NU 518 EXAM 3 | ALL QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | NEWEST EXAM
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 - correct answer A
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 - correct answer B
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 - correct answer D
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?
,NU 518 EXAM 3 | ALL QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | NEWEST EXAM
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - correct answer A
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 - correct answer B
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 - correct answer A
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 - correct answer B
,NU 518 EXAM 3 | ALL QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | NEWEST EXAM
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 - correct answer C
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 - correct answer A
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 performing the developmental
milestones she should for her age. On examination you indeed notice a yellow tone to her skin
from head to toe. Her sclerae are white. To which area should your next questions be related?
A) Diet
B) Family history of liver diseases
C) Family history of blood diseases
D) Ethnicity of the child - correct answer A
A new mother is concerned that her child occasionally "turns blue." On further questioning, she
mentions that this is at her hands and feet. She does not remember the child's lips turning blue.
She is otherwise eating and growing well. What would you do now?
A) Reassure her that this is normal
, NU 518 EXAM 3 | ALL QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | NEWEST EXAM
B) Obtain an echocardiogram to check for structural heart disease and consult cardiology
C) Admit the child to the hospital for further observation
D) Question the validity of her story - correct answer A
You are examining an unconscious patient from another region and notice Beau's lines, a
transverse groove across all of her nails, about 1 cm from the proximal nail fold. What would
you do next?
A) Conclude this is caused by a cultural practice.
B) Conclude this finding is most likely secondary to trauma.
C) Look for information from family and records regarding any problems which occurred 3
months ago.
D) Ask about dietary intake. - correct answer C
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of
exposure to ill people or other agents in the environment. He has a slight fever in the office.
The rash consists of small, bright red marks. When they are pressed, the red color remains.
What should you do?
A) Prescribe a steroid cream to decrease inflammation.
B) Consider admitting the patient to the hospital.
C) Reassure the parents and the patient that this should resolve within a week.
D) Tell him not to scratch them, and follow up in 3 days. - correct answer B
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus).
She has noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't
blanch. What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems. - correct answer A
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It
has been there for about a year and is getting larger. He says his wife has been able to squeeze
out a cheesy-textured substance on occasion. He worries this may be cancer. When gently
pinched from the side, a prominent dimple forms in the middle of the mass. What is most
likely?
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 - correct answer A
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 - correct answer B
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 - correct answer D
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?
,NU 518 EXAM 3 | ALL QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | NEWEST EXAM
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - correct answer A
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 - correct answer B
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 - correct answer A
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 - correct answer B
,NU 518 EXAM 3 | ALL QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | NEWEST EXAM
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 - correct answer C
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 - correct answer A
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 performing the developmental
milestones she should for her age. On examination you indeed notice a yellow tone to her skin
from head to toe. Her sclerae are white. To which area should your next questions be related?
A) Diet
B) Family history of liver diseases
C) Family history of blood diseases
D) Ethnicity of the child - correct answer A
A new mother is concerned that her child occasionally "turns blue." On further questioning, she
mentions that this is at her hands and feet. She does not remember the child's lips turning blue.
She is otherwise eating and growing well. What would you do now?
A) Reassure her that this is normal
, NU 518 EXAM 3 | ALL QUESTIONS AND CORRECT ANSWERS | GRADED A+ | VERIFIED ANSWERS | NEWEST EXAM
B) Obtain an echocardiogram to check for structural heart disease and consult cardiology
C) Admit the child to the hospital for further observation
D) Question the validity of her story - correct answer A
You are examining an unconscious patient from another region and notice Beau's lines, a
transverse groove across all of her nails, about 1 cm from the proximal nail fold. What would
you do next?
A) Conclude this is caused by a cultural practice.
B) Conclude this finding is most likely secondary to trauma.
C) Look for information from family and records regarding any problems which occurred 3
months ago.
D) Ask about dietary intake. - correct answer C
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of
exposure to ill people or other agents in the environment. He has a slight fever in the office.
The rash consists of small, bright red marks. When they are pressed, the red color remains.
What should you do?
A) Prescribe a steroid cream to decrease inflammation.
B) Consider admitting the patient to the hospital.
C) Reassure the parents and the patient that this should resolve within a week.
D) Tell him not to scratch them, and follow up in 3 days. - correct answer B
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus).
She has noticed a raised, dark red rash on her legs. When you press on the rash, it doesn't
blanch. What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems. - correct answer A
Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It
has been there for about a year and is getting larger. He says his wife has been able to squeeze
out a cheesy-textured substance on occasion. He worries this may be cancer. When gently
pinched from the side, a prominent dimple forms in the middle of the mass. What is most
likely?
