APEA- Derm Assessment

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? An allergic reaction to something Atopic dermatitis Contact dermatitis Psoriasis

Atopic dermatitis

Transverse depressions of the nail plates, usually bilateral, resulting from temporary disruption of proximal nail growth from systemic illness is termed: Terry's nails. Beau's lines. Mees' lines. pitting nails.

Beau's lines.

An infant presents with a rash in the diaper area. Which description likely indicates candidal diaper rash? Red, moist, maculopapular patch with poorly defined borders in diaper area Bright red, moist patches with sharply demarcated borders, some loose scales noted in the diaper area Moist, thin-roofed vesicles with a thin, erythematous base noted in the diaper area Erythematous and symmetric rash noted in the diaper area

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

Which model is used to designate risk factors for melanoma? ABCDE HARMM BCRAT NHANES

HARMM

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 I Stage II Stage III Stage IV

Stage IV

When the term rubor is used in describing the skin, it means that the appearance is: elastic. dusky red. excoriated. excessively dry.

dusky red.

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: rubella spots. aphthous ulcers. Pastia's spots. Koplik spots.

Koplik spots.

The term used to describe skin that is red over the entire body is: eschar. erythroderma. excoriation. exfoliation.

erythroderma.

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

hypothyroidism.

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? 9%. 18%. 27%. 32.5%.

27%.

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

dysplastic nevus.

Ticks can transmit and cause: impetigo, staph infections, and psoriasis. candidiasis, scabies, and tinea capitis. Rocky Mountain spotted fever, Lyme disease, and tularemia. lice, roundworms, and hookworms.

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, sensation, and color. Which stage of pressure ulcer is consistent with this? Stage I Stage II Stage III Stage IV

Stage I

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 I Stage II Stage III Stage IV

Stage II

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 I Stage II Stage III Stage IV

Stage III

A patient has a papule with an ulcerated center on the lower lid and medial canthus of the eye. This is consistent with: dacryocystitis. a hordeolum or stye. a chalazion. a basal cell carcinoma.

a basal cell carcinoma.

A dark, raised, asymmetric lesion with irregular borders may be: a comedone. actinic keratosis. a melanoma. actinic purpura.

a melanoma.

A raised, crusted border with central ulceration on the helix is identified. This lesion needs further evaluation because it is most likely: a basal call carcinoma. a squamous cell carcinoma. cutaneous cyst. chondrodermatitis nodularis helicis.

a squamous cell carcinoma.

Purple patches or macules on backs of the hands and forearms of the elderly would be suggestive of: elder abuse. actinic purpura. a bleeding disorder. injury from falls.

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: squamous cell carcinoma. a cutaneous cyst. basal call carcinoma. tophi.

basal call carcinoma.

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: plantar wart. corn. callus. neuropathic ulcer.

callus.

The assessment findings of the integumentary system of an 80-year-old that would warrant further evaluation would include: several brown macular spots on the hands and arms. ecchymoses on both forearms. seborrheic keratoses on the scalp. cherry angiomas on the trunk.

ecchymoses on both forearms.

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. strawberry mark. telangiectasia. port-wine stain.

cavernous hemangioma.

Skin conditions such as pruritus, hyperpigmentation, and calciphylaxis may be seen in patients who have: diabetes. chronic renal failure. hyperthyroidism. liver disease.

chronic renal failure.

If a lesion is described as annular, it appears: circular and begins in center and spreads to periphery. as if the lesions run together. as distinct, individual lesions that remain separate. with concentric rings of color in the lesions.

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 bony prominence of the left fifth toe. This lesion is most likely a: plantar wart. corn. callus. neuropathic ulcer.

corn.

To assess skin temperature, the examiner would use the: palmar surface of the hand. dorsal surface of the hand. fingertips. oral thermometer.

dorsal surface of the hand.

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: petechia. ecchymosis. purpura. a spider vein.

ecchymosis.

The term used to describe dark-colored adherent crust of dead tissue around an ulcer is: eschar. erythroderma. excoriation. exfoliation.

eschar.

The term used to refer to skin that is peeling is: eschar. erythroderma. excoriation. exfoliation.

exfoliation.

Lesions that develop within hair follicles produce papules that become erythematous, and painful are termed: vesicles. furuncles. nevi. ulcers.

furuncles.

Pressure ulcers, decubitus ulcers, develop over all of the following body parts except the: sacrum. gluteus maximus. ischial tuberosities. greater trochanters.

gluteus maximus.

When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring approximately 0.5 cm were noted. These types of lesions could be seen in: second degree burns. acne or impetigo. psoriasis or athlete's foot. herpes simplex or varicella.

herpes simplex or varicella.

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. varicella. Herpes simplex. shingles.

impetigo.

A yellowish hue imparted to the skin, mucous membrane, or eye is termed: carotenemia. scleroderma. café-au-lait. jaundice.

jaundice.

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

leukonychia.

Asymmetry, irregular borders, variation in color, diameter greater than 6 mm, and elevation represent the "ABCDEs" of: benign nevi. basal cell carcinoma. malignant melanoma. skin tumors.

malignant melanoma.

A slow, persistent fungal infection of fingernails and toenails is: paronychia. onychomycosis. leukonychia. psoriasis.

onychomycosis.

An adolescent is being examined for acne and findings revealed several closed comedones. These findings are also termed: whiteheads. blackheads. pustules. cysts.

whiteheads.

An inflammation of the proximal and lateral nail folds represents: paronychia. onychomycosis. psoriasis. leukonychia.

paronychia.

An example of a macule is: psoriasis. impetigo. petechia. a nevus.

petechia.

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

psoriasis.

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

scleroderma.

The term asteatosis refers to: skin that appears weather beaten, thickened, yellowed, and deeply furrowed. skin that is dry, flaky, rough, and often itchy. raised yellowish lesions that feel greasy and velvety or warty. painful vesicular lesions in a dermatomal distribution.

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: mobility. turgor. moisture. temperature.

turgor.

Depigmented macules appearing on the face, hands, feet and other parts of the body due to the lack of melanin are termed: tinea versicolor. vitiligo. cafe-au-lait spots. tinea corporis.

vitiligo.