ rolled
border and crust, pink or red, smooth glistening
- a flaky spots that reoccurs/goes away
smokers-by lips
