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Examen

DERM TEST BANK QUESTIONS WITH ANSWERS

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16
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Subido en
12-06-2026
Escrito en
2025/2026

DERM TEST BANK QUESTIONS WITH ANSWERS

Institución
ADVANCED HEALTH ASSESSMENT
Grado
ADVANCED HEALTH ASSESSMENT

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DERM TEST BANK QUESTIONS WITH ANSWERS


All of the following are false statements about atopic dermatitis except:
xz xz xz xz xz xz xz xz xz xz




A) Contact with cold objects may exacerbate the condition
xz xz xz xz xz xz xz xz




B) It does not have a linear distribution
xz xz xz xz xz xz xz




C) It is associated with bullae
xz xz xz xz xz




D) The lesions have vesicles that are full of serous exudate - ans-
xz xz xz xz xz xz xz xz xz xz xz xz




B) It does not have a linear distribution Atopic dermatitis, also known as eczema, is a skin c
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




ondition in which the lesions occur in a linear fashion. They may have many different stages
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




, including erythematous papules and vesicles, with weeping, drainage, and/
xz xz xz xz xz xz xz xz xz




or crusting. Lesions are commonly pruritic and are found on the scalp, face, forearms, wrist
xz xz xz xz xz xz xz xz xz xz xz xz xz xz




s, elbows, and backs of the knees.
xz xz xz xz xz xz




Koplik's spots are associated with: xz xz xz xz




A) Poxvirus infections B) RubeolaC) Kawasaki's disease D) Rubella - ans-
xz xz xz xz xz xz xz xz xz xz




B) Rubeola Rubeola is the Latin name for measles. Signs and symptoms of measles infecti
xz xz xz xz xz xz xz xz xz xz xz xz xz xz




on include fever over 101°F, coryza, cough, conjunctivitis, rash, and Koplik's spots on the b
xz xz xz xz xz xz xz xz xz xz xz xz xz xz




uccal mucosa. Do not confuse rubeola with rubella (German measles or 3-day measles).
xz xz xz xz xz xz xz xz xz xz xz xz




Your female patient of 10 years is concerned about her most recent diagnosis. She was told
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




by her dermatologist that she has an advanced case of actinic keratosis. Which of the follo
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




wing is the best explanation for this patient?
xz xz xz xz xz xz xz




A) It is a benign condition
xz xz xz xz xz




B) It is a precancerous lesion and needs to be followed up with her dermatologist
xz xz xz xz xz xz xz xz xz xz xz xz xz xz




C) It will diminish with application of hydrocortisone cream 1% BID for 2 weeks
xz xz xz xz xz xz xz xz xz xz xz xz xz




D) It is important for her to follow up with an oncologist - ans-
xz xz xz xz xz xz xz xz xz xz xz xz xz




B) It is a precancerous lesion and needs to be followed up with her dermatologist Actinic ker
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




atoses are small, raised skin lesions that result from extended sun exposure. Some actinic
xz xz xz xz xz xz xz xz xz xz xz xz xz xz




keratoses may develop into skin cancer; therefore, further evaluation is needed to determin
xz xz xz xz xz xz xz xz xz xz xz xz




e if removal is required.
xz xz xz xz




What does a potassium hydroxide (KOH) prep help the nurse practitioner 531 diagnose?
xz xz xz xz xz xz xz xz xz xz xz xz




A) Herpes zoster infections
xz xz xz




B) Fungal infectionsxz xz




C) Herpes simplex infections
xz xz xz




D) Viral infections - ans-
xz xz xz xz




B) Fungal infections The potassium hydroxide (KOH) prep test is performed 650 to evaluat
xz xz xz xz xz xz xz xz xz xz xz xz xz




e for tinea or candida (yeast) infection of the skin. In vaginal discharge, the yeast organism i
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




s outside the skin cells, so KOH is not needed to visualize it. But for skin cells, yeast is not vi
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




sible unless the skin cell walls are destroyed by KOH. The test involves placing a sample of
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




skin on a glass slide, with one to two drops of KOH (causes lysis of skin cells) and a coversli
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




p on top. If done correctly, you can visualize the budding spores and pseudohyphae.
xz xz xz xz xz xz xz xz xz xz xz xz xz

