NSGl 554/l NSG554l Examl 2l –l (NEWl
2026/l 2027l Update)l Nursel Practitionersl
inl Primaryl Carel Il Guidel |l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Wilkes
QUESTION
Benign/Non/malignantl (nevus)l skinl lesions
Answer:
-Symmetryl inl shape,l colourl andl structure
-Stablel orl slowlyl evolving
-Absencel ofl spontaneousl bleeding
-Definedl borders
-Don'tl spreadl tol otherl partsl ofl thel body
QUESTION
Malignantl (melanoma)l skinl lesions
Answer:
-l Al newl spotl onl thel skinl orl al changel inl thel size,l shapel orl colorl ofl anl existingl spot.l
Thesel changesl canl varyl greatly
-l Itchyl orl painful
-l Non-healingl sorel thatl bleedsl orl developsl al crust
-l Redl -rl skin-coloredl shinyl bumpl onl thel topl ofl thel skin
-l Ill-definedl borders
QUESTION
Acrochordonl (skinl tags):
,Answer:
-l Mayl bel associatedl withl diabetes/obesity;l tendl tol growl inl areasl wherel therel arel skinl
folds,l suchl asl thel axilla,l neck,l eyelids,l andl groin
-l Treatment:l scissorl excision;l electrocautery,l whichl mayl causel scarring;l andl locall
applicationl ofl cryotherapyl (liquidl nitrogen)l whichl mayl causel locall hypo-l orl
hyperpigmentation
-l al pedunculatedl skinl lesion
QUESTION
Seborrheicl keratosis
Answer:
-benignl growthl thatl appearl asl wart-likel orl stuck-onl lesionsl withl al waxy,l brown,l orl
blackl coloration
-Commonl inl middle-agedl andl olderl adults,l canl varyl inl sizel andl shape
-Treatmentl withl removall usingl cryotherapy,l curettage,l orl shavel biopsy,l usuallyl forl
cosmeticl purposes
QUESTION
Cherryl Angiomas
Answer:
-small,l redl tol purplel vascularl lesionsl composedl ofl dilatedl capillaries
-Typicallyl asymptomaticl andl increasel inl numberl andl sizel withl age
-Notl associatedl withl anyl disease
-Treatmentl isl cosmetic,l includesl electrodessication,l curettagel orl laser
QUESTION
Wartsl (verrucae)
Answer:
-l common,l benignl growthsl ofl thel skinl causedl byl infectionl withl HPV.l -l canl occurl
anywherel onl thel body
-l Frequentlyl foundl onl hands,l fingers,l feet,l andl genitall areas
,typicallyl presentl asl raised,l rough,l texturedl lesionsl withl al cauliflowerl likel appearance
-l Treatmentl isl basedl onl locationl andl includel topicall medicationsl (salicylicl acid,l
imiquimod),l cryotherapy,l surgicall excision,l laserl therapyl orl immunotherapy
-l canl bel stubbornl andl requirel multiplel treatmentsl forl completel resolution
-l Somel mayl spontaneouslyl regressl withinl treatment
QUESTION
basall celll carcinoma
Answer:
"Rodentl ulcer,"l mostl commonl typel ofl skinl cancer,l typicallyl arisingl froml thel basall cellsl
ofl thel epidermis,l thel outermostl layerl ofl thel skin
Itl isl commonlyl foundl onl sun-exposedl areasl asl thel face,l scalp,l ears,l neckl andl shoulder
Shiny,l pearly,l andl painless,l oftenl withl raisedl bordersl andl telangiectasia
QUESTION
squamousl celll carcinoma
Answer:
Commonl typel ofl skinl cancerl thatl arisesl froml thel squamousl cellsl ofl thel epidermis,l thel
outermostl layerl ofl thel skin
Typicallyl developsl onl sun-exposedl areas,l butl canl alsol concurl inl areasl thatl havel beenl
chronicallyl inflamedl orl injured
SCCl accountsl forl al significantl portionl ofl non-melanomal skinl cancersl andl arel morel
aggressivel thanl basall celll carcinomas
Rough,l scaly,l andl generallyl thickerl thanl BCC.l Theyl canl appearl red,l inflamed,l andl
sometimesl ulceratedl orl crusted,l withl irregularl borders
QUESTION
Melanoma
Answer:
Al typel ofl skinl cancerl thatl arisesl froml melanocytes
Lessl common,l butl morel aggressivel andl hasl al higherl potentiall forl metastasis
, QUESTION
Onychomycosis
Answer:
Al fungall infectionl affectingl thel nails,l particularlyl thel toenails
Commonlyl causedl byl dermatophytel fungil (trichophyton)l asl welll asl nondermatophytel
moldsl andl yeast
S/sx:l naill discoloration,l thickening,l crumbling,l andl sometimesl detachmentl froml thel naill
bed
Canl bel challengingl tol treatl d/tl slowl growthl ofl nailsl andl thel resilientl naturel ofl fungall
pathogen
Orall antil fungall preferredl (terbinafine,l ciclopirox,l orl zoles).
