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NUR 682- Exam #2 Questions and Answers
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Which glands are thought to be responsible for body odor? Ans:
Apocrine glands
Which glands produce sweat? Ans: Eccrine glands
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Which cutaneous reaction to trauma/infection/inflammation results in
scar and keloid formation? Ans: The mesenchymal response
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Patients with darker skin tones should be careful using which topical
medications? Ans: -High-potency steroids
-Benzoyl peroxide
-Isotretinoin
Futcher line (aka Ito line) define Ans: The vertical line that separates the
hyperpigmented dorsal surfaces from the less pigmented ventral
surfaces in darker skinned people
Acute inflammation- best types of products to use Ans: -Wet dressings
-Powders
-Aerosols
-Suspension lotions
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-Alcohol or water-based lotions
Chronic inflammation- best types of products to use Ans: -Creams
-Oil-based lotions or gels
-Ointments
Best preparations for wet vs. dry rashes Ans: Wet rashes --> CREAMS
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(powder-based)
Dry rashes --> OINTMENTS (oil-based)
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Potency of preparations from most --> least Ans: 1) Ointments
2) Creams
3) Lotions
What type of topical product is best for hairy areas? Ans: Foams
Which type of topical antibiotics should be avoided? Ans: Products
containing NEOMYCIN due to high incidence of contact sensitization
First-line treatment for mild acne Ans: Keratolytics:
**Benzoyl peroxide
**Retinoic acid
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Topical antibiotics used for acne Ans: -Clindamycin
-Erythromycin
-Sulfacetamide
Systemic antibiotics used for inflammatory acne Ans: -Tetracycline
-Doxycycline
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-Minocycline
-Erythromycin
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Side effects of topical steroids Ans: -Skin atrophy
-Increased fragility of skin
-Secondary infection
-Hypopigmentation
-Folliculitis
-Telangiectasia
-Purpura
-Stria
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Topical antihistamine use? Ans: Should be avoided due to possibility of
contact sensitization
^ESP. topical diphenhydramine HCl and "caine" meds
Most common organisms that cause impetigo? Ans: Streptococcus
pyogenes, Staphylococcus aureus, or MRSA
Nonbullous impetigo (define) Ans: -Begins as 1- to 2-mm erythematous
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papules or pustules that progress to vesicles or bullae and rupture
**Honey-colored, moist crusts on mildly erythematous, eroded skin
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Bullous impetigo (define) Ans: -Large, flaccid, thin-walled, superficial,
annular or oval pustular blisters or bullae that rupture
-Thin varnish-like coating or scale
How long should patient with impetigo stay out of school? Ans: Until
treated for 24 hours
Nikolsky sign (define) Ans: Peeling of the skin with a light rub, revealing
moist red surface
^KEY finding in staphylococcal scaled skin syndrome (SSSS)!
Staphylococcal scaled skin syndrome (SSSS) - treatment Ans: -IV or oral
dicloxacillin
-Penicillin