Health Assessment Quiz 3

A deeper loss of epidermis and dermis which may bleed and scar is: A. Erosion B. Fissure C. Ulcer D. Excoriation

C. Ulcer

Mrs. Anderson presents with an itchy rash which is raised and appears and disappears in various locations. Each lesion lasts for several minutes. What most likely accounts for this rash?

Urticaria, or hives

A 68 year old retired farmer comes to your office for evaluation of a skin lesion. On the right temporal area of the forehead, you see a flattened papule the same color as his skin, covered by a dry scale that is round and feels hard. He has several more of these scattered on the forehead, arms, and legs. Based on this description, what is your most likely diagnosis?

Actinic Keratosis

You are beginning the examination of the skin on a 25 year old teacher. You have previously elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the skin of a patient with hypothyroidism?

Dry and rough

A 28 year old patient comes to the office for evaluation of a rash. At first there was only one large patch, but then more lesions erupted suddenly on the back and torso. The lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back. Based on this description, what is the most likely diagnosis?

Pityriasis Rosea

A young man comes to you with an extremely pruritic rash over his knees and elbows which has come and gone for several years. It seems to be worse in the winter and improves with some sun exposure. On examination, you notice scabbing and crusting with some silvery scale, and you notice small "pits" in his nails. What would account for these findings?

Psoriasis

Mr. Brady brought his 4 year old son to be evaluated for some unusual skin lesions. The boy has been playing in the dirt around the house. There are slightly raised tunnels in the epidermis of the finger webs and on the sides of the fingers. The tunnel is 8mm, linear, and ends in a tiny vesicle. Based on this description, what is your likely diagnosis?

Scabies

Upon examination, you note that Mrs. Brady's palms are yellow. Her sclera, however, are white. You would ask her about her diet. True or False?

True