NUR 431 - SKIN DISORDER EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS
streoptococcal skin infection - Answer-occurs with trauma and surgical wounds
severe pain
skin - erythmatic and nectrotic
debridement of necrotic tissue to treat
Lyme disease - Answer-Tick-borne disease whose symptoms may range from none, to
a rash or bull's eye lesion and flu-like symptoms, to chronic arthritis, blindness, and
long-term disability
Rocky Mountain Spotted Fever - Answer-Caused by Rickettsia rickettsii Sx: rash on
palms and soles (migrating to wrists, ankles, then trunk), HA, fever. Endemic to East
Coast (in spite of its name).
acne vulgaris - Answer-inflammation of the skin follicles
caused by sex hormones, heredity, skin bacterial flora, stress, occlusion, cosmetics
what is used to treat acne vulgaris - Answer-retinoids
tretinoin
isotretinoin
derivatives of vitamin A
Rosacea - Answer-Chronic skin disorder of the face with red inflamed areas appearing
mostly on the nose and cheeks
lupus - Answer-a chronic autoimmune disease characterized by inflammation of various
parts of the body
Psoriasis - Answer-chronic skin condition producing red lesions covered with silvery
scales
eczema - Answer-noninfectious, inflammatory skin disease characterized by redness,
blisters, scabs, and itching
dermatitis - Answer-inflammatory condition of the skin
Topical Corticosteroids - Answer-cream, lotion, ointments, gel, foam, spray
increase potency by occlusion
can cause cataracts or glaucoma if placed on the eyes
20-30 gms needed to cover entire body
, emollients - Answer-used for dry skin
moisturizers
promotes keratinocyte differentiation
hot tub folliculitis - Answer-psuedomanas aeruginosa
1-4 days after poorly chlorinated hot tub use
erythematous pustules on torso, buttocks, limbs
folliculitis - treatment - Answer-cleanse the area - chlorhexidene and apply saline
compress
2% mupirocin ointment for limited bacterial folliculitis
pseudomonas treated with ciprofloxacin
Staph aureus treated with dicloxacillin
Herpes Simplex Virus - Answer-HSV 1 - above the waist
HSV 2 - genital
burning or itching
vesicles and erythema
pustules, ulcers, crusts
persists
Changes in Skin (aging) - Answer-increases in capillary fragility and collagen stiffens
decreases in melanocytes, function of sweat and subcutaneous glands, sensory nerves,
degeneration of elastic fibers
vitilligo - Answer-pigment disappears from an area of the skin
sudden onset of pernicious anemia, hyperthyroidism usually before 21
most common infectious disorders of the skin - Answer-caused by staph and strep
Folliculitis - Answer-inflammation of the hair follicle
staphylococcal folliculitis most common form - diabetes is risk factor
painful, yellow pustules surrounded by erythema with presence of central hair
treatment with herpes simplex virus - Answer-acyclovir - topical, oral, IV, 400 mg t.i.d
Varicella Zoster Virus - Answer-chicken pox
lives in the nerve root and does not go away - can develop into shingles
herpes zoster - Answer-shingles
inflammatory
follows dermatome
latent in the sensory dorsal ganglia
unilateral severe pain
parathesias - pain in the nerve root even after the lesions are gone
QUESTIONS WITH COMPLETE
SOLUTIONS
streoptococcal skin infection - Answer-occurs with trauma and surgical wounds
severe pain
skin - erythmatic and nectrotic
debridement of necrotic tissue to treat
Lyme disease - Answer-Tick-borne disease whose symptoms may range from none, to
a rash or bull's eye lesion and flu-like symptoms, to chronic arthritis, blindness, and
long-term disability
Rocky Mountain Spotted Fever - Answer-Caused by Rickettsia rickettsii Sx: rash on
palms and soles (migrating to wrists, ankles, then trunk), HA, fever. Endemic to East
Coast (in spite of its name).
acne vulgaris - Answer-inflammation of the skin follicles
caused by sex hormones, heredity, skin bacterial flora, stress, occlusion, cosmetics
what is used to treat acne vulgaris - Answer-retinoids
tretinoin
isotretinoin
derivatives of vitamin A
Rosacea - Answer-Chronic skin disorder of the face with red inflamed areas appearing
mostly on the nose and cheeks
lupus - Answer-a chronic autoimmune disease characterized by inflammation of various
parts of the body
Psoriasis - Answer-chronic skin condition producing red lesions covered with silvery
scales
eczema - Answer-noninfectious, inflammatory skin disease characterized by redness,
blisters, scabs, and itching
dermatitis - Answer-inflammatory condition of the skin
Topical Corticosteroids - Answer-cream, lotion, ointments, gel, foam, spray
increase potency by occlusion
can cause cataracts or glaucoma if placed on the eyes
20-30 gms needed to cover entire body
, emollients - Answer-used for dry skin
moisturizers
promotes keratinocyte differentiation
hot tub folliculitis - Answer-psuedomanas aeruginosa
1-4 days after poorly chlorinated hot tub use
erythematous pustules on torso, buttocks, limbs
folliculitis - treatment - Answer-cleanse the area - chlorhexidene and apply saline
compress
2% mupirocin ointment for limited bacterial folliculitis
pseudomonas treated with ciprofloxacin
Staph aureus treated with dicloxacillin
Herpes Simplex Virus - Answer-HSV 1 - above the waist
HSV 2 - genital
burning or itching
vesicles and erythema
pustules, ulcers, crusts
persists
Changes in Skin (aging) - Answer-increases in capillary fragility and collagen stiffens
decreases in melanocytes, function of sweat and subcutaneous glands, sensory nerves,
degeneration of elastic fibers
vitilligo - Answer-pigment disappears from an area of the skin
sudden onset of pernicious anemia, hyperthyroidism usually before 21
most common infectious disorders of the skin - Answer-caused by staph and strep
Folliculitis - Answer-inflammation of the hair follicle
staphylococcal folliculitis most common form - diabetes is risk factor
painful, yellow pustules surrounded by erythema with presence of central hair
treatment with herpes simplex virus - Answer-acyclovir - topical, oral, IV, 400 mg t.i.d
Varicella Zoster Virus - Answer-chicken pox
lives in the nerve root and does not go away - can develop into shingles
herpes zoster - Answer-shingles
inflammatory
follows dermatome
latent in the sensory dorsal ganglia
unilateral severe pain
parathesias - pain in the nerve root even after the lesions are gone
