NU 518 Exam 3 Study EXAM AND PRACTICE
EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
,1. 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: A
2. 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: B
3. 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: D
,4. 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: A
5. 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: B
6. 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: A
, 7. 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: B
8. 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: C
9. 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: A
10. 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
EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
,1. 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: A
2. 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: B
3. 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: D
,4. 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: A
5. 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: B
6. 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: A
, 7. 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: B
8. 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: C
9. 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: A
10. 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
