Final Exam Nurs 623/ 624
Simon presents with alopecia areata with well-circumscribed patches of hair loss on
the crown of his head. How do you respond when he asks you the cause?
a. "You must be under a lot of stress lately."
b. "It is hereditary. Did your father experience this also?"
c. "The cause is unknown, but we suspect it is due to an immunologic mechanism."
d. "We'll have to do some tests." - (correct Answer) - "The cause is unknown, but
we suspect it is due to an immunologic mechanism."
Which of the following is "a linear crack extending from the epidermis to the
dermis?"
a. An ulcer
b. A fissure
c. Lichenification
d. An excoriation - (correct Answer) - A fissure
A bulla is:
a. A vesicle larger than 1 cm in diameter
b. An elevated solid mass with a hard texture; the shape and borders can be regular
or irregular
c. A superficial elevated lesion filled with purulent fluid
d. Thinning of the skin (epidermis and dermis) that appears white or translucent -
(correct Answer) - A vesicle larger than 1 cm in diameter
An example of ecchymosis is:
a. A hematoma
b. A keloid
c. A bruise
d. A patch - (correct Answer) - A bruise
When looking under the microscope to diagnose an intravaginal infection, you see a
cluster of small and oval to round shapes. What do you suspect they are?
a. Spores
b. Leukocytes
c. Pseudohyphae
d. Epithelial cells - (correct Answer) - Spores
Your patient is in her second trimester of pregnancy and has a yeast infection.
Which of the following is a treatment that you usually recommend/order in
nonpregnant patients, but is listed as a Pregnancy category D?
a. Vagistat vaginal cream
b. Monistat combination pack
c. Terazol vaginal cream
d. Diflucan, 150 mg - (correct Answer) - Diflucan, 150 mg
Tinea unguium is also known as:
a. Onychomycosis
b. Tinea versicolor
c. Tinea manuum
d. Tinea corporis - (correct Answer) - Onychomycosis
Sally, age 25, presents with impetigo that has been diagnosed as infected with
Staphylococcus. The clinical presentation is pruritic tender, red vesicles
surrounded by erythema with a rash that is ulcerating. Her recent treatment has not
been adequate. Which type of impetigo is this?
a. Bullous impetigo
b. Staphylococcal scalded skin syndrome (SSSS)
c. Nonbullous impetigo
d. Ecthyma - (correct Answer) - Ecthyma
Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin
reveals crepitus due to gas production by which anaerobic bacteria?
a. Staphylococcal aureus
b. Clostridium perfringens
c. S. pyrogenes
,d. Streptococcus - (correct Answer) - Clostridium perfringens
When using the microscope for an intravaginal infection, you see something
translucent and colorless. What do you suspect?
a. A piece of hair or a thread
b. Hyphae
c. Leukocytes
d. Spores - (correct Answer) - Hyphae
Marci has a wart on her hand. She says she heard something about "silver duct tape
therapy." What do you tell her about his?
a. It is an old wives' tale.
b. It is used as a last resort.
c. Salicylic acid is more effective.
d. It is a simple treatment that should be tried first. - (correct Answer) - It is
a simple treatment that should be tried first.
Which is the most potent and irritating dose of tretinoin?
a. 0.05% liquid formulation
b. 0.1% cream
c. 1% foam
d. 0.02% cream - (correct Answer) - 0.05% liquid formulation
Of the following types of cellulitis, which is a streptococcal infection of the
superficial layers of the skin that does not involve the subcutaneous layers?
a. Necrotizing fasciitis
b. Periorbital cellulitis
c. Erysipelas
d. "Flesh-eating" cellulitis - (correct Answer) - Erysipelas
Mandy presents with a cauliflower-like wart in her anogenital region. You suspect
it was sexually transmitted and document this as a:
a. Filiform/digitate wart
b. Dysplastic cervical lesion
c. Condyloma acuminata
d. Koilocytosis - (correct Answer) - Condyloma acuminata
Jeffrey has atopic dermatitis. You are prescribing a low-dose topical
corticosteroid for him. Which would be a good choice?
a. Betamethasone dipropionate 0.05%
b. Hydrocortisone base 2.5%
c. Halcinonide 0.1%
d. Desonide 0.05% - (correct Answer) - Hydrocortisone base 2.5%
Harvey has a rubbery, smooth, round mass on his chest that is compressible and has
a soft-to-very-firm texture. What do you diagnose this as?
a. A lipoma
b. A nevi
c. A skin tag
d. A possible adenoma - (correct Answer) - A lipoma
Which of the following statements is accurate when you are removing a seborrheic
keratosis lesion using liquid nitrogen?
a. Do not use lidocaine as it may potentiate bleeding.
b. Pinch the skin taut together.
c. Use gel foam to control bleeding.
d. This should be performed by a dermatologist only. - (correct Answer) - Use gel
foam to control bleeding.
The "B" in the ABCDEs of assessing skin cancer represents:
a. Biopsy
b. Best practice
c. Boundary
d. Border irregularity - (correct Answer) - Asymmetry
BORDER IRREGULARITY
Color not uniform
Diameter > 6 mm
Evolving size, shape or color.
