Dermatology FNP review part 1(Exam 100% Accurate!!)

A 69-year-old man with a recent history of stroke and residual right-sided weakness presents to the nurse practitioner during rounds at a skilled nursing facility. The patient is deconditioned and requires nursing assistance to get out of bed. On exam, the nurse practitioner notes a 4 cm x 3 cm nonblanchable purplish wound with intact skin and bogginess on palpation. Which of the following is the best method to treat this patient's wound? - ANSWERFoam dressing A 14-year-old girl is brought in by her mother with concerns for acne. She has tried over-the-counter acne preparations but continues to have skin lesions. On exam, there are multiple closed comedones scattered across the forehead, nose, and chin area without much inflammation. There are no pustular lesions. Which of the following would be the best initial pharmacotherapeutic treatment? - ANSWERTopical retinoid A 30-year-old man presents to his primary care provider's office for a rash. He has a past medical history of recurrent genital herpes. On physical exam, there are numerous target-like erythematous lesions involving the face, arms, hands, and trunk as shown above. Which of the following is the most likely diagnosis? - ANSWERErythema multiforme A 13-year-old girl is brought to the clinic because of a rash. She first noted a small red macule on her left leg. The macule slowly increased in size. She also complains of fever and muscle pains. She went hiking in Connecticut about one month ago but denies any tick bite. On physical examination, her vital signs are normal. On skin examination, there is a 10-cm diameter, flat, annular, erythematous patch with central clearing that is located on her left leg. Which of the following is the best therapy? - ANSWERDoxycycline A mother brings in to the clinic her seven-year-old boy because of skin lesions on his neck. For the past couple of days, the mother noted that the boy had a few bumps on his neck that enlarged to become filled with clear yellow fluid. After a few days, the bumps became darker, and the fluid became more turbid. Last night, the mother noted that the lesions ruptured. The boy has no fever, no history of allergies, and is not taking any medications. On examination, there are multiple erosions with crust on the nape of his neck with some bullae. Which of the following etiologic agents most likely caused the boy's skin lesion? - ANSWERStaphylococcus aureus A 23-year-old woman presents to her primary care provider complaining of a recurring rash on her hands. The rash erupted suddenly and is extremely pruritic. She denies any new exposures. Physical exam reveals multiple, deep-seated vesicles scattered on both palms symmetrically. Which of the following is the most likely diagnosis? - ANSWERDyshidrotic eczema