,The following skin findings are considered macules except:
xz xz xz xz xz xz xz




A) A freckleB) PetechiaeC) AcneD) A flat, 0.5-cm brown birthmark - ans-
xz xz xz xz xz xz xz xz xz xz xz




C) Acne A macule is a flat, nonraised lesion on the skin. Acne lesions are papules because t
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




hey consist of raised, erythemic lesions on the skin. A freckle, petechiae, and a flat birthmar
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




k are all considered macules.
xz xz xz xz




A new patient is complaining of severe pruritus that is worse at night. Several 540 family me
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




mbers also have the same symptoms. Upon examination, areas of excoriated papules are
xz xz xz xz xz xz xz xz xz xz xz xz xz




noted on some of the interdigital webs of both hands and on the axillae. This finding is most
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




consistent with: xz




A) Contact dermatitis B) ImpetigoC) Larva migransD) Scabies - ans-
xz xz xz xz xz xz xz xz xz




D) Scabies Scabies is a parasitic disease (infestation) of the skin caused by the human itch
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




mite Sarcoptes scabiei. The rash is generally characterized as red, raised excoriated papul
xz xz xz xz xz xz xz xz xz xz xz xz




es. The scabies mite is generally transmitted from one person to another by direct contact w
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




ith the skin of the infested person and can also be acquired by wearing an infested person's
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




clothing (fomites), such as sweaters, coats, or scarves. Following the incubation period, the
xz xz xz xz xz xz xz xz xz xz xz xz




infested person will complain of pruritus (itching), which intensifies at bedtime under the wa
xz xz xz xz xz xz xz xz xz xz xz xz xz xz




rmth of the blankets. Common sites of infection are the webs of fingers, wrists, flexors of the
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz x




arms, the axillae, lower abdomen, genitalia, buttocks, and feet.
z xz xz xz xz xz xz xz xz




A bulla is defined as:
xz xz xz xz




A) A solid nodule less than 1 cm in size
xz xz xz xz xz xz xz xz xz




B) A superficial vesicle filled with serous fluid greater than 1 cm in size
xz xz xz xz xz xz xz xz xz xz xz xz xz




C) A maculopapular lesion
xz xz xz




D) A shallow ulcer - ans-
xz xz xz xz xz




B) A superficial vesicle filled with serous fluid greater than 1 cm in size This isa blister—
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




a circumscribed, fluid-
xz xz




containing, elevated lesion of the skin, usually more than 5 mm in diameter. xz xz xz xz xz xz xz xz xz xz xz xz




256.
Which of the following conditions is associated with a positive Auspitz sign?
xz xz xz xz xz xz xz xz xz xz xz




A) Contact dermatitis
xz xz




B) Seborrheic dermatitis
xz xz




C) Systemic lupus erythematosus
xz xz xz




D) Psoriasis - ans-
xz xz xz




D) Psoriasis The Auspitz sign is simply bleeding that occurs after psoriasis 665 scales have
xz xz xz xz xz xz xz xz xz xz xz xz xz xz x




been removed. It occurs because the capillaries run very close to the surface of the skin un
z xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




der a psoriasis lesion, and removing the scale essentially pulls the tops off the capillaries, c
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




ausing bleeding. Auspitz sign is also found in other scaling disorders such as actinic kerato
xz xz xz xz xz xz xz xz xz xz xz xz xz xz




ses.

