NU 518 Exam 3 Study Questions WITH
VERIFIED ANSWERS 2026!!!
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-
up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-blonde hair.
She has a family history of melanoma. She has many freckles scattered across her skin. From this
description, which of the following is not a risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure - ANSWERS✔️💫-A
You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs
of melanoma. Which of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E =evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E =
evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E =
evolution - ANSWERS✔️💫-B
You are beginning the examination of the skin on a 25-year-old teacher. You have previously elicited
that she came to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that
she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with
hypothyroidism?
A) Moist and smooth
B) Moist and rough
,C) Dry and smooth
D) Dry and rough - ANSWERS✔️💫-D
A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large
patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical
examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of
erythematous papules and macules on the cleavage lines of the back. Based on this description, what is
the most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - ANSWERS✔️💫-A
A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on his back
with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He does sweat more
than before because being outdoors is part of his job. On physical examination, you note dark tan
patches with a reddish cast that has sharp borders and fine scales, scattered more prominently around
the upper back, chest, neck, and upper arms as well as under the arms. Based on this description, what
is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - ANSWERS✔️💫-B
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal
area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is
round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on
this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - ANSWERS✔️💫-A
,A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper chest. The
lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a flat surface. It has a
rough, wartlike texture on palpation. Based on this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - ANSWERS✔️💫-B
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the hospital for 6
weeks. She was treated for sepsis and respiratory failure and had to be on the ventilator for 3 weeks.
You are completing your initial assessment and are evaluating her skin condition. On her sacrum there is
full-thickness skin loss that is 5 cm in diameter, with damage to the subcutaneous tissue. The underlying
muscle is not affected. You diagnose this as a pressure ulcer. What is the stage of this ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4 - ANSWERS✔️💫-C
An 8-year-old girl comes with her mother for evaluation of hair loss. She denies pulling or twisting her
hair, and her mother has not noted this behavior at all. She does not put her hair in braids. On physical
examination, you note a clearly demarcated, round patch of hair loss without visible scaling or
inflammation. There are no hair shafts visible. Based on this description, what
is your most likely diagnosis?
A) Alopecia areata
B) Trichotillomania
C) Tinea capitis
D) Traction alopecia - ANSWERS✔️💫-A
A mother brings her 11 month old to you because her mother-in-law and others have told her that her
baby is jaundiced. She is eating and growing well and performing the developmental milestones she
should for her age. On examination you indeed notice a yellow tone to her skin from head to toe. Her
sclerae are white. To which area should your next questions be related?
A) Diet
, B) Family history of liver diseases
C) Family history of blood diseases
D) Ethnicity of the child - ANSWERS✔️💫-A
A new mother is concerned that her child occasionally "turns blue." On further questioning, she
mentions that this is at her hands and feet. She does not remember the child's lips turning blue. She is
otherwise eating and growing well. What would you do now?
A) Reassure her that this is normal
B) Obtain an echocardiogram to check for structural heart disease and consult cardiology
C) Admit the child to the hospital for further observation
D) Question the validity of her story - ANSWERS✔️💫-A
You are examining an unconscious patient from another region and notice Beau's lines, a transverse
groove across all of her nails, about 1 cm from the proximal nail fold. What would you do next?
A) Conclude this is caused by a cultural practice.
B) Conclude this finding is most likely secondary to trauma.
C) Look for information from family and records regarding any problems which occurred 3 months ago.
D) Ask about dietary intake. - ANSWERS✔️💫-C
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of exposure to ill
people or other agents in the environment. He has a slight fever in the office. The rash consists of small,
bright red marks. When they are pressed, the red color remains. What should you do?
A) Prescribe a steroid cream to decrease inflammation.
B) Consider admitting the patient to the hospital.
C) Reassure the parents and the patient that this should resolve within a week.
D) Tell him not to scratch them, and follow up in 3 days. - ANSWERS✔️💫-B
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus). She has
noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't blanch. What would
you tell her regarding her rash?
A) It is likely to be related to her lupus.
VERIFIED ANSWERS 2026!!!
