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nr 511 week 3 Questions with 100% Correct Answers
UPDATED!!!
A 22-year-old African American female presents to your family
practice office complaining of progressive
skin discoloration. She is adopted and has no known family
history of skin problems. The patient notes
nonpalpable patches of skin loss and blanching of her forehead
and both hands and feet. It has
developed over a period of 6 months and appears to have
stopped. It is not pruritic, and there is no
erythema or sign of infectious etiology. What is the most likely
diagnosis?
• Vitiligo
• Alopecia
Addison Disease
Tinea Versicolor - ANSWER Vitiligo- This is the physical
description of vitiligo.
Which presentation is most concerning for skin cancer?
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• Dark pigmentation of 1 solitary nail that has developed
quickly and without trauma.
• A 1-mm blue, round, nonpalpable discoloration of the skin
that has been present since birth without change.
A 5-mm black mole with round, regular boarders.
• A 2-mm brown mole that is raised 1 mm but round and
regular. - ANSWER Dark pigmentation of 1 solitary nail that has
developed quickly and without trauma. This is
concerning for acral melanoma
A 4-year-old male presents to your pediatric clinic with his
mother complaining of an itchy rash, mostly
between his fingers. This has been going on for multiple days
and has been getting worse. The patient
recently started at a new day care. On physical exam, the
patient is afebrile and has multiple small (1-2
mm) red papules in sets of 3 located in the web spaces between
his fingers. He also has signs of
excoriation. What is the treatment for this problem?
• Permethrin lotion for the patient and also his family
members.
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Cold compresses and hydrocortisone cream 1% twice a day.
Over-the-counter Benadryl cream.
Ketoconazole cream. - ANSWER Permethrin lotion for the
patient and also his family members. - This is the treatment for
scabies
Which of the following patients would not be at risk of Candida
infection?
• A patient with a history of coronary artery disease.
A diabetic patient.
• A patient requiring home antibiotics while recovering from an
operation for an infected hernia.
A patient using a steroid regimen for asthma control - ANSWER
A patient with a history of coronary artery disease. Coronary
artery disease doesn't increase
the risk of Candida infection.
A diabetic patient.
Diabetes increases the risk of Candida infection.
A 3-year-old patient presents to your pediatric office with her
mother. She has recently been started in day care. Her mother
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noted slight perioral erythema on the right side of the patient's
mouth prior to bed last night. The patient awoke today with 3
small, superficial, honey-colored vesicles where the erythema
was last night. The patient has no surrounding erythema. She
had no difficulty eating this
morning and is active and energetic and doesn't appear
lethargic or fatigued. She is also afebrile. How
would you treat this child?
• Local debridement and mupirocin for 5 days.
Oral Keflex for 7 days.
Topical compress with Burow solution and follow-up in 2 to 3
days.
Local debridement and topical compress with Burow solution
and close follow-up. - ANSWER Local debridement and
mupirocin for 5 days. This is the treatment of choice for
impetigo.
A 22-year-old college student presents to your urgent care clinic
complaining of a rash. She was recently
on spring break and spent every night in the hot tub at her
hotel. On physical exam, she has multiple
nr 511 week 3 Questions with 100% Correct Answers
UPDATED!!!
A 22-year-old African American female presents to your family
practice office complaining of progressive
skin discoloration. She is adopted and has no known family
history of skin problems. The patient notes
nonpalpable patches of skin loss and blanching of her forehead
and both hands and feet. It has
developed over a period of 6 months and appears to have
stopped. It is not pruritic, and there is no
erythema or sign of infectious etiology. What is the most likely
diagnosis?
• Vitiligo
• Alopecia
Addison Disease
Tinea Versicolor - ANSWER Vitiligo- This is the physical
description of vitiligo.
Which presentation is most concerning for skin cancer?
,2|Page
• Dark pigmentation of 1 solitary nail that has developed
quickly and without trauma.
• A 1-mm blue, round, nonpalpable discoloration of the skin
that has been present since birth without change.
A 5-mm black mole with round, regular boarders.
• A 2-mm brown mole that is raised 1 mm but round and
regular. - ANSWER Dark pigmentation of 1 solitary nail that has
developed quickly and without trauma. This is
concerning for acral melanoma
A 4-year-old male presents to your pediatric clinic with his
mother complaining of an itchy rash, mostly
between his fingers. This has been going on for multiple days
and has been getting worse. The patient
recently started at a new day care. On physical exam, the
patient is afebrile and has multiple small (1-2
mm) red papules in sets of 3 located in the web spaces between
his fingers. He also has signs of
excoriation. What is the treatment for this problem?
• Permethrin lotion for the patient and also his family
members.
,3|Page
Cold compresses and hydrocortisone cream 1% twice a day.
Over-the-counter Benadryl cream.
Ketoconazole cream. - ANSWER Permethrin lotion for the
patient and also his family members. - This is the treatment for
scabies
Which of the following patients would not be at risk of Candida
infection?
• A patient with a history of coronary artery disease.
A diabetic patient.
• A patient requiring home antibiotics while recovering from an
operation for an infected hernia.
A patient using a steroid regimen for asthma control - ANSWER
A patient with a history of coronary artery disease. Coronary
artery disease doesn't increase
the risk of Candida infection.
A diabetic patient.
Diabetes increases the risk of Candida infection.
A 3-year-old patient presents to your pediatric office with her
mother. She has recently been started in day care. Her mother
, 4|Page
noted slight perioral erythema on the right side of the patient's
mouth prior to bed last night. The patient awoke today with 3
small, superficial, honey-colored vesicles where the erythema
was last night. The patient has no surrounding erythema. She
had no difficulty eating this
morning and is active and energetic and doesn't appear
lethargic or fatigued. She is also afebrile. How
would you treat this child?
• Local debridement and mupirocin for 5 days.
Oral Keflex for 7 days.
Topical compress with Burow solution and follow-up in 2 to 3
days.
Local debridement and topical compress with Burow solution
and close follow-up. - ANSWER Local debridement and
mupirocin for 5 days. This is the treatment of choice for
impetigo.
A 22-year-old college student presents to your urgent care clinic
complaining of a rash. She was recently
on spring break and spent every night in the hot tub at her
hotel. On physical exam, she has multiple
