NURS 623 MARYVILLE EXAM 3 FINAL PAPER
2026 TESTED QUESTIONS WITH FULL
SOLUTION GRADED A+
◉ HPI questions for skin problems. Answer: Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
•Family history
Is it:
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
,◉ Pigmentation/Changes of the skin Diff diagnosis. Answer: Nevi-
brown, beige or pink(< 5mm)
Melanoma
Related to pregnancy- melasma (mask of pregnancy)
Addison disease
Side effect of medication- steroid therapy
◉ skin lesions. Answer: Macule - flat, nonpalpable (freckle, petechia)
Papule - PALPABLE, solid elevation of skin (elevated nevus)
Nodule - elevated solid mass, deeper and firmer than papule (wart)
Tumor - solid mass deep in subcutaneous tissue (epithelioma)
Wheal - irregularly shaped, elevated area (hive, mosquito bite
Vesicle - elevation of skin with serous (clear) fluid
Pustule - similar to vesicle but filled with pus (acne)
Ulcer - deep loss of skin (venous statis ulcer)
,Atophy - thinning of skin
Bullae-Clear fluid-filled blisters > 10 mm in diameter. These may be
caused by burns, bites, irritant or allergic contact dermatitis, and
drug reactions.
◉ primary versus secondary skin lesions. Answer: Primary skin
lesions are those which develop as a direct result of the disease
process.
Secondary lesions are those which evolve from primary lesions or
develop as a consequence of the patient's activities.
◉ Parasitic Skin Infections. Answer: scabies and lice
◉ Scabies. Answer: Highly contagious infestation that occurs mainly
in children, young adults, health care workers, and institutionalized
persons of all ages.
Subjective: Complaints of intense itching that is usually more severe
at night.
, Objective:Earliest physical sign is small 1 to 2 mm red papules
located in areas of body most attractive to mites. Itching, excoriation,
, crusting, and scaling may be present making it hard to see scabies.
Diagnostics:Ink burrow test
◉ Scabies treatment. Answer: Permethrin 5% cream (Remember
you have 5 fingers)- leave on for 8-14 hours then shower- daily for 7
days.
Oral antihistamines for itching, topical steroids for itching.
The entire household must be treated. Everything should be washed
with hot water/detergent, treat any infection that is present.
Starve mites by sealing them in a bag for about 10 days.
◉ Lice treatment. Answer: Permethrin 1% leave on for 10 mins then
rinse. May repeat in 7 days if needed.
◉ Fungal skin infections. Answer: · Candidiasis- bright, beefy red
rash treat with topical antifungal,
· Dermatophytoses - the tineas (ringworm)
2026 TESTED QUESTIONS WITH FULL
SOLUTION GRADED A+
◉ HPI questions for skin problems. Answer: Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
•Family history
Is it:
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
,◉ Pigmentation/Changes of the skin Diff diagnosis. Answer: Nevi-
brown, beige or pink(< 5mm)
Melanoma
Related to pregnancy- melasma (mask of pregnancy)
Addison disease
Side effect of medication- steroid therapy
◉ skin lesions. Answer: Macule - flat, nonpalpable (freckle, petechia)
Papule - PALPABLE, solid elevation of skin (elevated nevus)
Nodule - elevated solid mass, deeper and firmer than papule (wart)
Tumor - solid mass deep in subcutaneous tissue (epithelioma)
Wheal - irregularly shaped, elevated area (hive, mosquito bite
Vesicle - elevation of skin with serous (clear) fluid
Pustule - similar to vesicle but filled with pus (acne)
Ulcer - deep loss of skin (venous statis ulcer)
,Atophy - thinning of skin
Bullae-Clear fluid-filled blisters > 10 mm in diameter. These may be
caused by burns, bites, irritant or allergic contact dermatitis, and
drug reactions.
◉ primary versus secondary skin lesions. Answer: Primary skin
lesions are those which develop as a direct result of the disease
process.
Secondary lesions are those which evolve from primary lesions or
develop as a consequence of the patient's activities.
◉ Parasitic Skin Infections. Answer: scabies and lice
◉ Scabies. Answer: Highly contagious infestation that occurs mainly
in children, young adults, health care workers, and institutionalized
persons of all ages.
Subjective: Complaints of intense itching that is usually more severe
at night.
, Objective:Earliest physical sign is small 1 to 2 mm red papules
located in areas of body most attractive to mites. Itching, excoriation,
, crusting, and scaling may be present making it hard to see scabies.
Diagnostics:Ink burrow test
◉ Scabies treatment. Answer: Permethrin 5% cream (Remember
you have 5 fingers)- leave on for 8-14 hours then shower- daily for 7
days.
Oral antihistamines for itching, topical steroids for itching.
The entire household must be treated. Everything should be washed
with hot water/detergent, treat any infection that is present.
Starve mites by sealing them in a bag for about 10 days.
◉ Lice treatment. Answer: Permethrin 1% leave on for 10 mins then
rinse. May repeat in 7 days if needed.
◉ Fungal skin infections. Answer: · Candidiasis- bright, beefy red
rash treat with topical antifungal,
· Dermatophytoses - the tineas (ringworm)
