PM
NR 509 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE 2025
-fiery red - very small <2cm
-Central body, sometimes raised
surrounded by erythema and radiating legs
Spider Angioma -Blanches with pressure
-Distributed to face, neck, arms and upper trunk (almost never below the waist
-single spider angiomas are normal and common on face and chest
-seen in pregnancy and liver disease
-bluish, variable size from small to large, may resemble a spider or be linear
irregular or cascading
- pressure over the center does not cause blanching - diffuse pressure blanches
Spider Vein
the veins
- most are on legs, near veins or on anterior chest
- accompanies increased pressure in the superficial vein like varicose veins
Bright or ruby red, may become purplish with
age 1-3mm, round, flat, or raised maybe
surrounded by pale halo
- no pulsabtility
Cherry Angioma - partial blanching especially if pressure applied
with edge of a pinpoint
-on trunks or extremities
-no significance
- increases in size and number with age
deep red. reddish purple - fading over time -
petechia 1-3 mm purpura are larger
-rounded, sometimes irregular, flat
- no pulsatility
petechia /purpura
- no blanching with pressure
- blood outside the vessels, must suggest a
bleeding disorder or if petechiae, emboli to skin ,
palpable purpura in vasculitis
purple or purplish blue, fading to green, yellow
and brown
- Rounded, oval or irregular - may have
eccymosis central subcutaneous flat nodule
(hematoma)
- no pulsatility
- no blanching with pressure
_ variable distribution
- indicators should prompt close inspection of
pink lesions and are possible basal cell
carcinomas
Sun Damage - rough or keratotic lesions may be
actinic keratoses or squamous cell
carcinomas
- asymmetrical, multicolored or changing lesions
which could be melanoma
Bilateral symmetric brown macules located on
sun-exposed skin, including he face, shoulders
Solar Lentigo
arms and hands
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