Skin, Pre Op, Post Op

Question 1

Epidermis

outer layer

Answer 1

No blood supply

3 Layers:
Stratum germinativum
Melanin, pigment-containing layer
Keratin, stratum corn rum

Question 2

Dermis

“True skin”

Answer 2

Blood vessels
Nerves
Oil glands
Sweat glands

Question 3

Subcutaneous layer

Answer 3

Skin to muscles
Adipose (fat)
Loose connective tissue

Question 4

Sudoriferous glands

Answer 4

Sweat glands

Question 5

Ceruminous glands

Answer 5

Earwax

Question 6

Sebaceous glands

Answer 6

Oil glands

Sebum

Question 7

Hair

Answer 7

Modified dead epidermal tissue

Mainly keratin

Question 8

Nails

Answer 8

Mainly of keratin

Question 9

Inspecting And assessing the skin

Answer 9

Observe- skin color
Assess-skin lesions
Assess-for rashes, scars, lesions
Assess- temperature and texture

Question 10

Skin inspection

Answer 10

Inspect:
Nails
Hair
Mucous membranes

Assess ceruminous and sebaceous glands

Question 11

Assessing dark skin

Answer 11

Degree of: light/darkness

Genetically determined

Question 12

Lips and mucous membranes

Dark skin

Answer 12

Easier to assess because skin is thinner

Question 13

Herpes virus

Type 1

Answer 13

•Most common
•Lesions at corner of mouth, lips, nose 
•Culture lesion to diagnose 
**antiviral meds 
Valtrex , Acyclovir 
•comfort measures and patient edu
10-14 days
Physical and emotional stress

Question 14

Herpes simplex

Type 2

Answer 14

•genital herpes
•direct/indirect contact
(Primarily sexual contact)
•various types in cervix or penis
•flu like sx
•comfort measures/pt education
•no cure
•heal 7-14 days
Recur with depression of immune system

Question 15

Herpes zoster

Shingles

Answer 15

Chickenpox
Spinal ganglia
Triggered when immune system depressed 
Thoracic region
Tenderness and pruritis
Spinal nerve pathway

Question 16

Pityriasis roses

Answer 16

Virus 
Single lesion
Scaly with raised border and pink center
14 days smaller spots spread
**apply moisturizer liberally 
1% hydrocortisone 
Topical steroids

Question 17

Cellulitis

Answer 17

Bacterial infection
Staph/strep
Weak immune system
Fever, erythema, pain, tenderness 
Enlarged lymph nodes 
IV or oral antibiotics 
Pain worse after 4 days on abx due to tissue damage

Question 18

Impetigo contagious

Answer 18

Bacterial
Staph/strep
Common in children
Highly contagious 
Macules-pustules-pustules rupture
Direct/indirect contact
Confirm with culture, treat w/ abx

Question 19

Folliculitis

Answer 19

Infected hair follicle
Abx cream, warm soaks
Bacterial skin infection

Question 20

Furnace

Answer 20

Boil
Infection deep in hair follicle and surrounding tissue
Bacterial skin infection
Abx cream and warm soaks

Question 21

CarBuncle

Answer 21

Cluster of boils (furnaces)
Bacterial
Abx cream and warm soaks

Question 22

Felons

Answer 22

Infected soft tissue

Abx cream and warm soaks

Question 23

Tinea capitols

Answer 23

Fungal infection

Ringworm of scalp

Question 24

Tinea corporeal

Answer 24

Fungal
Ringworm of body
Circular rash with RED border and CLEAR center

Question 25

Tinea Cruris

Answer 25

Jock itch

Fungal

Question 26

Tinea pedis

Answer 26

Fungal
Most common
Athletes foot
Nail removed-takes 3-6 mos to grow back

Question 27

Fungal infections

Answer 27

Treatments:

Oral-Griseofulvin
Anti fungal soaps and shampoos
Keep area CLEAN and DRY

Question 28

Function of skin

Answer 28

Protection
Temp regulation
Vit D synthesis