Integumentary - TCM Seminars Tests Flashcards

1
Q

The Integumentary System protects the body by:

acting as a barrier against infectious agents.
producing white blood cells which fight infection.
raising the body’s temperature.
killing bacteria and viruses on contact.

A

acting as a barrier against infectious agents.

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2
Q

Which of the following burns involves the epidermis and superficial dermis which presents as red, wet, and painful with possible blisters?

Third degree
Fourth degree
First degree
Second degree

A

Second degree

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3
Q

Which of the following is considered a “super-bug” that is resistant to antibiotics such as penicillins and cephalosporins?

Streptoccus pyogenes
Staphylococcus aureus
Helicobacter pylori
MRSA

A

MRSA

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4
Q

What is the most common form of skin cancer lesion?

Malignant Melanoma
Squamous Cell Carcinoma
Goblet Cell Carcinoma
Basal Cell Carcinoma

A

Basal Cell Carcinoma

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5
Q

A 25-year-old female walks into your clinic complaining of recurrent sores in the oral region (also known as “cold sores”). She explains in a roundabout kind of way that she thinks she has had it all her life but she has been eating a lot of dates for the past three days.
This same patient comes back into your office 35 years later. She complains about an extremely painful eruption of vesicles. They are located unilaterally on her ribs and stop at the midline of her chest. Which virus is involved?

Human papillomavirus
Varicella-Zoster
Cytomegalovi
Rhinovirus

A

Varicella-Zoster

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6
Q

Which of the following infections of the dermis and subcutaneous fat is warm erythematous and tender? (Note: This condition may be associated with an identifiable portal of entry such as a cut, tinea pedis, animal or insect bite, ulcer, or injection site.)

Necrotizing fasciitis
Impetigo
Cellulitis
Erysipelas

A

Cellulitis

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7
Q

A 44-year-old patient of yours comes into your clinic after a 5 year absence. You notice that his clothes are not particularly well-fitting as you were accustomed to seeing. He tells you that he had some financial difficulties but now his great aunt is helping him get on his feet again. He complains about intense pruritus, especially at night and after hot showers. The affected sites are the hands, axillae, and genitals. Upon closer examination you notice small mite tracks along his area of complaint. What is the most likely condition this patient suffers from?

Pubic louse
Body louse
Scabies
Head louse

A

Scabies

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8
Q

All of the following are characteristic of Melanoma EXCEPT:

Diameter > 6mm
Asymmetrical shape
Color Irregularities
Regular border

A

Regular border

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9
Q

A ‘Target Lesion’ can often be observed at the contraction of which disease?

Lyme’s Disease
Bacterial Meningitis
Ecenphalitis
Lupus

A

Lyme’s Disease

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10
Q

Your neighbor brings her 7 year old son to your office concerned about a case of lice being spread among his classmates. What is the best advice to give your neighbor to prevent classroom epidemics of head lice?

Avoid head-to-head (hair-to-hair) contact
Avoid cursing
Avoid kiss
Avoid handshaking

A

Avoid head-to-head (hair-to-hair) contact

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11
Q

Which of the following infections of the epidermis presents with honey-colored lesions and is caused by Staph aureus or Strep pyogenes?

Impetigo
Cellulitis
Erysipelas
Vitiligo

A

Impetigo

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12
Q

Which of the following skin conditions is considered flat and less than 0.5 cm in diameter?

Patch
Macule
Bullae
Papule
Plaque
Vesicle
A

Macule

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13
Q

A 20- year-old female walks into your clinic complaining of recurrent sores in the oral region (also known as “cold sores”). She explains in a roundabout kind of way that she thinks she has had it all her life but she has been eating a lot of dates for the past three days. Which of these is the virus most likely causing these sores?

VZV
HSV-2
Epstein-Barr Virus
HSV-1

A

HSV-1

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14
Q

Which of the following is best described as painful vesicles evolving into crusted lesions in a dermatomal distribution?

Bullous pemphigoid
Herpes Zoster (Shingles)
Acne vulgaris (Common acne)
Pemphigus vulgaris

A

Herpes Zoster (Shingles)

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15
Q

Which of the following types of cancer grow slowly and rarely metastasize?

Melanoma
Actinic keratoses
Squamous cell carcinoma
Basal cell carcinoma

A

Basal cell carcinoma

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16
Q

The ‘B’ in the ABCDs of skin changes/skin cancer examination stands for:

Basal cell
Brown
Border irregularity
Biomedical

A

Border irregularity

17
Q

A patient had left a medical clinic 6 days ago after being treated for abrasions. They come to your clinic with tight skin that is red and painful to the touch on their lower leg. What skin condition would you suppose this is?

Scabies
Cellulitis
Folliculitis
Edema

A

Cellulitis

18
Q

A 22-year-old African-American woman enters your office with a butterfly shaped rash on her face centered across the nose. She complains of bilateral arthritis. Upon further questioning you find that she is ANA (+). Which is the most likely condition?

Systemic Lupus Erythematosus (SLE)
Amyotrophic Lateral Sclerosis (ALS)
Rheumatoid Arthritis (RA)
Parkinson disease

A

Systemic Lupus Erythematosus (SLE)

19
Q

A 4 y/o male patient comes to your clinic with white spots in their mouth, a low grade fever and a rash on their face. What would you suppose this could be?

Rubella
Varicella Zoster
Measles
Mumps

A

Measles

20
Q

Which dermatological pathology typically affects preschool children and presents with thin-walled blisters around the nose and mouth that rupture and form crusty yellow lesions?

Impetigo-Bacterial
Cellulitis
Listeriosis
Ringworm

A

Impetigo-Bacterial

21
Q

A 27-year-old male enters your clinic with red and itchy skin. He reveals silvery and scaly plaques on his knees, elbows, gluteal cleft, and scalp. He also has unusual pitting in his fingernails. Which of the following conditions are most likely what he suffers from?

Matrix dermatitis
Atopic dermatitis
Zinc deficiency
Psoriasis

A

Psoriasis