Exam (elaborations) NURSING 234 Derm Review Questions and Rationale- Mercer County Community College

Question1.A 4-year-old male presents to your pediatric clinic with his mother complaining of an itchy rash, mostly between his fingers. This has been going on for multiple days and has been getting worse. The patient recently started at a new day care. On physical exam, the patient is afebrile and has multiple small (1-2 mm) red papules in sets of 3 located in the web spaces between his fingers. He also has signs of excoriation. What is the treatment for this problem? A. Permethrin lotion for the patient and also his family members. Rationale: Tx for SCABIES B. Cold compresses and hydrocortisone cream 1% twice a day. Rationale: decrease inflammation C. Over-the-counter Benadryl cream. Rationale: itch relief only D. Ketoconazole cream. Rationale: treat a fungal infectionQuestion2.The ABCDEs of melanoma identification include which of the following? A. Asymmetry: one half does not match the other half. Rationale: A is for asymmetry: one half does not match the other half. One of the warning signs of cancer is a lesion that does not heal or an area that changes in appearance. The ABCDEs of melanoma identification should be taught to all clients .B. Border: the borders are regular; they are not ragged, notched, or blurred. Rationale: B is for border irregularity: the edges of a melanoma are ragged, notched, or blurred. C. Color: pigmentation is uniform. Rationale: C is for color: pigmentation is not uniform; there may be shades of tan, brown, and black as well as red, white, and blue .D. Diameter: the diameter is 5 mm. Rationale : D is for diameter greater than 6 mm. (E is for an evolving lesion, i.e., changing in any way.