Skin, Head, Neck, Lymph Assessment

Question 1

Macule

Answer 1

Flat in less than 1 cm in diameter

Question 2

Patch

Answer 2

Flat greater than 1 cm in diameter

Question 3

Papule

Answer 3

Raise and less than 1 cm in diameter and not fluid filled

Question 4

Plaque

Answer 4

Raised and greater than 1 cm in diameter and not fluid filled

Question 5

Vesicles

Answer 5

Raised and less than 1 cm in diameter and filled with fluid

Fluctuant
Eg: varicella

Question 6

Bulla

Answer 6

Raised, greater than 1 cm in diameter, filled with fluid, example blister

Question 7

Pustule

Answer 7

In general less than 1 cm in diameter, filled with pus or keratin, example impetigo

Question 8

Erosion

Answer 8

A loss of some or all of the epidermis, surface is denuded

Question 9

Nodule

Answer 9

Larger and deeper than a papule you about 1 to 2 cm, they invade the dermis or subcutaneous fat, firm to palpation

Question 10

Cyst

Answer 10

Closed sac beneath the outer layer of the epidermis that contains a liquid, semi solid gel, or gaseous substance

Eg sebaceoous cyst
Not firm

Question 11

Wheal

Answer 11

Raised and generally probable area with varying configuration and location, erythematous or pale, rounded or flat top, comes and goes, result of circumscribed dermal edema

Question 12

Petechiae

Answer 12

Purpuric lesions 1 to 3 mm, result of blood outside of vessels, do not Blanche, suggestive of microemboli or vasculitis

Question 13

Annular lesion shape

Answer 13

Ring like with central clearing sometimes called target lesions

Question 14

Nummular lesion shape

Answer 14

Queen like with no central clearing, example eczema

Question 15

ABCDE of lesions

Answer 15

Asymmetry, border, color, diameter, evolution

Question 16

Lunula

Answer 16

Moon shape at the base of the finger nail

Question 17

Onychomycosis

Answer 17

Thick, brittle nails indicative of fungal infection

Question 18

Splinter hemorrhages in nails

Answer 18

Linear, petechial discolorations seen sometimes in endocarditis, SLE, scleroderma

Question 19

Headache warning signs

Answer 19

Change in pattern from past headaches, progressively frequent or severe over a three-month period, sudden onset, new onset after age 50, precipitated by Valsalva for exertion, associated symptoms of fever night sweats or weight loss, recent head trauma, associated with abnormal exam findings of papilledema neck stiffness or focal neurodeficits, diagnosis of immunosuppression

Question 20

Neck lymph nodes

Answer 20

Preauricular, post auricular, occipital, tonsilar, submandibular, submental, superficial cervical, posterior cervical, deep cervical chain, supraclavicular

Question 21

Normal head documentation

Answer 21

Normocephalic, no bony abnormality, nontender to palpation. Hair texture is normal, some blading noted at the vertex, scalp is without lesions or next

Question 22

Normal neck documentation

Answer 22

Trachea midline, neck supple, thyroid isthmus is midline and palpable, lobes are palpable, Normal in size, without nodularity or masses

Question 23

Normal lymph documentation

Answer 23

Bilateral shoddy submandibular notes, nontender to palpation. There is no lymphadenopathy (axillary & inguinal exam deferred)