NSG 6320 AGNP Board Exam – Dermatology Assessment Exam A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be
present a... [Show More] t birth and enlarge during the first 10 to 15 months is characteristic of a:
cavernous hemangioma. Correct
A cavernous hemangioma appears as a reddish blue, irregularly shaped, solid and
spongy mass of blood vessels. It may be present at birth, may enlarge during the first 10
to 15 months, and will not involute spontaneously. A port-wine stain is a large, flat,
macular dark red or purplish patch covering the scalp or face, frequently along the
distribution of cranial nerve V and intensifies with crying, exertion, or exposure to heat
or cold. A strawberry mark is a type of hemangioma that has a raised bright red area
with well-defined borders about 2 to 3 cm in diameter. It does not blanch with pressure.
Telangiectasia are caused by vascular dilation and are permanently dilated blood
vessels that are visible on the skin surface.
A chancre is defined as a:
group of small scattered vesicles.
painless ulceration. Correct
papule of many shapes.
non-tender penile indurated nodule.
A chancre is defined as a painless ulceration formed during the primary stages of
syphilis. A group of scattered small vesicles is associated with genital herpes. Papules
appearing in many shapes that can be raised, flat, or cauliflower-like are characteristic
of genital warts (condylomata acuminata). Non-tender indurated nodules are associated
with carcinoma of the penis.
Transverse depressions of the nail plates, usually bilateral, resulting from temporary
disruption of proximal nail growth from systemic illness is termed:
Beau's lines. Correct
Beau's lines are deep grooved lines that run from side to side on the fingernail. They
appear as transverse depressions of the nail plates, usually bilateral, resulting from
temporary disruption of proximal nail growth from systemic illness, such as severe
illness, cold stress in the presence of Reynaud's disease, and trauma. With Terry's nails,
the nail plate turns white with a ground-glass appearance, a distal band of reddish
brown, and obliteration of the lunula. Mees' lines present as curving transverse white
bands that cross the nail parallel to the lunula. They arise from the disrupted matrix of
the proximal nail, vary in width, and move distally as the nail grows out. These lines
are seen in arsenic poisoning, heart failure, Hodgkin’s disease, chemotherapy, carbon
monoxide poisoning, and leprosy. Pitting nails present as punctate depressions of the
nail plate caused by defective layering of the superficial nail plate by the proximal nail
matrix. They may be associated with psoriasis, but also seen in Reiter’s syndrome,
sarcoidosis, alopecia areata, and localized atopic or chemical dermatitis.
A child has a maculopapular, blotchy rash and on examination of his mouth, red
eruptions with white centers on the buccal mucosa are visualized. These eruptions are
Koplik spots. Correct
Koplik spots are seen with measles. They are small, white spots (often on a reddened
background) that occur on the inside of the cheeks early in the course of red measles,
rubeola. Pastia's spots are pink or red lines that are formed of confluent petechiae found
in skin creases and are seen in patients who have scarlet fever. Aphthous ulcers are
recurrent small, round, or ovoid ulcers with circumscribed margins, erythematous
haloes, and yellow or gray floors occurring in the mouth. [Show Less]