NR667 INTEG CEA PREP EXAM QUESTIONS &
DETAILED CORRECT SOLUTIONS ALL PASSED
1. While evaluating your patient a. Fortunately, this is a benign lesion
who pre- sented with a panic and poses no risk of malignancy.
attack, the patient states their
reason for the panic attack was Rationale: Seborrheic keratoses are non-
they found out they are going to can-
die from skin cancer because their sister cerous lesions, although if an
untrained observ-
is a CNA and found melanoma on er were to evaluate a large, brown,
their
irregular
skin. You perform a skin survey to find a seborrheic keratosis, it is quite
conceivable they
9mm seborrheic keratosis as the would misdiagnose it as a melanoma.
source of the concern. Which of
the following is the most
appropriate response to the
patient?
a.Fortunately, this is a benign
lesion and poses no risk of
malignancy.
b. Unfortunately, this is a
cancerous le- sion and poses a
medium to high risk of
malignancy.
c.Removal of the lesion will require
us to perform a local wide excision
to guaran- tee negative borders.
d. Your 5-year survival will be
deter- mined by early, aggressive
treatment to avoid metastasis.
,NR667 INTEG CEA PREP EXAM QUESTIONS &
DETAILED CORRECT SOLUTIONS ALL PASSED
2. The patient with a sebaceous cyst on the c. Incision and drainage plus IV
vancomycin or
arm that is now draining is noted to have other anti MRSA coverage
unilateral cellulitic streaking ascending
proximally from the abscess site. Rationale: The presence of cellulitis
Which
requires the
of the following represents the most ap- abscess to be treated with incision
and drainage
propriate treatment in this plus the cellulitis be treated with IV
scenario? antibiotics.
a. Incision and drainage without
antibi-
,NR667 INTEG CEA PREP EXAM QUESTIONS &
DETAILED CORRECT SOLUTIONS ALL PASSED
otic coverage
b. Incision and drainage plus
metronida- zole PO
c. Incision and drainage plus IV
van- comycin or other anti MRSA
coverage
d. Oral antibiotics without
incision and drainage
3. Which diagnostic test is commonly used a. Wood's lamp examination
to identify fungal infections of the
skin? Rationale: A Wood's lamp emits long-wave ul-
traviolet light (UV-A) that causes certain
a. Wood's lamp examination sub- stances on the skin to fluoresce.
b. Skin biopsy Fungi that cause superficial skin infections
c. Patch test (dermato- phytes) can sometimes
d. Tzanck smear fluoresce under this light.
c. Oral antivirals at the onset of symptoms
4. A 30-year-old woman presents with
a history of recurrent herpes
simplex virus
(HSV) infections on her lips. She wants to Rationale: Antiviral medications
such as acy-
know how to manage future clovir, valacyclovir, and famciclovir are
outbreaks.
common-
What is the most appropriate initial man- ly prescribed to reduce the severity
and dura-
agement for recurrent HSV? b. Daily oral antiviral
prophylaxis
a. Immunotherapy c. Oral antivirals at the
, NR667 INTEG CEA PREP EXAM QUESTIONS &
DETAILED CORRECT SOLUTIONS ALL PASSED
onset of symp- toms tion of HSV outbreaks. Managing HSV
d. Topical antibiotics during involves a comprehensive approach that
outbreaks includes antiviral therapy for acute
episodes, preventive strate- gies for
5. A 21-year-old athlete presents
recurrent outbreaks, and supportive care
with painful, erythematous, non- to alleviate symptoms.
pustular firm cysts on both
forearms, which are
c. culture and sensitivity and switch the
patient to trimethoprim-sulfamethoxazole
(Bactrim).
DETAILED CORRECT SOLUTIONS ALL PASSED
1. While evaluating your patient a. Fortunately, this is a benign lesion
who pre- sented with a panic and poses no risk of malignancy.
attack, the patient states their
reason for the panic attack was Rationale: Seborrheic keratoses are non-
they found out they are going to can-
die from skin cancer because their sister cerous lesions, although if an
untrained observ-
is a CNA and found melanoma on er were to evaluate a large, brown,
their
irregular
skin. You perform a skin survey to find a seborrheic keratosis, it is quite
conceivable they
9mm seborrheic keratosis as the would misdiagnose it as a melanoma.
source of the concern. Which of
the following is the most
appropriate response to the
patient?
a.Fortunately, this is a benign
lesion and poses no risk of
malignancy.
b. Unfortunately, this is a
cancerous le- sion and poses a
medium to high risk of
malignancy.
c.Removal of the lesion will require
us to perform a local wide excision
to guaran- tee negative borders.
d. Your 5-year survival will be
deter- mined by early, aggressive
treatment to avoid metastasis.
,NR667 INTEG CEA PREP EXAM QUESTIONS &
DETAILED CORRECT SOLUTIONS ALL PASSED
2. The patient with a sebaceous cyst on the c. Incision and drainage plus IV
vancomycin or
arm that is now draining is noted to have other anti MRSA coverage
unilateral cellulitic streaking ascending
proximally from the abscess site. Rationale: The presence of cellulitis
Which
requires the
of the following represents the most ap- abscess to be treated with incision
and drainage
propriate treatment in this plus the cellulitis be treated with IV
scenario? antibiotics.
a. Incision and drainage without
antibi-
,NR667 INTEG CEA PREP EXAM QUESTIONS &
DETAILED CORRECT SOLUTIONS ALL PASSED
otic coverage
b. Incision and drainage plus
metronida- zole PO
c. Incision and drainage plus IV
van- comycin or other anti MRSA
coverage
d. Oral antibiotics without
incision and drainage
3. Which diagnostic test is commonly used a. Wood's lamp examination
to identify fungal infections of the
skin? Rationale: A Wood's lamp emits long-wave ul-
traviolet light (UV-A) that causes certain
a. Wood's lamp examination sub- stances on the skin to fluoresce.
b. Skin biopsy Fungi that cause superficial skin infections
c. Patch test (dermato- phytes) can sometimes
d. Tzanck smear fluoresce under this light.
c. Oral antivirals at the onset of symptoms
4. A 30-year-old woman presents with
a history of recurrent herpes
simplex virus
(HSV) infections on her lips. She wants to Rationale: Antiviral medications
such as acy-
know how to manage future clovir, valacyclovir, and famciclovir are
outbreaks.
common-
What is the most appropriate initial man- ly prescribed to reduce the severity
and dura-
agement for recurrent HSV? b. Daily oral antiviral
prophylaxis
a. Immunotherapy c. Oral antivirals at the
, NR667 INTEG CEA PREP EXAM QUESTIONS &
DETAILED CORRECT SOLUTIONS ALL PASSED
onset of symp- toms tion of HSV outbreaks. Managing HSV
d. Topical antibiotics during involves a comprehensive approach that
outbreaks includes antiviral therapy for acute
episodes, preventive strate- gies for
5. A 21-year-old athlete presents
recurrent outbreaks, and supportive care
with painful, erythematous, non- to alleviate symptoms.
pustular firm cysts on both
forearms, which are
c. culture and sensitivity and switch the
patient to trimethoprim-sulfamethoxazole
(Bactrim).
