Dermal melanosis is the most frequently encountered congenital pigmented lesion that gradually disappears during the first few years of life. Of the following, the site that is MOST likely to have persistence of these lesions is
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Question 2 of 68
Systemic adverse effects of high-potency and superpotent topical steroids occur with long-term use and include
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Question 3 of 68
Match the condition with the appearance under the Wood lamp (ultraviolet light): Hypopigmented lesions
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Question 4 of 68
Squamous cell carcinomas are the second most common of the skin cancers and are capable of metastasizing if not treated. This cancer affects which cells?
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Question 5 of 68
Place the events of wound healing in chronological order: 1) Clot forms. 2) Fibroblasts promote tissue regeneration. 3) Inflammation and wound fills with blood. 4) Migration of fibroblasts and white blood cells to the wound. 5) Scar is formed.
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Question 6 of 68
In a disfiguring, life or vision threatening, or ulcerated infantile hemangiomas IH; the first-line treatment is
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Question 7 of 68
The clinic nurse reads the chart of a client that was seen by the physician and notes that the physician has documented that the client has Stage III of Lyme disease. Which clinical manifestation would the nurse expect to note in the client?
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Question 8 of 68
A 3-year-old girl develops melena and bleeding per rectum. Examination reveals multiple cutaneous hemangiomas involving the face, upper back, and both extremities. Upper and lower endoscopies show multiple hemangiomas involving the stomach, small intestine, and sigmoid colon. Other lab investigations are normal. Of the following, the NEXT step in the management of this girl is
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Question 9 of 68
Onycholysis indicates separation of the nail plate from the distal nail bed; drugs which may cause onycholysis include
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Question 10 of 68
You are discussing atopic dermatitis with medical students. You state that atopic dermatitis is a skin disease with a characteristic finding that may superimpose by secondary lesions. Of the following, the secondary lesion that may be encountered in the acute stage of atopic dermatitis is
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Question 11 of 68
A 7-year-old girl develops red macules that coalesce into large patches distributing over more than half of the body especially the face and trunk; the lesions evolve rapidly into bullae. Her lips are swollen and red with erosion of the oral mucosa. She has also bilateral conjunctival injections and erosions. She has a history of fever, malaise, and upper respiratory symptoms ten days before. Of the following, the MOST likely diagnosis is
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Question 12 of 68
Which of the following is a recommended treatment of tinea unguium?
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Question 13 of 68
A 3-month-old infant presented with an intensely erythematous, confluent plaque with a scalloped border, a sharply demarcated edge, and satellite pustules in the perianal skin, perineum, and inguinal folds. Of the following, the MOST likely diagnosis is
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Question 14 of 68
What type of skin cancer is more likely to be malignant?
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Question 15 of 68
Which is the most common cause of angular cheilitis?
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Question 16 of 68
Collagen lends to the skin.
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Question 17 of 68
One of the functions of the integumentary system is protection. Which of the following does not directly contribute to that function?
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Question 18 of 68
Which is the hallmark symptom of pediculosis?
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Question 19 of 68
Identify the layers of the epidermis in order from deepest to the most superficial.
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Question 20 of 68
The nurse preparing to assist the physician to examine the client's skin with a Wood's light would do which of the following?
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Question 21 of 68
Capillary malformations (CMs) are present at birth. The most effective treatment for CM is with the pulsed-dye laser. Therapy can begin
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Question 22 of 68
The client who sustained an inhalation injury arrives in the emergency department. On assessment of the client, the nurse notes that the client is very confused and combative. The nurse determines that the client is experiencing:
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Question 23 of 68
The following is a feature of generalized (nonsegmental) vitiligo
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Question 24 of 68
A hospitalized client is diagnosed with scabies. Which of the following would a nurse expect to note on inspection of the client's skin?
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Question 25 of 68
The hypodermis is composed of tissue.
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Question 26 of 68
A 9-year-old boy has a history of a seizure disorder and multiple white macules that first appeared in early infancy. A large, skin-colored, irregularly thickened plaque with an orange-peel or cobblestone texture has developed on the back in the lumbosacral area. Which is the most likely diagnosis?
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Question 27 of 68
The dermis is composed of
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Question 28 of 68
All topical preparations for acne vulgaris must be used for 6-8 wk before their effectiveness can be assessed. Of the following, the primary topical preparation should be
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Question 29 of 68
In X-Linked ichthyosis, scaling is MOST pronounced on the
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Question 30 of 68
An 8-year-old female child presented with a solitary, asymptomatic, smooth, dome shaped, blue-gray papule 8 mm in diameter on the dorsal aspect of her hand. Of the following, the MOST likely diagnosis is
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Question 31 of 68
The treatment of choice for scabies is
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Question 32 of 68
Plans for the child described in Question 5 should include (choose one or more)
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Question 33 of 68
A 1-month-old male infant develops a greasy, erythematous scale of the scalp. Examination reveals a thick greasy and waxy yellow-white patch involving the vertex of the scalp. Of the following, the BEST initial treatment for this infant is
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Question 34 of 68
Beaded papules on the eyelids is the classic sign of
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Question 35 of 68
On assessment, a nurse notes a flat brown circular nevi on the skin of a client that measures less than one centimeter. The client asks, 'Is this cancer?' The nurse makes which response to the client?
