NURS 5220 — INTENSIVE MULTIPLE-CHOICE QUESTIONS MOST
TESTED QUESTIONS AND ANSWERS GRADED A+ WITH
RATIONALES
Folliculitis is best described as:
A. A chronic autoimmune blistering disorder
B. Inflammation and infection of the hair follicle and surrounding dermis with acute onset of
papules and pustules
C. A fungal infection of the nail bed
D. A viral eruption along a dermatome
Answer: B. Inflammation and infection of the hair follicle and surrounding dermis with acute
onset of papules and pustules
Rationale: Folliculitis targets hair follicles producing pustular lesions.
A furuncle (boil) is:
A. A superficial macular rash
B. A viral wart
C. A deep-seated infection of the pilosebaceous unit
D. A blistering allergic reaction
Answer: C. A deep-seated infection of the pilosebaceous unit
Rationale: Furuncles involve deeper tissue around hair follicles.
Cellulitis refers to:
A. Localized scaly patches only
B. Fungal infection of the epidermis
C. Diffuse, acute infection of the skin and subcutaneous tissue
D. Chronic lymphedema
Answer: C. Diffuse, acute infection of the skin and subcutaneous tissue
Rationale: Cellulitis is a spreading bacterial infection of deeper skin layers.
Tinea (dermatophytosis) are:
A. Viral rashes of childhood
B. Bacterial folliculitis types
C. Noncandidal fungal infections involving stratum corneum, nails, or hair
D. Autoimmune blistering disorders
Answer: C. Noncandidal fungal infections involving stratum corneum, nails, or hair
Rationale: Dermatophytes infect keratinized structures causing tinea.
Pityriasis rosea is characterized by:
A. A life-threatening systemic infection
B. A chronic autoimmune disease
C. A self-limiting inflammation of unknown cause
D. Nail dystrophy
Answer: C. A self-limiting inflammation of unknown cause
Rationale: Pityriasis rosea resolves spontaneously, etiology unclear (viral suspected).
,ESTUDYR
Psoriasis is best defined as:
A. A bacterial superficial infection
B. A fungal disease of the nails
C. A chronic, recurrent disorder of keratinocyte hyperproliferation
D. A pigmentary disorder
Answer: C. A chronic, recurrent disorder of keratinocyte hyperproliferation
Rationale: Psoriasis features rapid epidermal turnover and scaling plaques.
Rosacea is:
A. A scaly ringworm infection
B. A blistering mucosal disorder
C. A chronic inflammatory facial condition with dilated, inflamed capillaries
D. A viral exanthem
Answer: C. A chronic inflammatory facial condition with dilated, inflamed capillaries
Rationale: Rosacea causes central facial erythema, telangiectasia, papules.
Herpes zoster (shingles) presents as:
A. Bilateral widespread macules
B. Chronic verrucous plaques
C. An acute viral infection with painful skin eruptions along a nerve (dermatomal) distribution
D. A fungal scalp infection
Answer: C. An acute viral infection with painful skin eruptions along a nerve (dermatomal)
distribution
Rationale: Reactivation of VZV causes unilateral dermatomal vesicles and pain.
Herpes simplex types:
A. Type 1 = genital, Type 2 = oral
B. Both types infect only the skin
C. Type 1 primarily oral; Type 2 primarily genital
D. Both are systemic bacterial infections
Answer: C. Type 1 primarily oral; Type 2 primarily genital
Rationale: HSV-1 commonly causes orolabial lesions; HSV-2 genital.
Tick-borne diseases that can lead to multisystem failure include:
A. Influenza only
B. Measles only
C. Lyme disease, Rocky Mountain spotted fever, Colorado tick fever
D. Tinea infections
Answer: C. Lyme disease, Rocky Mountain spotted fever, Colorado tick fever
Rationale: Certain tick-borne infections have systemic and severe complications.
Drug eruptions are:
A. Infectious pustules only
B. Viral exanthems only
C. Cutaneous reactions to medications
D. Always life-threatening
Answer: C. Cutaneous reactions to medications
Rationale: Drugs can cause morbilliform, urticarial, or severe cutaneous reactions.
, ESTUDYR
Acanthosis nigricans is most often associated with:
A. Hypothyroidism only
B. Viral infections
C. Obesity, endocrine syndromes, malignancy or inherited disorders
D. Acute bacterial infection
Answer: C. Obesity, endocrine syndromes, malignancy or inherited disorders
Rationale: Acanthosis nigricans shows hyperpigmented velvety plaques in insulin resistance or
malignancy.
The most common form of skin cancer is:
A. Melanoma
B. Kaposi’s sarcoma
C. Basal cell carcinoma
D. Merkel cell carcinoma
Answer: C. Basal cell carcinoma
Rationale: BCC is the most frequent skin malignancy, locally invasive but rarely metastatic.
Squamous cell carcinoma is:
A. Less aggressive than BCC
B. A benign lesion
C. The second most common skin cancer and more aggressive than BCC
D. A fungal lesion
Answer: C. The second most common skin cancer and more aggressive than BCC
Rationale: SCC can metastasize and has higher morbidity than BCC.
Eczematous dermatitis includes:
A. Only infectious conditions
B. Only lichen planus
C. Irritant contact, allergic contact, and atopic dermatitis (most common inflammatory skin
disorders)
D. Only bullous pemphigoid
Answer: C. Irritant contact, allergic contact, and atopic dermatitis (most common
inflammatory skin disorders)
Rationale: Eczematous dermatitis encompasses several dermatitis types with inflammation and
pruritus.
Acute bacterial pharyngitis involves infection of:
A. The larynx only
B. The bronchi only
C. The tonsils or posterior pharynx by microorganisms
D. The middle ear only
Answer: C. The tonsils or posterior pharynx by microorganisms
Rationale: Pharyngitis is commonly due to streptococcal infection or viruses.
The lethal form of skin cancer arising from melanocytes is:
A. SCC
B. BCC
C. Kaposi sarcoma
D. Malignant melanoma