, The majority of HSV-1 and HSV-2 infections are asymptomatic so that only which
elevated antibody titer shows evidence of previous infection?
a. IgA
b. IgE
c. IgG
d. IgM - (correct Answer) - IgG
Eighty percent of men have noticeable hair loss by what age?
a. 35
b. 50
c. 70
d. 85 - (correct Answer) - 85
Prevalence of psoriasis is highest in which group?
a. Scandinavians
b. African Americans
c. Asians
d. Native Americans - (correct Answer) - Scandinavians
The most common precancerous skin lesion found in Caucasians is:
a. A skin tag
b. Actinic keratosis
c. A melanoma
d. A basal cell lesion - (correct Answer) - Actinic keratosis
Ian, age 62, presents with a wide, diffuse area of erythematous skin on his lower
left leg that is warm and tender to palpation. There is some edema involved. You
suspect:
a. Necrotizing fasciitis
b. Kaposi's sarcoma
c. Cellulitis
d. A diabetic ulcer - (correct Answer) - Cellulitis
Josh, aged 22, has tinea versicolor. Which description is the most likely for this
condition?
a. There are round, hypopigmented macules on his back.
b. Josh has red papules on his face.
c. There are crusted plaques in Josh's groin area.
d. There are white streaks on his neck. - (correct Answer) - There are round,
hypopigmented macules on his back.
Tori is on systemic antifungals for a bad tinea infection. You are aware that the
antifungals may cause:
a. Renal failure
b. Skin discoloration
c. Breathing difficulties
d. Hepatotoxicity - (correct Answer) - Hepatotoxicity
Which scalp problem can be caused by a fever and certain drugs?
a. Telogen effluvium (TE)
b. Trichotillomania
c. Psoriasis
d. Alopecia areata - (correct Answer) - Telogen effluvium (TE)
Why do people of African descent have a lower incidence of non-melanoma skin
cancer?
a. They have an increased number of melanocytes.
b. Their darker skin protects from ultraviolet radiation.
c. Their skin is thicker.
d. Their immune system is stronger. - (correct Answer) - Their darker skin protects
from ultraviolet radiation
Which statement is true regarding chloasma, the 'mask of pregnancy'?
a. It is caused by a decrease in the melanocyte-stimulating hormone during
pregnancy.
b. This condition only occurs on the face.
c. Exposure to sunlight will even out the discoloration.
d. It is caused by increased levels of estrogen and progesterone. - (correct
Simon presents with alopecia areata with well-circumscribed patches of hair loss on
the crown of his head. How do you respond when he asks you the cause?
a. "You must be under a lot of stress lately."
b. "It is hereditary. Did your father experience this also?"
c. "The cause is unknown, but we suspect it is due to an immunologic mechanism."
d. "We'll have to do some tests." - (correct Answer) - "The cause is unknown, but
we suspect it is due to an immunologic mechanism."
Which of the following is "a linear crack extending from the epidermis to the
dermis?"
a. An ulcer
b. A fissure
c. Lichenification
d. An excoriation - (correct Answer) - A fissure
A bulla is:
a. A vesicle larger than 1 cm in diameter
b. An elevated solid mass with a hard texture; the shape and borders can be regular
or irregular
c. A superficial elevated lesion filled with purulent fluid
d. Thinning of the skin (epidermis and dermis) that appears white or translucent -
(correct Answer) - A vesicle larger than 1 cm in diameter
An example of ecchymosis is:
a. A hematoma
b. A keloid
c. A bruise
d. A patch - (correct Answer) - A bruise
When looking under the microscope to diagnose an intravaginal infection, you see a
cluster of small and oval to round shapes. What do you suspect they are?
a. Spores
b. Leukocytes
c. Pseudohyphae
d. Epithelial cells - (correct Answer) - Spores
Your patient is in her second trimester of pregnancy and has a yeast infection.
Which of the following is a treatment that you usually recommend/order in
nonpregnant patients, but is listed as a Pregnancy category D?
a. Vagistat vaginal cream
b. Monistat combination pack
c. Terazol vaginal cream
d. Diflucan, 150 mg - (correct Answer) - Diflucan, 150 mg
Tinea unguium is also known as:
a. Onychomycosis
b. Tinea versicolor
c. Tinea manuum
d. Tinea corporis - (correct Answer) - Onychomycosis
Sally, age 25, presents with impetigo that has been diagnosed as infected with
Staphylococcus. The clinical presentation is pruritic tender, red vesicles
surrounded by erythema with a rash that is ulcerating. Her recent treatment has not
been adequate. Which type of impetigo is this?
a. Bullous impetigo
b. Staphylococcal scalded skin syndrome (SSSS)
c. Nonbullous impetigo
d. Ecthyma - (correct Answer) - Ecthyma
Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin
reveals crepitus due to gas production by which anaerobic bacteria?
a. Staphylococcal aureus
b. Clostridium perfringens
c. S. pyrogenes
,d. Streptococcus - (correct Answer) - Clostridium perfringens
When using the microscope for an intravaginal infection, you see something
translucent and colorless. What do you suspect?
a. A piece of hair or a thread
b. Hyphae
c. Leukocytes
d. Spores - (correct Answer) - Hyphae
Marci has a wart on her hand. She says she heard something about "silver duct tape
therapy." What do you tell her about his?
a. It is an old wives' tale.
b. It is used as a last resort.
c. Salicylic acid is more effective.
d. It is a simple treatment that should be tried first. - (correct Answer) - It is
a simple treatment that should be tried first.
