Screening of integument

Question 1

Mobility of the skin is impacted by

Answer 1

Hydration
Aging
Edema

Question 2

Turgor assessment

Answer 2

Pinch skin
Lift
Release

Question 3

Positive turgor assessment

Answer 3

Skin remains lifted for greater than or equal to 5 seconds

Question 4

Best sites to assess turgor

Answer 4

Subclavicular
Extensor surface of the forearm
Dorsum of hand areas

Question 5

Skin assessment beyond turgor and mobility

Answer 5

Edema
Skin temperature
Changes in skin color

Question 6

Characteristics of skin temperature

Answer 6

Could be indicative of infection and presence of edema

Question 7

When is edema an extra cause of concern?

Answer 7

When it is bilateral and symmetrical

Question 8

What can cause edema?

Answer 8

Heart failure
Renal failure
Liver failure
Venous insufficiency

Question 9

What causes herpes, shingles, and chicken pox?

Answer 9

Varicella-zoster virus (VZV)

Question 10

VZV lies dormant in…

Answer 10

Nerves

Question 11

Characteristics of pain and lesions from VZV

Answer 11

Follow nerve/dermatome distribution

Usually unilateral

Question 12

VZV can cause

Answer 12

Chronic pain

Hearing/vision loss

Question 13

Adults with shingles are contagious to…

Answer 13

those who have not had chicken pox

Question 14

What can cause jaundice?

Answer 14

Hepatitis
Cirrhosis
Cancer
Liver failure

Question 15

What happens when bilirubin level reaches 5-6 mg/dl?

Answer 15

Yellowing of the skin
Palmer erythema
Spider angioma
Nail of terry

Question 16

What can cause rubor?

Answer 16

Peripheral vascular disease

Question 17

What else does peripheral vascular disease cause?

Answer 17

Hair loss on feet and toes
Nails thickened
Thin skin
(signs related to arterial insufficiency)

Question 18

What is the most common form of “skin pre-cancer”

Answer 18

Actinic Keratoses

Question 19

What is Actinic Keratoses

Answer 19

Scaly or crusty growth from UV exposure

Question 20

Where does actinic keratoses usually develop?

Answer 20

Face, bald scalp, lips, back of hands

Question 21

What often happens to the skin due to actinic keratoses

Answer 21

Often becomes red, tan, pink, or flesh-toned

Question 22

Actinic keratosis may progress to…

Answer 22

squamous cell carcinoma

Question 23

Actinic keratosis affects how many americans?

Answer 23

Around 58 million americans

Question 24

Risk factors for actinic keratoses

Answer 24

Fair complexion (blonde or red hair)(blue, green, or grey eyes)
Closer to equator increases risk
Men affected greater than women
Caucasians affected greater than darker skin toned people

Question 25

Basic skin screening questions

Answer 25

How long have you had this?
Has it changed in the last 6 weeks to 6 months
Has your doctor seen it or aware of it?
Does it itch, hurt, feel sore, or burn?
Have you had any other symptoms of any kind or skin changes anywhere else on you body?

Question 26

What is the method for screening for skin cancers?

Answer 26

A, B, C, D, E

Question 27

What does A stand for in A, B, C, D, E?

Answer 27

Asymmetry

Question 28

What does B stand for in A, B, C, D, E?

Answer 28

Border of lesion is irregular

Question 29

What does C stand for in A, B, C, D, E?

Answer 29

Color of lesion (multiple colors/hues)

Question 30

What does D stand for in A, B, C, D, E?

Answer 30

Diameter of lesion bigger than pencil eraser

Question 31

What does E stand for in A, B, C, D, E?

Answer 31

Evolution or elevation (changing appearance)