BSMCON NUR 2102 - Final Cumulative Exam QUESTIONS WITH ANSWERS

BSMCON NUR 2102 - Final |\ |\ |\ |\ |\




Cumulative Exam QUESTIONS |\ |\ |\




WITH ANSWERS |\




Melanoma Risk Factors - CORRECT ANSWERS ✔✔Too much |\ |\ |\ |\ |\ |\ |\ |\


exposure to UV radiation |\ |\ |\




Moles
Fair skin, freckling, red, or blonde hair
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Positive family history of melanoma|\ |\ |\ |\




History of immunosuppressive treatment
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Older age |\




Male gender |\




Past history of melanoma
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Screening Recommendations for Melanoma - CORRECT ANSWERS
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✔✔Skin examination every 3 years for ages 20-40 and yearly for
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over 40 |\




Monthly skin self-exam starting at age 20
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Appendages of the Skin - CORRECT ANSWERS ✔✔Hair, nails and |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


glands (eccrine, apocrine, sebaceuos)
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,Eccrine Glands - CORRECT ANSWERS ✔✔Most numerous sweat
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glands on the body. In greatest number on palms, soles and
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forehead.


Apocrine Glands - CORRECT ANSWERS ✔✔Found only in the
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axillae, nipples, areolae, anogenital area, eyelids, and external
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ears. Activity associated with puberty and body odor.
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Sebaceous Glands - CORRECT ANSWERS ✔✔Secrete sebum which
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keeps the skin and hair lubricated. Greatest distribution on face
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and scalp.
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Abnormal Nail Findings - CORRECT ANSWERS ✔✔Edema &
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erythema, Koilonchia, Leukonychia, Clubbing, Beau's Lines,
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Pitting, Onycholysis|\




Koilonychia - CORRECT ANSWERS ✔✔Spoon Nail: thin, depressed
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nail with the lateral edges turned upward. Associated with
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anemia


Leukonychia - CORRECT ANSWERS ✔✔White spots on the nail |\ |\ |\ |\ |\ |\ |\ |\ |\


plates. Caused by minor trauma or manipulation of the cuticle
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Clubbing - CORRECT ANSWERS ✔✔The angle of the nail base
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exceeds 180 degrees. Associated with chronic respiratory or
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cardiovascular disease. |\

,Beau's Lines - CORRECT ANSWERS ✔✔A groove or transverse
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depression running across the nail. Result from trauma. Looks
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similar to the chipping of nail polish from the base of the nail
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toward the tip. |\ |\




Pitting - CORRECT ANSWERS ✔✔Associated with psoriasis. Looks
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like "golf-ball" nails
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Expected Changes with Aging - CORRECT ANSWERS ✔✔Dry skin,
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less perspiration, folding and wrinkling appearance of skin due to
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loss of elasticity, skin pallor and cooler skin temperature, gray
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hair, thinning scalp, axillary, and pubic hair, thicker nails that are
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brittle hard and yellowish. Nails develop ridges and are prone to
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splitting into layers. |\ |\




Wood's Lamp - CORRECT ANSWERS ✔✔Used to identify
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fluorescing lesions, indicating fungal infection. If no fungal
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infection, the light tone on the skin appears soft violet.
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Abnormal Skin Findings: Texture - CORRECT ANSWERS
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✔✔Excessive dryness, flaking, cracking or scaling. Maceration,
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discoloration or rashes |\ |\




Abnormal Skin Findings: Temperature - CORRECT ANSWERS
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✔✔*Cool Skin:* generalized- cool or cold skin associated with
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shock or hypothermia. Localized- (particularly in extremities)
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indicate poor peripheral perfusion.
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*Hot Skin:* generalized- reflects hyperthermia associated with
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fever, increased metabolic rate (e.g. hyperthyroidism), or
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, exercise. Localized- reflect inflammation, traumatic injury, or
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thermal injury such as sunburn. |\ |\ |\ |\




Abnormal Skin Findings: Moisture - CORRECT ANSWERS
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✔✔Diaphoresis abnormal in the absence of strenuous activity. |\ |\ |\ |\ |\ |\ |\ |\


May reflect hyperthermia, extreme anxiety, pain, or shock.
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Hyperthyroidism


Abnormal Skin Findings: Mobility & Turgor - CORRECT ANSWERS
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✔✔Poor skin turgor "tenting" seen resulting from dehydration or
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in someone who has experienced a significant weight loss.
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Edema, excessive scarring, some connective tissue disorders
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reduce skin mobility. |\ |\




Abnormal Skin Findings: Thickness - CORRECT ANSWERS
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✔✔Increase in thickness in diabetics. Excessively thin (shiny or
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transparent) in hypothyroidism, arterial insufficiency and aging.
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Reduce Risk of Melanoma - CORRECT ANSWERS ✔✔Avoid
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excessive UV exposure |\ |\




Avoid being outdoors in the middle of the day (10am-4pm) when
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the UV light is the most intense
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Wear a hat and long-sleeved shirt outside
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Wear sunglasses with 99-100% UV absorption
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Avoid tanning salons and sun lamps
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Apply sunscreen - SPF 15 or greater, reapply q 2 hours
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Early Signs of Melanoma - CORRECT ANSWERS ✔✔ABCDEF
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