1
Advanced Practice Nursing NUR 6111
Exam 1: Comprehensive Dermatology
and Gastroenterology Study Guide.
A patient presents with red and scaly lesions in the scalp, and the hairs appear
discolored, lusterless, and brittle. The lesions started as small erythematous papule
around a hair shaft on the scalp. The hairs break off a few millimeters above the
scalp skin surface. The lesion has spread, forming numerous papules in a circular
form. The NP knows that in considering the management for this patient, the
statements below are true(multiple answer)
ANSWER: woods lamp, 1% or 2.5%(selsun) patient should follow up negative
culture after treatment
60 year-old female, who works in an animal shelter, comes to your clinic with
complaints of a rash on her buttocks and abdomen for the last week. She has not
changed her detergents or soap. Upon examination you see erythematous, ring-like
lesions with raised, scaly border that appears paler in center. Which test would
initially help you make your diagnosis
ANSWER: KOH scraping
The differential diagnoses for atopic dermatitis include: contact dermatitis, drug
reaction, scabies, and tinea. A feature that can distinguish atopic dermatitis from
the other diagnosis include
ANSWER: Personal history of asthma and hay fever
The most important aspect of skin care for individuals with atopic dermatitis is
ANSWER: application of lubricants emollients
, 2
Which of the following statement is true regarding Actinic Keratosis?
ANSWER: are considered pre- malignant cells and precursors to squamous cell ca
All of the following describe characteristics of benign skin lesions except
ANSWER: variation in color
A 73 year-old woman presents with a newly formed, painless, pearly, ulcerated
nodule with rolled edges and an overlying telangiectasis on the upper lip. Based on
the description, what is the most likely diagnosis?
ANSWER: Basal cell Ca
Which statement is true regarding Basal Cell Carcinoma:
ANSWER: mostly found on head, neck and nose is a common spot
A 75 year-old man comes to the office with complaints over the last 72 hrs of low-
grade fever, headache & burning pain on one side of his back. He states he felt
burning and tingling sensation on his trunk a few days ago, then noticed a rash.
Upon examination there is a unilateral maculopapular and vesicular lesion on the
right side of the trunk. The rash does not cross the midline of the body. Based on
the most likely diagnosis, what is your treatment plan?
ANSWER: Acyclovir 800mg PO 5 times a days for 7-10 days
Mr. Johnson is a 45 year old patient with DM type 2 and is homeless presents with
nodules on his skin around his beard. It started off as pustules on the hair shaft but
has coalesced and presents as nodules win pus. They are red and tender. Your
diagnosis is
Advanced Practice Nursing NUR 6111
Exam 1: Comprehensive Dermatology
and Gastroenterology Study Guide.
A patient presents with red and scaly lesions in the scalp, and the hairs appear
discolored, lusterless, and brittle. The lesions started as small erythematous papule
around a hair shaft on the scalp. The hairs break off a few millimeters above the
scalp skin surface. The lesion has spread, forming numerous papules in a circular
form. The NP knows that in considering the management for this patient, the
statements below are true(multiple answer)
ANSWER: woods lamp, 1% or 2.5%(selsun) patient should follow up negative
culture after treatment
60 year-old female, who works in an animal shelter, comes to your clinic with
complaints of a rash on her buttocks and abdomen for the last week. She has not
changed her detergents or soap. Upon examination you see erythematous, ring-like
lesions with raised, scaly border that appears paler in center. Which test would
initially help you make your diagnosis
ANSWER: KOH scraping
The differential diagnoses for atopic dermatitis include: contact dermatitis, drug
reaction, scabies, and tinea. A feature that can distinguish atopic dermatitis from
the other diagnosis include
ANSWER: Personal history of asthma and hay fever
The most important aspect of skin care for individuals with atopic dermatitis is
ANSWER: application of lubricants emollients
, 2
Which of the following statement is true regarding Actinic Keratosis?
ANSWER: are considered pre- malignant cells and precursors to squamous cell ca
All of the following describe characteristics of benign skin lesions except
ANSWER: variation in color
A 73 year-old woman presents with a newly formed, painless, pearly, ulcerated
nodule with rolled edges and an overlying telangiectasis on the upper lip. Based on
the description, what is the most likely diagnosis?
ANSWER: Basal cell Ca
Which statement is true regarding Basal Cell Carcinoma:
ANSWER: mostly found on head, neck and nose is a common spot
A 75 year-old man comes to the office with complaints over the last 72 hrs of low-
grade fever, headache & burning pain on one side of his back. He states he felt
burning and tingling sensation on his trunk a few days ago, then noticed a rash.
Upon examination there is a unilateral maculopapular and vesicular lesion on the
right side of the trunk. The rash does not cross the midline of the body. Based on
the most likely diagnosis, what is your treatment plan?
ANSWER: Acyclovir 800mg PO 5 times a days for 7-10 days
Mr. Johnson is a 45 year old patient with DM type 2 and is homeless presents with
nodules on his skin around his beard. It started off as pustules on the hair shaft but
has coalesced and presents as nodules win pus. They are red and tender. Your
diagnosis is
