PNPcert Dermatology: Review Questions

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Jerry has a condition that mostly occurs on which body surface? A. Neck and scalp B. Upper arms C. Chest and abdomen D. Legs

A.

Which is not true of acne? A. Poor hygiene is a contributing factor B. Assoc w increased androgen if hormonal activity C. Mild acne is more common among females D. Severe acne is more common among males

A.

Several firm, 2 mm white or skin colored umbilical ex papules on neck. The lesions have been on skin for past 3 months and increased in number. What is your diagnosis? A. Acne B. Molluscum C. Warts D. Cellulitis

B.

What is characterized with vesicles and honey colored crusted lesions on the face? A. Acne B. Impetigo C. Herpes D. Eczema

B.

What is the cause of molluscum? A. Microsporum canis tines B. Pox virus C. Staph areus D. Strep a

B.

Which treatment would you not recommend for molluscum? A. Curettage lesions B. Topical antibiotics C. Topical steroids D. Tretinoin

B.

You order a culture and the results confirm that Jerry condition is caused by the most common organism for this condition. What treatment do you prescribe? A. Oral pcn B. Diclxacillin C. It actin D. Tretinoin

B.

4 superficial lesions on abdomen x 1 week. The lesions are 4cm, scaley, irregular shaped plaques with skin colored centers and erythematous borders. Lesions slightly puritic. A. Psoriasis B. Eczema C. Tinea corporis D. Pityriasis rosea

C

History of remission and exacerbation of acne that follows menses. You prescribe antibiotics. Which of the following abs would you not consider? A. Topical clindamycin B. Topical erythromycin C. Oral clindamycin D. Oral tetrarcycline

C.

MNs condition of psoriais is common in approx 33% of children. Which of the following is not correct regarding the etiology or incidence of this condition? a. occurs more commonly in dark skinned ethnic b. asoc with constant rubbing or trauma to exposed affected areas such as elbows c. assoc with overproduction of epithelial cells d. assoc with epithelial cells that migrate to the skin surface much more quickly than normal

a

What would you not advise regarding the treatment of MNs condition? a. excise lesions b. apply topical steroids c. apply mineral oil d. expose to monitored short exposure of sunlight

a

AF was diagnosied with pityriasis alba. Which of the following is proper management? a. bland moisterizers to reduce overdrying b. topical steroids to affected areas c. expose affected areas to short periods of sunlight each day d. burows wet compresses

a.

In additon to monitoring the skin for any changes, what is the best management for KT? a. keep child warm b. decrease enviromental temp c. use a moisturizer on affected skin d. do nothing as condition will resolve spontaneously in 5-7 days without intervention

a.

Newborn KT is three weeks premature and you observe a macular erythematous lacy appearance to her skin when you undress her KT has which condition? a. curtis marmorata b. erythema toxicum c. salmon patch d. nevus flammeus

a.

Patient education regarding prevention of malignant melanoma is essential. Which of the following is not considered best prevention? a. avoid sunlight during 9a-1p b. avoid sun tanning lamps c. use cover up clothing, hats and sunglasses d. use sun blocks that protect against UV exposure with 15 spf

a.

What is the best treatment of seborrhea in the infant? a. mineral oil to loosen crusts prior to washing affected areas w antiseborrheic shampoo b. topical antibodies c. oral antibiotics in severe cases d. oral steroids for severe cases

a.

What management measure would you not prescribe to treat Kelli's condition? a. oral antihistamines b. emollients such as petroleum jelly to mildly affected areas c. topical steroids to severly affected areas with erythema and papules d. topical antibiotics to severly affected areas with ulcerations

a.

What would you not recommend as management and treatment of jakes condition? a. skin testing during the acute episode to determine if jake has an allergy b. cool compress of burows solution to affected areas c. topical steroids to affected areas for 5 days d. oral antihistamines

a.

Which of the following is not an appropriate management or treatment of the above child? a. application of topical steroids to the affected area b. camouflage affected area with cosmetics c. pulsed laser treatment d. counseling for psychological problems

a.

