NSG6435 FINAL REVIEW EXAM PEDS ( LATEST 2020/2021).

NSG6435 FINAL REVIEW EXAM PEDS ( LATEST 2020/2021). 1. What medical term is used to identify inflammation disorder of the skin that is often considered synonymous with dermatitis and characterized by pruritus’ with lesion that have indistinct border:  Eczema.  Pityriasis versicolor  Pityriasis rosea  psoriasis 2. DERMATOPHYTE skin infection can be diagnosed from skin scraping and prepared with which solution for microscopic exam:  10% or 20% potassium hydroxide KOH solution.  Hydrochloric acid  Distilled water  Gram stain 3. ACIRCUMSCRIBED elevated lesion more than 1 cm in diameter in containing clear serous fluid is best described as:  Bullae  Pustule  Vesicle  papule 4. When assessing in children’s hydration status the best place to evaluate skin turgor on an adult is:  on the back of the hand  on the inside of the forearm  just below the clavicle  the fleshy part of the arms and legs  4. what is the treatment for strawberry hemangioma?  Support involution.  Cosmetic medical removal  Oral antibiotics  Topical steroids 6- Which Of The Following causes condylomas acuminata or genital wart:  human papilloma virus (HPV).  Herpes simplex virus (HSV1)  Adenovirus  Chlamydia 7- A young Female presents to the Family Nurse Practitioner’s office stating that she has a red rash over her trunk for 2 weeks that does not itch, She Has OTC lotion and creams but the rash is still there the rash started as a small round red patch on her chest and has seen spread across her chest back arms and legs physical exam reveals a generalized distribution of erythematous in scaly macular lesion that run parallel to each other creating a Christmas tree pattern the family nurse practitioner should teach the patient :  Teach the patient This viral disease is self-limiting last thing 6 to 8 weeks and to avoid prolonged or excessive exposure to sunlight.  Prescribed triamcinolone cream 0.025% bid x 2 weeks  Refer patient to dermatology for biopsy  Do a thorough medication hx, investigate any potential allergy, send to allergy specialist 8-Which clinical manifestation is present in with rubella and not rubeola:  conjunctivitis  presence of cough  runny nose or stuffy nose (coryza)  enlarge lymph nodes 9-The disruption in cellular adhesion observed in bull PID impetigo is cause by an exfoliating r/t Which organism?  Staphylococcus aureus.  Streptococcus pyogenes  Candida albicans  Escherichia coli 10-Rubeola Is a highly contagious acute disease in children caused by which type of infection:  Pink to red coalescent Maculopapular rash on the scalp or trunk.  Circular round and oval lesion with erythema and scaling patches  Vesicles that rupture creating a thin, flat honey crusted colored crust (impetigo)  Red papules, vesicles, and pustules in clusters. 11-Skin lesions that ruptured creating a thin flat honey colored crust are the hallmark clinical manifestation of which skin disorder?  Bullous Impetigo.  Tinea capitis  Rubella (German measles)  Atopic dermatitis 12-A patient complaining of hyper Hyperhidrosis should be counseled that  A history and physical need to be completed to rule out any medical etiologies.  There are no therapies for this patient  This is normal occurrences  Bathing in 20% alcohol solution of aluminum chloride hexahydrate(drysol) 13-Which acne lesions are classified as inflammatory? Please select all that apply:  Pustules  Nodules  Papules  Opened comedones (acne primary sign) 14-The Family Nurse practitioner inspecting a dark-skinned individual for signs of jaundice, the best place to observe skin color in dark skin individual is:  Sclera of the open Eye.  Nail beds  Palm & soles of the hand and feet  Oral mucosa 15-During an assessment, the family nurse notes the client’s nails to look at the picture - what would be a probable diagnosis? Koilonychia, also known as spoon nails  Koilonychia  Nail pitting  Beau’s lines  Finger clubbing 16- Which clinical manifestation is considered the hallmark of atopic dermatitis:  Itching  Vesicle that burst from crust  Popular rash  High fever 17-What term is used to identify an inflamed hair root:  Furuncle.  Tinea  Verruca  erysipelas 18-The family nurse practitioner has made a diagnosis of ONCHOMICOSIS. Which picture would the family nurse practitioner notes while performing physical exam of the patient:  A  B  C  D 19-Folliculitis is most commonly due to:  Staphylococcal infection.  