NSG 6420 - Week 7 Quiz. Final exams. Questions & Answers. LATEST

Week 7 Return to deck 1. When a patient presents with a skin-related complaint, it is important to first: Fully inspect all skin lesions before asking the patient how the lesion in question developed       Obtain a full history about the development of the skin lesion prior to the physical examination       Complete a full physical examination of the body prior to inspecting the skin lesion       Examine the skin lesion without hearing a health history in order to not prejudice the diagnosis 2. The appearance of a 2-10 cm. herald patch with subsequent development of parallel oval lesions on the trunk in a christmas tree distribution involving the upper arms and upper legs are common in Pityriasis Rosea       Shingles       Psoriasis       Lymes Disease 3. Mr. Fitzgerald is a 68-year-old previously healthy man with a history of significant sun exposure who presents with a progressively enlarging 18 x 16 mm erythematous pruritic oval patch on his left forearm that has been present for three to four years. Your differential would include all of the following EXCEPT: Fungal skin infection       Eczema       Seborrheic Keratosis       Squamous cell carcinoma of the skin 4. Which of the following dermatological conditions results from reactivation of the dormant varicella virus? . A. Tinea versicolor B.Seborrheic keratosis C.Verruca D.Herpes zoster 5. What kind of lesions are caused by the herpes simplex virus? vesicles 6. An older adult male presents with pain in his right chest wall for the past 48 hours. Upon examination, the nurse practitioner notices a vesicular eruption along the dermatome and identifies this as herpes zoster. The NP informs the gentleman that: A.All symptoms should disappear within three days B.Oral medications can dramatically reduce the duration and intensity of his symptoms C.He has chickenpox and can be contagious to his grandchildren D.He has a sexually transmitted disease 7. Among the following conditions, which needs to be treated with systemic antifungal agents? 8. A 70-year-old white male comes to the clinic with a slightly raised, scaly, pink, and irregular lesion on his scalp. He is a farmer and works outside all day. You suspect actinic keratosis, but cannot rule out other lesions. What recommendation would you give him? A. Ignore the lesion, as it is associated with aging. B.Instruct him to use a nonprescription hydrocortisone cream to dry up the lesion. C.Perform a biopsy or refer to a dermatologist. D.Advise him to use a dandruff shampoo and return in one month if the lesion has not gone away. 9. Which lesions are typically located along the distribution of dermatome? Herpes Zoster 10. The immunofluorescent antibody (IFA) is a laboratory test used to diagnose which of the following disorders? A.Tinea versicolor B.Herpes zoster C.Squamous cell carcinoma D.Human papilloma virus 11. Folliculitis is most commonly due to:       Contact dermatitis       Varicella zoster       Dermatophytes       Staphylococcal infection 12. A wound with drainage and foul odor should be cleansed with: A. Normal saline B. Hydrogen peroxide C. 20% acetic acid D. Betadine 13. The anti-inflammatory properties of topical corticosteroids result in part from their ability to induce vasoconstriction to the small blood vessels in the upper dermis. Of the following, which is the most potent topical corticosteroid? Hydrocortisone 2.5% Triamcinolone acetonide 0.1% Betamethasone dipropionate 0.05% Alclometasone dipropionate 0.05% 14. A patient has a tender, firm, nodular cystic lesion on his scalp that produces cheesy discharge with foul odor. This is most likely a: A.  Bacterial folliculitis B.  Basal cell carcinoma C.  Bullous impetigo D.  Epidermoid cyst