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NP Boards 2023 > Integumentary > Flashcards

Integumentary Flashcards

1
Q

Fever, chills, HA, N/V
Photophobia
Myalgia, arthralgia
Small red spots (petechiae) that start on wrists, forearms, ankles (sometimes palms and soles) that progresses toward trunk

A

Rocky Mountain Spotted Fever

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2
Q

Rocky Mtn Spotted Fever treatment/prevention

A

Doxycyline
Use of DEET-containing bug spray, permethrin on clothes

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3
Q

Bradycardia or tachycardia
Wheezing, flushing
Hives
Hypotension, hypoxia
Cardiac arrest

A

Anaphylaxis (angioedema, hives)

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4
Q

Treatment of anaphylaxis

A

Epinephrine at mid-outer thigh every 5 to 15 minutes
Call 911

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5
Q

Fever/chills, N/V
Swollen, red, tender blister with the central area becoming necrotic (eschar)

A

Brown Recluse Spider Bites

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6
Q

Expanding rash with central clearing and bulls-eye + flu like symptoms

A

Lyme disease
Erythema migrans

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7
Q

Sore throat, cough, HA, stiff neck, photophobia, changes in LOC, drowsiness, lethargy.
Petechial rash in axillae, flanks, wrists and ankles.

Elevated procalcitonin

A

Meningococcemia

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8
Q

Systemic infection of Neisseria meningitidis (gram negative)

A

Meningococcemia

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9
Q

Sudden eruption of vesicular lesions that rupture into ulcers w/ crusts on one side of the scalp, forehead, sides, and tip of the nose.

Can have eye pain and blurred vision

A

Shingles infection of trigeminal nerve (Herpes zoster opthalmicus)

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10
Q

Dark colored moles w/ uneven texture, variegated colors, irregular borders and > 6 mm diameter

A

Melanoma

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11
Q

Melanoma of the nailbeds

The most common subtype of melanoma in African Americans and Asians

A

Subungual melanoma

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12
Q

Pearly/waxy skin lesion
Atrophic/ulcerated center
Does not heal

Common in fair-skinned individuals

A

Basal cell carcinoma

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13
Q

Dry, round, red lesions
Rough in texture
Not healing
On sun-exposed areas of the body

A

Actinic keratosis

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14
Q

Blood collection under the nailbed from trauma

A

subungual hematoma

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15
Q

Trephination

A

A method of draining a subungual hematoma

Used when the hematoma involves > 25% of the nailbed

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16
Q

Flu-like symptoms
Widespread rash with hives, blisters (bullae), petechiae, necrosis, sloughing

Triggered by medications like allopurinol, anticonvulsants, sulfonamides, NSAIDs

HIV infection, lupus and malignancies put people at greater risk

A

Steven’s Johnson Syndrome

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17
Q

Honey colored crusts
Fragile bullae (blisters)
Pruritic (itchy)

A

impetigo

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18
Q

Koplik spots (white spots on the cheeks and rear molars)

A

Measles

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19
Q

Pruritic, esp at night
Serpiginous rash on interdigital webs, waist, axilla, penis

A

Scabies

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20
Q

Sandpaper rash w/ sore throat

A

Scarlet fever

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21
Q

Christmas-tree pattern
Herald patch initially

A

pityriasis rosacea

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22
Q

smooth papules that are domed with central umbilication and white “plug”

A

molluscum contagiosum

23
Q

distal portions of the limbs

A

acral

24
Q

ring-shaped

A

annular

25
Q

cutaneous rash

A

exanthem

26
Q

skin area outside of the joint
i.e. front of knee
back of elbow

A

extensor

27
Q

skin on top of the joint w/ skin folds

A

flexor

28
Q

body folds

A

skin flexures

29
Q

area where two skin surfaces touch or rub each other

A

intertriginous

30
Q

rash with color and small bumps that are raised above the skin surface

A

maculopapular

31
Q

rash that resembles measles

A

morbilliform

32
Q

coin-shaped rash

A

nummular

33
Q

bleeding into the skin

A

purpura

34
Q

shaped like a snake

A

serpiginous

35
Q

wart-like

A

verrucous

36
Q

dry skin

A

xerosis

37
Q

Flat, non palpable lesion
< 1 cm diameter

A

macule

38
Q

palpable, solid lesion
</= 0.5 cm diameter

A

papule

39
Q

flattened, elevated lesion
> 1cm diameter
variable shape

A

plaque

40
Q

elevated superficial blister filled w/ serous fluid > 1cm in size

A

bullae

41
Q

elevated superficial skin lesion < 1cm diameter
Filled w/ serous fluid

A

vesicle

42
Q

elevated superficial skin lesion < 1cm diameter
Filled w/ purulent fluid

A

pustule

43
Q

thickening of epidermis w/ exaggeration of normal skin lines

A

lichenification

44
Q

soft, wartlike, fleshy outgrowths
located mostly at back
appear pasted on skin
Painless
appear during middle age or later

A

seborrheic keratoses

45
Q

Raised, yellow-colored plaques
Located under brow or lower lids of eyes on nasal side

A

Xanthelasma

46
Q

bilateral brown/tan colored stains on upper cheeks, malar area, forehead
occurs in women who have been or are pregnant or on COCPs

A

melasma
(mask of pregnancy)

47
Q

white patches on skin w/ irregular shapes

chronic, progressive

A

vitiligo

48
Q

smooth, round papules
bright red color
blanche w/ pressure

d/t malformed arterioles in skin; benign

A

cherry angiomas

49
Q

soft, fatty, cystic tumors
painless

A

lipoma

50
Q

round macules to papules
light tan or dark brown
distinct or slightly irregular borders

A

Nevi (moles)

51
Q

Dry skin
Dry mouth (xerostomia)
Dry eye (xeropthalmia)

A

Xerosis

52
Q

Velvety thickening of skin
Usually behind neck or axilla

Associated w/ diabetes, metabolic syndrome, obesity, and CANCER OF GI TRACT

A

acanthosis nigricans

53
Q

another word for skin tags

A

acrochordon

54
Q

Painless, pedunculated outgrowths
Same color of person’s skin
More common in diabetics, obese patients

A

acrochordon (skin tags)

NP Boards 2023 (9 decks)

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