NUR 682- Exam #2 Questions And 100% Correct Answers
Which of the following glands are responsible for body odor? - Apocrine glands
Which of the following glands are responsible for production of sweat? - Eccrine glands
Which of the following types of cutaneous reaction to trauma/infection/ inflammation
manifests with scar and keloid formation? - The mesenchymal response
The following topical medications need to be used with caution in patients of darker skin
photo type - High-potency steroids
-Benzoyl peroxide
-Isotretinoin
Futcher line (aka Ito line) define - Answer The vertical line that separates the
hyperpigmented dorsal surfaces from the less pigmented ventral surfaces in darker
skinned people
Acute inflammationbest types of products to use - Answer -Wet dressings
-Powders
-Aerosols
-Suspension lotions
-Alcohol or water-based lotions
Chronic inflammationbest types of products to use - Answer -Creams
-Oil-based lotions or gels
,-Ointments
Best preparations for wet vs. dry rashes - Answer Wet rashes --> CREAMS
(powder-based)
Dry rashes --> OINTMENTS (oil-based)
Potency of preparations from most --> least - Answer 1) Ointments
2) Creams
3) Lotions
What type of topical product is best for hairy areas? - Answer Foams
Which type of topical antibiotics should be avoided? - Answer Products containing
NEOMYCIN due to high incidence of contact sensitization
First-line treatment for mild acne - Answer Keratolytics:
**Benzoyl peroxide
**Retinoic acid
Topical antibiotics used for acne - Answer -Clindamycin
-Erythromycin
-Sulfacetamide
Systemic antibiotics for inflammatory acne - Tetracycline
-Doxycycline
-Minocycline
-Erythromycin
,Side effects of topical steroids - Skin atrophy
-Increased fragility of skin
-Secondary infection
-Hypopigmentation
-Folliculitis
-Telangiectasia
-Purpura
-Stria
Topical antihistamine use? -Should be avoided due to possibility of contact sensitization
^ESP. topical diphenhydramine HCl and "caine" meds
Most common organisms that cause impetigo? - Streptococcus pyogenes,
Staphylococcus aureus, or MRSA
Nonbullous impetigo (define) - Answer -Begins as 1- to 2-mm erythematous papules or
pustules that progress to vesicles or bullae and rupture
**Honey-colored, moist crusts on mildly erythematous, eroded skin
Bullous impetigo (define) - Answer -Large, flaccid, thin-walled, superficial, annular or
oval pustular blisters or bullae that rupture
-Thin varnish-like coating or scale
How long should patient with impetigo stay out of school? - Answer Until treated for 24
hours
Nikolsky sign (define) - Answer Peeling of the skin with a light rub, revealing moist red
, surface
^KEY finding in staphylococcal scaled skin syndrome (SSSS)!
Cellulitis (define) - Answer Localized bacterial infection involving the dermis and
subcutaneous layers of skin
Most common organisms that cause cellulitis? - Answer Streptococcus pneumoniae or
Staphylococcus aureus
Cellulitis (physical findings)-Answer Erythematous, indurated, tender, swollen, warm
areas of skin with poorly demarcated borders
Erysipelas (define)-Answer A superficial variant of cellulitis; S/S:
-Rapidly advancing lesions that are tender, bright red, and have sharp margins
- "Orange peel" look and feel
Folliculitis (define)-Answer A superficial bacterial inflammation of the hair follicle
Furuncle (define) - Answer AKA boil; a deeper infection with involvement of the base of
the follicle and deep dermis
Common hx of patients with folliculitis - Answer Hot-tub exposure
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