NBS Skin Exam

Question 1

Inspection Mneumonic

Answer 1

CLAMSV

Color, Lesions, Asymmetry, Masses, Swelling, Vascular Changes

Question 2

Edema (Local, Peripheral, Anasarca, Facial)

Answer 2

Local - trauma
Peripheral - pregnancy, DM, atherosclerosis, PVD
Anasarca - endocrine, heart, kidney
Facial - Cushing’s, Renal, Allergies, Myxedema

Question 3

Hair Pattern

Answer 3

Cushing’s, Cancer, Skin Lesion

Question 4

Spots on Nails

Answer 4

zinc deficiency

Question 5

Pitted Nails

Answer 5

Psoriasis

Question 6

Spoon Nails

Answer 6

Iron deficiency, fungus

Question 7

Nail Clubbing

Answer 7

COPD

Question 8

Beau’s Lines on Nails

Answer 8

systemic

Question 9

Splinter Hemorrhages on Nails

Answer 9

SBE

Question 10

Signs of acute inflammation

Answer 10

SHARP Pneumonic

Swelling, Heat loss, Altered function, Redness, Pain

Question 11

Turgor

Answer 11

hydration evaluation, pinch skin on dorsum of hands and feet (watch recovery time)

Question 12

SLE

Answer 12

Malar rash

Question 13

Dermatomyositis

Answer 13

Heliotrope rash

Question 14

Silver scales (extensors)

Answer 14

psoriasis

Question 15

Contact dermatitis (flexors)

Answer 15

eczema

Question 16

Keratosis

Answer 16

Actinic keratosis, hyperkeratosis (dysplasia)

Question 17

Bull’s eye rash (assocated with arthralgia)

Answer 17

lyme disease

Question 18

Pathologies with episodes of rashes

Answer 18

RA / SLE / allergies

Question 19

Purple / red

Answer 19

Kaposi’s sarcoma

Question 20

Squamous Cell Carcinoma Characteristics

Answer 20

Irregular
Flaky
Bleeds
“Sun and Smoke”

Question 21

Basal Cell Carcinoma Characteristics

Answer 21

Raised border
Waxy, indurated
Grows downward
Rodent ulcer
"Sun and Smoke"

Question 22

Melanoma Characteristics

Answer 22

Pigmented
Multicolor
Invasive
Underlying pathology
"mole gone bad"