QUESTION
Paronychia,l identificationl andl treatment
Answer:
Causedl byl staphylococcusl aureusl orl strepl pyogenes
Presentsl withl localizedl pain,l erythema,l andl swellingl aroundl thel nail
chronicallyl characterizedl byl recurrentl episodesl ofl inflammationl andl pusl formation
Severel cases:l abscessl mayl occurl leadingl tol fluctuancel andl drainage
Treatment:l warml waterl soaks,l topicall antibiotics,l high-potencyl topicall steroidl
(betamethasone),l dicloxacillinl antibioticl therapy,l incisionl andl drainagel forl abscesses
QUESTION
Herpeticl Whitlow
Answer:
Virall infectionl causedl byl thel herpesl simplexl virusl (HSV),l typicallyl HSV-1
Affectsl thel fingersl orl thumbsl andl isl characterizedl byl painfull vesicularl lesionsl onl thel
distall phalanx
s/sx:l erythema,l swelling,l smalll clearl vesiclesl groupedl together
Vesiclesl mayl rupturel leadingl tol shallowl ulcersl andl canl causel pain,l itching,l burning
Canl bel localizedl orl involvel multiplel digits
2026/l 2027l Update)l Nursel Practitionersl
inl Primaryl Carel Il Guidel |l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Wilkes
QUESTION
Benign/Non/malignantl (nevus)l skinl lesions
Answer:
-Symmetryl inl shape,l colourl andl structure
-Stablel orl slowlyl evolving
-Absencel ofl spontaneousl bleeding
-Definedl borders
-Don'tl spreadl tol otherl partsl ofl thel body
QUESTION
Malignantl (melanoma)l skinl lesions
Answer:
-l Al newl spotl onl thel skinl orl al changel inl thel size,l shapel orl colorl ofl anl existingl spot.l
Thesel changesl canl varyl greatly
-l Itchyl orl painful
-l Non-healingl sorel thatl bleedsl orl developsl al crust
-l Redl -rl skin-coloredl shinyl bumpl onl thel topl ofl thel skin
-l Ill-definedl borders
QUESTION
Acrochordonl (skinl tags):
,Answer:
-l Mayl bel associatedl withl diabetes/obesity;l tendl tol growl inl areasl wherel therel arel skinl
folds,l suchl asl thel axilla,l neck,l eyelids,l andl groin
-l Treatment:l scissorl excision;l electrocautery,l whichl mayl causel scarring;l andl locall
applicationl ofl cryotherapyl (liquidl nitrogen)l whichl mayl causel locall hypo-l orl
hyperpigmentation
-l al pedunculatedl skinl lesion
QUESTION
Seborrheicl keratosis
Answer:
-benignl growthl thatl appearl asl wart-likel orl stuck-onl lesionsl withl al waxy,l brown,l orl
blackl coloration
-Commonl inl middle-agedl andl olderl adults,l canl varyl inl sizel andl shape
-Treatmentl withl removall usingl cryotherapy,l curettage,l orl shavel biopsy,l usuallyl forl
cosmeticl purposes
QUESTION
Cherryl Angiomas
Answer:
-small,l redl tol purplel vascularl lesionsl composedl ofl dilatedl capillaries
-Typicallyl asymptomaticl andl increasel inl numberl andl sizel withl age
-Notl associatedl withl anyl disease
-Treatmentl isl cosmetic,l includesl electrodessication,l curettagel orl laser
QUESTION
Wartsl (verrucae)
Answer:
-l common,l benignl growthsl ofl thel skinl causedl byl infectionl withl HPV.l -l canl occurl
anywherel onl thel body
-l Frequentlyl foundl onl hands,l fingers,l feet,l andl genitall areas
