Massage Pathology CH 2

Which is the best description of acne rosacea?

A chronic skin condition leading to pustules and redness on the face

What is the best definition of a pressure injury?

A lesion that arises from inadequate blood flow when an area compressed against a surface

Which of the following is the best description of a melanoma lesion?

A mole that is asymmetric with irregular borders and mottled color

What is the best definition of eczema?

A non-contagious condition connected to immune system dysfunction and hypersensitivity reactions

Which of the following is the best description of a contracture scar?

A scar over a large area that pulls together to limit elasticity and range of motion

What is the best definition of herpes simplex?

A virus that causes blisters, usually around the mouth or genitals

What the most likely complications of scar tissue?

Accumulations of tight, constrictive tissue that limits range of motion

Which of the following are the subtypes of squamous cell carcinoma?

Actinic keratosis, actinic cheilitis, leukoplakia, Bowen disease

Stasis dermatitis is usually related to ...

Age, poor circulation

What are late signs of pressure injuries?

An open ulcer that exposes deep tissues

What is the best definition of burns?

Any trauma that kills cells through heat, electricity, chemical exposure, or radiation

What is the best description of pubic lice?

Arthropods that infest any coarse body hair

What is a distinguishing feature of a herpes simplex outbreak?

Blisters on a red base

This bacterial infection affects deep layers of the skin. It is often a complication of another minor lesion like a blister or scrape. It has no focal abscess or draining wound; rather, it looks like a red, tender, warm area. What is it?

Cellulitis

Oral herpes is sometimes called ...

Cold sores

Which of the following is the list of animal parasites?

Crabs, head lice, mites

What is the best description of a fungal infection of the skin?

Dermatophytes find a rich growth medium on the skin

This is a streptococcal infection of the skin. It usually shows a clear margin of involved tissue, and it often has a good outcome. What is it?

Erysipelas

Your client has many tiny capillary lines on her face. She reports that when she is warm or drinks hot beverages her face flushes and stings. What is probably present?

Erythematotelangiectatic rosacea

Which of the following is the list of factors that contribute to acne vulgaris?

Genetic predisposition, androgen production, P. acnes

What are the signs and symptoms of common warts?

Hard, flaky, painless nodules

Where is the most likely place for a decubitus ulcer to develop?

Heels, buttocks, sacrum

A client reports unrelenting itching on the front of her arm. She has reddish lines in the crease of her elbow. What may be present?

Infestation with mites

Your client has acne rosacea. What accommodations is she likely to need to receive massage comfortably?

Invite her to bring her preferred lotion for her facial massage

When a person submerges her hands repeatedly in hot water and harsh detergents, her skin becomes rough, red, and itchy. This describes ...

Irritant contact dermatitis

Why is tinea versicolor different from other fungal infections?

It is not considered to be contagious

What is a sign that distinguishes lentigo melanoma from "age spots"?

Lentigo melanoma shows a deep notch; age spots are round or oval

Your client is a 25-year-old woman who uses oral birth control. She has monthly acne outbreaks on her face and shoulders, and she has several pustules on her upper back on the day of her appointment. What is your best course of action?

Locally avoid the active lesions and deliver a standard massage elsewhere

A client has been diagnosed with eczema. The skin on her palms is itchy and covered with tiny fluid-filled blisters. What should her massage therapist do?

Locally avoid the area to reduce the risk of infection

Which of the following is the list of possible bacterial infections?

MRSA, impetigo, pilonidal cysts

Your client has residual scar tissue from a surgery that happened years ago. She would like to increase her mobility. What realistic claims can be made about massage therapy?

Massage therapy may help with some range of motion and pain, but it is unlikely to resolve keloids or contractures

In this condition skin cells begin to replicate in an uncontrolled way. They invade deeper tissues and may travel through the lymph or bloodstream to colonize other areas. This describes ...

Melanoma

What does MRSA stand for?

Methicillin resistant staphylococcus aureus

Which subtype of melanoma is the most aggressive?

Nodular melanoma

What are the subtypes of malignant melanoma?

Nodular melanoma, superficial spreading melanoma, lentigo melanoma

Where does herpes whitlow appear?

On the hand

A fungal infection under the finger- or toenails is called ...

Onychomycosis

Your client had a BCC growth removed from his scalp two years ago. It is fully healed with no signs of complications. What is your best strategy?

Perform the massage as usual; no accommodations are needed

What is a consequence of untreated tinea capitus?

Permanent bald spots

Your client is on vacation at the desert resort where you work. She has an appointment for massage, but shows up with a new, bright red sunburn. She would still like to receive massage. What is your best strategy?

Recommend that she come back in two to three days, when her sunburn is not acute

Where are new skin cells created?

Stratum basale

How does the skin help manage homeostasis?

Sweating; capillary dilation and constriction; limits fluid loss

What is true about warts?

They are viral infections of the stratum basale or some mucous membranes

How do pathogens cause the lesions associated with fungal infections?

They dissolve keratin to invade the stratum corneum

Your client has an area of about a square inch on her left posterior forearm that lacks pigment and hair follicles. It is denser than surrounding tissues, and does not move freely over deeper tissues. She reports that the area is not painful. What is the most likely situation?

This is a scar

The lesions caused by fungal infections of the skin are called ...

Tinea

The pathogens that cause tinea lesions are spread by way of ...

Vectors and fomites, autoinoculation

Your client is an 88-year-old woman who weighs approximately 102 pounds. She is a resident in a nursing home, and she is bedridden. You are providing massage as part of her hospice care. You notice that she has a hot area on one heel, where the skin is bluish. What is your best strategy?

With her permission, notify her caregiver

Your client is a 19-year old man with acne scars all over his chest and back, but no currently infected lesions. What is your best course of action?

Work normally; this doesn't call for special accommodations

The permanently thickened, bumpy, reddened skin that may develop on the nose of persons with acne rosacea is called ...

phymatous rosacea