You suspect that AF, 9yr old has either pityriasis albe or vitiligo. Which of the following would not confirm the diagnosis of pityriasis? a. skin would be normal in all aspects except for areas of hypopigmentation b. skin would have one or more scaly areas of hypopigmentation c. complains of mild itching in areas of hypopigmentation d. lesions became more pronounced when she was exposed to sunlight

a.

what symptom is commonly experienced in JRs condition? a. pruritus b. pain at site of lesions c. nausea d. headache

a.

D. J. is a 4-year-old African American child with a depigmented macular on his forehead. The lesion has sharp borders. No scales are present. The most appropriate treatment would be: a. 1% hydrocortisone b. Alpha hydroxy acid c. Ketoconazole d. Silver sulfadiazine

a. 1% hydrocortisone vitiligo = steroids

In infants, the lesions associated with atopic dermatitis are most likely to be distributed on the: a. Cheeks and forehead b. Wrists and ankles c. Antecubital and popliteal fossae d. Flexural surfaces

a. Cheeks and forehead

D. M., 7 years old, presents with a beefy red macular-papular rash in the diaper area with satellite lesions on the abdomen. The appropriate treatment would be: a. Clotrimazole b. A & D ointment c. Gentian violet 1 to 2% d. Cornstarch

a. Clotrimazole rash is Candida albicans so treat with anti fungal cream

H. B. is 2 days old. Her mother calls and reports a rash consisting of redness with yellow-white "bumps" all over her body except for the palms and soles. The infant most likely has: a. Erythema toxicum b. Transient neonatal pustular melanosis c. Molluscum contagiosum d. Milia

a. Erythema toxicum

Having confirmed the diagnosis of scabies in T. W., the treatment of choice would be: a. Permethrin 5% b. Lindane 1% c. Sulfur ointment 6% d. Crotamiton 10%

a. Permethrin 5%

While examining 7-year-old S. R.'s scalp you note three small patches of hair loss. Broken hair is present, as is erythema and scaling. Based on this information, which of the following diagnoses is most likely? a. Tinea capitis b. Traction alopecia c. Trichotillomania d. Alopecia areata

a. Tinea capitis

In order to confirm your diagnosis of JD you order a wrights stained smear. If your diagnosis is correct, what are the expected results of the smear? a. presence of eosinophils b. presence of neutrophils c. presense of keratinous material d. presence of staphlococcus bacteria

a. eosinophils

during the acute episode of urticaria, which of the following is not considered an appropriate management or treatment a. oral abx to prevent secondary infection b. oral antihistamines for pruritis c. topical steroids to affected areas to reduce the immune response d. cool compresses to affected areas

a. oral abx to prevent secondary infection

which of the following is not characteristic of scabies? a. several erythematous papular, pustular, and crusted lesions on the face b. several excoriated scratched areas are seen around the umbilicus and waist area c. several linear curved lines with a papule at the proximal end linear line d. complains of severe pruritus which is worse at night

a. several erythematous papular, pustular, and crusted lesions on the face

In addition to having atopic derm, he also has a secondary bacterial infection at the site of several lesions. What is the best management? a. topical antibiotics to affected areas b. oral abx c. hot compresses d. monitored and controlled daily sun exposure until lesions resolve

b.

What management would you not recommend for JR with his condition? a. cool bath or cool compressess b. topical steroids to lesions c. oral antihistamine d. monitored and controlled daily sunlight exposure

b.

What would not be an appropriate recommendation to prevent Kelli from having subsequent episodes of diaper derm? a. expose diaper area to air several times each day b. increase oral fluids using OJ to dilute urine c. make diaper changes immediately after soiling d. use a double rinse of vinegar and water for home laundered diapers

b.

What would you teach AF and her parent regarding the progress and prgnosis of pityriasis alba? a. will continue to develop lesions until she completes puberty b. condition should clear completely in 3-4 mo c. condition is permanent and affected areas will not repigment d. condition will resolve completley, the areas will become slightly reddened when exposed to sun

b.

Which of the following does not characterize the lesion of malignant melanoma? a. irreregular asymmetrical nodule with blurred borders. b. raised with distinct symmetrical borders c. uneven coloring in which blue, black, brown, tan and red may all be present in the same lesion d. bleeding, ulceration in later stages

b.

