Chapter 3. Skin
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1.When a patient presents with a skin-related complaint, it is important to first:
A. Fully inspect all skin lesions before asking
the patient how the lesion in question
developed
B. Obtain a full history about the development
of the skin lesion prior to the physical
examination
C. Complete a full physical examination of
the body prior to inspecting the skin lesion
D. Examine the skin lesion without hearing a
health history in order to not prejudice the
diagnosis
B
2.Jaundice is a state of high bilirubin in the bloodstream. It is most commonly seen first in the:
A. Sclera
B. Nailbeds
C. Palms of the hands
D. Unexposed skin areas
A
3.Skin turgor is best assessed by pinching skin over the:
A. Forehead
B. Forearm
C. Knees
D. Dorsum of the hand
B
4.What kind of lesions are caused by the herpes simplex virus?
A. Scales
B. Vesicles
C. Plaques
D. Urticaria
B
5.A patient presents with vesicles on a reddened base in a symmetrical pattern on the lower neck and upper
back, stating that he had noticed discomfort prior to the onset of the “rash.” Which of the
, NURS 3020 health assessment
following should be considered in your differential diagnosis?
, NURS 3020 health assessment
A. Dermatitis herpetiformis
B. Herpes zoster
C. Dishydrosis
D. Contact dermatitis
A
6.Herpetic whitlow is commonly located on:
A. The eyelid
B. The scalp
C. A finger
D. Lip
C
7.Which type of lesion is referred to as resembling “a dew drop on a rose petal?”
A. Varicella zoster
B. Measles
C. Rubella
D. Tinea
A
8.Which lesions are typically located along the distribution of dermatome?
A. Scabies
B. Herpes zoster
C. Tinea
D. Dishydrosis
B
9.Folliculitis is most commonly due to:
A. Contact dermatitis
B. Varicella zoster
C. Dermatophytes
D. Staphylococcal infection
D
10.A patient presents with polymorphous lesions consisting of small, red papules and vesicles, with a
few eroded and crusted lesions. Your differential diagnosis should include all except which of
the following?
A. Herpes simplex
B. Varicella
C. Bacterial folliculitis
, NURS 3020 health assessment
D. Contactdermatitis
C
11.The following has been associated with cervical and anal cancer:
A. Secondary syphilis
B. Human papilloma virus
C. Herpes simplex
D. Epstein-Barr virus
B
12.During a routine exam, you notice a 5 mm lesion on the right medial cheek. The border is raised and
pearlescent in color and the area is crusted. The patient admits that it has been present for
several months and has only recently become tender with the development of the crusting. This
is most likely:
A. Squamous cell carcinoma
B. Epidermoid cyst
C. Basal cell carcinoma
D. Actinic keratosis
C
13.A patient has a tender, firm, nodular cystic lesion on his scalp that produces cheesy discharge with
foul odor. This is most likely a:
A. Bacterial folliculitis
B. Basal cell carcinoma
C. Bullous impetigo
D. Epidermoid cyst
D
14.Which of the following is not associated with development of erythema multiforme?
A. Herpes virus
B. Mycoplasms
C. Medications
D. Trauma
D
15.Your patient complains of a progressive loss of pigment in various patches on the body. Affected
skin surfaces are otherwise normal (e.g. no scaling, vesicles, elevation, or other changes). The
most likely cause is:
A. Vitiligo