Question 1.When a patient presents with a skin-related complaint, it is important to first:
Fully inspect all skin lesions before asking the patient how the lesion in question developed
Obtain a full history about the development of the skin lesion prior to the physical examination
Complete a full physical examination of the body prior to inspecting the skin lesion
Examine the skin lesion without hearing a health history in order to not prejudice the diagnosis
Question 2. Which of the following dermatological conditions results from reactivation of the dormant varicella virus?
Tinea versicolor
Seborrheic keratosis
Verruca
Herpes zoster
Question 3. An older adult male presents with pain in his right chest wall for the past 48 hours. Upon examination, the nurse practitioner notices a vesicular eruption along the dermatome and identifies this as herpes zoster. The NP informs the gentleman that:
All symptoms should disappear within three days
Oral medications can dramatically reduce the duration and intensity of his symptoms
He has chickenpox and can be contagious to his grandchildren
He has a sexually transmitted disease
Question 4. A 70-year-old white male comes to the clinic with a slightly raised, scaly, pink, and irregular lesion on his scalp. He is a farmer and works outside all day. You suspect actinic keratosis, but cannot rule out other lesions. What recommendation would you give him?
Ignore the lesion, as it is associated with aging.
Instruct him to use a nonprescription hydrocortisone cream to dry up the lesion.
Perform a biopsy or refer to a dermatologist.
Advise him to use a dandruff shampoo and return in one month if the lesion has not gone away.
Question 5. The appearance of a 2-10 cm. herald patch with subsequent development of parallel oval lesions on the trunk in a christmas tree distribution involving the upper arms and upper legs are common in:
Pityriasis Rosea
Shingles
Psoriasis
Lymes Disease
Question 6. Mr. Fitzgerald is a 68-year-old previously healthy man with a history of significant sun exposure who presents with a progressively enlarging 18 x 16 mm erythematous pruritic oval patch on his left forearm that has been present for three to four years. Your differential would include all of the following EXCEPT:
Fungal skin infection
Eczema
Seborrheic Keratosis
Squamous cell carcinoma of the skin
Question 7. What kind of lesions are caused by the herpes simplex virus?
Scales
Vesicles
Plaques
Urticaria
Question 8. Among the following conditions, which needs to be treated with systemic antifungal agents?
Tinea pedis/tinea magnum
Tinea corporis/tinea cruris
Tinea capitis/Tinea unguium (onychomycosis)
Tinea pedis /tinea faciale
Question 9. Which lesions are typically located along the distribution of dermatome?
Scabies
Herpes zoster
Tinea
Dyshidrosis
Question 10. A smooth round nodule with a pearly gray border and central induration best describes which skin lesion?
Seborrheic keratosis
Malignant melanoma
Herpes zoster
Basal cell carcinoma
Question 11. Cellulitis is a deep skin infection involving the dermis and subcutaneous tissues. The nurse practitioner suspects cellulitis in a 70-year-old Asian diabetic male presenting with reddened edematous skin around his nares. Which statement below will the nurse practitioner use in her decision-making process for the differential diagnosis pertaining to reddened edematous skin?
Cellulitis is two times more common in women
Facial cellulitis is more common in people >55
There is low incidence of cellulitis in patients with diabetes
Cellulitis is only a disease of the lower extremities of patients with known arterial insufficiency
Question 12. Folliculitis is most commonly due to:
Contact dermatitis
Varicella zoster
Dermatophytes
Staphylococcal infection
Question 13. The anti-inflammatory properties of topical corticosteroids result in part from their ability to induce vasoconstriction to the small blood vessels in the upper dermis. Of the following, which is the most potent topical corticosteroid?
Hydrocortisone 2.5%
Triamcinolone acetonide 0.1%
Betamethasone dipropionate 0.05%
Alclometasone dipropionate 0.05%
Question 14. Which of the following descriptions accurately documents cellulitis?
Cool, erythematous, shiny hairless extremity with decreased pulse
Scattered, erythematous ring-like lesions with clear centers
Clearly demarcated, raised erythematous area of face
Diffusely inflamed skin that is warm and tender to palpation
Question 15. Asymmetrical bi-color lesion with irregular border measuring 8 mm is found on the right lower arm of an adult patient. This assessment finding is consistent with:
Melanoma
Basal cell carcinoma
Leukoplakia
Senile lentigines
Question 16. Which of the following descriptions best illustrates assessment findings consistent with tinea capitis?
Circular erythematous patches with papular, scaly annular borders and clear discharge
Inflamed scaly dry patches with broken hairs
Web lesions with erythema and scaling borders
Scaly pruritic erythematous lesions on inguinal creases
Question 17. A patient has a tender, firm, nodular cystic lesion on his scalp that produces cheesy discharge with foul odor. This is most likely a:
Bacterial folliculitis
Basal cell carcinoma
Bullous impetigo
Epidermoid cyst
Question 18. Patient presents with complaint of a "swollen node" under his arm. The area is tender and the node has progressed in size over the past few days. Which of the following should be included in your differential diagnosis?
Hidradenitis suppurativa
Epidermoid cyst
Furuncle
Both A and C
Question 19. A patient suffered a laceration of the shin three days ago, and today presents with a painful, warm, red swollen region around the area. The laceration has a purulent exudate. The clinician should recognize that the infected region is called:
Contact dermatitis
Folliculitis
Hidradenitis suppurativa
Cellulitis
Question 20. A woman complains of malaise and arthralgias. You note a butterfly-shaped, macular, erythematous rash across her cheeks and nose. These conditions are common in:
Psoriasis
Lichen planus
Systemic lupus erythematosus
Erythema nodosum