MARYVILLE NURS 623 EXAM 1
QUESTIONS AND ANSWERS 2026
VERIFIED.
Basics with skin conditions - ANS •Alopecia
•Rash
•Pruritus
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
HPI questions for skin problems - ANS Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
•Family history
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 47
,Is it:
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
Pigmentation/Changes of the skin Diff diagnosis - ANS Nevi- brown, beige or pink(< 5mm)
Melanoma
Related to pregnancy- melasma (mask of pregnancy)
Addison disease
Side effect of medication- steroid therapy
skin lesions - ANS 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)
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 47
,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 - ANS 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 - ANS scabies and lice
Scabies - ANS 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
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 47
, Scabies treatment - ANS 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 - ANS Permethrin 1% leave on for 10 mins then rinse. May repeat in 7 days if
needed.
Fungal skin infections - ANS · Candidiasis- bright, beefy red rash treat with topical antifungal,
· Dermatophytoses - the tineas (ringworm)
· Onychomycosis treat with Terbinafine for 6-12 weeks (only 73-79% effective, educate patient.
· Fungal infections survive on keratin, so considered superficial.
· Pathogens: Epidermophyton, trichophyton, microsporum.
· Those at risk are DM and immunocompromised.
· Diagnostics: KOH
Tinea corporis
(Ringworm of body) - ANS Hx of erythematous round and elevated pruritic lesion that grows
in size & starts to clear in the center
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 47
QUESTIONS AND ANSWERS 2026
VERIFIED.
Basics with skin conditions - ANS •Alopecia
•Rash
•Pruritus
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
HPI questions for skin problems - ANS Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
•Family history
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 47
,Is it:
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
Pigmentation/Changes of the skin Diff diagnosis - ANS Nevi- brown, beige or pink(< 5mm)
Melanoma
Related to pregnancy- melasma (mask of pregnancy)
Addison disease
Side effect of medication- steroid therapy
skin lesions - ANS 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)
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 47
,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 - ANS 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 - ANS scabies and lice
Scabies - ANS 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
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 47
, Scabies treatment - ANS 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 - ANS Permethrin 1% leave on for 10 mins then rinse. May repeat in 7 days if
needed.
Fungal skin infections - ANS · Candidiasis- bright, beefy red rash treat with topical antifungal,
· Dermatophytoses - the tineas (ringworm)
· Onychomycosis treat with Terbinafine for 6-12 weeks (only 73-79% effective, educate patient.
· Fungal infections survive on keratin, so considered superficial.
· Pathogens: Epidermophyton, trichophyton, microsporum.
· Those at risk are DM and immunocompromised.
· Diagnostics: KOH
Tinea corporis
(Ringworm of body) - ANS Hx of erythematous round and elevated pruritic lesion that grows
in size & starts to clear in the center
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 47
