NGR 6002 Exam 1 Questions and Answers Already Passed
Kawasaki Disease - Answers strawberry tongue, desquamation of fingertips, erythematous
palms/soles, cherry red lips
Liver conditions - Answers Terry nails, jaundice, telangiectasias (spider angiomas), palmar
erythema, pupura, caput medusae
Leukemia/lymphoma - Answers petechia, pallor, pruritis, ecchymoses, nodules
neurofibratomas - Answers cafe au lait spots (more than 5), freckling in the axillae (crowe sign),
nneurofibromas
Pancreatitis - Answers Cullen sign (umbilical bruising), Grey Turner sign (Left flank bruising)
SLE - Answers Malar erythema (butterfly rash)
Sarcoidosis - Answers Red-brown annular plaques on head & neck. Apple jelly appearance on
dermoscopy
Endocarditis - Answers Splinter hemorrhage in fingernails, petechiae, Osler nodes (painful red
lesions on hands/feet), Janeway lesions (non-tender lesions similar to Osler nodes
Addisons - Answers hyperpigmentation of oral mucosa & sun exposed skin
Renal disease - Answers "uremic frost", "half & half" nails, pallor, pruritis
Cushings - Answers acne, striae, hypertrichosis
Dyslipidemia - Answers xanthomas & xanthelasma
Hypothyroid - Answers Dry, rough, pale skin; coarse, brittle hair; myxedema; alopecia (eyebrows)
Hyperthyroid - Answers moist, velvety skin; thin, fine hair; hyperpigmentation
Salmon patch - Answers "stork bite" "angel kiss"; fades with age
Milia - Answers Benign, keratin-filled cysts that can appear just under the epidermis and have no
visible opening.
erythema toxicum - Answers yellow/white pustules on erythemic base that resemble flea bites
Milaria rubra - Answers erythematous base with CLEAR FILLED vesicle on the face and trunk;
clear spontaneously; "prickly heat"; think heat rash and blocked sweat ducts
Pustular melanosis - Answers transient benign rash -- small dry superficial vesicles over a dark
macular base, leave a hyperpigmented region when they rupture -- more common in african
american infants
, jaundice - Answers occurs during days 2-5; progresses from head to toe as it peeks. If it occurs
in the first 24 hours, think hemolytic disease of the newborn
slate blue patches - Answers normal finding on buttocks of dark skinned babies
polycythemia skin manifestation - Answers ruddy complexion; dark red nail beds
Pseudoscars - Answers white depigmented patches
Actinic purpura - Answers purple patches or macules of the skin of elderly patients caused by
blood that has leaked through poorly supported capillaries and spread within the dermis
Asteatosis - Answers Condition of dry, scaly skin due to a deficiency or absence of sebum that
is caused by old age and by exposure to cold.
Melanonychia - Answers Darkening of the fingernails or toenails; may be seen as a black band
within the nail plate, extending from the base to the free edge.
Subungal Melanoma - Answers wide streak that is growing/evolving
Habit-tic deformity - Answers parallel horizontal groove - caused by repetitive trauma, often
inflamed cuticle and enlarged lunula which may help you differentiate from median nail
dystrophy - grooves go straight across like a "canal"; christmas tree pattern
Onycholysis - Answers Lifting of the nail plate from the nail bed without shedding, usually
beginning at the free edge and continuing toward the lunula area; painless
onychomycosis - Answers fungal infection of the nail causing nail thickening; prevention by
treatment of tinea pedis
Terry Nails - Answers Nail plate turns white with a ground-glass appearance, a distal band of
reddish brown, and obliteration of the lunula
Beau lines - Answers white lines across the fingernails; usually a sign of systemic disease or
injury; transverse lines
paronychia - Answers inflammation of the nail fold; red swollen; can be caused by nail biting,
manicuring
Telogen effluvium - Answers positive hair pull test shows that most hairs have telogen bulbs
Anagen effluvium - Answers Diffuse hair loss from the roots but hair pull test shows few if any
hairs with telogen bulbs
alopecia areata - Answers focal area of hair loss, no scaling or erythema; sudden onset
tinea capitis - Answers ringworm of the scalp; scaling plaques (kerion) with crusting and
