Quiz 1

Question 1

Lesion

Answer 1

-a general term to denote a pathologic or traumatic change in the tissue

Question 2

Macule

Answer 2

size and shape-focal area of color change not elevated or depressed in relation to its surroundings; flat

Question 3

Papule

Answer 3

size and shape-solid, raised lesion less than 5mm in diameter

Question 4

Nodule

Answer 4

size and shape-solid, raised lesion greater than 5mm in diameter

Question 5

Erythematous

Answer 5

color-red in color due to dilation and congestion of capillaries

Question 6

Sessile

Answer 6

mode of attachment-base is the widest part of an elevated lesion

Question 7

Pedunculated

Answer 7

mode of attachment-base of an elevated lesion is narrower than the widest part

Question 8

Papillary

Answer 8

surface texture-exhibiting numerous surface projections

Question 9

Verrucous

Answer 9

surface texture-exhibiting a rough, warty surface

Question 10

Erosive

Answer 10

surface texture-superficial, partial or total loss of surface epithelium; may arise secondarily from rupture of bulla (blister)

Question 11

Ulcerated

Answer 11

surface texture-loss of surface epithelium down to the connective tissue, often appears depressed

Question 12

Fissure

Answer 12

surface-narrow, slit like ulceration or groove

Question 13

Plaque

Answer 13

surface-slightly elevated and generally flat; (homonym of “plaque” which is the soft white deposit that accumulates on teeth)

Question 14

Petechia(e)

Answer 14

surface-flat, round, pinpoint area(s) of hemorrhage, usually 3mm or less

Question 15

Purpura

Answer 15

surface-hemorrhage into the skin, larger than petechia, but less than 1cm

Question 16

Ecchymosis

Answer 16

surface-flat area of hemorrhage larger than 1 cm; bruise

Question 17

Vesicle

Answer 17

blister-fluid filled, elevated, superficial, 5mm or less in diameter

Question 18

Bulla

Answer 18

blister-fluid filled, elevated, superficial, greater than 5mm in diameter

Question 19

Pustule

Answer 19

blister-superficial, circumscribed cavity filled with pus (purulent exudate)

Question 20

Indurated

Answer 20

-hardened

Question 21

Fluctuant

Answer 21

consistency-wavelike on palpation due to liquid content

Question 22

Copious

Answer 22

-present in large quantity

Question 23

Dermatoglyphics

Answer 23

-lines forming a skin pattern

Question 24

Crenated

Answer 24

-scalloped

Question 25

Varicose

Answer 25

surface-abnormal swollen, distended or dilated

Question 26

Scale

Answer 26

surface-flakes of retained surface keratin

Question 27

Crust

Answer 27

surface-dried blood, serum, or purulent exudate on the skin surface

Question 28

Importance of descriptive terminology

Answer 28

• accuracy of patient records
• comparison at later date
• communication among providers

Question 29

Descriptive Clinical Findings

Answer 29

• size
• site
• shape
• symmetry
• surface
• color
• borders/margins
• mode of attachment
• consistency
• number

Question 30

Occipital Lymph Node Drainage

Answer 30

-back of head near occipital protuberance; drain occipital region of scalp

Question 31

Retroauricular (mastoid) Lymph Node Drainage

Answer 31

-behind the ear near the mastoid process; drain the scalp over the ear, part of the ear

Question 32

Parotid Lymph Node Drainage

Answer 32

-anterior to the ear, on or in the parotid gland; drains the scalp above the parotid gland, lymphatics from most of the eyelids, the parotid gland, part of the ear, part of the external nose, lateral part of the cheek

Question 33

Buccal Lymph Node Drainage

Answer 33

-cheek over the buccinator mm, drain part of the cheek and lower eyelid, drains to the submandibular gland

Question 34

Submandibular Lymph Node Drainage

Answer 34

-grouped around the submandibular gland near the angle of the mandible; drains all the maxillary teeth except maxillary third molars, maxillary sinus, mandibular canines and posterior teeth, FOM, most of the tongue, cheek, hard palate, anterior nasal cavity. Submental nodes drain into these nodes also

Question 35

Submental Lymph Node Drainage

Answer 35

-found beneath the chin; drains the chin, mandibular incisors, tip of tongue, midline of lower lip

Question 36

Anterior Cervical Lymph Node Drainage

Answer 36

-superficial and beneath the anterior SCM; drain the throat, posterior pharynx, tonsils and thyroid gland

Question 37

Posterior Cervical Lymph Node Drainage

Answer 37

-posterior to the SCM; drain posterior scalp, upper respiratory structures

Question 38

“NPNT” mean

Answer 38

-non palpable, non tender