Dermatology Final Exam Review Questions with Answers, Exams of Nursing

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NURS 6435-FINAL REVIEW EXAM SOLUTION

QUESTIONS WITH ANSWERS GRADED A+

1. What medical term is used to identify inflammation disorder of the skin that is often considered synonymous with dermatitis and characterized by pruritus’ with lesion that have indistinct border: - Eczema. - Pityriasis versicolor - Pityriasis rosea - psoriasis
2. DERMATOPHYTE skin infection can be diagnosed from skin scraping and prepared with which solution for microscopic exam: - 10% or 20% potassium hydroxide KOH solution. - Hydrochloric acid - Distilled water - Gram stain
3. ACIRCUMSCRIBED elevated lesion more than 1 cm in diameter in containing clear serous fluid is best described as: - Bullae - Pustule - Vesicle - papule
4. When assessing in children’s hydration status the best place to evaluate skin turgor on an adult is: - on the back of the hand - on the inside of the forearm

- just below the clavicle - the fleshy part of the arms and legs

4. what is the treatment for strawberry hemangioma? - Support involution. - Cosmetic medical removal - Oral antibiotics - Topical steroids 6- Which Of The Following causes condylomas acuminata or genital wart: - human papilloma virus (HPV).

- Pink to red coalescent Maculopapular rash on the scalp or trunk. - Circular round and oval lesion with erythema and scaling patches - Vesicles that rupture creating a thin, flat honey crusted colored crust (impetigo) - Red papules, vesicles, and pustules in clusters. 11- Skin lesions that ruptured creating a thin flat honey colored crust are the hallmark clinical manifestation of which skin disorder? - Bullous Impetigo. - Tinea capitis - Rubella (German measles) - Atopic dermatitis A- patient complaining of hyper Hyperhidrosis should be counseled that - A history and physical need to be completed to rule out any medical etiologies. - There are no therapies for this patient - This is normal occurrences - Bathing in 20% alcohol solution of aluminum chloride hexahydrate(drysol) 13-Which acne lesions are classified as inflammatory? Please select all that apply: - Pustules - Nodules - Papules - Opened comedones (acne primary sign)  The Family Nurse practitioner inspecting a dark-skinned individual for signs of jaundice, the best place to observe skin color in dark skin individual is: - Sclera of the open Eye. - Nail beds - Palm & soles of the hand and feet - Oral mucosa

 During an assessment, the family nurse notes the client’s nails to look at the picture

- what would be a probable diagnosis? Koilonychia, also known as spoon nails - Koilonychia - Nail pitting - Beau’s lines - Finger clubbing  Which clinical manifestation is considered the hallmark of atopic dermatitis: - Itching - Vesicle that burst from crust - Popular rash - High fever  What term is used to identify an inflamed hair root: - Furuncle. - Tinea - Verruca - erysipelas  The family nurse practitioner has made a diagnosis of ONCHOMICOSIS. Which picture would the family nurse practitioner notes while performing physical exam of the patient:

d. scabies  The family nurse practitioner is examining a patient with a diagnosis of PITYRIASIS ROSEA which three statements are correct about the condition a. salmon colored Patch with fine scales is commonly noted on face hands and feet b. Typical Christmas tree pattern lesion distribution is observed c. presence of Herold Patch before onset of generalized rash d. pruritis is not present e. vesicles progressing to progressing 2 pustule within two to three days of eruption  Which skin disorder begins with a single lesion that is circular demarcated and Salmon pink ,measures approximately 3 to 4 centimeter in diameter and is usually located on the trunk a. Acne rosacea b. psoriasis c. lichen planus d. PITYRIASIS rosea  What term is used to identify skin lesions that are elevated round and firm with irregular clawlike margin that extend beyond the original site of injury : a. keloid b. dermatitis c. Psoriasis d. acne 26A young male patient present to the family nurse practitioner office complaining of flulike symptoms a large red spot in the right groin headed in generalized muscle pain these symptoms have persisted for about four to five weeks in taking the history he will be most important to determine whether the patient : a. has a recent insect bite or was potentially exposed to insects such as tick b. has been exposed to a person with tuberculosis c. was using new skin care products d. was taking new medication such as vitamins and herbal therapies 27-What is the cause of molluscum contagiosum a. virus

b. bacteria c. rickettsia d. fungi 28.Which of the following would you treat with topical antibiotic No answer except for this pic 29- missing 30 missing 31-missing 32-missing 33- Clubbing of the nails commonly occurs in patients with chronic respiratory condition the family nurse practitioner access is for this condition by :

