Skin, Hair, Nails assessment Flashcards

1
Q

Select the best description of the secretion of the eccrine glands

a. thick, milky
b. dilute saline solution
c. protective lipid substance
d. keratin

A

B

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2
Q

to assess for early jaundice, you will assess:

a. sclera and hard palate
b. nail beds
c. lips
d. all visible skin surfaces

A

A

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3
Q

checking for skin temperature is best accomplished by using:

a. the palmar surface of the hands
b. the ventral surface of the hands
c. the fingertips
d. the dorsal surface of the hands

A

D

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4
Q

assessing a patient’s skin turgor is done to assess which clinical finding?

a. edema
b. dehydration
c. vitiligo
d. scleroderma

A

B

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5
Q

you note a lesion during a skin assessment. which is the best way to document a finding?

a. raised, irregular lesion the size of a quarter, located on dorsum of left hand
b. open lesion with no drainage or odor, approximately 1/4 inch in diameter
c. pedunculate lesion below left scapula with consistent red color and no drainage or odor
d. dark brown raised lesion, with irregular border, on dorsum of right foot, 3 cm in size, with no drainage

A

D

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6
Q

you examine the nail beds of a patient. which finding indicates a normal angle?

a. 60 degrees
b. 100 degrees
c. 160 degrees
d. 180 degrees

A

C

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7
Q

you are assessing capillary refill. the room is warm. which finding would be considered normal

a. less than or equal to 1 second
b. less than 2 seconds
c. 2 to 3 seconds
d. time is not significant as long as color returns

A

A

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8
Q

during a routine visit, MB age 78 asks about a small round flat brown macules on the hands. what is your best response after assessing the areas?

a. these are the result of sun exposure and do not require treatment
b. these are related to exposure to the sun. they may become cancerous
c. these are skin tags that occur with aging, no treatment is required.
d. im glad you brought this to my attention. I will arrange for a biopsy

A

A

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9
Q

an area of thin shiny skin with decreased visibility of normal skin markings is most likely

a. lichenification
b. plaque
c. atrophy
d. keloid

A

C

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10
Q

flattening of the angle between the nail and its base is

a. found in subacute bacterial endocarditis
b. a description of spoon-shaped nails
c. related to calcium deficiency
d. described as clubbing

A

D

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11
Q

a configuration of individual lesions arranged in circles or arcs, as occurs with ringworm, is described as

a. linear lesion
b. clustered lesion
c. annular lesion
d. gyrate lesion

A

C

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12
Q

the A in the ABCDEF rule for skin cancer stands for

a. accuracy
b. appearance
c. asymmetry
d. attenuated

A

C

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13
Q

a risk factor for melanoma is

a. brown eyes
b. darkly pigmented skin
c. skin that freckles or burns before tanning
d. use of sunscreen products

A

C

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14
Q

herpes zoster infection (shingles) is characterized by

a. a bacterial cause
b. lesion on only one side of body, does not cross midline
c. absence of pain or edema
d. pustular, umbilicated lesions

A

B

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15
Q

pallor

A

absence of red-pink tones from the oxygenated hemoglobin in blood

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16
Q

erythema

A

intense redness of the skin due to excess blood in the dilated superficial capillaries

17
Q

cyanosis

A

bluish mottled color that signifies decreased perfusion

18
Q

jaundice

A

increase in bilirubin in the blood causing a yellow color in the skin

19
Q

erythema toxicum

A

tiny, punctuate red macules and papule on the cheeks, trunk, chest, back and buttocks

20
Q

harlequin

A

lower half of body turns red, upper half blanches

21
Q

cutis maromorata

A

transient mottling on trunk and extremities

22
Q

acrocyanosis

A

bluish color around the lips, hands, fingernails, feet, and toenails

23
Q

cafe au lait spot

A

large round or oval patch of light brown usually present at birth

24
Q

physiologic jaundice

A

yellowing of skin, sclera, and mucous membranes due to increased numbers of red blood cells hemolyzed after birth

25
Q

carotenemia

A

yellow-orange color in light-skinned persons from large amounts of food containing carotene