NR602 Final Exam Week 4: Dermatology

NR602 Final Exam Week 4: Dermatology

1.What is the Ortolani Sign?(Assess for congenital hip dysplasia)

2.When performing a physical examination of a toddler, which of the following body parts would you examine last?(Throat and Ears)

3.Concurrent Otitis media and conjunctivitis is likely due to which?(Haemophilus Influenza) 4.What are the three findings using Jones criteria for Rheumatic fever?(streptococcal infection, carditis and erythema marginatum) 5.If a child or a patient describes a “pop” in the knee. What does this indicate?(Anterior cruciate ligament tear) 6.The most appropriate management of a child with asthma who presents with acute wheezing or coughing would be?(Administer a short-acting beta agonist) 7.In addition to penicillin, which antibiotic can’t be used to treat strep pharyngitis?(Bactrim) 8.A microscopic examination of the sample taken from a skin lesion indicates hyphae. What type of infection might this indicate?(Fungal)

9.A child with a sandpaper-textured rash probably has:

(Strep infection) 10.A 40-year-old female patient presents to the clinic with multiple, painful reddened nodules on the anterior surface of both legs. She is concerned. These are

probably associated with her history of:

(ulcerative colitis) 11.A patient is diagnosed with tinea pedis. A microscopic examination of the sample

taken from the infected area would likely demonstrate:

(hyphae) 12.When can a child with chickenpox return to daycare?(After all lesions have crusted) By Hadassahkim

13.A patient with a primary case of scabies was probably infected:

(3-4 weeks ago) 14.The nurse practitioner examines a patient who has had poison ivy for 3 days.She asks if she can spread it to her family members. The nurse practitioner replies: (“No, transmission does not occur from the blister’s contents”) 15.Which chronic skin disorder primarily affects hairy areas of the body?(Seborrheic dermatitis) 16.A patient with diabetes has right anterior shin edema, erythema, warmth, and tenderness to touch. This developed over the past 3 days. There is no visible pus.What is the most likely diagnosis to consider?(Cellulitis) 17.The agent commonly used to treat patients with scabies is permethrin. How often should it be applied to eradicate scabies?(Once)

18.Impetigo is characterized by:

(honey-colored crusts) 19.A 60-year-old patient is noted to have rounding of the distal phalanx of the fingers. What might have caused this?(Hepatic cirrhosis)

20.A patient has suspected scarlet fever. He likely has a sandpaper rash and:

(a positive rapid Strep test) 21.A patient with a positive history of a tick bite about 2 weeks ago and erythema migrains has a positive ELISA for Borrelia burgdorferi. The Western blot is positive.How should he be managed?(He should receive doxycycline for Lyme disease) 22.A patient will be taking oral terbinafine for fingernail fungus. The NP knows that: (terbinafine is an inhibitor of the CYP 2D6 enzymes)

23.A skin lesion that is a solid mass is described as a: (papule)

A papule is an elevated solid mass up to 1.0 cm. in diameter.

24.The nurse practitioner is examining a 3-month-old infant who has normal development. She has identified an alopecic area at the occiput. What should be done?(Encourage the caregiver to change the infant’s head position) By Hadassahkim

25.The most common form of skin cancer is: (basal cell carcinoma)

Skin cancers are divided into two major groups: nonmelanoma and melanoma skin

cancer. Basal cell carcinoma is considered nonmelanoma skin cancer.

26.The nurse practitioner identifies satellite lesions in a 6-month-old infant. These

are:

(indicative of candidal infection)

27.A patient who is at high risk for skin cancer should:

(examine his skin monthly for changes)

28.An example of a premalignant lesion that develops on sun-damaged skin is:

(actinic keratosis) 29.Which of the following areas of the body has the greatest percutaneous absorption?(Genitalia)

30.The main difference between cellulitis and erysipelas is the:

(layer of skin involvement)

31.Most cases of atopic dermatitis exacerbation are treated with:

(topical steroids) 32.A 6-year-old patient with sore throat has coryza, hoarseness, and diarrhea.What is the likely etiology?(Viral etiology) 33.A pregnant mother in her first trimester has a 5-year-old who has Fifth Disease.What implication does this have for the mother?(There is a risk of fetal death if she becomes infected) 34.A 74-year-old woman is diagnosed with shingles. The NP is deciding how to best manage her care. What should be prescribed?(An oral antiviral agent) 35.An adolescent has acne. The nurse practitioner prescribed a benzoyl peroxide product for him. What important teaching point should be given to this adolescent regarding the benzoyl peroxide?(Photosensitivity of the skin can occur) 36.A 70-year-old is diagnosed with multiple cherry angiomas. The nurse

practitioner knows that:

(these may bleed profusely if ruptured) By Hadassahkim

37.A patient has seborrheic dermatitis. Which vehicle would be most appropriate to use in the hairline area to treat this?(Foam) 38.A patient with eczema asks for a recommendation for a skin preparation to help with xerosis. What should the NP respond?(Use a petroleum-based product)

39.A topical treatment for basal cell carcinoma is:

(5-fluorouracil)

40.The most common place for basal cell carcinoma to be found is the:

(Face) 41.An infant is diagnosed with diaper dermatitis. Satellite lesions are visible. This

should be treated with a:

(topical antifungal agent) 42.A 3-year-old female had a fever of 102° F for the last 3 days. Today she woke up from a nap and is afebrile. She has a maculopapular rash. Which statement is true?(The rash will blanch) 43.A 71-year-old female presents with a vesicular rash that burns and itches.

Shingles is diagnosed. An oral antiviral:

(should be started within 72 hours of the onset of symptoms) 44.A skin disorder has a hallmark finding of silvery scales. What word below describes this common condition?(Chronic) 45.A child has 8-10 medium brown café au lait spots > 1 cm in diameter. The

differential diagnosis should include:

(neurofibromatosis) 46.A low-potency topical hydrocortisone cream would be most appropriate in a

patient who has been diagnosed with:

(atopic dermatitis) 47.A patient is found to have koilonychia. What laboratory test would be prudent to perform? (Complete blood count) 48.A 23-year-old male appears in clinic with the following lesion on his trunk. This

lesion is usually associated with: (pityriasis rosea)

By Hadassahkim