Nurse Practitioner Certification Exam
With 100% Correct And Verified Answers
primary lesion - Correct Answer-lesion that develops on
previously unaltered skin
lesion - Correct Answer-a region in an organ or tissue that
has suffered damage thru injury or disease
secondary lesion - Correct Answer-lesion that either changes
impression over time or occurs when a primary lesion is
scratched it may be infected
macule - Correct Answer-circumscribed flat area; different
color and texture from surrounding tissue, <1cm
ex.) ephelides (freckles), petechia, flat nevi (moles)
patch - Correct Answer-a large macule; >1cm
ex.) mongolian spot, Cafe, au lair spot
papule - Correct Answer-Small solid elevated lesion; <1cm
ex.) bug bite, elevated nevus (mole) or verruca (wart)
plaque - Correct Answer-elevation of skin; >1cm; example
psoriasis lesion
pustule - Correct Answer-a visible accumulation of purulent
fluid under skin; <1cm; examples acne and impetigo
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,vesicle - Correct Answer-a circumscribed elevation of skin
contains "SEROUS FLUID: <1cm; examples, herpes
simples, varicella, shingles
nodule - Correct Answer-solid mass of skin, is elevated or
palpated >1cm; often extends deeper into dermis: examples
xanthoma and fibroma
bulla - Correct Answer-blister, circumscribed elevation
containing fluid >1cm , extends only into epidermis,
examples burns, superficial blister, contact dermatitis
wheal - Correct Answer-elevated white or pink compressible
papule or plaque, a red, axon-mediated flare often surround
it, commonly associated with allergic reaction, examples
PPD test and mosquito bites
cyst - Correct Answer-any closed cavity or sac; contains
fluid or semisolid material, normal or abnormal epithelium.
example sebaceous cyst
Abscess - Correct Answer-a localized collection of purulent
fluid in a cavity formed by disintegration or necrosis of
tissues >1cm
tumor - Correct Answer-"MASS: > few cm in diameter;
firm or soft; benign or malignant
configuration: annular - Correct Answer-circular, begins in
center and spreads to periphery
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,configuration: confluent - Correct Answer-lesions run together
configuration: grouped - Correct Answer-lesion cluster
configuration: gyrate - Correct Answer-twisted, coiled, spiral and
snake like
configuration: linear - Correct Answer-scratch, streak, line stripe
configuration: polycyclic - Correct Answer-annular lesions merge
configuration: solitary or discrete - Correct Answer-individual and
distinct lesions that remain separate
configuration: target (iris) - Correct Answer-resembles iris of eye;
lesion with concentric rings of color
configuration: zosteriform - Correct Answer-linear arrangement
along nerve route
comedones - Correct Answer-open are called black heads
(openings capped with a blackened skin debris); and closed are
called white head (obstructed)
acne - Correct Answer-can be comedones, pustules, papules
(pimples and zits), cysts, nodules and scaring
nonpharmacological management of acne - Correct Answer-wash
several times daily with soap and water; avoid topical oil based;
use oil free cleansers and moisterizers
pharmacological management of acne - Correct Answer-
comedolytic agents: benzoyl peroxice, salicylic acid, topical
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, antibiotics (clindamycin, erythromycin, tetracycline and
metronidazole for rosacea). May consider oral antibiotics and oral
contraceptives
folliculitis - Correct Answer-inflammation of hair follicle; common
cause staphylococci
furuncle - Correct Answer-"boil" localized infection in hair follicle,
caused by staph
carbuncle - Correct Answer->furuncle; may be necrotizing, staph
cellulitis - Correct Answer-most common causes: out patients
strep ; inpatient: gram negative (ecoli, klebsiels, psuedomonsa,
enterbacter, staph aureus and strep
MRSA - Correct Answer-trimethoprm-sulfamethoxazole (bactrim);
doxy, clindamycin
group a strep - Correct Answer-bactrim + beta lactam (PCN,
amoxicillin , keflex) or doxy/inocycline +beta lactam or
clindamycin
erysipelas - Correct Answer-usually caused by
strep, rapid progression of an erythematous,
warm indurated area (looks like sunburn,)
hidradenitis supparativa - Correct Answer-
staph infection common in groin or axilla ;
abscess formation common
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