Exam 3-skin

Question 1

What are the primary skin lesions?

Answer 1

macule
patch
papule
plaque
pustule
cyst
vesicle
bullae
nodule
tumor
wheal

Question 2

Flat, nonpalpable

Smaller than 1 cm

Answer 2

macule (PL)

Question 3

freckles, flat moles, measles, petechiae

Answer 3

examples of macules

Question 4

flat, nonpalpable

larger than 1 cm

Answer 4

patch (PL)

Question 5

vitiligo
Mongolian spot
port-wine stains
cholasama
café au lait

Answer 5

examples of a patch

Question 6

elevated, solid, palpable

smaller than 0.5 cm

Answer 6

papule (PL)

Question 7

elevated moles
warts
insect bites (bed bugs)
lichens planus

Answer 7

examples of papule

Question 8

groups of papule’s

larger than 5cm

Answer 8

plaque (PL)

Question 9

Psoriasis
seborrheic and actinic keratosis
Lichen planus

Answer 9

Examples of a plaque

Question 10

elevated, pus-filled vesicle or bullae, size varies

Answer 10

Pustule (PL)

Question 11

elevated, encapsulated, fluid-or semisolid-filled, or solid mass in dermis or subQ layers, 1 cm or larger

Answer 11

Cyst (PL)

Question 12

Examples of a cyst

Answer 12

sebaceous cyst
epidermoid cyst
acne

Question 13

elevated, fluid-filled, round or oval-shaped with thin, translucent walls, smaller than 0.5cm

Answer 13

Vesicle (PL)

Question 14

Examples of a vesicle

Answer 14

herpes simplex or zoster
early chicken pox
poison ivy
small burn blister

Question 15

Elevated, fluid-filled, round or oval-shaped with thin, translucent walls
larger than 0.5-1cm

Answer 15

Bullae (PL)

Question 16

Examples of a Bullae

Answer 16

contact dermatitis
friction or fracture blister
large burn blister
pemphigus vulgaris

Question 17

What does a Nodule (PL) look like?

Answer 17

elevated, solid, hard or soft, palpable mass deeper in the dermis
smaller than 2 cm

Question 18

Examples of a nodule

Answer 18

small lipoma
squamous cell carcinoma
fibroma
nevi
erythema nodosum

Question 19

What does a tumor (PL) look like?

Answer 19

elevated, solid, hard or soft, palpable mass deeper in the dermis with irregular borders
larger than 2 cm

Question 20

Examples of a tumor

Answer 20

lipomas
carcinoma
hemangioma
benign tumor

Question 21

What does a wheal (PL) look like?

Answer 21

elevated, often reddish area with irregular borders caused by diffuse fluid in tissues (cutaneous edema)
size varies

Question 22

Examples of a wheal

Answer 22

insect bites
hives (urticarial)
allergic reaction

Question 23

What are secondary skin lesions?

Answer 23

Atrophy
Excoriation
Keloid
Scale
Crust
Fissure
Lichenification
Scar
Ulcer

Question 24

How would you describe atrophy (SL)?

Answer 24

thinning or wasting of skin due to loss of collagen and elastin

Question 25

Example of atrophy

Answer 25

PUPPP Rash striae aged skin

Question 26

How would you describe excoriation(SL)?

Answer 26

absence of superficial epidermis, causing a moist, shallow depression

Question 27

Example of excoriation

Answer 27

abrasion scratch marks scabies

Question 28

How would you describe a Keloid (SL)?

Answer 28

Elevated area of excessive scar tissue that extends beyond the site of original injury (caused by excessive collagen formation during healing)

Question 29

Example of keloid

Answer 29

folliculitis barbae | can happen from ear piercing or following surgery

Question 30

How would you describe a scale (SL)?

Answer 30

Flakes of greasy keratinized skin tissue May be white, gray, or silver Texture may be fine or thick Varies in size

Question 31

Example of scale

Answer 31

dry skin dandruff psoriasis eczema

Question 32

How would you describe a crust (SL)?

Answer 32

Dried blood, serum, or pus on the epidermis from ruptured vesicles or pustules Slightly elevated May be red, brown, orange, or yellow Size varies

Question 33

Examples of crust

Answer 33

Eczema Impetigo Herpes Scabs following an abrasion Early Impetigo

Question 34

How would you describe fissure (SL)?

Answer 34

Linear crack or break with sharp edges extending into the dermis May be moist or dry

Question 35

Examples of fissure

Answer 35

Cracks at corner of the mouth, on the fingers, or feet (athlete’s foot)

Question 36

How would you describe Lichenification (SL)?

Answer 36

A rough, thickened, hardened area of the epidermis resulting from chronic irritation such as scratching or rubbing (often involves flexor surfaces)

Question 37

Example of Lichenification

Answer 37

chronic dermatitis

Question 38

Scars and ulcers are what type of lesions?

Answer 38

Secondary

Question 39

How does skin type I react to the sun?

Answer 39

always burns easily (painful), tans little to none and peels

Question 40

How does skin type II react to the sun?

Answer 40

burns easily (painful), tans minimal or light, peels

Question 41

How does skin type III react to the sun?

Answer 41

burns moderately; average tan

Question 42

How does skin type IV react to the sun?

Answer 42

minimal burn, tans easily, exhibits IPD reaction

Question 43

How does skin type V react to the sun?

Answer 43

rarely burns, easily tans, always exhibits IPD reaction

Question 44

How does skin type VI react to the sun?

Answer 44

never burns, tans profusely, exhibits IPD reaction

Question 45

What are the 3 layers of skin from outermost layer to innermost layer?

Answer 45

Epidermis Dermis Hypodermis

Question 46

What does the ABCDE stand for in melanoma assessment?

Answer 46

``` Asymmetry Border irregularity Color variations Diameter Evolving ```

Question 47

Which layer of skin acts as the protective barrier?

Answer 47

Epidermis

Question 48

Which layer of the skin helps support the skin's structural integrity, protects the body from mechanical injury, and aids in thermal regulation?

Answer 48

Dermis

Question 49

Which layer of skin helps insulate the body from cold temps, cushions deep tissues from blunt trauma, and serves as a reserve source of energy for the body?

Answer 49

Hypodermis or Sub Q layer