,typicallyl presentl asl raised,l rough,l texturedl lesionsl withl al cauliflowerl likel appearance
-l Treatmentl isl basedl onl locationl andl includel topicall medicationsl (salicylicl acid,l
imiquimod),l cryotherapy,l surgicall excision,l laserl therapyl orl immunotherapy
-l canl bel stubbornl andl requirel multiplel treatmentsl forl completel resolution
-l Somel mayl spontaneouslyl regressl withinl treatment
QUESTION
basall celll carcinoma
Answer:
"Rodentl ulcer,"l mostl commonl typel ofl skinl cancer,l typicallyl arisingl froml thel basall cellsl
ofl thel epidermis,l thel outermostl layerl ofl thel skin
Itl isl commonlyl foundl onl sun-exposedl areasl asl thel face,l scalp,l ears,l neckl andl shoulder
Shiny,l pearly,l andl painless,l oftenl withl raisedl bordersl andl telangiectasia
QUESTION
squamousl celll carcinoma
Answer:
Commonl typel ofl skinl cancerl thatl arisesl froml thel squamousl cellsl ofl thel epidermis,l thel
outermostl layerl ofl thel skin
Typicallyl developsl onl sun-exposedl areas,l butl canl alsol concurl inl areasl thatl havel beenl
chronicallyl inflamedl orl injured
SCCl accountsl forl al significantl portionl ofl non-melanomal skinl cancersl andl arel morel
aggressivel thanl basall celll carcinomas
Rough,l scaly,l andl generallyl thickerl thanl BCC.l Theyl canl appearl red,l inflamed,l andl
sometimesl ulceratedl orl crusted,l withl irregularl borders
QUESTION
Melanoma
Answer:
Al typel ofl skinl cancerl thatl arisesl froml melanocytes
Lessl common,l butl morel aggressivel andl hasl al higherl potentiall forl metastasis
, QUESTION
Onychomycosis
Answer:
Al fungall infectionl affectingl thel nails,l particularlyl thel toenails
Commonlyl causedl byl dermatophytel fungil (trichophyton)l asl welll asl nondermatophytel
moldsl andl yeast
S/sx:l naill discoloration,l thickening,l crumbling,l andl sometimesl detachmentl froml thel naill
bed
Canl bel challengingl tol treatl d/tl slowl growthl ofl nailsl andl thel resilientl naturel ofl fungall
pathogen
Orall antil fungall preferredl (terbinafine,l ciclopirox,l orl zoles).
QUESTION
Paronychia,l identificationl andl treatment
Answer:
Causedl byl staphylococcusl aureusl orl strepl pyogenes
Presentsl withl localizedl pain,l erythema,l andl swellingl aroundl thel nail
chronicallyl characterizedl byl recurrentl episodesl ofl inflammationl andl pusl formation
Severel cases:l abscessl mayl occurl leadingl tol fluctuancel andl drainage
Treatment:l warml waterl soaks,l topicall antibiotics,l high-potencyl topicall steroidl
(betamethasone),l dicloxacillinl antibioticl therapy,l incisionl andl drainagel forl abscesses
QUESTION
Herpeticl Whitlow
Answer:
Virall infectionl causedl byl thel herpesl simplexl virusl (HSV),l typicallyl HSV-1
Affectsl thel fingersl orl thumbsl andl isl characterizedl byl painfull vesicularl lesionsl onl thel
distall phalanx
s/sx:l erythema,l swelling,l smalll clearl vesiclesl groupedl together
Vesiclesl mayl rupturel leadingl tol shallowl ulcersl andl canl causel pain,l itching,l burning
Canl bel localizedl orl involvel multiplel digits
