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NURS 623 MARYVILLE EXAM 1 2025
UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
Basics with skin conditions - correct answer- •Alopecia
•Rash
•Pruritus
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
HPI questions for skin problems - correct answer- Duration of
symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
•Family history
Is it:
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Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
Pigmentation/Changes of the skin Diff diagnosis - correct
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 - correct 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
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Vesicle - elevation of skin with serous (clear) fluid
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 - correct 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 - correct answer- scabies and lice
Scabies - correct answer- Highly contagious infestation that
occurs mainly in children, young adults, health care workers,
and institutionalized persons of all ages.
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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
Scabies treatment - correct answer- Permethrin 5% cream
(Remember you have 5 fingers)- leave on for 8-14 hours then
shower- 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 - correct answer- Permethrin 1% leave on for 10
mins then rinse. May repeat in 7 days if needed.
NURS 623 MARYVILLE EXAM 1 2025
UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
Basics with skin conditions - correct answer- •Alopecia
•Rash
•Pruritus
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
HPI questions for skin problems - correct answer- Duration of
symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
•Family history
Is it:
,2 | Page
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
Pigmentation/Changes of the skin Diff diagnosis - correct
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 - correct 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
,3 | Page
Vesicle - elevation of skin with serous (clear) fluid
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 - correct 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 - correct answer- scabies and lice
Scabies - correct answer- Highly contagious infestation that
occurs mainly in children, young adults, health care workers,
and institutionalized persons of all ages.
, 4 | Page
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
Scabies treatment - correct answer- Permethrin 5% cream
(Remember you have 5 fingers)- leave on for 8-14 hours then
shower- 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 - correct answer- Permethrin 1% leave on for 10
mins then rinse. May repeat in 7 days if needed.
