NU 518 FULL STUDY SHEET QUESTIONS
AND CORRECT ANSWERS COLLECTION
●● A 35-year-old archaeologist comes to your office (located in
Phoenix, Arizona) for a regular skin check-up. She has just returned
from her annual dig site in Greece. She has fair skin and reddish-blonde
hair. She has a family history of melanoma. She has many freckles
scattered across her skin. From this description, which of the following
is not a risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
Answer: A
●● You are speaking to an 8th grade class about health prevention and
are preparing to discuss the ABCDEs of melanoma. Which of the
following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D =
diameter >6 mm; E =evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially
blue; D = diameter >6 mm; E = evolution
,C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic
nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially
orange; D = diameter >6 mm; E = evolution
Answer: B
●● You are beginning the examination of the skin on a 25-year-old
teacher. You have previously elicited that she came to the office for
evaluation of fatigue, weight gain, and hair loss. You strongly suspect
that she has hypothyroidism. What is the expected moisture and texture
of the skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
Answer: D
●● A 28-year-old patient comes to the office for evaluation of a rash. At
first there was only one large patch, but then more lesions erupted
suddenly on the back and torso; the lesions itch. On physical
examination, you note that the pattern of eruption is like a Christmas tree
and that there are a variety of erythematous papules and macules on the
cleavage lines of the back. Based on this description, what is the most
likely diagnosis?
A) Pityriasis rosea
,B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
Answer: A
●● A 19-year-old construction worker presents for evaluation of a rash.
He notes that it started on his back with a multitude of spots and is also
on his arms, chest, and neck. It itches a lot. He does sweat more than
before because being outdoors is part of his job. On physical
examination, you note dark tan patches with a reddish cast that has sharp
borders and fine scales, scattered more prominently around the upper
back, chest, neck, and upper arms as well as under the arms. Based on
this description, what is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
Answer: B
●● A 68-year-old retired farmer comes to your office for evaluation of a
skin lesion. On the right temporal area of the forehead, you see a
flattened papule the same color as his skin, covered by a dry scale that is
round and feels hard. He has several more of these scattered on the
forehead, arms, and legs. Based on this description, what is your most
likely diagnosis?
, A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma
Answer: A
●● A 58-year-old gardener comes to your office for evaluation of a new
lesion on her upper chest. The lesion appears to be "stuck on" and is
oval, brown, and slightly elevated with a flat surface. It has a rough,
wartlike texture on palpation. Based on this description, what is your
most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma
Answer: B
●● A 72-year-old teacher comes to a skilled nursing facility for
rehabilitation after being in the hospital for 6 weeks. She was treated for
sepsis and respiratory failure and had to be on the ventilator for 3 weeks.
You are completing your initial assessment and are evaluating her skin
condition. On her sacrum there is full-thickness skin loss that is 5 cm in
diameter, with damage to the subcutaneous tissue. The underlying
muscle is not affected. You diagnose this as a pressure ulcer. What is the
stage of this ulcer?
AND CORRECT ANSWERS COLLECTION
●● A 35-year-old archaeologist comes to your office (located in
Phoenix, Arizona) for a regular skin check-up. She has just returned
from her annual dig site in Greece. She has fair skin and reddish-blonde
hair. She has a family history of melanoma. She has many freckles
scattered across her skin. From this description, which of the following
is not a risk factor for melanoma in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
Answer: A
●● You are speaking to an 8th grade class about health prevention and
are preparing to discuss the ABCDEs of melanoma. Which of the
following descriptions correctly defines the ABCDEs?
A) A = actinic; B = basal cell; C = color changes, especially blue; D =
diameter >6 mm; E =evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially
blue; D = diameter >6 mm; E = evolution
,C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic
nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially
orange; D = diameter >6 mm; E = evolution
Answer: B
●● You are beginning the examination of the skin on a 25-year-old
teacher. You have previously elicited that she came to the office for
evaluation of fatigue, weight gain, and hair loss. You strongly suspect
that she has hypothyroidism. What is the expected moisture and texture
of the skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
Answer: D
●● A 28-year-old patient comes to the office for evaluation of a rash. At
first there was only one large patch, but then more lesions erupted
suddenly on the back and torso; the lesions itch. On physical
examination, you note that the pattern of eruption is like a Christmas tree
and that there are a variety of erythematous papules and macules on the
cleavage lines of the back. Based on this description, what is the most
likely diagnosis?
A) Pityriasis rosea
,B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
Answer: A
●● A 19-year-old construction worker presents for evaluation of a rash.
He notes that it started on his back with a multitude of spots and is also
on his arms, chest, and neck. It itches a lot. He does sweat more than
before because being outdoors is part of his job. On physical
examination, you note dark tan patches with a reddish cast that has sharp
borders and fine scales, scattered more prominently around the upper
back, chest, neck, and upper arms as well as under the arms. Based on
this description, what is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
Answer: B
●● A 68-year-old retired farmer comes to your office for evaluation of a
skin lesion. On the right temporal area of the forehead, you see a
flattened papule the same color as his skin, covered by a dry scale that is
round and feels hard. He has several more of these scattered on the
forehead, arms, and legs. Based on this description, what is your most
likely diagnosis?
, A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma
Answer: A
●● A 58-year-old gardener comes to your office for evaluation of a new
lesion on her upper chest. The lesion appears to be "stuck on" and is
oval, brown, and slightly elevated with a flat surface. It has a rough,
wartlike texture on palpation. Based on this description, what is your
most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma
Answer: B
●● A 72-year-old teacher comes to a skilled nursing facility for
rehabilitation after being in the hospital for 6 weeks. She was treated for
sepsis and respiratory failure and had to be on the ventilator for 3 weeks.
You are completing your initial assessment and are evaluating her skin
condition. On her sacrum there is full-thickness skin loss that is 5 cm in
diameter, with damage to the subcutaneous tissue. The underlying
muscle is not affected. You diagnose this as a pressure ulcer. What is the
stage of this ulcer?