Which is the most potent and irritating dose of tretinoin?
a. 0.05% liquid formulation
b. 0.1% cream
c. 1% foam
d. 0.02% cream - (correct Answer) - 0.05% liquid formulation
Of the following types of cellulitis, which is a streptococcal infection of the
superficial layers of the skin that does not involve the subcutaneous layers?
a. Necrotizing fasciitis
b. Periorbital cellulitis
c. Erysipelas
d. "Flesh-eating" cellulitis - (correct Answer) - Erysipelas
Mandy presents with a cauliflower-like wart in her anogenital region. You suspect
it was sexually transmitted and document this as a:
a. Filiform/digitate wart
b. Dysplastic cervical lesion
c. Condyloma acuminata
d. Koilocytosis - (correct Answer) - Condyloma acuminata
Jeffrey has atopic dermatitis. You are prescribing a low-dose topical
corticosteroid for him. Which would be a good choice?
a. Betamethasone dipropionate 0.05%
b. Hydrocortisone base 2.5%
c. Halcinonide 0.1%
d. Desonide 0.05% - (correct Answer) - Hydrocortisone base 2.5%
Harvey has a rubbery, smooth, round mass on his chest that is compressible and has
a soft-to-very-firm texture. What do you diagnose this as?
a. A lipoma
b. A nevi
c. A skin tag
d. A possible adenoma - (correct Answer) - A lipoma
Which of the following statements is accurate when you are removing a seborrheic
keratosis lesion using liquid nitrogen?
a. Do not use lidocaine as it may potentiate bleeding.
b. Pinch the skin taut together.
c. Use gel foam to control bleeding.
d. This should be performed by a dermatologist only. - (correct Answer) - Use gel
foam to control bleeding.
The "B" in the ABCDEs of assessing skin cancer represents:
a. Biopsy
b. Best practice
c. Boundary
d. Border irregularity - (correct Answer) - Asymmetry
BORDER IRREGULARITY
Color not uniform
Diameter > 6 mm
Evolving size, shape or color.
, The majority of HSV-1 and HSV-2 infections are asymptomatic so that only which
elevated antibody titer shows evidence of previous infection?
a. IgA
b. IgE
c. IgG
d. IgM - (correct Answer) - IgG
Eighty percent of men have noticeable hair loss by what age?
a. 35
b. 50
c. 70
d. 85 - (correct Answer) - 85
Prevalence of psoriasis is highest in which group?
a. Scandinavians
b. African Americans
c. Asians
d. Native Americans - (correct Answer) - Scandinavians
The most common precancerous skin lesion found in Caucasians is:
a. A skin tag
b. Actinic keratosis
c. A melanoma
d. A basal cell lesion - (correct Answer) - Actinic keratosis
Ian, age 62, presents with a wide, diffuse area of erythematous skin on his lower
left leg that is warm and tender to palpation. There is some edema involved. You
suspect:
a. Necrotizing fasciitis
b. Kaposi's sarcoma
c. Cellulitis
d. A diabetic ulcer - (correct Answer) - Cellulitis
Josh, aged 22, has tinea versicolor. Which description is the most likely for this
condition?
a. There are round, hypopigmented macules on his back.
b. Josh has red papules on his face.
c. There are crusted plaques in Josh's groin area.
d. There are white streaks on his neck. - (correct Answer) - There are round,
hypopigmented macules on his back.
Tori is on systemic antifungals for a bad tinea infection. You are aware that the
antifungals may cause:
a. Renal failure
b. Skin discoloration
c. Breathing difficulties
d. Hepatotoxicity - (correct Answer) - Hepatotoxicity
Which scalp problem can be caused by a fever and certain drugs?
a. Telogen effluvium (TE)
b. Trichotillomania
c. Psoriasis
d. Alopecia areata - (correct Answer) - Telogen effluvium (TE)
Why do people of African descent have a lower incidence of non-melanoma skin
cancer?
a. They have an increased number of melanocytes.
b. Their darker skin protects from ultraviolet radiation.
c. Their skin is thicker.
d. Their immune system is stronger. - (correct Answer) - Their darker skin protects
from ultraviolet radiation
Which statement is true regarding chloasma, the 'mask of pregnancy'?
a. It is caused by a decrease in the melanocyte-stimulating hormone during
pregnancy.
b. This condition only occurs on the face.
c. Exposure to sunlight will even out the discoloration.
d. It is caused by increased levels of estrogen and progesterone. - (correct
