AGPNP Final PREP- 665 ALL PREP CONCEPTS COMBINED

AGPNP Final PREP- 665 ALL PREP CONCEPTS COMBINED o - ANSWER Macule: flat nonpalpable lesion less than 1 cm diameter. Example: freckles (ephelis), lentigo or lentigines (plural) o - ANSWER Papule: palpable solid lesion less than or equal to 0.5cm in diameter. Example: nevi (moles), acne, small cherry angiomas o - ANSWER Plaque: flattened elevated lesion with variable shape greater than 1cm in diameter. Example: psoriatic lesions o - ANSWER Bulla: elevated superficial blister filled with serous fluid and more than 1cm in size. Example: impetigo, second-degree burn with blisters, SJS lesions o - ANSWER Vesicle: elevated superficial skin lesions less than 1 cm in diameter and filled with serous fluid. Example: herpetic lesions o - ANSWER Pustule: elevated superficial skin lesion less than 1cm in diameter filled with purulent fluid. Example: acne pustules o - ANSWER Lichenification: thickening of the epidermis with exaggeration of normal skin lines due to chronic itching (eczema) o - ANSWER Scale: flaking skin (psoriasis) o - ANSWER Crust: dried exudate, may be serous exudate (impetigo) o - ANSWER Ulceration: full-thickness loss of skin (decubiti or pressure injury) o - ANSWER Scar: permanent fibrotic changes following damage to the dermis (surgical scars) o - ANSWER Keloids/hypertrophic scar: overgrowth of scar tissue, more common in blacks, Asians o - ANSWER Acral: distal portions of the limbs such as the hand or feet (accrual melanoma) o - ANSWER Annular: ring-shaped (ringworm or tinea corporis) o - ANSWER Exanthem: cutaneous rash o - ANSWER Flexural: skin flexures are body folds (eczema affects flexural folds) o - ANSWER Maculopapular rash: rash with color (usually pink to red) with small bumps that are raised above the skin o - ANSWER Morbilliform: rash that resembles measles (pink rash with texture) o - ANSWER Nummular: coin-shaped, round (nummular eczema) o - ANSWER Purpura: bleeding into the skin; small bleeds are petechial (RMSF) and larger areas of bleeding are ecchymoses or purpura (meningococcemia) o - ANSWER Serpiginous: shaped like a snake (larva migrans) o - ANSWER Verrucous: wart like • - ANSWER Common dermatological conditions in primary care - pediatric, pregnancy, adult and geriatric o - ANSWER Christmas tree pattern=pityriasis rosea o - ANSWER Honey-colored crusts=impetigo o - ANSWER Erythema migrans= lyme disease o - ANSWER Ring-shaped pruritic area with some