Chapter 6: Skin and Lymphatic Disorders Flashcards
Which of the following dermatological conditions results from reactivation of the dormant varicella virus?
Herpes zoster
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?
Instruct him to use a nonprescription hydrocortisone cream to dry up the lesion.
The immunofluorescent antibody (IFA) is a laboratory test used to diagnose which of the following disorders?
Herpes zoster
A wound with drainage and foul odor should be cleansed with:
Normal saline
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
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
Identify the type of malignant melanoma that is associated with the Hutchinson’s sign of the cuticle of the finger.
Acral lentiginous
A smooth round nodule with a pearly gray border and central induration best describes which skin lesion?
Basal cell carcinoma
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?
Facial cellulitis is more common in people >55
An 82-year-old female has a “pimple” on his nose that occasionally bleeds and may have increased in size in the past year. The lesion is a 0.7-cm, dome-shaped, umbilicated papule with pearly translucence. There is also a hemorrhagic crust covering the central portion. Which of the following is the most likely diagnosis?
Basal cell carcinoma
Which of the following is generally not a first-line treatment for post herpetic neuralgia?
Intrathecal methylprednisolone
A nursing home resident with a Stage 4 pressure ulcer that extends to the muscle layer and has significant undermining with heavy exudate should be treated with:
Chemical debridement
Which of the following descriptions accurately documents cellulitis?
Diffusely inflamed skin that is warm and tender to palpation
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
Which of the following descriptions best illustrates assessment findings consistent with tinea capitis?
Inflamed scaly dry patches with broken hairs
A hyperkeratatotic nodule formed as the result of exposure of the foot to moisture from perspiration is called:
Soft corn
A 64-year-old male presents with an exacerbation of psoriasis. His social history includes 50-year two packs a day of cigarettes and a six-pack a week of beer. He states he had a recent sore throat, which he attributes to minding his young grandson. He reports that until recently the pruritis was only minimal. His BMI is 37. Which of the following factors most likely contributed to the acute presentation of psoriasis?
Streptococcal infection
Treatment of complicated cellulitis of the lower extremity resulting from an anaerobe requires all of the following except:
Topical antifungal medication