Which of the following is not characterstic of Jakes condition? a. he has hypersensitivity to a substance withing his enviro w direct contact b. he may experience a delayed reaction of several days with re-exposure to an allergen c. his dermatitis may be caused by direct contact with topical medications, soaps, etc d. typical response is redness and edema at the site of contact

b.

Which of the following isn not characterstic of the lesion BD has? a. it was not present at birth, however, BD s mom noticed site was blanched b. it will continue to gradually grow for the the first 12-15 months c. it will begin to gradually resolve when bd is between 12-15mo d. it is expected to completely resolve by the time he is 10yr

b.

You notice ten macular tan lesions of varying sizes on DD and refer him for a medical eval to rule out neurofibromatosis or albrights. What kind of lesion does DD have? a. malignant melonoma b. cafe au lait spots c. mongolian spots d. vitiligo

b.

at what age is the average onset of acne? a. 10 b. 12 c. 14 d. 16

b. 12 think about average puberty age

Which of the following statements is not consistent with an appropriate management plan for acne? a. Improvement with use of kerato- lytic agents should occur within 4 to 6 weeks. b. Facial scrubs are recommended before applying topical antibiotics. c. Noncomedogenic moisturizers and cosmetics may be used. d. Sunscreens should always be used in conjunction with retinoic acid.

b. Facial scrubs are recommended before applying topical antibiotics.

To confirm your suspicion of scabies you would order a: a. Wood's lamp examination b. Microscopic skin scraping c. KOH preparation of skin scraping d. Skin culture

b. Microscopic skin scraping

Which of the following statements regarding treatment of pediculosis capitis is true? a. Carpeting and furniture must be shampooed and sprayed with a pediculicide. b. Nonwashable items that have come into contact with an infected person should be sealed in plastic bags for 2 to 4 weeks. c. Hair must be trimmed close to the scalp to insure elimination of nits. d. Frequent shampooing with Permethrin 1% will prevent reinfestation.

b. Nonwashable items that have come into contact with an infected person should be sealed in plastic bags for 2 to 4 weeks. Since eggs mature in 7 to 10 days, 2 to 4 weeks should be sufficient to prevent reinfestation.

Mrs. Franklin is concerned about a light pink lesion on the back of 2-month-old Aaron's neck that darkens with crying. This description is consistent with: a. Sturge-Weber disease b. Salmon patch c. Port-wine stain d. Hemangioma

b. Salmon patch

Which of the following secondary skin changes is not associated with atopic dermatitis? a. Lichenification b. Striae c. Pigment changes d. Excoriations

b. Striae

baby comes in for checkup with a congenital nevus. which of the following questions could be included in a focused history? a. ethnicity of child b. any change in size shape, or color c. types of skin moisturizer used d. how much sun exposure has the baby had

b. any change in size shape, or color

a 6 year old boy has been diagnosed with cellulitis of the foot. minimal fever, does not appear toxic, but has pain with palpation of the site of puncture wound on his foot. which oral abx should be prescribed? a. amoxicillin b. cephalexin c. penicillin VK d. bactrim

b. cephalexin keflex covers both staph and strep

JD is a post term infant with lesions of varying morphology including wheals, vesicles, and pustules on her trunk. You suspect JD has: a. cutis marmorata b. erythema toxicum c. milia d. sebaceous hyperplasia

b. erythema toxicum

which of the following is NOT recommended as management for scabies? a. put non washable items in a plastic bag and store for one week b. prescribe topical anti fungal applications c. prescribe topical antiparasitics d. prescribe topical steroids and/or oral antihistamines for pruritus

b. prescribe topical anti fungal applications

you see a patient diagnosed with tinea corporis after 8 weeks of treatment with a topical anti fungal. original lesions have almost resolved, but the condition has worsened with the development of several other larger lesions on the abdomen and groin area. which of the following would you NOT consider? a. oral antifungal medication, griseofulvin b. topical antibiotic preparation c. continue with the topical anti fungal d. educate again regarding not sharing personal items

b. topical antibiotic preparation

You have dx Jake with contact derm. Which symptom is the most charactersitic? a. headache b. difficulty breathing c. pruritus at the site of affected area d. pain at site

c

You suspect MN as having chronic psoriasis. Which of the following is characteristc of her lesions if she has psoriasis vulgaris? a. scaly red small areas 2-10mm b. round or oval in shape c. large scaly silver white areas 5-10cm d. located mainly on trunk

c

Jerry has been diagnosed as having folliculitis. What is the most common cause of this condition? a. microsporum canis b. poxvirus c. staphylococcus aureus d. streptococcus group a

c.