possible painful occipital node
Kawasaki Disease - Answers strawberry tongue, desquamation of fingertips, erythematous
palms/soles, cherry red lips
Liver conditions - Answers Terry nails, jaundice, telangiectasias (spider angiomas), palmar
erythema, pupura, caput medusae
Leukemia/lymphoma - Answers petechia, pallor, pruritis, ecchymoses, nodules
neurofibratomas - Answers cafe au lait spots (more than 5), freckling in the axillae (crowe sign),
nneurofibromas
Pancreatitis - Answers Cullen sign (umbilical bruising), Grey Turner sign (Left flank bruising)
SLE - Answers Malar erythema (butterfly rash)
Sarcoidosis - Answers Red-brown annular plaques on head & neck. Apple jelly appearance on
dermoscopy
Endocarditis - Answers Splinter hemorrhage in fingernails, petechiae, Osler nodes (painful red
lesions on hands/feet), Janeway lesions (non-tender lesions similar to Osler nodes
Addisons - Answers hyperpigmentation of oral mucosa & sun exposed skin
Renal disease - Answers "uremic frost", "half & half" nails, pallor, pruritis
Cushings - Answers acne, striae, hypertrichosis
Dyslipidemia - Answers xanthomas & xanthelasma
Hypothyroid - Answers Dry, rough, pale skin; coarse, brittle hair; myxedema; alopecia (eyebrows)
Hyperthyroid - Answers moist, velvety skin; thin, fine hair; hyperpigmentation
Salmon patch - Answers "stork bite" "angel kiss"; fades with age
Milia - Answers Benign, keratin-filled cysts that can appear just under the epidermis and have no
visible opening.
erythema toxicum - Answers yellow/white pustules on erythemic base that resemble flea bites
Milaria rubra - Answers erythematous base with CLEAR FILLED vesicle on the face and trunk;
clear spontaneously; "prickly heat"; think heat rash and blocked sweat ducts
Pustular melanosis - Answers transient benign rash -- small dry superficial vesicles over a dark
macular base, leave a hyperpigmented region when they rupture -- more common in african
american infants
, jaundice - Answers occurs during days 2-5; progresses from head to toe as it peeks. If it occurs
in the first 24 hours, think hemolytic disease of the newborn
slate blue patches - Answers normal finding on buttocks of dark skinned babies
polycythemia skin manifestation - Answers ruddy complexion; dark red nail beds
Pseudoscars - Answers white depigmented patches
Actinic purpura - Answers purple patches or macules of the skin of elderly patients caused by
blood that has leaked through poorly supported capillaries and spread within the dermis
Asteatosis - Answers Condition of dry, scaly skin due to a deficiency or absence of sebum that
is caused by old age and by exposure to cold.
Melanonychia - Answers Darkening of the fingernails or toenails; may be seen as a black band
within the nail plate, extending from the base to the free edge.
Subungal Melanoma - Answers wide streak that is growing/evolving
Habit-tic deformity - Answers parallel horizontal groove - caused by repetitive trauma, often
inflamed cuticle and enlarged lunula which may help you differentiate from median nail
dystrophy - grooves go straight across like a "canal"; christmas tree pattern
Onycholysis - Answers Lifting of the nail plate from the nail bed without shedding, usually
beginning at the free edge and continuing toward the lunula area; painless
onychomycosis - Answers fungal infection of the nail causing nail thickening; prevention by
treatment of tinea pedis
Terry Nails - Answers Nail plate turns white with a ground-glass appearance, a distal band of
reddish brown, and obliteration of the lunula
Beau lines - Answers white lines across the fingernails; usually a sign of systemic disease or
injury; transverse lines
paronychia - Answers inflammation of the nail fold; red swollen; can be caused by nail biting,
manicuring
Telogen effluvium - Answers positive hair pull test shows that most hairs have telogen bulbs
Anagen effluvium - Answers Diffuse hair loss from the roots but hair pull test shows few if any
hairs with telogen bulbs
alopecia areata - Answers focal area of hair loss, no scaling or erythema; sudden onset
tinea capitis - Answers ringworm of the scalp; scaling plaques (kerion) with crusting and
possible painful occipital node
