NR 511 week 3- Exam Questions and Correct Answers (100% Pass)
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NR 511 we-ek 3
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NR 511 We-ek 3
NR 511 week 3- Exam Questions and Correct Answers (100% Pass)
A 22-year-old African American female presents to your family practice office complaining of progressive
skin discoloration. She is adopted and has no known family history of skin problems. The patient notes
nonpalpable patches of ski...
NR 511 week 3- Exam Questions and Correct Answers (100% Pass)
A 22-year-old African American female presents to your family practice office complaining of progressive
skin discoloration. She is adopted and has no known family history of skin problems. The patient notes
nonpalpable patches of skin loss and blanching of her forehead and both hands and feet. It has
developed over a period of 6 months and appears to have stopped. It is not pruritic, and there is no
erythema or sign of infectious etiology. What is the most likely diagnosis?
• Vitiligo
• Alopecia
Addison Disease
Tinea Versicolor - Answers Vitiligo- This is the physical description of vitiligo.
Which presentation is most concerning for skin cancer?
• Dark pigmentation of 1 solitary nail that has developed quickly and without trauma.
• A 1-mm blue, round, nonpalpable discoloration of the skin that has been present since birth without
change.
A 5-mm black mole with round, regular boarders.
• A 2-mm brown mole that is raised 1 mm but round and regular. - Answers Dark pigmentation of 1
solitary nail that has developed quickly and without trauma. This is
concerning for acral melanoma
A 4-year-old male presents to your pediatric clinic with his mother complaining of an itchy rash, mostly
between his fingers. This has been going on for multiple days and has been getting worse. The patient
recently started at a new day care. On physical exam, the patient is afebrile and has multiple small (1-2
mm) red papules in sets of 3 located in the web spaces between his fingers. He also has signs of
excoriation. What is the treatment for this problem?
• Permethrin lotion for the patient and also his family members.
Cold compresses and hydrocortisone cream 1% twice a day.
Over-the-counter Benadryl cream.
,Ketoconazole cream. - Answers Permethrin lotion for the patient and also his family members. - This is
the treatment for
scabies
Which of the following patients would not be at risk of Candida infection?
• A patient with a history of coronary artery disease.
A diabetic patient.
• A patient requiring home antibiotics while recovering from an operation for an infected hernia.
A patient using a steroid regimen for asthma control - Answers A patient with a history of coronary
artery disease. Coronary artery disease doesn't increase
the risk of Candida infection.
A diabetic patient.
Diabetes increases the risk of Candida infection.
A 3-year-old patient presents to your pediatric office with her mother. She has recently been started in
day care. Her mother noted slight perioral erythema on the right side of the patient's mouth prior to bed
last night. The patient awoke today with 3 small, superficial, honey-colored vesicles where the erythema
was last night. The patient has no surrounding erythema. She had no difficulty eating this
morning and is active and energetic and doesn't appear lethargic or fatigued. She is also afebrile. How
would you treat this child?
• Local debridement and mupirocin for 5 days.
Oral Keflex for 7 days.
Topical compress with Burow solution and follow-up in 2 to 3 days.
Local debridement and topical compress with Burow solution and close follow-up. - Answers Local
debridement and mupirocin for 5 days. This is the treatment of choice for impetigo.
A 22-year-old college student presents to your urgent care clinic complaining of a rash. She was recently
on spring break and spent every night in the hot tub at her hotel. On physical exam, she has multiple
small areas of 1- to 2-mm erythematous pustules that are present mostly where her bathing suit
covered her buttocks. What is the most likely pathogen causing these lesions?
• Pseudomonas aeruginosa.
,Klebsiella.
Staphylococcus aureus.
Streptococcus. - Answers Pseudomonas aeruginosa. This is a common cause of hot tub folliculitis.
Which human papillomavirus serotypes most commonly cause cancer?
Serotypes 16 and 18
Serotypes 6 and 11
Serotypes 3 and 10
Serotypes 27 and 29 - Answers Serotypes 16 and 18. - Cause Cancer
A 27-year-old female comes in to your primary care office complaining of a perioral rash. The patient
noticed burning around her lips a couple days ago that quickly went away. She awoke from sleep
yesterday and noticed a group of vesicles with erythematous bases where the burning had been before.
There is no burning today. She is afebrile and has no difficulty eating or swallowing. What test would
confirm her diagnosis?
• Tzanck smear.
Potassium hydroxide (KOH) prep.
Exam under a Wood lamp.
Sterile culture sent for aerobic and anaerobic bacteria - Answers Tzanck smear. This would show giant
cells consistent with herpes simplex virus.
Which condition is not included in the atopic triad?
Asthma
Allergic Rhinitis
Eczema
• Aspirin sensitivity - Answers • Aspirin sensitivity This is included in the ASA, or Samter, triad, which
also includes nasal polyps
and asthma.
A 16-year-old male presents to your office. He was sent by an orthopedist. He has recently had surgical
fixation of a humerus fracture. The patient has been going to physical therapy and has been developing
, a rash on his arm after therapy that disappears shortly after returning home. He does not have the rash
prior to therapy. The patient denies fevers and chills, and his incision is well healed, with no signs of
infection. Of note, the patient has been experiencing more hand edema than the average patient and
has had edema wraps used at the end of therapy to help with his swelling. The wraps are made of
asynthetic plastic material. The rash the patient gets is erythematous and blotchy, not raised; it is on the
operative upper extremity. What is the most likely diagnosis?
• Contact dermatitis
atopic dermatitis
seborrheic dermatitis
psoriasis - Answers contact dermatitis The patient's history and rash are consistent with a latex or plastic
sensitivity
due to the edema wraps used in therapy.
Which of the following statements about psoriasis is not true?
Psoriatic lesions are often silvery scales that form over erythematous plaques.
Psoriatic lesions often occur in the folds of the elbows and behind the knees
People with psoriasis have a greater risk of depression than the average population
Psoriasis has a genetic component. - Answers Psoriatic lesions often occur in the folds of the elbows and
behind the knees. This is untrue;
lesions usually occur on the fronts of the knees, the posterior aspects of the elbows, and the scalp
Which of the following has/have not been linked to the use of isotretinoin?
Elevated liver transaminases.
Depression, psychosis, and suicidality.
Benign intracranial hypertension.
Pancreatitis. - Answers Pancreatitis. This is not an adverse effect of isotretinoin.
A 55-year-old landscaper presents to your primary care office complaining of a small skin lesion on his
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