NR 511 Midterm Practicum Guide| Questions &
Answers| Grade A| 100% Correct (Verified
Solutions)- Chamberlain Chamberlain College Of
Nursing
High specificity - high percentage of healthy individuals will show a normal result
Low specificity - -getting a positive result when it i not present
-a high number of false-positives- meaning that a healthy person has a disease when they
actually do not
Sensitivity - the proportion of true positives out of all patients with a designated
condition
If a diagnostic study has a high specificity: - then a high % of health individuals will show
a normal result
If a diagnostic study has a high sensitivity: - then a high percentage of persons with the
given condition will have an abnormal result
Part A medicare covers: - inpatient hospital stay; skilled nursing care; hospice; and home
care
Part B medicare covers: - outpatient services; provider visits; surgery; lab tests; medical
equipment; and preventive exams
Part C medicare covers: - vision exams, hearing exams, eye glasses, and hearing aids
Part D medicare covers: - prescription drugs
Tinea vesicolor - flat to slightly elevated brown papules and plaques that scale when they
are rubbed along with areas of hypopigmentation;prurtis; most commonly found on trunk and
shoulders
Balantitis - candidiasis in the glans of the penis
Tinea corporis - Annual lesions with scaly borders and central clearing on the trunk; has
ring-shaped lesions (ring worm) with scaly borders and central clearing or scaly patches with
distinct borders on exposed skin surfaces or on the trunk.
,Tinea pedis - athletes foot-feet and between toes
Tinea cruis - jock-itch in groin area
Tinea unguium - white or yellow nail discoloration, thickening of the nail and separation
of the nail from the nail bed (most common in toe nails)
Cellulitis - spreading infection of the epidermis and subcutaneous tissues that usually
begins after a break in the skin
Folliculitis - bacterial infection of the hair follicle (think papules)
Impetigo - -highly contagious
-symptoms may be burning and itching with lymphadenopathy
Epidermal inclusion cyst - history of cyst on the same site for months to years, may have
cheesy white discharge with strong odor when expressed
Cholinergic urticaria - hives or wheels that are pruritic and occur on the trunk and arms
following exercise, anxiety, elevated body temperature, or hot baths/showers
*treat with antihistamine
Atopic dermatitis - extremely low threshold for pruritus and the "itch" often appears
before the rash
-cardinal sign is severe pruritus
Herpes simplex - Symptoms include:
-blistering sores
-itching
-pain during urination (during genital outbreak)
-fever
-headache
-tiredness
-lack of appetite
Goal of treatment for herpes simplex - suppress virus
, Herpes zoster - -caused by varicella-zoster and is characterized by a painful rash with
blisters
-rash is unilateral along dermatome
-begins as erythema then changes to papular lesions that rapidly form into vesicles
First line of treatment for acne - Benzoyl peroxide
Who would be good candidates for oral abx treatment for acne? - -those at risks for
pigmentation changes or scarring
-nodulocystic acne
-those who need quick relief from inflammatory acne
Acne teaching - -always use sunscreen with acne treatment
-wash face gently atleast twice daily with antibacterial soap
Rosacea - common skin condition that causes blushing or flushing and visible blood
vessels in the face
Treatment for rosacea - metronidazole cream but may take 6-8 weeks for response
Seborrhea Keratosis, who is at risks? - -older white women
Seborrhea Keratosis lesions - -often itching and irritation with friction or clothing
-may be dark keratin plugs or cysts on surface
-differential diagnosis of seborrheic keratosis is pigmented basil cell carcinoma and malignant
melinoma
Actinic keratosis assesment - flesh colored, hard, sand-paper like lesion that is found on
exposed areas of the skin
Actinic keratosis treatment - cryotherapy and dermatology referral
Lipoma - benign, rubbery, smooth and round mass of compressible tissue with soft
texture (most commonly seen in neck, shoulders, armpits, and thighs)
Scabies - -intensely itchy rash caused by a mite
-treat with ivermectin for systemic treatment
Pediculosis - -hallmark sign of nits that are firmly cemented in place on hair shaft
