APEA- Derm Assessment / APEA – Dermatologic
Assessment | High-Yield Practice Questions & Clinical
Evaluation Review
The patient has recently sustained an injury to the upper thigh. Examination reveals an irregular shaped
purplish blue lesion that does not blanch with pressure and does not exhibit pulsatility. This would be
considered:
petechia.
ecchymosis.
purpura.
a spider vein. - -answerecchymosis.
A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at birth
and enlarge during the first 10 to 15 months is characteristic of a:
cavernous hemangioma.
strawberry mark.
telangiectasia.
port-wine stain. - -answercavernous hemangioma.
Which stage of pressure ulcer is consistent with a partial thickness loss of the dermis presenting as a
shallow open ulcer with a red pink wound bed, without slough?
Stage I
Stage II
Stage III
Stage IV - -answerStage II
A child has a maculopapular, blotchy rash and on examination of his mouth, red eruptions with white
centers on the buccal mucosa are visualized. These eruptions are called:
, rubella spots.
aphthous ulcers.
Pastia's spots.
Koplik spots. - -answerKoplik spots.
The term used to describe dark-colored adherent crust of dead tissue around an ulcer is:
eschar.
erythroderma.
excoriation.
exfoliation. - -answereschar.
The assessment findings of the integumentary system of an 80-year-old that would warrant further
evaluation would include:
several brown macular spots on the hands and arms.
ecchymoses on both forearms.
seborrheic keratoses on the scalp.
cherry angiomas on the trunk. - -answerecchymoses on both forearms.
On examination of the feet, the nurse practitioner observes a painless thickening of the skin under the
ball of the foot. It is tender to direct pressure. This lesion is most likely a:
plantar wart.
corn.
callus.
neuropathic ulcer. - -answercallus.
An example of a macule is:
psoriasis.
impetigo.
petechia.
Assessment | High-Yield Practice Questions & Clinical
Evaluation Review
The patient has recently sustained an injury to the upper thigh. Examination reveals an irregular shaped
purplish blue lesion that does not blanch with pressure and does not exhibit pulsatility. This would be
considered:
petechia.
ecchymosis.
purpura.
a spider vein. - -answerecchymosis.
A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at birth
and enlarge during the first 10 to 15 months is characteristic of a:
cavernous hemangioma.
strawberry mark.
telangiectasia.
port-wine stain. - -answercavernous hemangioma.
Which stage of pressure ulcer is consistent with a partial thickness loss of the dermis presenting as a
shallow open ulcer with a red pink wound bed, without slough?
Stage I
Stage II
Stage III
Stage IV - -answerStage II
A child has a maculopapular, blotchy rash and on examination of his mouth, red eruptions with white
centers on the buccal mucosa are visualized. These eruptions are called:
, rubella spots.
aphthous ulcers.
Pastia's spots.
Koplik spots. - -answerKoplik spots.
The term used to describe dark-colored adherent crust of dead tissue around an ulcer is:
eschar.
erythroderma.
excoriation.
exfoliation. - -answereschar.
The assessment findings of the integumentary system of an 80-year-old that would warrant further
evaluation would include:
several brown macular spots on the hands and arms.
ecchymoses on both forearms.
seborrheic keratoses on the scalp.
cherry angiomas on the trunk. - -answerecchymoses on both forearms.
On examination of the feet, the nurse practitioner observes a painless thickening of the skin under the
ball of the foot. It is tender to direct pressure. This lesion is most likely a:
plantar wart.
corn.
callus.
neuropathic ulcer. - -answercallus.
An example of a macule is:
psoriasis.
impetigo.
petechia.