What is characterstic of the lesion that DD has? a. more common in caucasians b. more common in males than females c. lesions are usually present at birth, however, more lesions may develop at any age d. lesions usually fade spontaneously and complelelty resolve in adulthood

c.

Which of the following management meaures or treatments would you NOT recommend for DL? a. topical steroids to affected areas b. wet compresses to affected skin areas c. maintain a dry warm enviroment d. eliminate all substance that dry the skin

c.

You have dx DL with acute atopic derm. Which of the following is not correct regarding the incidence of this condition? a. DL is most likely a infant b. DL has a greater change developing asthma c. DL has greater change of developing malignant melanoma d. DL has a condition associated with familial predisposition

c.

You see BD for the first time at age 6 weeks. BD has a bright red raised rubbery lesion of irrefular shape and 2 cm in diameter on the occiput. What is this condition? a. malingnant melanoma b. nevus flammeus c. capillary hemangioma d. burn

c.

which condition is thought to be more common in darker skinned individuals? a. tinea corporis b. psoriasis c. pityriasis alba d. pityriasis rosea

c.

Mrs. J. brings her 6-year-old son in because of "hives" that she describes as a red raised rash. Which finding below would support a diagnosis of erythema multiforme rather than urticaria? a. Lesions that blanch with pressure b. Eyelid edema c. Lesions that are present for more than 24 hours d. Intense pruritus

c. Lesions that are present for more than 24 hours lesions of erythema multiforme are fixed and present for up to 2-3 weeks

Which of the medications below is the appropriate choice? a. Antiandrogens b. Isotretinoin c. Minocycline d. Corticosteroids

c. Minocycline corticosteroids and accutane are treatment for severe acne

open and closed comedones over her forehead and chin. There are more than 15 papules and pustules, but no cysts. N. M.'s clinical presentation is consistent with: a. Comedonal acne b. Mild acne c. Moderate acne d. Severe acne

c. Moderate acne comedonal - open and closed comedones mild - open and closed comedones and pustules mod - comedones, pustules, and papules severe - also involves cysts

During 3-year-old J. T.'s physical exami- nation, you observe eight, light brown macules, ranging in size from 0.5 to 0.75 cm on his trunk, arms, and legs. Your management plan would be to: a. Educate the family to apply sun- screen frequently b. Explain that the lesions will fade with time c. Refer to a dermatologist d. Document the findings and reevaluate in six months

c. Refer to a dermatologist concerned when there are more than 6 cafe au lait spots

The treatment of choice for L.R.'s impetigo would be: a. Acyclovir b. Topical steroids c. Topical antibiotics d. Petrolatum/lanolin ointment

c. Topical antibiotics

A 7-year-old African American female presents with several hyperkeratotic raised, periungual lesions on the two middle fingers of her left hand. She has a history of nail biting. The most likely diagnosis is: a. Impetigo b. Molluscum contagiosum c. Verruca vulgaris d. Herpetic whitlow

c. Verruca vulgaris

what are the dimensions of a nodule? a. less than 1cm b. greater than 1cm but less than 2cm c. less than or equal to 2cm d. greater than 2cm

c. less than or equal to 2cm

pediculosis is a highly communicable, common condition in children. which of the following is not correct of pediculosis humanus? a. it's caused by an insect that does not fly or jump b. gravid females lay ova in seams of clothing c. likes hairy areas of the body better than the non-hairy body surfaces d. the same med that's used for scabies may be used to eradicate this condition

c. likes hairy areas of the body better than the non-hairy body surfaces pediculosis capitus/pubis - likes hairy areas pediculosis humanus - likes non-hairy surfaces

a 17 year old male, presents with facial acne consisting of inflammatory lesions primarily on the face with comedonal papules and few pustules. what should be prescribed first? a. benzoyl peroxide b. erythromycin c. retinoid d. hormone therapy

c. retinoid - 1st line therapy before benzoyl peroxide! hormone therapy-only for females topical antibiotics- NOT oral !

