Chapter 6: Skin and Lymphatic Disorders

Question 1

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

Answer 1

Herpes zoster

Question 2

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:

Answer 2

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

Question 3

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?

Answer 3

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

Question 4

The immunofluorescent antibody (IFA) is a laboratory test used to diagnose which of the following disorders?

Answer 4

Herpes zoster

Question 5

A wound with drainage and foul odor should be cleansed with:

Answer 5

Normal saline

Question 6

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?

Answer 6

Debride mechanically or chemically

Question 7

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?

Answer 7

Lentigo maligna

Question 8

Patients who have an underlying tinea infection to the cellulitis should also be treated with which one of the following?

Answer 8

An anti-fungal medication

Question 9

Identify the type of malignant melanoma that is associated with the Hutchinson’s sign of the cuticle of the finger.

Answer 9

Acral lentiginous

Question 10

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

Answer 10

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?

Answer 11

Facial cellulitis is more common in people >55

Question 12

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?

Answer 12

Basal cell carcinoma

Question 13

Which of the following is generally not a first-line treatment for post herpetic neuralgia?

Answer 13

Intrathecal methylprednisolone

Question 14

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:

Answer 14

Chemical debridement

Question 15

Which of the following descriptions accurately documents cellulitis?

Answer 15

Diffusely inflamed skin that is warm and tender to palpation

Question 16

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:

Answer 16

Melanoma

Question 17

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

Answer 17

Inflamed scaly dry patches with broken hairs

Question 18

A hyperkeratatotic nodule formed as the result of exposure of the foot to moisture from perspiration is called:

Answer 18

Soft corn

Question 19

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?

Answer 19

Streptococcal infection

Question 20

Treatment of complicated cellulitis of the lower extremity resulting from an anaerobe requires all of the following except:

Answer 20

Topical antifungal medication