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Question 36 of 68
The presenting symptom of Behçet disease is
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Question 37 of 68
Which of the following does NOT occur in cool temperatures?
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Question 38 of 68
A client sustained a major burn is beginning to take an oral diet again. The nurse plans to encourage the client to eat variety of which of the following types of foods to best help in continued wound healing and tissue repair?
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Question 39 of 68
Eccrine sweat glands
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Question 40 of 68
All the following are advised in the treatment of Stevens-Johnson syndrome EXCEPT
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Question 41 of 68
The best treatment for the patient described in Question 1 is
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Question 42 of 68
Different potencies and forms of topical corticosteroids are available. Of the following, the form of the topical corticosteroids that is preferred in children with atopic dermatitis is
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Question 43 of 68
A client is seen in the health care clinic because of complaints of lesions on the elbows and the knees. The lesions are red raised papules, and large plaques covered by silvery scales are also noticed on the elbows and the knees. Psoriasis is diagnosed and the nurse provides information about treatment to the client. The nurse determines that the client needs additional information if the client states that which of the following is a component of the treatment plan?
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Question 44 of 68
A nurse is assessing the operative site in a client who underwent a breast reconstruction. The nurse is inspecting the flap and the areola of the nipple and notes that the areola is a deep red color around the edge. The nurse takes which action first?
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Question 45 of 68
Seborrheic dermatitis is a chronic inflammatory disease most common in infancy and adolescence, it is characterized by the following EXCEPT
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Question 46 of 68
The contraction of this structure causes "goose bumps".
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Question 47 of 68
A nurse reviews the record of a client scheduled for removal of a skin lesion. The record indicates that the lesion is an irregularly shaped, pigmented papule with a blue-toned color. The nurse determines that this description of the lesion is characteristic of:
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Question 48 of 68
The epidermis is made of
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Question 49 of 68
In general, skin cancers
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Question 50 of 68
The etiology is unknown in 30-50% of pediatric cases of erythema nodosum; one of the MOST common known etiologies in children is
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Question 51 of 68
Most cases of drug-induced linear IgA dermatosis are related to
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Question 52 of 68
A 2-day-old full-term neonate experiences multiple firm, yellow-white, 1- to 2-mm papules or pustules with a surrounding erythematous flare on the trunk. Wright stain of the lesions shows numerous eosinophils. Which is the most likely diagnosis?
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Question 53 of 68
Ecthyma gangrenosa is a necrotic ulcer covered with a gray-black eschar. It usually occurs in immunosuppressed patients with neutropenia. Of the following, the usual causative agent is
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Question 54 of 68
Will burned his entire right leg, the back of his trunk, and the back of his head. Using the "rule of nines", estimate the percent of his body burned.
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Question 55 of 68
A client with severe psoriasis has a nursing diagnosis of Chronic Low SelfEsteem. The nurse uses which therapeutic strategy when working with this client?
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Question 56 of 68
The following disorders are associated with anhidrosis by unknown mechanisms EXCEPT
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Question 57 of 68
The hair is sparse, thin, and depigmented, sometimes displaying a 'flag sign 'which is a characteristic finding in
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Question 58 of 68
You are meeting a pregnant mother who is going to deliver a new baby in near future; she states that she has two children with atopic dermatitis and she wants to prevent the development of this disease for her new baby. Of the following, the BEST advice you can offer to this lady is
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Question 59 of 68
The client who is newly admitted to the hospital for treatment of acute cellulitis of the lower left leg asks the nurse about the nature of the disorder. The nurse would respond that cellulitis is actually:
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Question 60 of 68
A 7-year-old child presented with a smooth, pearly, pink, telangiectatic ulcerated papule that enlarge slowly on his face. Of the following, the MOST likely diagnosis is
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Question 61 of 68
Which of the following is NOT a function of sebum?
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Question 62 of 68
A child with eczema experiences ulcerated lesions inflicted by scratching. Which term best describes these lesions?
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Question 63 of 68
A nurse assesses the carbon monoxide level of a client following a burn injury and notes that the level is 8%. Based on this level, which finding would the nurse expect to note during the assessment of the client?
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Question 64 of 68
Aphthous stomatitis consists of solitary or multiple painful ulcerations occur on the labial, buccal, lingual, sublingual, palatal, or gingival mucosa; in severe, debilitating cases, systemic therapy with all the following may be helpful EXCEPT
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Question 65 of 68
The cell of the epidermis that are macrophages is the:
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Question 66 of 68
A 14-year-old female adolescent develops deep cystic acne not responding to topical regimen. You decide to give oral antibiotics for such condition in combination with topical regimen. Of the following, the antibiotic that is LEAST likely effective is
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Question 67 of 68
Guttate psoriasis can be confused with the following EXCEPT
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Question 68 of 68
The face is the most common site of involvement by acne. Which of the following is another common site of acne development?
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