623 ADULT - DERM SYSTEM NP CERTIFICATION, FITZGERALD 4TH EDITION EXAM 2025
WITH PRACTICE QUESTIONS AND ANSWERS
confluent or coalescent - (answer)what are multiple lesions blending together called?
macule - (answer)what are flat discoloration less than 1 cm in diameter called?
wheal - (answer)what are circumscribed areas of skin edema called?
fissure - (answer)what are narrow linear cracks into epidermis, exposing dermis called?
pustules - (answer)what are vesicle-like lesions with purulent content called?
patch - (answer)what are flat discoloration greater than 1cm in diameter called?
plaque - (answer)what are raised lesions, larger than 1cm, may be same or different color from the
surrounding skin called?
reticular - (answer)what are netlike clusters called?
ulcer - (answer)what is loss of epidermis and dermis called?
atrophy - (answer)what is loss of skin markings and full skin thickness called?
lichenification - (answer)what is skin thickening usually found over pruritic or friction areas called?
annular - (answer)what is in a ring formation called?
b. 2 - (answer)how many grams of a topical cream or ointment are needed for a single application to the
hands?
,623 ADULT - DERM SYSTEM NP CERTIFICATION, FITZGERALD 4TH EDITION EXAM 2025
WITH PRACTICE QUESTIONS AND ANSWERS
a. 1
b. 2
c. 3
d. 4
c. 3 - (answer)how many grams of a topical cream or ointment are needed for a single application to an
arm?
a. 1
b. 2
c. 3
d. 4
b. 30-60 - (answer)how many grams of a topical cream or ointment are needed for a single application
to the entire body?
a. 10-30
b. 30-60
c. 60-90
d. 90-120
c. face - (answer)you write a rx for a topical agent and anticipate the greatest rate of absorption when it
is applied to the:
a. palms of the hands
b. soles of the feet
c. face
d. abdomen
d. ointment - (answer)you rx a topical medication and want it to have maximum absorption, so you
choose:
,623 ADULT - DERM SYSTEM NP CERTIFICATION, FITZGERALD 4TH EDITION EXAM 2025
WITH PRACTICE QUESTIONS AND ANSWERS
a. gel
b. lotion
c. cream
d. ointment
c. a vasoconstrictor - (answer)one of the mechanisms of action of a topical corticosteroid preparation is
as:
a. an antimitotic
b. an exfoliant
c. a vasoconstrictor
d. a humectant
b. and cover with an occlusive dressing - (answer)to enhance the potency of a topical corticosteroid, the
prescriber recommends that the pt apply the preparation:
a. to dry skin by gentle rubbing
b. and cover with an occlusive dressing
c. before bathing
d. with an emollient
c. hydrocortisone 2.5% - (answer)which of the following is the least potent topical corticosteroid?
a. betamethasome dipropionate 0.1% (diprosone)
b. clobetasol propionate 0.05% (cormax)
c. hydrocortisone 2.5%
d. fluocinonide 0.05% (lidex)
b. clobetasol propionate 0.05% (cormax) - (answer)which of the following is a super high potent topical
corticosteroid?
a. betamethasome dipropionate 0.1% (diprosone)
, 623 ADULT - DERM SYSTEM NP CERTIFICATION, FITZGERALD 4TH EDITION EXAM 2025
WITH PRACTICE QUESTIONS AND ANSWERS
b. clobetasol propionate 0.05% (cormax)
c. hydrocortisone 2.5%
d. fluocinonide 0.05% (lidex)
d. fluocinonide 0.05% (lidex) - (answer)which of the following is a high potency topical corticosteroid?
a. betamethasome dipropionate 0.1% (diprosone)
b. clobetasol propionate 0.05% (cormax)
c. hydrocortisone 2.5%
d. fluocinonide 0.05% (lidex)
c. blocking activity at histamine receptor sites - (answer)antihistamines exhibit therapeutic effect by:
a. inactivating circulating histamine
b. preventing the production of histamine
c. blocking activity at histamine receptor sites
d. acting as a procholinergic agent
a. urinary retention - (answer)a possible adverse effect with the use of a first-generation antihistamine
such as diphenhydramine in an 80 y/o man is:
a. urinary retention
b. hypertension
c. tachycardia
d. urticaria
a. chlorpheniramine - (answer)which of the following medications is likely to cause the most sedation?
