Maryville University NURS 623
Exam 1 QUESTIONS AND
VERIFED CORRECT
ANSWERS GRADED A+
[LATEST] 100% GUARANTEED
PASS
Psoriasis - CORRECT ANSWER-chronic, recurrent dermatosis marked by itchy, scaly, red plaques
covered by silvery gray scales. Typically found over the extensor areas of the body to include
elbows, knees, and scalp.
What is the Auspitz's sign? - CORRECT ANSWER-Multiple small sites of bleeding are noted when
the psoriasis scales are traumatically removed.
What is the goal of management for psoriasis? - CORRECT ANSWER-Control the disease so that
the patient no longer feels physically or psychologically hindered by the skin lesions. Decreasing
epidermal proliferation and underlying dermal inflammation through the use of topical
corticosteroids.
What is the first line pharmacotherapeutics for psoriasis if < 20% of the body is involved? -
CORRECT ANSWER-Topical agents are the first line therapy. Emollients twice daily.
,When should you refer a patient with psoriasis to a dermatologist or psoriasis specialty clinic? -
CORRECT ANSWER-Newly diagnosed patients and patients with moderate to extensive skin
involvement (more than 20%). Patients with recalcitrant or with frequent flares. Patient with
inflammatory arthritis should be referred to Rheumatology.
What should be included in the patient education of psoriasis? - CORRECT ANSWER-This is NOT
contagious. It is important to avoid skin trauma, as this can create new lesions. Controlled sun
exposure will help, use high SPF sun screen. Strep infections need to be treated promptly. Try to
control or eliminate aggravating factors like stress and alcohol intake.
What is the clinical presentation of acne vulgaris? - CORRECT ANSWER-Comedomes are the
primary lesion in acne, it also includes papules, nodules, and cysts on the face, back, chest, and
upper arms. Between 12-25, peaking at age 15.
What is different in the presentation of rosacea versus acne? - CORRECT ANSWER-Comedones
are never found in rosacea. Easy flushing with alcohol & heat and is centrally located on cheeks,
nose, & chin. Telangiectasias can been seen in rosacea. Occurring between 30-60 years old.
What are the commonly prescribed medications for acne and rosacea? - CORRECT ANSWER-
Topical Acne treatment includes retinoids: Tretinion (Retin-A) cream, gel start with 0.025% for 2
weeks increase to 0.05%. *Sun sensitivity* always use sunblock
Adapalene (Differin) First line therapy- well tolerated, less sun sensitivity.
Rosacea: Metronidazole cream 0.75%- can take 6-7 weeks to see therapeutic effects.
Systemic treatment for flare-ups of Rosacea and severe acne with Minocycline tapering dose
50mg at bedtime for 1 week. Gradually increase to 100mg at bedtime after 4-6 weeks, taper
dose down gradually every 6-8 weeks until back at 50mg (this is for moderate to severe acne as
well) and doxycycline 40mg.
When would you choose a topical medication versus systemic antibiotics in the treatment of
acne vulgaris? - CORRECT ANSWER-Mild cases can use topical. Moderate to severe with lots of
inflammation may need systemic antibiotics.
, What are the concerns with prescribing tretinoin (Retin-A)? - CORRECT ANSWER-Teratogenic,
not to be used during pregnancy or breastfeeding. Dry and irritating effects. Initiate therapy at
the lowest dose 0.025% for the first two weeks of treatment, then increase to 0.05%.
What is the clinical presentation of seborrheic keratosis? - CORRECT ANSWER-Most common
noncancerous skin growth in older adults. A wart-appearing growth typically on the trunk, but
can be on hands and face, both in sun exposed and sun protected areas. They are superficial
epithelial growths that originate from the horny layer and are epidermal tumors. Occur in both
men and women, but typically patient is an older white female. "Barnacle of again" Appearance:
raised, well-defined, scaly, hyperpigmented, brownish-gray, with a warty "stuck on" appearance.
Most often found on the trunk, face or arms.
Management of seborrheic keratosis - CORRECT ANSWER-Most do not require treatment.
Removal is warranted for lesions that are symptomatic, unsightly to the patient, or become
easily irritated. They are removed using liquid nitrogen therapy. Cryosurgery, liquid nitrogen
results are superior. You may also use curettage and snip or shave excision. No follow-up
necessary.
acne vulgaris patient teaching - CORRECT ANSWER-Wash face gently at least twice daily with
antibacterial soap (dial). Wait 30 minutes after washing face to before applying topical acne
medications in order to minimize skin irritation. Do not use topicals on sunburned or irritated
skin, abrasion, cuts, or eczema. The medication needs to be temporarily stopped while the skin
heals. Avoid contact to eyes, lips, angle of nose, and mucous membranes with applying. Avoid
oily makeup or oily hair conditioners. Avoid excessive handling of face and cradling phones on
the chin. Avoid excessive scrubbing of the face.
Roscea Patient teaching - CORRECT ANSWER-Avoid triggers (heat, cold, alcohol, spicey foods,
emotional upset). Wear sunblock everyday at least SPF 15. Stay cool on hot days and protect
your skin from the wind by using a scarf. Use caution with exercise, do shorter more frequent
intervals, use a cool towel around the neck and take frequent water breaks. Gentle cleansing
with fragrance free facial cleansers.
