NRSG 312- Skin, Hair, Nails, PVS
Questions And Answers Latest
Update
Questions for patient history related to integumentary problems? ANS✔✔
Six characteristics of a lesion that should be described by examiner? ANS✔✔ Color
Elevation: flat, raised, pedunculated
Pattern or shape
Size, in cm
Location and distribution on body
Any exudate?
Common Shapes and Configurations of Lesions ANS✔✔ Annular- circular, begins in center and
spreads
Confluent- lesions run together
Discrete- distinct individual lesions
Gyrate- twisted, coiled, spiral
Grouped- cluster of lesions
Linear- scratch, streak, line
Target- or iris-like, concentric rings of color
Zosteriform- linear arrangement along unilateral nerve route
Polycyclic- annular lesions grow together
Characteristics of a macule? ANS✔✔ A color change, flat, and circumscribed of less than 1 cm (ex.
freckles)
Characteristics of papule? ANS✔✔ Solid, elevated, circumscribed, less than 1 cm (ex. moles)
, 2024/2025
Characteristics of patch? ANS✔✔ Macules that are larger than 1 cm (vitiligo)
Characteristics of plaque? ANS✔✔ A plateau-like, disk-shaped lesion (psoriasis)
Characteristics of nodule? ANS✔✔ Solid, elevated, hard or soft, larger than 1 cm. May extend
deeper into dermis than papule (ex. fibroma)
Characteristics of wheal? ANS✔✔ Superficial, raised, transient, and erythematous slightly
irregular shape from edema (ex. mosquito bite)
Characteristics of tumor? ANS✔✔ Larger than a few centimeters, firm, or soft, deeper into dermis
(ex. lipoma)
Characteristics of urticaria (hives)? ANS✔✔ Wheals coalesce to form extensive reaction
Characteristics of a vesicle ? ANS✔✔ Elevated cavity containing free fluid, up to 1 cm (herpes
zoster, chicken pox, shingles)
Characteristics of a bulla? ANS✔✔ Vesicle, larger than 1 cm. thin-walled. Ex. friction blister
Characteristics of a cyst? ANS✔✔ Encapsulated fluid-filled cavity in dermis or sq layer, tensely
elevating skin. Ex. sebaceous cyst
Characteristics of a pustule? ANS✔✔ Turbid fluid (pus) in cavity, circumscribed and elevated. Ex.
acne
Characteristics of crust? ANS✔✔ The thickened, dried out exudate left when vesicles/pustules
burst or dry up
Color- red-brown, honey, or yellow
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