In addition to monitoring the skin for any changes, what is the best management for JD? a. topical antibiotics on lesions b. topical steroids on lesions c. a moisturizer on lesions d. no treatment necessary since JD condition will resolve spontaneously in 5-7 days

d.

JR an 8yr boy has scaly pale salmon lesions predominately on his trunk. One lesion on the buttocks is larger than all the other lesions and measures 4cm. What is your dx? a. psoriasis b. eczema c. pityriasis alba d. pityriasis rosea

d.

Malignant melanoma is a form of much dreaded skin cancer. Which of the following is not characterstic of this condition? a. occurs in all ethic groups bur more in light skin b. severe sunbrun or excessive exposure to sun before age 10yr predisposes melanoma later c. spreads through the lymphatic system and invades other distand skin surgaces and organs d. spreads primarily by invading skin surfaces that surround major lesion

d.

Many skin conditions have lesions that may be oozing, weepy, crusting and itchy. Which of the following would you routinely recommend? a. dry the affected skin areas with topical preparations b. apply topical abx to lesions c. increase the room temp to enhance drying of lesions d. wet dressings or compresses to soothe the skin and relieve itching

d.

Newborn has a vascular lesion that will not fade as she gets older. What is your dx? a. salmon pathc b. capillary hemangioma c. cafe au lait d. nevus flammeus

d.

Seborrhea der is common in both infants and adolescents. Which of the following is not correct of this condition? a. occurs more often in the spring and summer months b. is assoc with an over production of sebum in areas abundant w sebaceous glands c. the condition in infants is known as "cradle cap" in which lesions have erythematous base with yellow crusted areas and greasy scales d. condition in adolescents is known as acne with comedome, papular, pustular lesions

d.

Which condition is not more common in dark skinned populations a. cafe au lait b. mongolian spots c. pityriasis alba d. atopic derm

d.

You diagnosis Kelli age 7mo with diaper derm. Which of the following should not be included in the differential? a. atopic derm b. child abuse c. contact derm d. pityriasis alba

d.

You examine CC a newborn and notice white papular lesions on the cheeks, forehead and nose. You suspect either milia or sebaceous hyperplasia. Which physical finding helps to confirm a diagnosis of milia? a. papular lesions are intermixed with pale yellow macules. b. papular lesions have an erythema circular ring at the base c. papular lesions are surrounded by lacy blue area with erythematous mottling d. papular lesions, yellow in color are observed on the hard palate

d.

During your newborn examination of K. L., you note a generalized lacy retic- ulated blue discoloration. This clinical presentation describes: a. Harlequin color change b. Mongolian spots c. Blue nevus d. Cutis marmorata

d. Cutis marmorata

L. R., at 6 years of age, presents at clinic with a solitary nonpruritic lesion around his upper lip. Closer inspection reveals some vesicles and honey-colored crusts. The most likely diagnosis is: a. Herpes simplex b. Varicella c. Nummular eczema d. Impetigo

d. Impetigo

When examining 7-month-old R.V., you note red scaly plaques in his diaper area, particularly in the inguinal folds, with satellite lesions on his abdomen. The appropriate treatment would be: a. Petrolatum/lanolin ointment b. Petroleum jelly c. Zinc oxide d. Nystatin

d. Nystatin

You note a single, large, oval, pink patch with central clearing on 16-year- old M. P.'s back. Lesions are not present elsewhere. Results of a KOH preparation of the lesion are negative. This would confirm a diagnosis of: a. Seborrheic dermatitis b. Secondary syphilis c. Tinea corporis d. Pityriasis rosea

d. Pityriasis rosea if KOH was positive = tinea

examining an erythematous perineal area. what information would be most helpful to include in history taking a. dietary intake b. types of soap used to bathe child c. allergies to chocolate d. exposure to a child with varicella

d. exposure to a child with varicella

urticaria is a hypersensitivity allergic reaction to a variety of substances and agents. what is the typical morphology of urticarial lesions a. erythematous papules b. vesicles c. pustules d. wheals

d. wheals


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