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FNP practice 2021-2022 > Skin SM > Flashcards

Skin SM Flashcards

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Family Nurse Practitioner (FNP) flashcards
1
Q

Key words to remember for herpes simplex virus on the lips. How is this different from aphthous stomatis?
Treated with?
When?

A

painful, cluster vesicles on an erythematous base
AS - inside the mouth, no antivirals
Tx - Acyclovir or Valcyclovir
within 48-72 hours

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2
Q

Honey crusted lesions. What are the two types?

A 
Impetigo 
Bollous and non-bullous 
B - oral antibiotics due to resistance
NB - Mupirocin
Bacteria - strep and staph
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3
Q

Christmas tree like pattern. Starts with _____. TX?

A

Pityriasis Rosea
Starts with herald patch
No tx, self-limiting

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4
Q

Bite, deep purple in color with white halo around it.

A

Brown Recluse spider bite

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5
Q

Preferred antibiotic for Rocky Mountain spotted fever and Lyme disease?

A

Doxycycline - REGARDLESS OF AGE OR PREGNANCY

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6
Q

Where does Rocky mountain spotted fever start?

A

starts on palms of hands and soles of feet

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7
Q

Bull’s eye lesion. What is the other name for this condition

A

Lyme disease

Erythema Migrans

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8
Q

Cough, coryza/congestion, conjunctivitis that leads to a rash. Name this condition. What is another presenting symptom?

A

measLes = rubeLa = kopLik’s spots

Koplik spots - red with bluish-white central dot on erythematous buccal mucosa

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9
Q

Parotid gland swelling. Most commonly associated with what childhood disease? What are 2 other possibilities?

A

Mumps

Bulimia
Salivary gland stone, Sialoliths/Sialolithiasis - after food

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10
Q

Dry, pink lesions on sun exposed areas. Treated with? What can this lead to?

A

Actinic Keratosis
Cyrotherapy or 5FU - RIGHT AWAY!
Squamous cell carcinoma

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11
Q

Slow glowing, scaly, bleeds easily, appears ulcerated

A

Squamous cell carcinoma

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12
Q

Hyperpigmented, flat spots/macules on the skin.

Greater than ___ = what disorder

A

Cafe au lait spots

>8 = Neurofibromatosis

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13
Q

pasted on lesions in the elderly. “Senile wart.” Waxy, scaly, stuck-on or candle wax appearance

A

seborrhea keratosis

greasy, thickening of skin

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14
Q

telangiectasias are present, shiny, waxy or pearly in nature. What should be done for this patient?

A

Basal cell carcinoma
MOST common type of skin cancer
biopsy and refer to derm for removal

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15
Q

Commonly found on flexor surfaces or creases of the body with an itch, scratch repeat process

A

Atopic dermatitis - Eczema

3 A’s

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16
Q

Silver, scaly patches
Treatment?
Two additional clinical signs?

A

Psorasis
topical steroids and cold tar
Auspitz sign - pinpoint bleeding easily when scratching
Koebner’s phenomenon - trauma to the skin leads to a plaque forming

17
Q

Treatment of contact dermatitis

A

topical steroids

18
Q

How to prevent shingles? drug given within 48-72 hours of onset?

A

Shingrix at age 50

Acyclovir, Valtrex

19
Q

Pressure injuries - unable to determine depth due to slough or eschar presentation

A

un-stagable

do NOT remove, do NOT soak

20
Q

Between the fingers or toes, intensely puritic especially at night.

A

Scabies

Permethrin cream

21
Q

When can the child with chickenpox return to school or daycare?

A

when all the lesions have crusted over

22
Q

What is the treatment of head lice?

A

Permethrin - only kills live bugs - must comb out eggs

23
Q

A lesion with dimpling or pregnanted/umbilication. If this is located in what region this may require further investigation? Tx?

A

Molluscum Contagiosum
Groin, Sexual Abuse
no treatment, self-limiting

24
Q

Anthrax key words/findings. Treatment options?

A

farm, ulcerated, black, painless

TX - ciprofloxacin for at least 2 months or Doxycycline

25
Q

What are the risk factors of hidradenitis suppurativa

A

genetics
obesity*
smoking*
female

26
Q

What is the treatment of folliculitis?

A

Muporcin

27
Q

rash that spares the nasolabial folds?

A

Malara rash - lupus

sjogren’s syndrome - dry eyes and mouth

28
Q

Erysipelas. What is this? How will it present? What are two treatment options?

A

bacterial infection of the outer layers of the skin/superficial dermis - form of cellulitis
Sharply defined or well demarcated
TX: Keflux/Ceftriaxone or pcn

if allergic to pcn may treat with erythromycin

29
Q

Purulent cellulitis treatment?

A

“BCD”
bactrim
clinda
doxy

30
Q

geographical tongue, causes?

A

spicy or hot foods

benign

31
Q

leukoplakia vs oral candidiasis

A

hiv - leuko - dentist, detrimental to enamel

32
Q

slapped cheek

A

fifth’s disease
fever > slapped check > lacey over body
stops contagious when rash appears
self-limiting, stay away from pregnant women that are not immune

33
Q

annular in nature

A 
tinea - ringworm
head/scalp 
curis - groin
bread - ba
pedis - foot
antifungals - fluconazole depends on symptom severity
34
Q

enterobiasis - intense pruitic at night

A

pinworm
scotch tape test
tx with

35
Q

dog bite

A

augmentin

FNP practice 2021-2022 (19 decks)

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