Contact dermatitis  Dermatophytes ( fungus)  Varicella zoster ( chicken pox) 20-What is the recommended treatment for rosacea: a. low dose tetracycline b. topical 5-fluorouracil c. oral hydrocortisone d. oral ketoconazole 21-Your pediatric patient presents for an office visit with complaints of Measles like rash on his truck and spread to his extremities, he was seen several days ago for bronchitis and started on Bactrim Septra DS one tab PO BID. what is the recommended action for the family nurse practitioner: a. Discontinue TMP-SMX (Bactrim) b. Take medication for 3days and restart drug c. Instruct Pt to continue medication and see any changes occurs in the rash 22- A patient complains of Intolerance itching in the pubic hair an exam the family nurse practitioner notes Erythematous, papules and tiny white specks in the pubic hair . the differential diagnosis include all except : a. IMPETIGO, b. atopic dermatitis c. pediculosis pubis d. scabies 23- The family nurse practitioner is examining a patient with a diagnosis of PITYRIASIS ROSEA which three statements are correct about the condition a. salmon colored Patch with fine scales is commonly noted on face hands and feet b. Typical Christmas tree pattern lesion distribution is observed c. presence of Herold Patch before onset of generalized rash d. pruritis is not present e. vesicles progressing to progressing 2 pustule within two to three days of eruption 24-Which skin disorder begins with a single lesion that is circular demarcated and Salmon pink ,measures approximately 3 to 4 centimeter in diameter and is usually located on the trunk a. Acne rosacea b. psoriasis c. lichen planus d. PITYRIASIS rosea 25-What term is used to identify skin lesions that are elevated round and firm with irregular clawlike margin that extend beyond the original site of injury : a. keloid b. dermatitis c. Psoriasis d. acne 26A young male patient present to the family nurse practitioner office complaining of flulike symptoms a large red spot in the right groin headed in generalized muscle pain these symptoms have persisted for about four to five weeks in taking the history he will be most important to determine whether the patient : a. has a recent insect bite or was potentially exposed to insects such as tick b. has been exposed to a person with tuberculosis c. was using new skin care products d. was taking new medication such as vitamins and herbal therapies 27-What is the cause of molluscum contagiosum a. virus b. bacteria c. rickettsia d. fungi 28.Which of the following would you treat with topical antibiotic No answer except for this pic 29- missing 30 missing 31-missing 32-missing 33-Clubbing of the nails commonly occurs in patients with chronic respiratory condition the family nurse practitioner access is for this condition by :  placing nailbed of each index finger together to determine angle of nail plate  evaluating the nail for transverse depression in ridges  determining if there's a diffuse discoloration of the nail bed from decrease oxygenation  placing the patient hands together with palm towards the index finger aligned 34-Which contagious diseases caused by the each mite  scabies  pediculosis  Miliaria  tinea corporis 35 -the treatment choice for Rocky Mountain spotted fever for six year old patient with NKA is the following  doxycycline  amoxicillin  Azithromycin  Chloramphenicol 36 -in latex allergies which immunoglobulin IG is associated with an immediate reaction  IgG  IgA  IgE  IGb4 37- Frequently diaper dermatitis is secondarily infected with which Organism  candida albicans  E coli  proteus spp  Staphylococcus aureus 38- The history and physical of a patient indicates past occurrences of lichenification ,The family nurse practitioner identifies the characteristic of this lesion as :  rough thickened epidermis accentuated skin margins  dried crusty exit date slightly elevated  keratinized cells shaped in an irregular pattern with exfoliation  loss of epidermis with hollowed out area in dermis exposed 39-Which type of lesion is referred to as resembling a dewdrop on a rose petal  varicella zoster  rubella  measles  tinea 40- Which one of the following lesion is found in secondary syphilis?  rough red or reddish Brown spot both on the palm of the hands and the bottom of the feet  painless chancres  there are no visible sign of symptoms of syphilis  it can affect multiple organ system  41. A patient has a diagnosis of scabies. Which presentation would the family nurse practitioner expect to note on physical exam? A) B) C) D) 42. Which skin disorder is characterized by a vesicular eruption after prolonged exposure to perspiration, with subsequent obstruction of the eccrine ducts? (major sweat glands of the human body) A) pediculosis B) Tinea corporis C) Miliaria D) Scabies .