Exam 1 QUESTIONS AND
VERIFED CORRECT
ANSWERS GRADED A+
[LATEST] 100% GUARANTEED
PASS
Psoriasis - CORRECT ANSWER-chronic, recurrent dermatosis marked by itchy, scaly, red plaques
covered by silvery gray scales. Typically found over the extensor areas of the body to include
elbows, knees, and scalp.
What is the Auspitz's sign? - CORRECT ANSWER-Multiple small sites of bleeding are noted when
the psoriasis scales are traumatically removed.
What is the goal of management for psoriasis? - CORRECT ANSWER-Control the disease so that
the patient no longer feels physically or psychologically hindered by the skin lesions. Decreasing
epidermal proliferation and underlying dermal inflammation through the use of topical
corticosteroids.
What is the first line pharmacotherapeutics for psoriasis if < 20% of the body is involved? -
CORRECT ANSWER-Topical agents are the first line therapy. Emollients twice daily.
,When should you refer a patient with psoriasis to a dermatologist or psoriasis specialty clinic? -
CORRECT ANSWER-Newly diagnosed patients and patients with moderate to extensive skin
involvement (more than 20%). Patients with recalcitrant or with frequent flares. Patient with
inflammatory arthritis should be referred to Rheumatology.
What should be included in the patient education of psoriasis? - CORRECT ANSWER-This is NOT
contagious. It is important to avoid skin trauma, as this can create new lesions. Controlled sun
exposure will help, use high SPF sun screen. Strep infections need to be treated promptly. Try to
control or eliminate aggravating factors like stress and alcohol intake.
What is the clinical presentation of acne vulgaris? - CORRECT ANSWER-Comedomes are the
primary lesion in acne, it also includes papules, nodules, and cysts on the face, back, chest, and
upper arms. Between 12-25, peaking at age 15.
What is different in the presentation of rosacea versus acne? - CORRECT ANSWER-Comedones
are never found in rosacea. Easy flushing with alcohol & heat and is centrally located on cheeks,
nose, & chin. Telangiectasias can been seen in rosacea. Occurring between 30-60 years old.
What are the commonly prescribed medications for acne and rosacea? - CORRECT ANSWER-
Topical Acne treatment includes retinoids: Tretinion (Retin-A) cream, gel start with 0.025% for 2
weeks increase to 0.05%. *Sun sensitivity* always use sunblock
Adapalene (Differin) First line therapy- well tolerated, less sun sensitivity.
Rosacea: Metronidazole cream 0.75%- can take 6-7 weeks to see therapeutic effects.
Systemic treatment for flare-ups of Rosacea and severe acne with Minocycline tapering dose
50mg at bedtime for 1 week. Gradually increase to 100mg at bedtime after 4-6 weeks, taper
dose down gradually every 6-8 weeks until back at 50mg (this is for moderate to severe acne as
well) and doxycycline 40mg.
When would you choose a topical medication versus systemic antibiotics in the treatment of
acne vulgaris? - CORRECT ANSWER-Mild cases can use topical. Moderate to severe with lots of
inflammation may need systemic antibiotics.
, What are the concerns with prescribing tretinoin (Retin-A)? - CORRECT ANSWER-Teratogenic,
not to be used during pregnancy or breastfeeding. Dry and irritating effects. Initiate therapy at
the lowest dose 0.025% for the first two weeks of treatment, then increase to 0.05%.
What is the clinical presentation of seborrheic keratosis? - CORRECT ANSWER-Most common
noncancerous skin growth in older adults. A wart-appearing growth typically on the trunk, but
can be on hands and face, both in sun exposed and sun protected areas. They are superficial
epithelial growths that originate from the horny layer and are epidermal tumors. Occur in both
men and women, but typically patient is an older white female. "Barnacle of again" Appearance:
raised, well-defined, scaly, hyperpigmented, brownish-gray, with a warty "stuck on" appearance.
Most often found on the trunk, face or arms.
Management of seborrheic keratosis - CORRECT ANSWER-Most do not require treatment.
Removal is warranted for lesions that are symptomatic, unsightly to the patient, or become
easily irritated. They are removed using liquid nitrogen therapy. Cryosurgery, liquid nitrogen
results are superior. You may also use curettage and snip or shave excision. No follow-up
necessary.
acne vulgaris patient teaching - CORRECT ANSWER-Wash face gently at least twice daily with
antibacterial soap (dial). Wait 30 minutes after washing face to before applying topical acne
medications in order to minimize skin irritation. Do not use topicals on sunburned or irritated
skin, abrasion, cuts, or eczema. The medication needs to be temporarily stopped while the skin
heals. Avoid contact to eyes, lips, angle of nose, and mucous membranes with applying. Avoid
oily makeup or oily hair conditioners. Avoid excessive handling of face and cradling phones on
the chin. Avoid excessive scrubbing of the face.
Roscea Patient teaching - CORRECT ANSWER-Avoid triggers (heat, cold, alcohol, spicey foods,
emotional upset). Wear sunblock everyday at least SPF 15. Stay cool on hot days and protect
your skin from the wind by using a scarf. Use caution with exercise, do shorter more frequent
intervals, use a cool towel around the neck and take frequent water breaks. Gentle cleansing
with fragrance free facial cleansers.
