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NU 518 EXAM 3 ACTUAL EXAM AND PRACTICE EXAMS
COMPLETE 1200 QUESTIONS AND CORRECT VERIFIED
SOLUTIONS LATEST 2024-2025
NU 518 EXAM 3
QUESTION: A 28-year-old patient comes to the office for evaluation of a rash. At first there was
only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions
itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and
that there are a variety of erythematous papules and macules on the cleavage lines of the back.
Based on this description, what is the most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - ANSWER-A
QUESTION: A 19-year-old construction worker presents for evaluation of a rash. He notes that it
started on his back with a multitude of spots and is also on his arms, chest, and neck. It itches a
lot. He does sweat more than before because being outdoors is part of his job. On physical
examination, you note dark tan patches with a reddish cast that has sharp borders and fine
scales, scattered more prominently around the upper back, chest, neck, and upper arms as well
as under the arms. Based on this description, what is your most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema - ANSWER-B
1
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QUESTION: A 68-year-old retired farmer comes to your office for evaluation of a skin lesion. On
the right temporal area of the forehead, you see a flattened papule the same color as his skin,
covered by a dry scale that is round and feels hard. He has several more of these scattered on
the forehead, arms, and legs. Based on this description, what is your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
C) Basal cell carcinoma
D) Squamous cell carcinoma - ANSWER-A
A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin
check-up. She has just returned from her annual dig site in Greece. She has fair skin and
reddish-blonde hair. She has a family history of melanoma. She has many freckles scattered
across her skin. From this description, which of the following is not a risk factor for melanoma
in
this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure - ANSWER-A
QUESTION: You are speaking to an 8th grade class about health prevention and are preparing to
discuss the ABCDEs of melanoma. Which of the following descriptions correctly defines the
ABCDEs?
2
,Page 3 of 465
A) A = actinic; B = basal cell; C = color changes, especially blue; D = diameter >6 mm; E
=evolution
B) A = asymmetry; B = irregular borders; C = color changes, especially blue; D = diameter >6
mm; E = evolution
C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E = evolution
D) A = asymmetry; B = regular borders; C = color changes, especially orange; D = diameter >6
mm; E = evolution - ANSWER-B
QUESTION: You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight gain, and hair
loss. You strongly suspect that she has hypothyroidism. What is the expected moisture and
texture of the skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough - ANSWER-D
QUESTION: A 58-year-old gardener comes to your office for evaluation of a new lesion on her
upper chest. The lesion appears to be "stuck on" and is oval, brown, and slightly elevated with a
flat surface. It has a rough, wartlike texture on palpation. Based on this description, what is
your most likely diagnosis?
A) Actinic keratosis
B) Seborrheic keratosis
3
, Page 4 of 465
C) Basal cell carcinoma
D) Squamous cell carcinoma - ANSWER-B
QUESTION: A 72-year-old teacher comes to a skilled nursing facility for rehabilitation after
being in the hospital for 6 weeks. She was treated for sepsis and respiratory failure and had to
be on the ventilator for 3 weeks. You are completing your initial assessment and are evaluating
her skin condition. On her sacrum there is full-thickness skin loss that is 5 cm in diameter, with
damage to the subcutaneous tissue. The underlying muscle is not affected. You diagnose this as
a pressure ulcer. What is the stage of this ulcer?
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4 - ANSWER-C
QUESTION: An 8-year-old girl comes with her mother for evaluation of hair loss. She denies
pulling or twisting her hair, and her mother has not noted this behavior at all. She does not put
her hair in braids. On physical examination, you note a clearly demarcated, round patch of hair
loss without visible scaling or inflammation. There are no hair shafts visible. Based on this
description, what
is your most likely diagnosis?
A) Alopecia areata
B) Trichotillomania
C) Tinea capitis
D) Traction alopecia - ANSWER-A
4
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