Assignment: the skin lesion

Assignment: the skin lesion

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Assignment: Development of the skin lesion prior to the physical examination

Question

Week 7 quiz

Question 1.When a patient presents with a skin-related complaint, it is important to first:

Fully inspect all skin lesions before asking the patient how the lesion in question developed

Obtain a full history about the development of the skin lesion prior to the physical examination

Complete a full physical examination of the body prior to inspecting the skin lesion

Examine the skin lesion without hearing a health history in order to not prejudice the diagnosis

Question 2. Which of the following dermatological conditions results from reactivation of the dormant varicella virus?

Tinea versicolor

Seborrheic keratosis

Verruca

Herpes zoster

Question 3. 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:

All symptoms should disappear within three days

Oral medications can dramatically reduce the duration and intensity of his symptoms

He has chickenpox and can be contagious to his grandchildren

He has a sexually transmitted disease

Question 4. 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?

Ignore the lesion, as it is associated with aging.

Instruct him to use a nonprescription hydrocortisone cream to dry up the lesion.

Perform a biopsy or refer to a dermatologist.

Advise him to use a dandruff shampoo and return in one month if the lesion has not gone away.

Question 5. 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

Shingles

Psoriasis

Lymes Disease

Question 6. 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:

Fungal skin infection

Eczema

Seborrheic Keratosis

Squamous cell carcinoma of the skin

Question 7. What kind of lesions are caused by the herpes simplex virus?

Scales

Vesicles

Plaques

Urticaria

Question 8. Among the following conditions, which needs to be treated with systemic antifungal agents?

Tinea pedis/tinea magnum

Tinea corporis/tinea cruris

Tinea capitis/Tinea unguium (onychomycosis)

Tinea pedis /tinea faciale

Question 9. Which lesions are typically located along the distribution of dermatome?

Scabies

Herpes zoster

Tinea

Dyshidrosis

Question 10. A smooth round nodule with a pearly gray border and central induration best describes which skin lesion?

Seborrheic keratosis

Malignant melanoma

Herpes zoster

Basal cell carcinoma

Question 11. Cellulitis is a deep skin infection involving the dermis and subcutaneous tissues. The nurse practitioner suspects cellulitis in a 70-year-old Asian diabetic male presenting with reddened edematous skin around his nares. Which statement below will the nurse practitioner use in her decision-making process for the differential diagnosis pertaining to reddened edematous skin?

Cellulitis is two times more common in women

Facial cellulitis is more common in people >55

There is low incidence of cellulitis in patients with diabetes

Cellulitis is only a disease of the lower extremities of patients with known arterial insufficiency

Question 12. Folliculitis is most commonly due to:

Contact dermatitis

Varicella zoster

Dermatophytes

Staphylococcal infection

Question 13. 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?

Hydrocortisone 2.5%

Triamcinolone acetonide 0.1%

Betamethasone dipropionate 0.05%

Alclometasone dipropionate 0.05%

Question 14. Which of the following descriptions accurately documents cellulitis?

Cool, erythematous, shiny hairless extremity with decreased pulse

Scattered, erythematous ring-like lesions with clear centers

Clearly demarcated, raised erythematous area of face

Diffusely inflamed skin that is warm and tender to palpation

Question 15. Asymmetrical bi-color lesion with irregular border measuring 8 mm is found on the right lower arm of an adult patient. This assessment finding is consistent with:

Melanoma

Basal cell carcinoma

Leukoplakia

Senile lentigines

Question 16. Which of the following descriptions best illustrates assessment findings consistent with tinea capitis?

Circular erythematous patches with papular, scaly annular borders and clear discharge

Inflamed scaly dry patches with broken hairs

Web lesions with erythema and scaling borders

Scaly pruritic erythematous lesions on inguinal creases

Question 17. A patient has a tender, firm, nodular cystic lesion on his scalp that produces cheesy discharge with foul odor. This is most likely a:

Bacterial folliculitis

Basal cell carcinoma

Bullous impetigo

Epidermoid cyst

Question 18. 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?

Hidradenitis suppurativa

Epidermoid cyst

Furuncle

Both A and C

Question 19. 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:

Contact dermatitis

Folliculitis

Hidradenitis suppurativa

Cellulitis

Question 20. 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:

Psoriasis

Lichen planus

Systemic lupus erythematosus

Erythema nodosum