Exam 2: Skin (Study Group)

Question 1

What group is at the greatest risk for fluid loss & has poor temperature regulation?

Answer 1

The pediatric population

Question 2

Physiologic jaundice versus cyanosis & the cause of both in newborns

Answer 2

Jaundice=yellowing coloration caused by hemolysis of RBCs.

Cyanosis=blue coloration caused by coolness or lack of adequate oxygenation

Question 3

Name the three pregnant female skin pigmentation changes

Answer 3

Chloasma= raccoon face

linea nigra= dark line down belly,

striae gravidarum= stretch marks

Question 4

Describe some skin changes we will see in the geriatric population

Answer 4

decreased skin elasticity, sebum production, perspiration, & production of melanin

Question 5

A patient’s edema is 6mm, what number classification would we give it & what phrase would we use to describe it?

Answer 5

3+ & deep pitting

Question 6

What are we assessing for when we look at turgor & where is the best location to check

Answer 6

Hydration of pt & the skin right under clavicle

Question 7

Identify all parts of the ABCDE melanoma assessment criteria.

Answer 7

Asymmetry, border irregularity, color variation, diameter greater than 6mm, evolving changes

Question 8

What makes a vesicle and a bulla different?

Answer 8

Both are elevated & fluid filled but a bulla is greater than 0.5cm (big ol’ bulla)

Question 9

Compare and contrast vellus & terminal hair types

Answer 9

Vellus-covers most of the body except the palms, soles, fingers, back of the ear, umbilicus, penis and labia

Terminal- Darker, thicker hair found on scalp and eyebrows

Question 10

Where would we find lanugo and what is it?

Answer 10

Very fine, soft, downy hair found on the body of a fetus or newborn.

Question 11

What is clubbing & what are two things you can use to identify it?

Answer 11

Clubbing is the abnormal rounded shape of the nail bed. We use Profile Sign (160 degree angle-normal) and Schamroth Sign (Diamond shape-normal)

Question 12

What nail changes do we see in the geriatric population?

Answer 12

Lengthwise ridges, thicker, more brittle, split

Question 13

What is the difference between paronychia & onycholysis?

Answer 13

Paronychia- infection of the tissue folds around the nails.

Onycholysis: nail lifting caused by trauma, infection.

Question 14

What is the thick white-cheesy substance found on the skin of newborns called:

Answer 14

Vernix Caseosa

Question 15

Also known as “liver spots”, this skin condition is found in the geriatric population:

Answer 15

Senile Lentigines

Question 16

A lesion that is considered flat and has a nonpalpable change in color that is smaller than 0.5 cm is called:

Answer 16

Macule

Question 17

A lesion that is classified as an elevated solid palpable mass that is smaller than 0.5cm is called:

Answer 17

Papule

Question 18

The leaking of blood from a blood vessel under the skin is known as:

Answer 18

Ecchymosis (Bruise)

Question 19

Vascular lesions were there is bleeding into the skin is called:

Answer 19

Petechiae