Module 5 Practice Questions Flashcards
Why don’t we want to give steroid refills?
Prolonged use can cause systemic affects, secondary dermatitis, epidermal cysts, etc.
What steroids can the APRN prescribe?
Can prescribe potent steroids but will typically give 3-7 (medium to least potent): triamcinolone acetonide, betamethasone valerate, hydrocortisone, desonide, hydrocortisone butyrate.
Your patient is concerned about a spot on their face that has been there for about three months. The lesion is raised in the center and has a pearly border, with a distinct margin. What is your diagnosis?
Basal Cell Carcinoma
An 80-year-old client has an extremely painful rash along her rib cage on her left side. The rash is raised, red, and has clear vesicles. The best management plan is?
A -cyclovir
Valcyclovir 1,000 mg orally three times daily for seven days
Your patient is reporting blisters that have erupted on their lip, body aches, a sore throat, and a headache. This is the first time they have experienced this. The exam reveals, positive cervical lymphadenopathy, a cluster of tiny blisters with red rims and yellow fluid at the corner of her lower lip, and an elevated temperature of 100.8*F, other vital signs are normal. Your most likely diagnosis is:
primary herpes simplex infection
Your patient is being treated for Psoriasis. You know that essential education for this patient includes:
Psoriasis is a chronic disease process and the importance of adherence to prescribed regimens
When considering which dermatological vehicle of medication to prescribe for the treatment of a skin condition, what principles should a clinician follow?
For dry conditions, use moisture preserving vehicles and for wet conditions, use drying vehicles
Tinea is caused by a:
fungus
Which of the following vehicles is the most potent?
ointment
A patient reports a large area of red, raised, shiny skin that encompasses their right calf. The pain is 7 out of 10. They first noticed a small sore on their ankle the day before. Their temperature is 101.1*F. Other vital signs are normal. On examination, there is positive lymphadenopathy noted in their right groin and the right leg is swollen from the knee down. Which interventions should be included in your non-pharmacologic management plan?
rest, compression and elevation
What is true about corticosteroids effect on the skin
corticosteroids can cause thinning and striae of the skin
When considering which antibiotic to prescribe for infections of the skin such as cellulitis, effectiveness against group A beta-hemolytic streptococci, and what other pathogen should guide our choice?
Staphylococcus aureus (group A beta-hemolytic streptococci are the most common cause of cellulitis without purulent drainage, but staphylococcus aureus should be considered if purulent drainage is present or a puncture wound)
A patient has a raised crusted lesion surrounding a center ulcer found on the top of their right ear, which is about the size of a pencil eraser. It has been present for a couple of months. What is the best plan of care?
Advise them about your suspicion of squamous cell carcinoma, and make them an appointment for a biopsy and follow-up before they leave your office.
A medication that can be used initially in the treatment of mild acne :
Topical tretinoin (Retin A)
A patient with Type II diabetes mellitus is seen in the clinic complaining of a burning, pruritic rash under both breasts and in the groin area. They tell the provider that the rash is red and moist and the corn starch they have been using is not helping. Your most likely diagnosis is?
Intertrigo with secondary Candida infection (Intertrigo occurs where there is persistent skin-to-skin contact, erythema, and pruritis suggest secondary fungal infection)