- placing nailbed of each index finger together to determine angle of nail plate - evaluating the nail for transverse depression in ridges - determining if there's a diffuse discoloration of the nail bed from decrease oxygenation - placing the patient hands together with palm towards the index finger aligned 34-Which contagious diseases caused by the each mite - scabies - pediculosis - Miliaria - tinea corporis  -the treatment choice for Rocky Mountain spotted fever for six year old patient with NKA is the following - doxycycline - amoxicillin - Azithromycin - Chloramphenicol

A)

B)

C)

D)

 Which skin disorder is characterized by a vesicular eruption after prolonged exposure to perspiration, with subsequent obstruction of the eccrine ducts? (major sweat glands of the human body) A) pediculosis B) Tinea corporis C) Miliaria D) Scabies  On exam of a patient’s skin, the family nurse practitioner finds a lesion that is about

0.75 cm in diameter, brown, circumscribed, flat, and nonpalpable. What is the correct term for this lesion? A) Macule B) Papule C) Nodule D) Wheal  Lesions on the elbows and knees that are well demarcated, thick, silvery, scaly, and erythematous characterized which type of psoriasis? A) Plaque B) Bullae C) Vesicle D) Lichen  The family nurse practitioner has made a diagnosis of psoria Vulgaris after noticing tiny bleeding points when one of the lesion is scrapped (Auspitz’s sign). Which image is consistent with the clinical presentation of psoriasis? A) C B) A C) B

E) Nevi always warrant being removed.  The Wood’s lamp may be used to evaluate skin lesions. When the light is shone on the patient’s skin, a green-yellow fluorescence indicates: A) Lichenification B) Bacterial colonies C) Keratinized cells D) Prescence of fungi  Please select all that apply regarding the following lesion describe as follows “ A pink or flesh-colored bumps on the skin. These bumps can appear anywhere on the skin”. A) People who have a weakened immune system are more prone to have it. B) it is highly contagious C) Wrestlers and gymnasts may get it from touching infected mats. D) Children have a high risk to contact this lesion.  What type of skin infection is tinea corporis ( ringworm)? A) Viral B) Bacterial C) Nematode D) Fungal  Optimal medical therapy for young infants with vomiting or regugitation of gastroesophageal reflux disease (GERD) consists of: A) Frequent small feedings and burping after each feeding. B) Placing the infant prone after frequent feedings. C) Placing the infant supine after feedings.

D) Thickening the feedings and using proton pump inhibitors.  A 6-year-old patient with a history of asthma presents to the office for evaluation by the family nurse pratitioner. The child has never used a peak flowmeter. What quick tool can the family nurse practitioner use to assess the severity of the child’s distress? A) ABG’s B) Chest X-ray C) Presence of runny nose D) Child’s inability to complete a sentence  Indications for antibiotic use in a child with bronchiolitis would include: A) History of two episodes in 4 months B) Rhinitis and a productive cough C) Low-grade fever and sibilant wheezes D) High fever and rales  A new born has a vascular lesion that will not fade as the child gets older. What is your diagnosis? A) Port-wine stain

and the physical findings are within normal limits. What is the treatment of choice for this child? A) Cromolyn sodium (Intal) 2 puffs each morning. B)Theophylline (Theo-24; methylxanthine) 100mg po bid C) Beciomethasone (Beclovent) 2 puffs 3-4 times daily D) Albuterol (Ventolin) 2 puffs MDI 20-30 minutes before exercise  Which of the following is correct in response to a patient's Question concerning possible cause of testicular cancer? A. Balanitis B. Syphilis C. Cryptorchidism D. Gonorrhea  A common cause of acute abdominal pain in children under 5 years old is: A. Incarcerated hernias B. Gastroenteritis C. Intussusception D. Appendicitis  The family nurse practitioner is preparing to examine the Abdomen of a patient. What is the correct. sequence in which to conduct the exam? A. Percussion, palpitation, auscultation, inspection. B. Inspection, auscultation, percussion, palpitation C. Palpitations, percussion, auscultation, inspection. D. Inspection, Palpitation, percussion, auscultation  A family nurse practitioner knows. Normal breath sounds that have a low pitch and soft intensity and that all heard best on inspiration over the posterial long fields are called; A.Vesicular

