Maryville Nurs 623 Exam 1 Comprehensive Questions with Complete
Solutions, 2025
Basics with skin conditions - (ANSWER)•Alopecia
•Rash
•Pruritus
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
HPI questions for skin problems - (ANSWER)Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation你是想要一篇“眼睛容易阅读的”
•Exposure to insects 中文文章，还是一篇关于“眼睛”
•Jewelry/metals/chemicals 主题的中文文章？
•Family history
Is it:
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
,Pigmentation/Changes of the skin Diff diagnosis - (ANSWER)Nevi- brown, beige or pink(<
5mm)
Melanoma
Related to pregnancy- melasma (mask of pregnancy)
Addison disease
Side effect of medication- steroid therapy
skin lesions - (ANSWER)Macule - flat, nonpalpable (freckle, petechia)
Papule - PALPABLE, solid elevation of skin (elevated nevus)
Nodule - elevated solid mass, deeper and firmer than papule (wart)
Tumor - solid mass deep in subcutaneous tissue (epithelioma)
Wheal - irregularly shaped, elevated area (hive, mosquito bite
你是想要一篇“眼睛容易阅读的”
Vesicle - elevation of skin with serous (clear) fluid
中文文章，还是一篇关于“眼睛”
主题的中文文章？
Pustule - similar to vesicle but filled with pus (acne)
Ulcer - deep loss of skin (venous statis ulcer)
Atophy - thinning of skin
Bullae-Clear fluid-filled blisters > 10 mm in diameter. These may be caused by burns, bites,
irritant or allergic contact dermatitis, and drug reactions.
,primary versus secondary skin lesions - (ANSWER)Primary skin lesions are those which
develop as a direct result of the disease process.
Secondary lesions are those which evolve from primary lesions or develop as a consequence of
the patient's activities.
Parasitic Skin Infections - (ANSWER)scabies and lice
Scabies - (ANSWER)Highly contagious infestation that occurs mainly in children, young adults,
health care workers, and institutionalized persons of all ages.
Subjective: Complaints of intense itching that is usually more severe at night.
Objective:Earliest physical sign is small 1 to 2 mm red papules located in areas of body most
attractive to mites. Itching, excoriation, , crusting, and scaling may be present making it hard to
see scabies.
Diagnostics:Ink burrow test
你是想要一篇“眼睛容易阅读的”
中文文章，还是一篇关于“眼睛”
Scabies treatment - (ANSWER)Permethrin 5% cream (Remember you have 5 fingers)- leave on
for 8-14 hours then shower- 主题的中文文章？
daily for 7 days.
Oral antihistamines for itching, topical steroids for itching.
The entire household must be treated. Everything should be washed with hot water/detergent,
treat any infection that is present.
Starve mites by sealing them in a bag for about 10 days.
Lice treatment - (ANSWER)Permethrin 1% leave on for 10 mins then rinse. May repeat in 7
days if needed.
, Fungal skin infections - (ANSWER)· Candidiasis- bright, beefy red rash treat with topical
antifungal,
· Dermatophytoses - the tineas (ringworm)
· Onychomycosis treat with Terbinafine for 6-12 weeks (only 73-79% effective, educate patient.
· Fungal infections survive on keratin, so considered superficial.
· Pathogens: Epidermophyton, trichophyton, microsporum.
· Those at risk are DM and immunocompromised.
· Diagnostics: KOH
Tinea corporis
(Ringworm of body) - (ANSWER)Hx of erythematous round and elevated pruritic lesion that
grows in size & starts to clear in the center
你是想要一篇“眼睛容易阅读的”
Miconazole 2% cream BID x4 weeks, Clotrimazole 1%, Terbafine 1%
中文文章，还是一篇关于“眼睛”
主题的中文文章？
Tinea capitus (ringworm of head) - (ANSWER)Children common. Painless bald spot, may have
kerion that looks like honeycomb, inflammation. Boggy mass containing broken hairs and
oozing purulent material from follicular orifices
Systemic antifungals - Griseofulvin BID for 2-4 months or 2 weeks after negative cultures.
Teratogenic - use 2nd method of contraception.
OR terbinafine cream
Tinea versicolor (skin, AKA pityriasis versicolor) - (ANSWER)Round or oval lesions of hypo or
hyperpigmentation macule, located mainly on back chest, arms, sometimes neck/face.
