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NR511 Midterm Practice Questions With Complete Solutions
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NR511 Midterm Practice Questions With CompleteSolutions
A 13 year-old girl had a scaly plaque that had started on her ear
lobe four weeks' earlier. She has a itchy, erythematous, oval
rash. Her younger brother had several similar scaly patches on
his forearm and was developing a bald patch in his scalp.
What is the most likely Dx and what is the Tx?
A. Psoraisis, Topical corticosteroid
B. Tinea infection, Azole medication
C. Impetigo, supportive treatment Correct Answer B. Tinea,
diagnosis should be confirmed by mycology because of a wide
differential diagnosis, potassium hydroxide microscopy and
fungal culture.
A four-week course of miconazole cream proved successful for
the girl. The brother was prescribed a four-week course of oral
itraconazole.
Psoriasis is characterized by thick, raised skin (plaques) that
often appear silvery and affect places like your elbows, knees, or
scalp. Ringworm presents as red, round patches that have a
raised, scaly border and appear on areas like the feet, groin, or
face.
Impetigo is usually around the mouth, crusts, itchy.
A 2-year-old child presents with her mother complaining of a
"cold sore" on her lip. On presentation, you examine painful
grouped vesicles on an erythematous base and she is febrile.
What is most likely?
A. Impetigo
B. Hand, foot, and mouth disease
C. HSV-1
,D. Oral cancer Correct Answer HSV-1 oral-labial herpes, Tx:
oral valacyclovir
Chapter 15, Table 15.2
A 20-year-old male presents with a lesion on the sole of his foot.
The lesion is a rough, firm, flesh-colored papule with a
cauliflower-like appearance and small black dots (thrombosed
capillaries). Which of the following conditions is most
consistent with this clinical presentation?
A) Molluscum contagiosum
B) Folliculitis
C) Plantar wart (verruca plantaris)
D) Basal cell carcinoma Correct Answer C) Plantar wart
(verruca plantaris)
Explanation: The described clinical presentation aligns with a
plantar wart (verruca plantaris). Plantar warts typically manifest
as rough, firm, flesh-colored papules on the sole of the foot,
resembling cauliflower with thrombosed capillaries visible as
small black dots. Option A, Molluscum contagiosum, presents
as smooth, waxy papules with central umbilication. Option B,
Folliculitis, is characterized by red, inflamed papules and
pustules with purulent material. Option D, Basal cell carcinoma,
often appears as painless, flesh-colored, dome-shaped papules.
A 25-year-old male presents with numerous small, red, inflamed
papules and pustules scattered across his chest and back. The
lesions are mildly itchy and occasionally tender. On
examination, some lesions contain purulent material at the
center. Which of the following descriptions best aligns with the
likely clinical presentation and differential diagnoses?
A) Furuncles
,B) Molluscum contagiosum
C) Folliculitis
D) Basal cell carcinoma Correct Answer C) Folliculitis
Explanation: Folliculitis presents with red, inflamed papules and
pustules around hair follicles, sometimes containing purulent
material.
A 28-year-old uncircumcised male presents with complaints of
redness, swelling, and irritation on the glans penis and foreskin.
He reports discomfort during urination and itching in the
affected area. On examination, no vesicles or ulcers are
observed. Which of the following best describes the likely
clinical presentation?
A) Presence of painless genital ulcers
B) Vesicular lesions on the glans penis and foreskin
C) Redness, swelling, and irritation localized to the genital area
D) Painful nodules or growths on the penis Correct Answer C)
Redness, swelling, and irritation localized to the genital area
Explanation: Balanitis (candidiasis of glans) typically presents
with redness, swelling, and irritation localized to the glans penis
and foreskin. Patients may experience discomfort during
urination and itching in the affected area. Vesicular lesions
(Option B) are more characteristic of conditions like genital
herpes, while painless genital ulcers (Option A) are associated
with syphilis. Painful nodules or growths (Option D) might
indicate other conditions like genital warts (caused by HPV) but
are not typical of balanitis.
A 30-year-old patient presents with red, itchy, and inflamed skin
on the hands and forearms, accompanied by small vesicles and
weeping lesions. The patient works as a florist and reports
, increased symptoms after handling flowers. What type of
dermatitis is most likely exhibited by this clinical presentation?
A) Atopic dermatitis
B) Seborrheic dermatitis
C) Contact dermatitis
D) Nummular dermatitis Correct Answer C) Contact dermatitis
Explanation: Contact dermatitis typically presents with red,
itchy, and inflamed skin along with small vesicles and weeping
lesions after exposure to an irritant or allergen. In this scenario,
the patient's occupation as a florist suggests repeated contact
with flowers, leading to symptoms indicative of contact
dermatitis. Option A, Atopic dermatitis, is characterized by
chronic inflammation and does not always present with vesicles
and weeping lesions. Option B, Seborrheic dermatitis,
commonly affects sebum-rich areas and is not typically
associated with vesicles or a clear history of exposure to
irritants. Option D, Nummular dermatitis, presents with coin-
shaped lesions without vesicles or a clear exposure history.
A 32 year-old woman presented with an erythematous irritable
eruption on the left side of her face that had slowly expanded
over several months. You note an abnormal toenail. The skin on
her face has round, red, scaly patches, which are less red and
scaly in the middle. Her toenail is thickened, discolored, yellow.
What is most likely?
A. Pityriasis rosea
B. Urticaria
C. Tinea infection
D. Pediculosis Correct Answer C. Tinea
tinea faciei and tinea unguium (Onychomycosis)
Treat with terbinafine or an azole
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