Chapter 53: Alterations in the Integumentary System

What is the most deadly form of skin cancer? a. Basal b. Squamous c. Melanoma d. Actinic keratosis

c. Melanoma

Which finding is characteristic of oral candidiasis? a. Silvery plaques on the skin b. Itching, oozing rash c. Thickened, discolored nails d. Whitish coating on the tongue

d. Whitish coating on the tongue

Conditions caused by a virus include a. athlete's foot. b. boils. c. warts. d. impetigo.

c. warts.

What is the most common, benign form of skin cancer? a. Basal b. Squamous c. Melanoma d. Actinic keratosis

a. Basal

Which skin disorder is thought to be caused by an autoimmune reaction and is characterized by bullous eruptions? a. Pemphigus b. Psoriasis c. Pityriasis rosea d. Lichen planus

a. Pemphigus

A major difference between a vesicle and a wheal is that vesicles a. contain fluid, but wheals are edematous tissue. b. are palpable, but a wheal is not. c. are larger than wheals. d. are smaller than wheals.

a. contain fluid, but wheals are edematous tissue.

Acute, painful inflammation with vesicles along the distribution of a spinal nerve (dermatome) is characteristic of a. herpes zoster. b. herpes simplex. c. human papillomavirus. d. tinea.

a. herpes zoster.

A post-infective painful neuralgia can occur as a complication of a. shingles. b. herpes simplex. c. impetigo. d. verrucae.

a. shingles.

Psoriasis is characterized by a. silvery scale on the skin. b. itching, oozing rash. c. thickened, discolored nails. d. whitish coating on the tongue.

a. silvery scale on the skin.

Which type of dermatitis is associated with cradle cap in newborns? a. Irritant b. Seborrheic c. Atopic d. Stasis

b. Seborrheic

Which finding indicates a need for further evaluation of a nevus mole? a. The presence of light pigmentation b. Variations in color within the nevus c. Very dark coloration of the mole d. Diameter less than 2 mm

b. Variations in color within the nevus

A 4-year-old is brought to the clinic for evaluation of dry, scaly, itchy patches on the face, antecubital areas, and behind the ears and knees. The skin is dry overall, and there is evidence of scratching. This is likely a case of a. impetigo. b. atopic dermatitis. c. psoriasis. d. scabies.

b. atopic dermatitis.

Herpes simplex I infection (Select all that apply.) a. causes both oral and genital infections. b. begins with a burning or tingling sensation. c. reactivates with stress, sun exposure, menses. d. is painless. e. remains latent in spinal ganglia between outbreaks.

b. begins with a burning or tingling sensation. c. reactivates with stress, sun exposure, menses. e. remains latent in spinal ganglia between outbreaks.

The presence of a widely distributed pruritic maculopapular rash and erythema is commonly associated with a. psoriasis. b. drug reaction. c. scleroderma. d. bedbug bites.

b. drug reaction.

A topical therapy that would tend to dry the skin because it is an astringent is a. lotion. b. gel. c. cream. d. ointments.

b. gel.

It is true that vitiligo a. occurs as a result of a genetic lack of melanin production. b. is a depigmented patch of skin. c. occurs most commonly in light-skinned individuals. d. is a warning sign for malignant melanoma.

b. is a depigmented patch of skin.

Scleroderma is characterized by a. large, weeping, open sores. b. thickening and decreased elasticity of the skin. c. butterfly rash on the face. d. hair loss and ulcer formation on the extremities

b. thickening and decreased elasticity of the skin.

At puberty when sebaceous gland secretion increases, follicle obstruction and infection may occur, resulting in a. psoriasis. b. eczema. c. acne vulgaris. d. pemphigus.

c. acne vulgaris.

Impetigo is a skin infection caused by a. fungus. b. yeast. c. bacteria. d. parasite.

c. bacteria.

Shingles is caused by the same virus that causes a. measles. b. mumps. c. chickenpox. d. rubella.

c. chickenpox.

Onycholysis is characterized by a. silvery plaques on the skin. b. itching, oozing rash. c. destruction of the nails. d. whitish coating on the tongue.

c. destruction of the nails.

Deep pressure ulcers usually a. appear first as reddened areas that do not blanch. b. begin in the dermal and epidermal skin layers. c. result from thrombosis of deep vessels. d. are an unavoidable consequence of immobility.

c. result from thrombosis of deep vessels.

Itchy linear burrows on the hands and wrists are associated with a. tick bites. b. Rocky Mountain spotted fever. c. scabies. d. contact dermatitis.

c. scabies.

Manifestations of herpes zoster include a. multiple fluid-filled vesicles on the lips, tongue, and hands. b. generalized, painful maculopapular rash. c. red, itchy palms and soles of feet. d. a dermatomal distribution of lesions and pain.

d. a dermatomal distribution of lesions and pain.

Impetigo is usually caused by a a. virus. b. fungus. c. protozoan. d. bacteria.

d. bacteria.

The difference between chickenpox and measles is that chickenpox a. is caused by a virus, whereas measles is caused by a bacterium. b. causes a widespread rash, whereas measles causes a macular rash. c. is a childhood infection, but measles can evolve into shingles in adults. d. causes vesicles that scab, whereas measles remains a macular rash.

d. causes vesicles that scab, whereas measles remains a macular rash. ANS: D

Atopic dermatitis (eczema) is caused by a. parasitic infestation of the skin. b. superficial staphylococcal infection. c. superficial fungal infection. d. contact with skin allergens.

d. contact with skin allergens.

5. The cancer considered to be the most malignant is a. hyperkeratosis. b. basal cell carcinoma. c. squamous cell carcinoma. d. melanoma

d. melanoma

Corticosteroids are commonly administered for the management of skin disorders because they a. are analgesics. b. prevent infection. c. enhance collagen production. d. reduce inflammation.

d. reduce inflammation.