Sometimes very fine scales seen. Agent P oribiculare causes round, pityrosporum ovale causes
oval
Solutions, 2025
Basics with skin conditions - (ANSWER)•Alopecia
•Rash
•Pruritus
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
HPI questions for skin problems - (ANSWER)Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation你是想要一篇“眼睛容易阅读的”
•Exposure to insects 中文文章，还是一篇关于“眼睛”
•Jewelry/metals/chemicals 主题的中文文章？
•Family history
Is it:
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
,Pigmentation/Changes of the skin Diff diagnosis - (ANSWER)Nevi- brown, beige or pink(<
5mm)
Melanoma
Related to pregnancy- melasma (mask of pregnancy)
Addison disease
Side effect of medication- steroid therapy
skin lesions - (ANSWER)Macule - flat, nonpalpable (freckle, petechia)
Papule - PALPABLE, solid elevation of skin (elevated nevus)
Nodule - elevated solid mass, deeper and firmer than papule (wart)
Tumor - solid mass deep in subcutaneous tissue (epithelioma)
Wheal - irregularly shaped, elevated area (hive, mosquito bite
你是想要一篇“眼睛容易阅读的”
Vesicle - elevation of skin with serous (clear) fluid
中文文章，还是一篇关于“眼睛”
主题的中文文章？
Pustule - similar to vesicle but filled with pus (acne)
Ulcer - deep loss of skin (venous statis ulcer)
Atophy - thinning of skin
Bullae-Clear fluid-filled blisters > 10 mm in diameter. These may be caused by burns, bites,
irritant or allergic contact dermatitis, and drug reactions.
,primary versus secondary skin lesions - (ANSWER)Primary skin lesions are those which
develop as a direct result of the disease process.
Secondary lesions are those which evolve from primary lesions or develop as a consequence of
the patient's activities.
Parasitic Skin Infections - (ANSWER)scabies and lice
Scabies - (ANSWER)Highly contagious infestation that occurs mainly in children, young adults,
health care workers, and institutionalized persons of all ages.
Subjective: Complaints of intense itching that is usually more severe at night.
Objective:Earliest physical sign is small 1 to 2 mm red papules located in areas of body most
attractive to mites. Itching, excoriation, , crusting, and scaling may be present making it hard to
see scabies.
Diagnostics:Ink burrow test
你是想要一篇“眼睛容易阅读的”
中文文章，还是一篇关于“眼睛”
Scabies treatment - (ANSWER)Permethrin 5% cream (Remember you have 5 fingers)- leave on
for 8-14 hours then shower- 主题的中文文章？
daily for 7 days.
Oral antihistamines for itching, topical steroids for itching.
The entire household must be treated. Everything should be washed with hot water/detergent,
treat any infection that is present.
Starve mites by sealing them in a bag for about 10 days.
Lice treatment - (ANSWER)Permethrin 1% leave on for 10 mins then rinse. May repeat in 7
days if needed.
, Fungal skin infections - (ANSWER)· Candidiasis- bright, beefy red rash treat with topical
antifungal,
· Dermatophytoses - the tineas (ringworm)
· Onychomycosis treat with Terbinafine for 6-12 weeks (only 73-79% effective, educate patient.
· Fungal infections survive on keratin, so considered superficial.
· Pathogens: Epidermophyton, trichophyton, microsporum.
· Those at risk are DM and immunocompromised.
· Diagnostics: KOH
Tinea corporis
(Ringworm of body) - (ANSWER)Hx of erythematous round and elevated pruritic lesion that
grows in size & starts to clear in the center
你是想要一篇“眼睛容易阅读的”
Miconazole 2% cream BID x4 weeks, Clotrimazole 1%, Terbafine 1%
中文文章，还是一篇关于“眼睛”
主题的中文文章？
Tinea capitus (ringworm of head) - (ANSWER)Children common. Painless bald spot, may have
kerion that looks like honeycomb, inflammation. Boggy mass containing broken hairs and
oozing purulent material from follicular orifices
Systemic antifungals - Griseofulvin BID for 2-4 months or 2 weeks after negative cultures.
Teratogenic - use 2nd method of contraception.
OR terbinafine cream
Tinea versicolor (skin, AKA pityriasis versicolor) - (ANSWER)Round or oval lesions of hypo or
hyperpigmentation macule, located mainly on back chest, arms, sometimes neck/face.
Sometimes very fine scales seen. Agent P oribiculare causes round, pityrosporum ovale causes
oval
