Understanding Pathophysiology 2nd
Edition By Kelly Power-Kean,
Stephanie Zettel, Mohamed Toufic El-
Hussein, Sue Huether, Kathryn
McCance (All Chapters 1-42, 100%
Original Verified, A+ Garde)
All Chapters Arranged Reverse: 42-1
Chapter Wise (1-42) Download Link is
Added at the End of PDF file.
This is The Only Original and
Complete Test Bank for 2nd Edition,
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,Chapter 42: Developmental Alterations of the Integument
Power-Kean et al: Huether and McCance’s Understanding Pathophysiology, Second
Canadian Edition
MULTIPLE CHOICE
1. What structures do acne vulgaris involve?
a. Hair follicles
b. Sebaceous follicles
c. Eccrine glands
d. Apocrine glands
ANS: B
Acne is a disorder of the pilosebaceous units, known as sebaceous follicles. Acne is not
associated with inflammation of hair follicles, eccrine glands, or apocrine glands.
DIF: Cognitive Level: Understand REF: Acne Vulgaris
TOP: Physiological Integrity
2. A 4-month-old brought to his primary care provider for severe itching and skin lesions is
diagnosed with atopic dermatitis. Which of the following would be elevated in this patient?
a. Immunoglobulin D (IgD)
b. Immunoglobulin M (IgM)
c. Immunoglobulin E (IgE)
d. Immunoglobulin G (IgG)
ANS: C
Most individuals affected with atopic dermatitis show an increased serum IgE level.
Neither IgD, IgM, nor IgG would be elevated.
DIF: Cognitive Level: Understand REF: Atopic Dermatitis
TOP: Physiological Integrity
3. A 4-month-old is diagnosed with atopic dermatitis (AD). Which assessment finding will most
likely support this diagnosis?
a. Blistering
b. Moist reddened skin
c. Dry, itchy skin
d. White patches
ANS: C
AD has a constellation of clinical features that include dry, sensitive, itchy, and easily irritated
skin because the barrier function of the skin is impaired. Blistering, moist skin is not
associated with AD. White patches are characteristic of other disorders, such as measles.
DIF: Cognitive Level: Understand REF: Atopic Dermatitis
TOP: Physiological Integrity
4. A 14-year-old presents with severe acne. Which of the following promotes acne development?
a. Androgens
b. Estrogens
, c. Gonadotropins
d. Glucocorticoids
ANS: A
Androgens, not estrogens, increase the size and productivity of the sebaceous glands and
promote P. acnes. Neither gonadotropins nor glucocorticoids increase the size and
productivity of the sebaceous glands and promote P. acnes.
DIF: Cognitive Level: Understand REF: Acne Vulgaris
TOP: Physiological Integrity
5. What is the cause of bullous impetigo?
a. Staphylococcus aureus
b. Molluscum contagiosum
c. Escherichia coli
d. Candida albicans
ANS: A
S. aureus, not molluscum contagiosum, is currently the most common overall cause of
impetigo. The most common overall cause of impetigo is not associated with E. coli or
Candida albicans.
DIF: Cognitive Level: Understand REF: Box 42.1 | Bacterial Infections
TOP: Physiological Integrity
6. A 2-month-old develops diaper dermatitis. A nurse will monitor this patient for which
secondary infection?
a. Streptococcus
b. Proteus
c. Candida albicans
d. Staphylococcus aureus
ANS: C
Diaper dermatitis is secondarily infected with Candida albicans, not Streptococcus, Proteus,
or Staphylococcus aureus.
DIF: Cognitive Level: Understand REF: Diaper Dermatitis
TOP: Physiological Integrity
7. A 10-year-old child presents with vesicles consistent with vesicular impetigo. What is the
most likely cause of the condition?
a.Herpes virus
b.Candida albicans
c.Streptococcus pyogenes
d.Human papillomavirus (HPV)
ANS: C
Vesicular impetigo is caused by Streptococcus pyogenes. Vesicular impetigo is not caused by
herpes, Candida albicans, or HPV.
DIF: Cognitive Level: Understand REF: Box 42.1 TOP: Physiological Integrity
, 8. A 3-year-old child develops tinea capitis after playing with the family dog. What is the cause
of this infection?
a. Fungus
b. Bacterium
c. Virus
d. Parasite
ANS: A
Tinea capitis is caused by a fungus, not bacteria, a virus, or a parasite.
DIF: Cognitive Level: Understand REF: Tinea Capitis
TOP: Physiological Integrity
9. A 5-year-old child is diagnosed with tinea corporis following development of lesions on the
nonhairy parts of the face, trunk, and limbs. What is a common source of this condition?
a. Kitten
b. Pet bird
c. Hamster
d. Horse
ANS: A
Tinea corporis is usually attributed to contact with young dogs and cats, not birds, hamsters,
or horses.
DIF: Cognitive Level: Understand REF: Tinea Corporis
TOP: Physiological Integrity
10. The nurse would correctly identify the medical term for ringworm as:
a. impetigo.
b. tinea corporis.
c. thrush.
d. psoriasis.
ANS: B
Ringworm is also known as tinea corporis. Ringworm is not impetigo, thrush, or psoriasis.
DIF: Cognitive Level: Understand REF: Tinea Corporis
TOP: Physiological Integrity
11. A 4-month-old infant develops oral white spots and shallow ulcers. The pediatrician diagnoses
thrush, which is caused by:
a. Escherichia coli.
b. Streptococcal bacteria.
c. Candida albicans.
d. Staphylococcal bacteria.
ANS: C
Thrush is caused by Candida albicans. Thrush is not caused by E. coli, strep, or staph.
DIF: Cognitive Level: Understand REF: Thrush TOP: Physiological Integrity