A first-
xz




grader presents to a school nurse practitioner with a few blisters on one 549 arm and on his
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




face. The child keeps scratching the affected areas. Some of the lesions have ruptured with
xz xz xz xz xz xz xz xz xz xz xz xz xz xz x




yellow serous fluid that crusts easily. These findings best describe:
z xz xz xz xz xz xz xz xz xz




A) Acute cellulitis
xz xz

, B) Herpes zoster
xz xz




C) Bullous impetigo
xz xz




D) Erysipelas - ans-
xz xz xz




C) Bullous impetigo Bullous impetigo is an infection of the skin caused by Staphylococcus a
xz xz xz xz xz xz xz xz xz xz xz xz xz xz




ureus, which produces exfoliative toxin A. The infection is more common in young children.
xz xz xz xz xz xz xz xz xz xz xz xz xz xz




It is characterized by flaccid large blisters filled with serous fluid. When the bullae rupture, th
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




e serous fluid dries up and resembles honey-
xz xz xz xz xz xz xz




colored crusts. If the child has a limited number of skin lesions, topical therapy with mupiroc
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




in (Bactroban) is effective. But if lesions are extensive, systemic antibiotics, such as Diclox
xz xz xz xz xz xz xz xz xz xz xz xz xz




acillin and cephalexin, are the treatment of choice.
xz xz xz xz xz xz xz




The mother of an 8-year- xz xz xz xz




old boy reports the presence of a round red rash on the child's left lower leg. It appeared 1 w
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




eek after the child returned from visiting his grandparents, who live in Massachusetts. Durin
xz xz xz xz xz xz xz xz xz xz xz xz xz




g the skin exam, the maculopapular rash is noted to have areas of central clearing making it
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




resemble a round target. Which of the following is best described? xz xz xz xz xz xz xz xz xz xz




A) Erythema migrans
xz xz




B) Rocky Mountain spotted fever
xz xz xz xz




C) Meningococcemia D) Larva migrans - ans-
xz xz xz xz xz xz




A) Erythema migrans Erythema migrans is a symptom of early Lyme disease. It is an annul
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




ar lesion that slowly enlarges with time (days to weeks) and has central clearing. It is cause
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




d by a bite from an infected (Borrelia burgdorferi) blacklegged tick. If untreated, infection will
xz xz xz xz xz xz xz xz xz xz xz xz xz xz




spread to joints, nervous system, and heart. Most cases of Lyme disease occur in the North
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




east, mid-Atlantic states, Wisconsin, Minnesota, and northern California.
xz xz xz xz xz xz xz




A new patient who is a 40-year-
xz xz xz xz xz xz




old female postal worker is being evaluated for 554 complaints of a new-
xz xz xz xz xz xz xz xz xz xz xz xz




onset erythematous rash on both cheeks and the bridge ofthe nose, accompanied by fatigu
xz xz xz xz xz xz xz xz xz xz xz xz xz




e. She reports a history of Hashimoto's thyroiditis and is currently being treated with Synthr
xz xz xz xz xz xz xz xz xz xz xz xz xz xz




oid 1.25 mg daily. Which of the following conditions is most likely?
xz xz xz xz xz xz xz xz xz xz xz




A) Atopic dermatitis
xz xz




B) Thyroid disease
xz xz




C) Lupus erythematosus
xz xz




D) Rosacea - ans-
xz xz xz




C) Lupus erythematosus Classic symptoms of lupus erythematosus are butterfly rash acro
xz xz xz xz xz xz xz xz xz xz xz




ss both cheeks and the bridge of the nose, and fatigue. Risk factors also include being fema
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




le and 40 years old. Rosacea also has a similar rash but usually not associated with fatigue.
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz




The following statements are all true regarding herpes zoster except:
xz xz xz xz xz xz xz xz xz




A) It is due to reactivation of latent varicella virus
xz xz xz xz xz xz xz xz xz




B) The typical lesions are bullae
xz xz xz xz xz




C) It is usually more severe in immunocompromised individuals
xz xz xz xz xz xz xz xz




D) Infection of the trigeminal nerve ophthalmic branch can cause corneal blindness - ans-
xz xz xz xz xz xz xz xz xz xz xz xz xz




B) The typical lesions are bullae Herpes zoster (shingles) occurs secondary to reactivation
xz xz xz xz xz xz xz xz xz xz xz xz xz




of the varicella-
xz xz




zoster (VZV) virus. This infection can be more severe in immunocompromised patients due
xz xz xz xz xz xz xz xz xz xz xz xz x

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Subido en
12 de junio de 2026
Número de páginas
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Escrito en
2025/2026
Tipo
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