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-
up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-blonde hair.
She has a family history of melanoma. She has many freckles scattered across her skin. From this
description, which of the following is not a risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure - ANSWERS✔️💫-A
You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABCDEs
of melanoma. Which of the following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E =evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6 mm; E =
evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6 mm; E =
evolution - ANSWERS✔️💫-B
You are beginning the examination of the skin on a 25-year-old teacher. You have previously elicited
that she came to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that
she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with
hypothyroidism?
A) Moist and smooth
B) Moist and rough
,C) Dry and smooth
D) Dry and rough - ANSWERS✔️💫-D
A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large
patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical
examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of
erythematous papules and macules on the cleavage lines of the back. Based on this description, what is
the most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - ANSWERS✔️💫-A
A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on his back
with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He does sweat more
than before because being outdoors is part of his job. On physical examination, you note dark tan
patches with a reddish cast that has sharp borders and fine scales, scattered more prominently around
the upper back, chest, neck, and upper arms as well as under the arms. Based on this description, what
is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - ANSWERS✔️💫-B
A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal
area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is
round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on
this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - ANSWERS✔️💫-A
,A 58-year-old gardener comes to your office for evaluation of a new lesion on her upper chest. The
lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a flat surface. It has a
rough, wartlike texture on palpation. Based on this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - ANSWERS✔️💫-B
A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after being in the hospital for 6
weeks. She was treated for sepsis and respiratory failure and had to be on the ventilator for 3 weeks.
You are completing your initial assessment and are evaluating her skin condition. On her sacrum there is
full-thickness skin loss that is 5 cm in diameter, with damage to the subcutaneous tissue. The underlying
muscle is not affected. You diagnose this as a pressure ulcer. What is the stage of this ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4 - ANSWERS✔️💫-C
An 8-year-old girl comes with her mother for evaluation of hair loss. She denies pulling or twisting her
hair, and her mother has not noted this behavior at all. She does not put her hair in braids. On physical
examination, you note a clearly demarcated, round patch of hair loss without visible scaling or
inflammation. There are no hair shafts visible. Based on this description, what
is your most likely diagnosis?
A) Alopecia areata
B) Trichotillomania
C) Tinea capitis
D) Traction alopecia - ANSWERS✔️💫-A
A mother brings her 11 month old to you because her mother-in-law and others have told her that her
baby is jaundiced. She is eating and growing well and performing the developmental milestones she
should for her age. On examination you indeed notice a yellow tone to her skin from head to toe. Her
sclerae are white. To which area should your next questions be related?
A) Diet
, B) Family history of liver diseases
C) Family history of blood diseases
D) Ethnicity of the child - ANSWERS✔️💫-A
A new mother is concerned that her child occasionally "turns blue." On further questioning, she
mentions that this is at her hands and feet. She does not remember the child's lips turning blue. She is
otherwise eating and growing well. What would you do now?
A) Reassure her that this is normal
B) Obtain an echocardiogram to check for structural heart disease and consult cardiology
C) Admit the child to the hospital for further observation
D) Question the validity of her story - ANSWERS✔️💫-A
You are examining an unconscious patient from another region and notice Beau's lines, a transverse
groove across all of her nails, about 1 cm from the proximal nail fold. What would you do next?
A) Conclude this is caused by a cultural practice.
B) Conclude this finding is most likely secondary to trauma.
C) Look for information from family and records regarding any problems which occurred 3 months ago.
D) Ask about dietary intake. - ANSWERS✔️💫-C
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of exposure to ill
people or other agents in the environment. He has a slight fever in the office. The rash consists of small,
bright red marks. When they are pressed, the red color remains. What should you do?
A) Prescribe a steroid cream to decrease inflammation.
B) Consider admitting the patient to the hospital.
C) Reassure the parents and the patient that this should resolve within a week.
D) Tell him not to scratch them, and follow up in 3 days. - ANSWERS✔️💫-B
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus). She has
noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't blanch. What would
you tell her regarding her rash?
A) It is likely to be related to her lupus.
