Integumentary Flashcards
A flat, nonpalpable, irregular shaped area that is a change in the color of the skin that is more than 1cm in diameter is a:
A. Wheal
B. Macule
C. Plaque
D. Patch
Patch
This chronic immune mediated inflammatory skin disorder is characterized by a relapsing/remitting pattern, and thickening of the dermis and epidermis leading to increased epidermal shedding:
A. Seborrheic dermatitis
B. Pityriasis rosea
C. Lichen planus
D. Psoriasis
Psoriasis
All of the following skin disorders are life threatening with the exception of:
A. Pemphigus vulgaris
B. Stevens-johnson syndrome
C. Erysipelas
D. Hydradenitis suppurative
Hydradenitis suppurative
The provider notices an area of erythema with hair loss on the scalp of a five-year old child. Which is the likely diagnosis of this condition?
A. Tinea capitis
B. Impetigo
C. Tinea corporis
D. Tinea pedis
Tinea capitis
The provider is conducting a routine physical assessment on an otherwise healthy 24-year-old woman who has expressed concern about a skin lesion on her back. Upon physical exam, the provider determines that the lesion is a nevus (mole). Which of the following assessment findings would indicate a need for further evaluation?
A. Color variation within nervus
B. A nevus diameter of at least 4 mm
C. Consistent, very dark brown coloration within the nevus
D. A skin-colored nevus that is flat and perfectly round
Color variation within nervus
A patient tells their provider “I have a history of dermatitis, and I think it’s back because I can’t stop itching.” Leading up to the physical exam, the provider may decide to exclude which form of dermatitis from their differential diagnosis?
A. Contact- Irritant Dermatitis
B. Contact- Allergic Dermatitis
C. Atopic Dermatitis
D. Seborrheic Dermatitis
Contact- Irritant Dermatitis
Risk factors for developing oropharyngeal candidiasis infections include the following except?
A. Use of mouthwash
B. Chemotherapy
C. Diabetes mellitus
D. Inhaled steroids
Use of mouthwash
Which of the following examples is not suspicious for malignancy?
A. 1cm round lesion on the skin, slightly raised, uniform brown in color that shows symmetry
B. 3cm red, pink and ivory scaly lesion with asymmetric borders that are rolled
C. 1.5 cm linear brown to pink lesion that has areas of raised and flat spots. Pt states the spot used to be small and round
D. 1cm purple dome shaped papule on the back of the neck of a patient
1cm round lesion on the skin, slightly raised, uniform brown in color that shows symmetry
A 2 year old child presents to the clinic with a chief complaint of a rash under the nose. On assessment the rash consists of dry yellow crust with some oozing vesicles filled with yellow fluid. The clinician diagnoses the child with impetigo. What is the infectious agent?
A. C. albicans
B. S. aureus
C. Trichophyton
D. Molluscipoxvirus
S. aureus
A 32-year-old patient presents to urgent care with a suspected insect bite. Once you assess the lesion, you describe it as an elevated, irregularly shaped area of cutaneous edema that is solid and 1mm in diameter. Based on the description what type of skin lesion do you suspect this to be?
A. Bulla
B. Wheal
C. Patch
D. Cyst
Wheal
A patient presents to his primary care physician with a skin lesion he is concerned about. You assess the lesion and describe it as a brownish patch, and you diagnose it as actinic keratosis. What condition could actinic keratosis evolve into?
A. Scleroderma
B. Cutaneous melanoma
C. Squamous cell carcinoma
D. Nevi
Squamous cell carcinoma
What advice can you provide to a parent of an infant with irritant contact dermatitis on their diaper area?
A. the use of disinfectant wipes
B. Antiviral medication
C. Antibiotics
D. Topical protection of zinc oxide
Topical protection of zinc oxide
Which layer of the skin is the papillary capillaries located as the primary source of blood supply?
A. The dermis
B. The epidermis
C. The subcutaneous layer
D. The basement membrane
The dermis
A 28-year-old female patient presents to the clinic with painful blisters around her mouth that have appeared over the last two days. She reports a tingling sensation prior to the blisters’ appearance. The patient has a history of cold sores and mentions that she experienced a stressful week at work. Based on her symptoms and history, what is the most likely diagnosis for this patient?
A. Shingles
B. Herpes simplex virus type 1 (HSV-1) infection
C. Contact dermatitis
D. Bacterial impetigo
Herpes simplex virus type 1 (HSV-1) infection
A 7-year-old girl named Emily presents to the pediatric clinic with a fever, malaise, and a rash that has developed over the past 48 hours. The rash started as tiny red spots on her torso and has now spread to her face and limbs. The spots have progressed to fluid-filled blisters, some of which have crusted over. Emily’s mother mentions that Emily was previously healthy and had not received the varicella vaccine. Based on the information provided, which of the following steps should be the priority in managing Emily’s condition?
A. Administering the varicella vaccine to prevent further complications.
B. Prescribing antiviral medication to shorten the duration of the illness.
C. Symptomatic treatment, including antihistamines and calamine lotion, should be advised for itch relief.
D. Hospitalizing Emily for observation due to the risk of secondary bacterial infection.
Symptomatic treatment, including antihistamines and calamine lotion, should be advised for itch relief.
34-week pregnant patient presents for an initial prenatal visit. The patient reports “bumps’ in her vaginal area after shaving. The patient denies any medical history or any other concerns. A physical exam is notable for a one-inch diameter lesion with multiple small vesicles (within) on the left side of the labia majora. The NP will:
A. Treat the patient with Flagyl due to bacterial vaginosis
B. Treat the patient with penicillin G due to a positive group B streptococcal infection
C. No need for treatment; lesions will resolve on their own
D. Immediately treat with acyclovir.
Immediately treat with acyclovir.