a. chlorpheniramine
b. cetirizine
c. fexofenadine
WITH PRACTICE QUESTIONS AND ANSWERS
confluent or coalescent - (answer)what are multiple lesions blending together called?
macule - (answer)what are flat discoloration less than 1 cm in diameter called?
wheal - (answer)what are circumscribed areas of skin edema called?
fissure - (answer)what are narrow linear cracks into epidermis, exposing dermis called?
pustules - (answer)what are vesicle-like lesions with purulent content called?
patch - (answer)what are flat discoloration greater than 1cm in diameter called?
plaque - (answer)what are raised lesions, larger than 1cm, may be same or different color from the
surrounding skin called?
reticular - (answer)what are netlike clusters called?
ulcer - (answer)what is loss of epidermis and dermis called?
atrophy - (answer)what is loss of skin markings and full skin thickness called?
lichenification - (answer)what is skin thickening usually found over pruritic or friction areas called?
annular - (answer)what is in a ring formation called?
b. 2 - (answer)how many grams of a topical cream or ointment are needed for a single application to the
hands?
,623 ADULT - DERM SYSTEM NP CERTIFICATION, FITZGERALD 4TH EDITION EXAM 2025
WITH PRACTICE QUESTIONS AND ANSWERS
a. 1
b. 2
c. 3
d. 4
c. 3 - (answer)how many grams of a topical cream or ointment are needed for a single application to an
arm?
a. 1
b. 2
c. 3
d. 4
b. 30-60 - (answer)how many grams of a topical cream or ointment are needed for a single application
to the entire body?
a. 10-30
b. 30-60
c. 60-90
d. 90-120
c. face - (answer)you write a rx for a topical agent and anticipate the greatest rate of absorption when it
is applied to the:
a. palms of the hands
b. soles of the feet
c. face
d. abdomen
d. ointment - (answer)you rx a topical medication and want it to have maximum absorption, so you
choose:
,623 ADULT - DERM SYSTEM NP CERTIFICATION, FITZGERALD 4TH EDITION EXAM 2025
WITH PRACTICE QUESTIONS AND ANSWERS
a. gel
b. lotion
c. cream
d. ointment
c. a vasoconstrictor - (answer)one of the mechanisms of action of a topical corticosteroid preparation is
as:
a. an antimitotic
b. an exfoliant
c. a vasoconstrictor
d. a humectant
b. and cover with an occlusive dressing - (answer)to enhance the potency of a topical corticosteroid, the
prescriber recommends that the pt apply the preparation:
a. to dry skin by gentle rubbing
b. and cover with an occlusive dressing
c. before bathing
d. with an emollient
c. hydrocortisone 2.5% - (answer)which of the following is the least potent topical corticosteroid?
a. betamethasome dipropionate 0.1% (diprosone)
b. clobetasol propionate 0.05% (cormax)
c. hydrocortisone 2.5%
d. fluocinonide 0.05% (lidex)
b. clobetasol propionate 0.05% (cormax) - (answer)which of the following is a super high potent topical
corticosteroid?
a. betamethasome dipropionate 0.1% (diprosone)
, 623 ADULT - DERM SYSTEM NP CERTIFICATION, FITZGERALD 4TH EDITION EXAM 2025
WITH PRACTICE QUESTIONS AND ANSWERS
b. clobetasol propionate 0.05% (cormax)
c. hydrocortisone 2.5%
d. fluocinonide 0.05% (lidex)
d. fluocinonide 0.05% (lidex) - (answer)which of the following is a high potency topical corticosteroid?
a. betamethasome dipropionate 0.1% (diprosone)
b. clobetasol propionate 0.05% (cormax)
c. hydrocortisone 2.5%
d. fluocinonide 0.05% (lidex)
c. blocking activity at histamine receptor sites - (answer)antihistamines exhibit therapeutic effect by:
a. inactivating circulating histamine
b. preventing the production of histamine
c. blocking activity at histamine receptor sites
d. acting as a procholinergic agent
a. urinary retention - (answer)a possible adverse effect with the use of a first-generation antihistamine
such as diphenhydramine in an 80 y/o man is:
a. urinary retention
b. hypertension
c. tachycardia
d. urticaria
a. chlorpheniramine - (answer)which of the following medications is likely to cause the most sedation?
a. chlorpheniramine
b. cetirizine
c. fexofenadine