Answers| Grade A| 100% Correct (Verified
Solutions)- Chamberlain Chamberlain College Of
Nursing
High specificity - high percentage of healthy individuals will show a normal result
Low specificity - -getting a positive result when it i not present
-a high number of false-positives- meaning that a healthy person has a disease when they
actually do not
Sensitivity - the proportion of true positives out of all patients with a designated
condition
If a diagnostic study has a high specificity: - then a high % of health individuals will show
a normal result
If a diagnostic study has a high sensitivity: - then a high percentage of persons with the
given condition will have an abnormal result
Part A medicare covers: - inpatient hospital stay; skilled nursing care; hospice; and home
care
Part B medicare covers: - outpatient services; provider visits; surgery; lab tests; medical
equipment; and preventive exams
Part C medicare covers: - vision exams, hearing exams, eye glasses, and hearing aids
Part D medicare covers: - prescription drugs
Tinea vesicolor - flat to slightly elevated brown papules and plaques that scale when they
are rubbed along with areas of hypopigmentation;prurtis; most commonly found on trunk and
shoulders
Balantitis - candidiasis in the glans of the penis
Tinea corporis - Annual lesions with scaly borders and central clearing on the trunk; has
ring-shaped lesions (ring worm) with scaly borders and central clearing or scaly patches with
distinct borders on exposed skin surfaces or on the trunk.
,Tinea pedis - athletes foot-feet and between toes
Tinea cruis - jock-itch in groin area
Tinea unguium - white or yellow nail discoloration, thickening of the nail and separation
of the nail from the nail bed (most common in toe nails)
Cellulitis - spreading infection of the epidermis and subcutaneous tissues that usually
begins after a break in the skin
Folliculitis - bacterial infection of the hair follicle (think papules)
Impetigo - -highly contagious
-symptoms may be burning and itching with lymphadenopathy
Epidermal inclusion cyst - history of cyst on the same site for months to years, may have
cheesy white discharge with strong odor when expressed
Cholinergic urticaria - hives or wheels that are pruritic and occur on the trunk and arms
following exercise, anxiety, elevated body temperature, or hot baths/showers
*treat with antihistamine
Atopic dermatitis - extremely low threshold for pruritus and the "itch" often appears
before the rash
-cardinal sign is severe pruritus
Herpes simplex - Symptoms include:
-blistering sores
-itching
-pain during urination (during genital outbreak)
-fever
-headache
-tiredness
-lack of appetite
Goal of treatment for herpes simplex - suppress virus
, Herpes zoster - -caused by varicella-zoster and is characterized by a painful rash with
blisters
-rash is unilateral along dermatome
-begins as erythema then changes to papular lesions that rapidly form into vesicles
First line of treatment for acne - Benzoyl peroxide
Who would be good candidates for oral abx treatment for acne? - -those at risks for
pigmentation changes or scarring
-nodulocystic acne
-those who need quick relief from inflammatory acne
Acne teaching - -always use sunscreen with acne treatment
-wash face gently atleast twice daily with antibacterial soap
Rosacea - common skin condition that causes blushing or flushing and visible blood
vessels in the face
Treatment for rosacea - metronidazole cream but may take 6-8 weeks for response
Seborrhea Keratosis, who is at risks? - -older white women
Seborrhea Keratosis lesions - -often itching and irritation with friction or clothing
-may be dark keratin plugs or cysts on surface
-differential diagnosis of seborrheic keratosis is pigmented basil cell carcinoma and malignant
melinoma
Actinic keratosis assesment - flesh colored, hard, sand-paper like lesion that is found on
exposed areas of the skin
Actinic keratosis treatment - cryotherapy and dermatology referral
Lipoma - benign, rubbery, smooth and round mass of compressible tissue with soft
texture (most commonly seen in neck, shoulders, armpits, and thighs)
Scabies - -intensely itchy rash caused by a mite
-treat with ivermectin for systemic treatment
Pediculosis - -hallmark sign of nits that are firmly cemented in place on hair shaft
