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NUR 631 Advanced Health Assessment Exam 2
2026/2027 Practice Exam with Verified Answers
and Detailed Rationales Grade A Pass
Question 1: What is Majocchi's granuloma?
Correct Answer: Majocchi's granuloma is a rare condition in which the
dermatophyte invades the dermis or subcutaneous tissues (from shaving).
Rationale:
1. Majocchi's granuloma is a deep fungal infection of the dermis.
2. It occurs when dermatophytes (ringworm fungi) penetrate deeper than the
stratum corneum.
3. Shaving creates microtrauma that allows fungal invasion.
4. This is a dermatology question.
Question 2: Which two tinea infections must be treated orally?
Correct Answer: Tinea capitis and tinea unguium (onychomycosis) must be
treated orally.
Rationale:
1. Tinea capitis (scalp ringworm) requires oral antifungals because topical
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agents cannot penetrate the hair shaft.
2. Tinea unguium (nail fungus) requires oral antifungals because topical agents
cannot penetrate the nail plate.
3. This is a dermatology treatment question.
Question 3: What is the most common etiology of dermatophytosis?
Correct Answer: Trichophyton rubrum is the most common etiology of
dermatophytosis.
Rationale:
1. Trichophyton rubrum is the most common dermatophyte species worldwide.
2. It causes tinea pedis, tinea corporis, tinea cruris, and tinea unguium.
3. This is a mycology question.
Question 4: What is the hallmark of tinea capitis?
Correct Answer: The hallmark of tinea capitis is annular with central
clearing.
Rationale:
1. Tinea capitis presents with ring-shaped lesions that clear in the center.
2. Hair loss (alopecia) with black dots (broken hairs) may also occur.
3. This is a dermatology morphology question.
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Question 5: How do tinea corporis lesions appear?
Correct Answer: Tinea corporis lesions appear as erythematous, scaly
plaques that may rapidly enlarge.
Rationale:
1. Tinea corporis is ringworm of the body (non-hairy skin).
2. Lesions are annular (ring-shaped) with central clearing and an active scaly
border.
3. This is a dermatology morphology question.
Question 6: How does tinea cruris (jock itch) present?
Correct Answer: Tinea cruris presents as arciform or polycyclic lesions that
are duller red in color, macerated with scaliness, and have sharp borders.
Rationale:
1. Tinea cruris affects the groin and inner thighs.
2. Lesions are often bilateral and spare the scrotum.
3. This is a dermatology morphology question.
Question 7: Which tinea presents with diffuse desquamation with
superficial white scales and possible bulla formation?
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Correct Answer: Tinea pedis (athlete's foot) presents with diffuse
desquamation with superficial white scales and possible bulla formation.
Rationale:
1. Tinea pedis affects the feet, especially between the toes.
2. The interdigital and moccasin types present with scaling and maceration.
3. Vesicles and bullae may occur (vesiculobullous type).
4. This is a dermatology morphology question.
Question 8: What will a KOH preparation for tinea reveal?
Correct Answer: A KOH prep for tinea will reveal hyphae and spores.
Rationale:
1. Potassium hydroxide (KOH) dissolves keratin, making fungal elements visible.
2. Hyphae appear as branching, septate threads.
3. This is a diagnostic mycology question.
Question 9: What color will tinea appear under a Wood's lamp?
Correct Answer: Under a Wood's lamp, tinea will light up green.
Rationale:
1. Wood's lamp (ultraviolet light) causes certain dermatophytes to fluoresce.
2. Microsporum species fluoresce bright green.
NUR 631 Advanced Health Assessment Exam 2
2026/2027 Practice Exam with Verified Answers
and Detailed Rationales Grade A Pass
Question 1: What is Majocchi's granuloma?
Correct Answer: Majocchi's granuloma is a rare condition in which the
dermatophyte invades the dermis or subcutaneous tissues (from shaving).
Rationale:
1. Majocchi's granuloma is a deep fungal infection of the dermis.
2. It occurs when dermatophytes (ringworm fungi) penetrate deeper than the
stratum corneum.
3. Shaving creates microtrauma that allows fungal invasion.
4. This is a dermatology question.
Question 2: Which two tinea infections must be treated orally?
Correct Answer: Tinea capitis and tinea unguium (onychomycosis) must be
treated orally.
Rationale:
1. Tinea capitis (scalp ringworm) requires oral antifungals because topical
,2|Page
agents cannot penetrate the hair shaft.
2. Tinea unguium (nail fungus) requires oral antifungals because topical agents
cannot penetrate the nail plate.
3. This is a dermatology treatment question.
Question 3: What is the most common etiology of dermatophytosis?
Correct Answer: Trichophyton rubrum is the most common etiology of
dermatophytosis.
Rationale:
1. Trichophyton rubrum is the most common dermatophyte species worldwide.
2. It causes tinea pedis, tinea corporis, tinea cruris, and tinea unguium.
3. This is a mycology question.
Question 4: What is the hallmark of tinea capitis?
Correct Answer: The hallmark of tinea capitis is annular with central
clearing.
Rationale:
1. Tinea capitis presents with ring-shaped lesions that clear in the center.
2. Hair loss (alopecia) with black dots (broken hairs) may also occur.
3. This is a dermatology morphology question.
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Question 5: How do tinea corporis lesions appear?
Correct Answer: Tinea corporis lesions appear as erythematous, scaly
plaques that may rapidly enlarge.
Rationale:
1. Tinea corporis is ringworm of the body (non-hairy skin).
2. Lesions are annular (ring-shaped) with central clearing and an active scaly
border.
3. This is a dermatology morphology question.
Question 6: How does tinea cruris (jock itch) present?
Correct Answer: Tinea cruris presents as arciform or polycyclic lesions that
are duller red in color, macerated with scaliness, and have sharp borders.
Rationale:
1. Tinea cruris affects the groin and inner thighs.
2. Lesions are often bilateral and spare the scrotum.
3. This is a dermatology morphology question.
Question 7: Which tinea presents with diffuse desquamation with
superficial white scales and possible bulla formation?
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Correct Answer: Tinea pedis (athlete's foot) presents with diffuse
desquamation with superficial white scales and possible bulla formation.
Rationale:
1. Tinea pedis affects the feet, especially between the toes.
2. The interdigital and moccasin types present with scaling and maceration.
3. Vesicles and bullae may occur (vesiculobullous type).
4. This is a dermatology morphology question.
Question 8: What will a KOH preparation for tinea reveal?
Correct Answer: A KOH prep for tinea will reveal hyphae and spores.
Rationale:
1. Potassium hydroxide (KOH) dissolves keratin, making fungal elements visible.
2. Hyphae appear as branching, septate threads.
3. This is a diagnostic mycology question.
Question 9: What color will tinea appear under a Wood's lamp?
Correct Answer: Under a Wood's lamp, tinea will light up green.
Rationale:
1. Wood's lamp (ultraviolet light) causes certain dermatophytes to fluoresce.
2. Microsporum species fluoresce bright green.
