Baylor NUR5354 HA Exam 1 Questions and
Answers
Question 1
Psoriasis
Correct Answer
Non-infectious inflammation of dermis. Increased epithelial cell division and
reduced desquamation resulting in thickening of skin. Well defined hyperkeratotic
plaques with hallmark adherent scale are seen bilaterally in extensor surfaces (e.g.,
elbows, knees) more than flexor surfaces, and may also involve scalp and gluteal
crease. Nails appear pitted and dystrophic
Question 2
Primary Lesions
Correct Answer
lesions that develop as a direct result of and therefore are most characteristic of the
disease process.
They are flat, raised, or fluid filled.
Macule, patch, papule/plaque, burrow, vesicle/bulla, wheal, pustule, cyste, nodule
Question 3
Tinea manuum
Correct Answer
fungal infection of the palm of one or both hands
Question 4
Purpuric lesions and Vascular lesions
Correct Answer
petechia/purpura, ecchymosis, spider angioma, spider veins, cherry angioma
Page 1 of 34
,Question 5
Allergic rhinitis
Correct Answer
-Inflammatory process due to exposure to allergens
-watery discharge, nasal congestion, boggy membranes, sneezing, watery eyes, dark
circles under eyes (shiners), fatigue, and clear, bubbly postnasal drip. More severe in
morning
Question 6
general survey
Correct Answer
apparent stat of health, loc, apparent state of distress, skin color or obvious lesions,
dress, grooming, hygiene, facial expressions, body or breath odors, posture, gait,
motor activity
Question 7
Diabetic retinopathy
Correct Answer
Often leads to blindness from damage to the macular region.
Visible areas of blot hemorrhages and microaneurysms are some of the telltale
markers
Question 8
Comprehensive Health Hx
Correct Answer
- Identify data
- Source of health history
- List of chief complaint (CC)
- History of Present Illness (HPI)
- Past Medical History (PMH)
- Family Health Hx
- Personal and Social Hx
- Review of Systems
Page 2 of 34
,Question 9
Rosacea
Correct Answer
Seen mostly in women, chronic acne-like inflammatory condition of the face. Easy
flushing is common early complaint. Late symptoms include papules and
telangiectasia in the forehead, checks, and chin, eventually progressing to chronic
edema and skin thickening. Rhinophyma or large bulbous-appearing nose may be
seen in men.
Question 10
Tympanosclerosis
Correct Answer
Chalky white plaques (hyaline material) and may follow severe otitis media. Usually
does not impair hearing
Question 11
asthma
Correct Answer
Wheezing, resonance or diffuse hyperresonance on percussion, and decreased
tactile fremitus
Question 12
Exopthalmous
Correct Answer
Marked protrusion of the eyes.
Bilateral exophthalmos suggests Graves' disease (hyperthyroidism).
If present unilaterally, rule out tumor or inflammation
Page 3 of 34
, Question 13
Clinical Reasoning (basic structure of the process)
Correct Answer
- gather initial pt info (health hx & physical exam)
-organizing and interpreting info to synthesize the problem (problem
represenation)
-Generating hypothesis (differential dx) for pt's problem
-Testing hypotheses until a working dx is selected
-Planning the diagnostic and treatment strategy
Question 14
Tinea versicolor
Correct Answer
not a dermatophyte infection, it is actually a superficial yeast infection. Causative
organism is Malassezia and it presents as asymptomatic hyperpigmented scaly
macules and patches in some patients, esp. those who have lighter colored skin, and
hypopigmented scaly macules and patches in dark-skinned individuals. Usually seen
on the trunk or arms
Question 15
Acute Otitis Media (AOM)
Correct Answer
-caused by infection and inflammation of middle ear
-bulging of tympanic membrane (appearance of donut or bagel) and boney
landmarks cannot be distinguished
-tympanic membrane discolored (red, yellow, or white)
Question 16
Narrow angle glaucoma
Correct Answer
Less common, Medical emergency
caused by an obstruction to aqueous drainage from the anterior chamber. Acute
symptoms are extreme eye pain with nausea and vomiting and loss of vision
Page 4 of 34
Answers
Question 1
Psoriasis
Correct Answer
Non-infectious inflammation of dermis. Increased epithelial cell division and
reduced desquamation resulting in thickening of skin. Well defined hyperkeratotic
plaques with hallmark adherent scale are seen bilaterally in extensor surfaces (e.g.,
elbows, knees) more than flexor surfaces, and may also involve scalp and gluteal
crease. Nails appear pitted and dystrophic
Question 2
Primary Lesions
Correct Answer
lesions that develop as a direct result of and therefore are most characteristic of the
disease process.
