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Maryville Nurs 623 Exam 1|| with questions and correct answers || latest exam update 2024/2025
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Maryville Nurs 623 Exam 1|| with questions and correct answers || latest exam update 2024/2025
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Maryville Nurs 623 Exam 1|| with questions and correct answers|| latest exam update 2024/2025
Basics with skin conditions - CORRECT ANSWER : •Alopecia
•Rash
•Pruritus
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
HPI questions for skin problems - CORRECT ANSWER : Duration of
symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
•Exposure to insects
•Jewelry/metals/chemicals
•Family history
Is it:
,Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
Pigmentation/Changes of the skin Diff diagnosis - CORRECT ANSWER :
Nevi- brown, beige or pink(< 5mm)
Melanoma
Related to pregnancy- melasma (mask of pregnancy)
Addison disease
Side effect of medication- steroid therapy
skin lesions - CORRECT ANSWER : Macule - flat, nonpalpable (freckle,
petechia)
Papule - PALPABLE, solid elevation of skin (elevated nevus)
Nodule - elevated solid mass, deeper and firmer than papule (wart)
Tumor - solid mass deep in subcutaneous tissue (epithelioma)
Wheal - irregularly shaped, elevated area (hive, mosquito bite
Vesicle - elevation of skin with serous (clear) fluid
,Pustule - similar to vesicle but filled with pus (acne)
Ulcer - deep loss of skin (venous statis ulcer)
Atophy - thinning of skin
Bullae-Clear fluid-filled blisters > 10 mm in diameter. These may be
caused by burns, bites, irritant or allergic contact dermatitis, and drug
reactions.
primary versus secondary skin lesions - CORRECT ANSWER : Primary
skin lesions are those which develop as a direct result of the disease
process.
Secondary lesions are those which evolve from primary lesions or
develop as a consequence of the patient's activities.
Parasitic Skin Infections - CORRECT ANSWER : scabies and lice
Scabies - CORRECT ANSWER : Highly contagious infestation that
occurs mainly in children, young adults, health care workers, and
institutionalized persons of all ages.
, Subjective: Complaints of intense itching that is usually more severe at
night.
Objective:Earliest physical sign is small 1 to 2 mm red papules located
in areas of body most attractive to mites. Itching, excoriation, , crusting,
and scaling may be present making it hard to see scabies.
Diagnostics:Ink burrow test
Scabies treatment - CORRECT ANSWER : Permethrin 5% cream
(Remember you have 5 fingers)- leave on for 8-14 hours then shower-
daily for 7 days.
Oral antihistamines for itching, topical steroids for itching.
The entire household must be treated. Everything should be washed with
hot water/detergent, treat any infection that is present.
Starve mites by sealing them in a bag for about 10 days.
Lice treatment - CORRECT ANSWER : Permethrin 1% leave on for 10
mins then rinse. May repeat in 7 days if needed.
Fungal skin infections - CORRECT ANSWER : · Candidiasis- bright,
beefy red rash treat with topical antifungal,
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