B. Bronchial C. Rhonchial D. Bronchovesicular  Which of the following best measure of toddler's development A. M-Chat B. Vineland scale C. Bayley scale D. Denver II  Cystic Fibrosis (CF) is the preliminary diagnosis For a young girl who was brought to the clinic for evaluation. The test that will be used to rule out CF is Glucose tolerance test Hemocult test Sweat chloride test Sputum culture and sensitivity  In a 17 year old man which of the following likely responsible for epididymitis? A. Chlamydia Trachomatis B. Candida Albicans C. Escherichia coli D. Treponema palladium  A patient from 12 to 60 years old who has a (FEV) Forced expiratory volume greater than 80%, has been experiencing night time awakenings (4-5 X/month) and using a short acting B2 agonists 3-4X/Week and report minimal limitation to normal activity would be classified as: A. Severe persistent. B. Mild persistent C. Intermittent D. Severe persistent  An exam of the male genitalia that consist of inserting a finger into the Louis cordam and into the inguinal canal, and asking the patient to cough causes the nurse practitioner to feel a sudden presence of a viscus that lies within the inguinal canal and comes through the external canal passing into the scrotum is most likely called: A. A direct inguinal hernia

3-4 times per week, the family nurse practitioner would classify the patient as: a. Well-controlled b. Very poorly controlled c. Not well- controlled d. Out of control  A 3-year-old child is seen in the clinic for chronic, relapsing diarrhea. A stool for ova and parasites is obtained and is positive for Giardia. What is the most appropriate pharmacologic intervention? a. Metronidazole (Flagyl) b. Erythromycin (E-Mycin) c. Ampicillin (Omnipen)  Match the description of the skin lesions with the disorder where it is found.

1. Nevus (flat mole): Flat circumscribed area that is less than 1 cm in diameter
2. Psoriasis or seborrheic and actinic keratosis: Elevated, firm, and rough lesion with a flat top surface greater than 1 cm in diameter
3. Varicella (Chickenpox), herpes zoster (shingles): Elevated circumscribed superficial lesion filled with serous fluid, less than 1 cm in diameter
4. Urticaria allergic reaction: Elevated irregular-shaped area of cutaneous edema; solid and transient with a variable diameter  During examination of a 3-week-old it is noted that the child has irritability when lifted or carried, asymmetrical Moro reflex and spasms along the right sternocleidomastoid. What does this suggest? a. Klippel-Feil syndrome b. Torticollitis c. Sprengel deformity d.

Fractured clavicle  The family nurse practitioner is teaching a patient about the role of medications in the treatment of asthma. Which statement by the patient would require further teaching? a. “The Salmeterol that I take provides me with long-term control” b. “I need to use my peak-flow meter to self-monitor how I am doing” c. “I do not need to use a spacer with my MDI” d. “My albuterol is my quick-relief mediation”  Which of the is a typical presentation of a dislocation in the hip of a child 6 months of older? a. Asymmetry of skin folds b. Negative Trendelensburg sign c. Positive Barlow & Ortolani sign d. Atrophied hip muscles  Lesions on the elbows and knees that are well demarcated, thick, silvery, scaly, and erythematous characterize which type of Psoriasis? c. Guttate d. Plaque  On a routine physical exam, a patient expresses concern over the observation that one side of his scrotum is larger than the other side. He states it has been getting larger for the past few months and and that the scrotum is smaller in the morning and enlarges through the day. He has felt a heaviness in the scrotum, denies any acute pain. He reports no history of trauma to the scrotal area. On exam, the family nurse practitioner confirms the enlargement and further exam reveals that the scrotum transilluminate and that manual manipulation of the scrotum does not cause pain. What is the initial diagnosis for the patient? a. Traumatic injury b. Orchitis c. Hydrocele d. Epididymitis  Which medication inhibits bronchoconstriction and is used as an adjunct to