They are flat, raised, or fluid filled.
Macule, patch, papule/plaque, burrow, vesicle/bulla, wheal, pustule, cyste, nodule
Question 3
Tinea manuum
Correct Answer
fungal infection of the palm of one or both hands
Question 4
Purpuric lesions and Vascular lesions
Correct Answer
petechia/purpura, ecchymosis, spider angioma, spider veins, cherry angioma
Page 1 of 34
,Question 5
Allergic rhinitis
Correct Answer
-Inflammatory process due to exposure to allergens
-watery discharge, nasal congestion, boggy membranes, sneezing, watery eyes, dark
circles under eyes (shiners), fatigue, and clear, bubbly postnasal drip. More severe in
morning
Question 6
general survey
Correct Answer
apparent stat of health, loc, apparent state of distress, skin color or obvious lesions,
dress, grooming, hygiene, facial expressions, body or breath odors, posture, gait,
motor activity
Question 7
Diabetic retinopathy
Correct Answer
Often leads to blindness from damage to the macular region.
Visible areas of blot hemorrhages and microaneurysms are some of the telltale
markers
Question 8
Comprehensive Health Hx
Correct Answer
- Identify data
- Source of health history
- List of chief complaint (CC)
- History of Present Illness (HPI)
- Past Medical History (PMH)
- Family Health Hx
- Personal and Social Hx
- Review of Systems
Page 2 of 34
,Question 9
Rosacea
Correct Answer
Seen mostly in women, chronic acne-like inflammatory condition of the face. Easy
flushing is common early complaint. Late symptoms include papules and
telangiectasia in the forehead, checks, and chin, eventually progressing to chronic
edema and skin thickening. Rhinophyma or large bulbous-appearing nose may be
seen in men.
Question 10
Tympanosclerosis
Correct Answer
Chalky white plaques (hyaline material) and may follow severe otitis media. Usually
does not impair hearing
Question 11
asthma
Correct Answer
Wheezing, resonance or diffuse hyperresonance on percussion, and decreased
tactile fremitus
Question 12
Exopthalmous
Correct Answer
Marked protrusion of the eyes.
Bilateral exophthalmos suggests Graves' disease (hyperthyroidism).
If present unilaterally, rule out tumor or inflammation
Page 3 of 34
, Question 13
Clinical Reasoning (basic structure of the process)
Correct Answer
- gather initial pt info (health hx & physical exam)
-organizing and interpreting info to synthesize the problem (problem
represenation)
-Generating hypothesis (differential dx) for pt's problem
-Testing hypotheses until a working dx is selected
-Planning the diagnostic and treatment strategy
Question 14
Tinea versicolor
Correct Answer
not a dermatophyte infection, it is actually a superficial yeast infection. Causative
organism is Malassezia and it presents as asymptomatic hyperpigmented scaly
macules and patches in some patients, esp. those who have lighter colored skin, and
hypopigmented scaly macules and patches in dark-skinned individuals. Usually seen
on the trunk or arms
Question 15
Acute Otitis Media (AOM)
Correct Answer
-caused by infection and inflammation of middle ear
-bulging of tympanic membrane (appearance of donut or bagel) and boney
landmarks cannot be distinguished
-tympanic membrane discolored (red, yellow, or white)
Question 16
Narrow angle glaucoma
Correct Answer
Less common, Medical emergency
caused by an obstruction to aqueous drainage from the anterior chamber. Acute
symptoms are extreme eye pain with nausea and vomiting and loss of vision
Page 4 of 34
