NSG6420 week 7 quiz with complete solutions | Latest 2023/2024
When a patient presents with a skin-related complaint, it is important to
... [Show More] first:
obtain a full history about the development of the skin lesion prior to the physical examination
The appearance of a 2-10 cm. herald patch with subsequent development of parallel oval lesions on the trunk in a christmas tree distribution involving the upper arms and upper legs are common in
pityriasis rosea
Mr. Fitzgerald is a 68-year-old previously healthy man with a history of significant sun exposure who presents with a progressively enlarging 18 x 16 mm erythematous pruritic oval patch on his left forearm that has been present for three to four years. Your differential would include all of the following EXCEPT:
seborrheic keratosis
Which of the following dermatological conditions results from reactivation of the dormant varicella virus?
herpes zoster
What kind of lesions are caused by the herpes simplex virus?
vesicles
An older adult male presents with pain in his right chest wall for the past 48 hours. Upon examination, the nurse practitioner notices a vesicular eruption along the dermatome and identifies this as herpes zoster. The NP informs the gentleman that:
oral medications can dramatically reduce the duration and intensity of his symptoms
A 70-year-old white male comes to the clinic with a slightly raised, scaly, pink, and irregular lesion on his scalp. He is a farmer and works outside all day. You suspect actinic keratosis, but cannot rule out other lesions. What recommendation would you give him?
perform a biopsy or refer to a dermatologist
Among the following conditions, which needs to be treated with systemic antifungal agents?
tinea capitis/ tinea unguium (onychomucosis)
Which lesions are typically located along the distribution of dermatome?
herpes zoster
The immunofluorescent antibody (IFA) is a laboratory test used to diagnose which of the following disorders?
herpes zoster
Folliculitis is most commonly due to:
staphylococcal infection
A wound with drainage and foul odor should be cleansed with:
normal saline
The anti-inflammatory properties of topical corticosteroids result in part from their ability to induce vasoconstriction to the small blood vessels in the upper dermis. Of the following, which is the most potent topical corticosteroid?
betamethasone dripropionate 0.05%
A patient has a tender, firm, nodular cystic lesion on his scalp that produces cheesy discharge with foul odor. This is most likely a:
epidermoid cyst
Patient presents with complaint of a "swollen node" under his arm. The area is tender and the node has progressed in size over the past few days. Which of the following should be included in your differential diagnosis
both A and C
A patient suffered a laceration of the shin three days ago, and today presents with a painful, warm, red swollen region around the area. The laceration has a purulent exudate. The clinician should recognize that the infected region is called:
cellulitis
A full thickness pressure ulcer is partially covered with eschar and the surrounding tissue is reddened. Which of the following is the most appropriate treatment for this condition?
debride mechanically or chemically
A woman complains of malaise and arthralgias. You note a butterfly-shaped, macular, erythematous rash across her cheeks and nose. These conditions are common in:
systemic lupus erythematosus
In examining the skin of your nursing home patient, you note a "stained glass" brownish mark on the face. Which of the following lesions best describes a stained glass brownish mark?
lentigo maligna
Patients who have an underlying tinea infection to the cellulitis should also be treated with which one of the following?
an anti-fungal medication [Show Less]