NSG554 2026 COMPREHENSIVE STUDY
GUIDE PRACTICE SET
◉ Office-based procedures. Answer: These will support prompt care
rather than long waiting periods for a dermatology referral
◉ Types of office-based procedures. Answer: cryosurgery,
electrosurgery, curettage, punch biopsy, shave biopsy, and scissor
excision
◉ Cryosurgery. Answer: the application of cold, such as nitrogen in
its liquid state, to produce therapeutic tissue necrosis
◉ electrosurgery. Answer: use of electricity to cut tissue, destroy
tissue and cauterize vessels
◉ curettage. Answer: scraping instrument, a curet, to remove soft
tissue and superficial skin lesions
◉ punch biopsy. Answer: performed when knowledge of the depth
of the lesion is required, such as with pigmented lesions, for which
,the depth of the lesion is one of the most important prognostic
indicators of malignant melanoma
used when the lesion is small
◉ shave biopsy. Answer: used then a full thickness specimen is not
required for diagnosis
◉ scissor excision. Answer: performed on pedunculated lesions such
as skin tags
◉ Burrow's solution. Answer: A patient comes in with a moist, wet
lesion and needs you to put a bandage on it. What type of bandage
would you put on this patient that aids in drying lesions and
provides soothing relief?
◉ wet dressings. Answer: A patient comes in with a wound that has
exudate draining from it. What type of dressing would you put on
this patient that suppresses inflammation?
◉ creams and ointments. Answer: A patient comes in with a dry
lesion that he complains is very itchy. What type of treatment would
you recommend he use?
,◉ Topical corticosteroids. Answer: -mainstay of dermatologic
therapy
-Reduction of inflammatory response, vasoconstriction, and
decrease in collagen synthesis
-available in several classes, and is based on potency
◉ Potency considerations for topical corticosteroids. Answer: -the
higher the potency the more prolonged the use and the higher the
risk for adverse effects
-systemic side effects are rare when prescribed and used
appropriately
-use caution when prescribing class 1, 2, and 3
-use with occlusive dressing increases potency of drug
◉ 30 g. Answer: the amount of ointment needed to cover the entire
body
◉ 1 g. Answer: the amount of ointment that covers a 10x10 cm area
◉ 0.5 g. Answer: Fingertip unit (FTU) : the amount of ointment
expressed from a tube with a 5-mm nozzel to cover from the tip of
the index finger to the distal skin crease
◉ topical therapies. Answer: antifungal medications
, antiviral medications
biologic agents
retinoid medications
◉ acrocordon. Answer: these are known as skin tags; they may be
associated with diabetes or obesity
◉ treatment of acrodordon. Answer: scissor excision; electrocautery,
which may cause scarring; and local application of cryotherapy
(liquid nitrogen) which may cause local hypo- or hyperpigmentation
◉ angioma. Answer: not associated with any disease, "cherry" red
skin lesion
◉ angioma. Answer: For which skin lesion is treatment only
cosmetic, consisting of electrodessication, curettage, or laser
removal
◉ dermatofibroma. Answer: firm, intradermal nodules in the skin
◉ dermatofibroma. Answer: What skin lesion is treated with deep
excision, and will leave scars
GUIDE PRACTICE SET
◉ Office-based procedures. Answer: These will support prompt care
rather than long waiting periods for a dermatology referral
◉ Types of office-based procedures. Answer: cryosurgery,
electrosurgery, curettage, punch biopsy, shave biopsy, and scissor
excision
◉ Cryosurgery. Answer: the application of cold, such as nitrogen in
its liquid state, to produce therapeutic tissue necrosis
◉ electrosurgery. Answer: use of electricity to cut tissue, destroy
tissue and cauterize vessels
◉ curettage. Answer: scraping instrument, a curet, to remove soft
tissue and superficial skin lesions
◉ punch biopsy. Answer: performed when knowledge of the depth
of the lesion is required, such as with pigmented lesions, for which
,the depth of the lesion is one of the most important prognostic
indicators of malignant melanoma
used when the lesion is small
◉ shave biopsy. Answer: used then a full thickness specimen is not
required for diagnosis
◉ scissor excision. Answer: performed on pedunculated lesions such
as skin tags
◉ Burrow's solution. Answer: A patient comes in with a moist, wet
lesion and needs you to put a bandage on it. What type of bandage
would you put on this patient that aids in drying lesions and
provides soothing relief?
◉ wet dressings. Answer: A patient comes in with a wound that has
exudate draining from it. What type of dressing would you put on
this patient that suppresses inflammation?
◉ creams and ointments. Answer: A patient comes in with a dry
lesion that he complains is very itchy. What type of treatment would
you recommend he use?
,◉ Topical corticosteroids. Answer: -mainstay of dermatologic
therapy
-Reduction of inflammatory response, vasoconstriction, and
decrease in collagen synthesis
-available in several classes, and is based on potency
◉ Potency considerations for topical corticosteroids. Answer: -the
higher the potency the more prolonged the use and the higher the
risk for adverse effects
-systemic side effects are rare when prescribed and used
appropriately
-use caution when prescribing class 1, 2, and 3
-use with occlusive dressing increases potency of drug
◉ 30 g. Answer: the amount of ointment needed to cover the entire
body
◉ 1 g. Answer: the amount of ointment that covers a 10x10 cm area
◉ 0.5 g. Answer: Fingertip unit (FTU) : the amount of ointment
expressed from a tube with a 5-mm nozzel to cover from the tip of
the index finger to the distal skin crease
◉ topical therapies. Answer: antifungal medications
, antiviral medications
biologic agents
retinoid medications
◉ acrocordon. Answer: these are known as skin tags; they may be
associated with diabetes or obesity
◉ treatment of acrodordon. Answer: scissor excision; electrocautery,
which may cause scarring; and local application of cryotherapy
(liquid nitrogen) which may cause local hypo- or hyperpigmentation
◉ angioma. Answer: not associated with any disease, "cherry" red
skin lesion
◉ angioma. Answer: For which skin lesion is treatment only
cosmetic, consisting of electrodessication, curettage, or laser
removal
◉ dermatofibroma. Answer: firm, intradermal nodules in the skin
◉ dermatofibroma. Answer: What skin lesion is treated with deep
excision, and will leave scars
