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NSG 6665 Test 2: Dermatology Questions And Accurate Answers

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NSG 6665 Test 2: Dermatology Questions And Accurate Answers ...

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NSG 6665 Test 2: Dermatology Questions And
Accurate Answers


largest organ - answer skin

example of primary skin lesions - answer macule ▪papule ▪patch ▪plaque ▪wheal
▪nodule ▪tumor ▪vesicle ▪bulla ▪pustule ▪Cyst

secondary skin lesion examples - answer scale lichenification keloid scar excoriation
fissure erosion ulcer atrophy

difference between primary and secondary skin lesions - answer secondary is a result
of primary - open blister, scratched papule, ruptured vesicles, crusting, scabs

secondary extends into dermis

most common inflammatory disorder - answer eczema

eczema other name - answer dermatitis

what mediates atopic dermatitis - answer IgE

atopic dermatitis other names - answer pruritic dermatitis or eczema

who is more at risk for atopic dermatitis - answer individuals with either a personal or
family history of allergies, asthma, or eczema

Atopic contact dermatitis - answer immune mediated skin rash at the site of contact with
a chemical allergen

what mediates atopic contact dermatitis - answer sensitized T-cells

Irritant contact dermatitis cause - answer contact of irritant with skin causes
inflammation

atopic dermatitis description - answer ▪Type of eczematous eruption that is itchy,
recurrent, and usually symmetric

atopic dermatitis commonly found - answer flexor surfaces

▪ Lesions usually involve neck, wrists, area behind ears, antecubital and popliteal flexor
surfaces

chronic atopic dermatitis causes - answer Intense itching leads to scratching,
eczematous change, and lichenification

,wet vs dry dressing atopic dermatitis - answer ▪Keep wet lesions DRY ▪Keep dry
lesions WET

atopic dermatitis treatment - answer avoid precipitants

▪Topical corticosteroids: short course of higher potency (%) for flare-ups; reduce to
lower potency for control ▪Systemic corticosteroids (PO) can be used for severe
flareups ▪Oral antibiotics for secondary infections (Penicillin or Erythromycin)

Allergic contact dermatitis - answer Erythematous pruritic rash that occurs at point of
contact with skin

Allergic contact dermatitis causes - answer soaps, cosmetics, fragrances, jewelry, or
plants such as poison ivy, poison oak, or poison sumac

contact dermatitis most common cause - answer irritant (80%)

% of people allergic to poison oak and ivy - answer 90%- on a varying scale of severity

poison ivy and oak allergen - answer urushiol

why are poison oak and ivy leaves shiny - answer urushiol is the oil that makes it an
allergen

poison oak and ivy description - answer Young poison ivy plant looks very different from
mature plant - grows about 2 feet high but spreads out in vines. Poison oak can grow as
a bush.

The one thing that doesn't vary is the pattern of three leaflets branching from a single,
independent stem. Two leaves are attached directly to the stalk opposite each other.
The third leaf juts out from them at a right angle, so the 3-leaf pattern forms a triangle.
There are no additional leaves on the same stalk, except with sumac.

poison oak and ivy nickname and why - answer the great mimic because they tend to
adopt the leaf shape and growth pattern of the plants that surround them.

poison oak/ivy saying - answer "Leaves of 3, let them be"



why is poison sumac worse than ivy or oak - answer Reaction is similar but more severe
than with poison oak and ivy, because oily resin is on all parts of sumac, not just the
leaves ▪Oil is more potent ▪Poison sumac may grow as a tree



poison oak, ivy, sumac rash - answer itchy, blister

, when does poison oak, ivy, sumac rash occur - answer 24 to 72 hours after exposure to
the oil (delayed hypersensitivity reaction), so the patient may not remember coming



does reaction occur after first exposure to poison oak, ivy, sumac - answer Reaction
does not occurs with first exposure (cell mediated immunity) but with subsequent
exposures



poison oak, ivy, sumac rash first symptoms - answer The first signs of the rash are
curved lines (linear rash) of red, itchy bumps (papules) or blisters (vesicles) that
continue to appear for several days



poison oak, ivy, sumac rash lasts - answer ▪Days 3-4 usually worst, may last 1-2 weeks



poison oak, ivy, sumac rash contagious - answer no, but

Scratching lesions will spread the oil and cause the rash to spread ▪Getting the oil on
hands and touching other parts of the body will spread exposure ▪Oil can get on clothes
and skin can be exposed when clothing comes in contact with skin



poison ivy treatment - answer apply wet cloth or soak in cool water then apply calamine
lotion (for the itch)

If severe, Prescribe topical corticosteroid, oral prednisone, or steroid injection ▪ If
blisters are infected, prescribe antibiotic



education for poison ivy - answer Don't scratch!!!!! Wash hands with soap frequently ▪
Wash clothes separately that may have oil on them ▪ Avoid these OTC meds- ▪Topical
antihistamines (Benadryl) ▪Topical anesthetics (Benzocain) ▪Topical antibiotics
(Neomycin)



new class of 1st degree burns - answer superficial thickness



2nd degree burn new classification - answer partial thickness- either superficial or deep

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