Dermatology Qbank

If a lesion is described as annular, it appears:

circular and begins in center and spreads to periphery

On examination of the feet, the nurse practitioner observes a painful thickening of the skin on the boney prominence of the left fifth toe. This lesion is most likely a:

corn

To assess skin temperature, the examiner would use the:

dorsal surface of the hand

When the term rubor is used in describing the skin, it means that the appearance is:

dusky red

A 45-year-old male presents with a skin lesion that has a smooth, slightly scaly, or pebbly surface, with irregular edge. Further evaluation reveals a dark brown 2.5 cm lesion. This is most likely a:

dysplastic nevus

The patient has recently sustained an injury to the upper thigh. Examination reveals an irregular shaped purplish blue lesion that does not blanch with pressure and does not exhibit pulsatility. This would be considered:

ecchymosis

The term used to describe skin that is red over the entire body is:

erythroderma

The term used to describe dark-colored adherent crust of dead tissue around an ulcer is:

eschar

The term used to refer to skin that is peeling is:

exfoliation

Lesions that develop within hair follicles produce papules that become erythematous, and painful are termed:

furuncles

Pressure ulcers, decubitus ulcers, develop over all of the following body parts except the:

gluteus maximus

A small child sustained burns to the posterior trunk and posterior surface of both arms. According to the "rule of nines" for small children, what percentage of the total body surface area was involved?

27%

A child presents with erythematous papules and vesicles, that are weeping, oozing, and crusty. These lesions are located over the forehead, wrists, elbows, and the backs of the knees. With which of the following conditions are these symptoms associated?

Atopic dermatitis

When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring approximately 0.5cm were noted. These types of lesions could be seen in:

herpes simplex or varicella

Transverse depressions of the nail plates, usually bilateral, resulting from temporary disruption of proximal nail growth from systemic illness is termed:

Beau's lines

When assessing the skin, it is noted to be very dry and cool to touch. This could be associated with:

hypothyroidism

Depigmented macules appearing on the face, hands, feet, and other parts of the body due to the lack of melanin are termed:

vitiligo

The assessment findings of the integumentary system of an 80-year-old that would warrant further evaluation would include:

Ecchymoses on both forearms

An adolescent is being examined for acne and findings revealed several closed comedones. These finding are termed:

whiteheads

Which model is used to designate risk factors for melanoma?

HARMM

A six-year-old child presents with a few small vesicles that are honey-colored and weeping around the left nare. These lesions are consistent with:

Impetigo

A child has a maculopapular, blotchy rash and on examination of his mouth, red eruptions with white centers on the buccal mucosa are visualized. These eruptions are called:

Koplik spots

An inflammation of the proximal and lateral nail folds represents:

Paronychia

Ticks can transmit and cause:

Rocky Mountain spotted fever, Lyme disease, and tularemia

A patient is observed to have pressure related alteration of intact skin along with changes in temperature, consistency, and color. Which stage of pressure ulcer is consistent with this?

Stage 1

Which stage of pressure ulcer is consistent with a partial thickness loss of the dermis presenting as a shallow open ulcer with a red pink wound bed, without slough?

Stage 2

Which stage of pressure is consistent with findings on dermatologic examination of a full thickness tissue loss and subcutaneous fat visible with mild slough on the right hip?

Stage 3

A patient presents with a full thickness tissue loss with exposed bone and tendon and eschar of the left hip. Which stage of pressure ulcer development is this?

Stage 4

A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at birth and enlarge during the first 10 to 15 months is characteristic of a:

cavernous hemangioma

Skin conditions such as pruritus, hyperpigmentation, and calciphylaxis may be seen in patients who have:

chronic renal failure

A patient has a papule with an ulcerated center on the lower lid and medical canthus of the eye. This consistent with:

a basal cell carcinoma

A dark, raised, asymmetric lesion with irregular borders may be:

a melanoma

A raised, crusted border with central ulceration on the helix is identified. This lesion need further evaluation because it is most likely:

a squamous cell carcinoma

Purple patches or macules on backs of the hands and forearms of the elderly would be suggestive of:

actinic purpura

When examining the left ear, a raised nodule behind the ear is noted to have a lustrous surface with visible telangiectatic vessels in the center. This lesion needs further evaluation because it is most likely:

basal cell carcinoma

An infant presents with a rash in the diaper area. Which description likely indicates candidal diaper rash?

bright red, moist patches with sharply demarcated borders, some loose scales noted in the diaper area

On examination of the feet, the nurse practitioner observes a painless thickening of the skin under the ball of the foot. It is tender to direct pressure. This lesion is most likely a:

callus

A yellowish hue imparted to the skin, mucous membrane, or eye is termed:

jaundice

On examination, a white discoloration appearing on nails was noted. This is consistent with:

leukonchia

Asymmetry, irregular borders, variation in color, diameter greater than 6mm, and elevation represent the ABCDEs of:

malignant melanoma

A slow, persistent fungal infection of fingernails and toenails is:

onychomycosis

An example of a macule is:

petechia

When assessing the skin, silvery, scaly papules or plaques are noted on the extensor surface of both arms. This could be associated with:

psoriasis

When assessing the skin, it is noted to be thickened, taut, and shiny in appearance. This could be associated with:

scleroderma

The term asteatosis refers to:

skin that is dry, flaky, rough, and often itchy

When the examiner lifts a fold of skin and notes how quickly it returns to place, the examiner is assessing skin:

turgor