NRNP 6665 FINAL EXAM
80+ QUESTIONS AND ANSWERS
A+ GRADED
ABCDE - ANSWER ✔ asymmetry, border, color, diameter >6mm,
evolving
skin eruptions or exanthema 3 groups - ANSWER ✔ 1. Macular and
maculopapular lesions
2. vesicular or bullous lesions
3. pustular, petechial, or purpuric lesions
secondary changes of skin lesions - ANSWER ✔ comedones, crusting,
excoriation, lichenification, scales, scarring, telangiectasia
acne - ANSWER ✔ inflammatory disease of the skin involving the
sebaceous glands and hair follicles
causes: corticosteriods, isoniazid
bullous lesions - ANSWER ✔ Caused by exfoliative toxins A and B
Have the appearance of wrinkled tissue paper
Lead to widespread desquamation of the skin
Patients are left vulnerable to secondary bacterial infections
causes: barbiturate overdose, penicillamine, sulfonamides
eczematous dermatitis - ANSWER ✔ most common inflammatory skin
disorder, several forms including irritant contact dermatitis allergic
contact dermatitis and atopic dermatitis
causes: abx, methyldopa, phenylbutazone, sulfonamides
, erythemia multiforme - ANSWER ✔ Hypersensitivity reaction
characterized by targetoid rash and bullae; *HSV and mycoplasma
infections; EM with oral mucosa and fever is steven-johnson syndrome
causes: barbiturates, hydantois, penicillin, salicylates, sulfonamides,
sulfonylureas
erythema nodosum - ANSWER ✔ inflammation of subcutaneous
tissues resulting in tender, erythematous nodules; may be an abnormal
immune response to a systemic disease, an infection, or a drug
causes: contraceptives, sulfonamides
EPAP - ANSWER ✔ expiratory positive airway pressure
CPAP - ANSWER ✔ continuous positive airway pressure
a treatment for apnea involving keeping a patient's airways open using
air pressure delivered via a face mask
IPAP=EPAP
exfoliative dermatitis - ANSWER ✔ a condition in which there is
widespread scaling of the skin, often with pruritus, erythroderma, and
hair loss
causes: allopurinal, gold, indomethacin, phenylbutazone
lichenoid eruption - ANSWER ✔ violaceous to purple, polygonal
lesions that resemble those seen in lichen planus
Causes: cholorquine, chlorpropamide, mepacrine, quinidine, quinine,
thiazides
, photosensitivity - ANSWER ✔ increased reaction of the skin to
exposure to sunlight
causes: amiodarone, nalidixic acid, sulfonamides, tetracycline
should not be administered to immunocompromised patient or pregnant
women
m/c type of Skin cancer in the US - ANSWER ✔ basal cell carcinoma
basal cell carcinoma (BCC) - ANSWER ✔ malignant tumor of the
basal layer of the epidermis;
papule or nodule with a central scab or eroded area. Nodule has a waxy
"pearly" appearance
squamous cell carcinoma - ANSWER ✔ nonhealing ulcer or wart-like
nodule
found on skin-exposed areas in fair-skin people
may develop from actinic keratosis
malignant tumor or epithelial keratinocytes
- capacity to metastize
- usually the result of exogenous carcinogens
BCC predisposing factors - ANSWER ✔ sun exposure
arsenic exposure
m/c on face and neck
SCC predisposing factors - ANSWER ✔ M-F ration 2:1
SCC of lip, temple, ear, oral cavity, tongue, and genitalia have a higher
rate of metastasis
smokers have increased risk for lip involvement
legs of females
HPV
