AGNP AANP Comprehensive Set

Basal Cell Carcinoma correct answer Most common type of skin cancer in US. Pearly or waxy skin lesion with atrophic or ulcerated center that does not heal. Can be white, light pink, brown, or flesh colored. May bleed easily. Actinic Keratosis correct answer Dry, round, red-colored lesions with rough texture that do not heal. Slow growing. In some cases- pre-cancerous lesion of squamous cell carcinoma. Subungual Hematoma correct answer Direct trauma to nail bed results in pain and bleeding trapped between the nail bed and the fingernail/toenail. Can drain (trephination) nail. Steven-Johnson Syndrome (Toxic Epidermal Necrolysis) correct answer lesions that appear like a target or a bullseye. Multiple lesions start erupting abruptly and can include hives, blisters, petechia, purpura and necrosis and sloughing of epidermis. Triggers include medications such as allopurinol, anticonvulsants, sulfonamides, and NSAIDs. Rocky Mountain Spotted Fever correct answer Presents with abrupt onset of high fever, chills, severe headache, nausea/vomiting, photophobia, etc followed by rash that erupts 2-5 days after onset of fever. Small red spots (petechiae) that erupt on wrist, forearms, and ankles (sometimes on palms and soles). Tuberculosis correct answer Positive result can be 5 mm. Chest X-ray may show cavitation that are usually located in upper lobes. The skin induration is the best indicator of a positive Mantoux result Cough lasting 3 weeks or longer. Pleuritic chest pain. Hempotysis with fatigue, weight loss, anorexia, fever/chills, night sweats. Mitral Area correct answer Best location to auscultate S3 heart sound. Left lateral recumbent position brings the apex closer to the wall and improves practitioners ability to hear the S3.