MARYVILLE NURS 623 EXAM 1 LATEST 2024-2025
ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED A+
|MARYVILLE UNIVERSITY
Terms in this set (137)
•Alopecia
•Rash
•Pruritus
Basics with skin conditions
•Uticaria
•Pigmentation change
Skin lesion—New vs. Change
Duration of symptoms
Precipitating factors
•Medications
•Food
•Occupation
•Outdoors
•Hobbies/Sport participation
HPI questions for skin •Exposure to insects
problems •Jewelry/metals/chemicals
•Family history
Is it:
Local or systemic
Pruritus- all day or worse at night
Uticaria - duration
Pigmented changes
, Nevi- brown, beige or pink(< 5mm)
Melanoma
Pigmentation/Changes of
Related to pregnancy- melasma (mask of pregnancy)
the skin Diff diagnosis
Addison disease
Side effect of medication- steroid therapy
Macule - flat, nonpalpable (freckle, petechia)
Papule - PALPABLE, solid elevation of skin (elevated
nevus)
Nodule - elevated solid mass, deeper and firmer than
papule (wart)
Tumor - solid mass deep in subcutaneous tissue
(epithelioma)
Vesicle - elevation of skin with serous (clear) fluid
Pustule - similar to vesicle but filled with pus (acne)
Ulcer - deep loss of skin (venous statis ulcer)
Atophy - thinning of skin
Bullae-Clear fluid-filled blisters > 10 mm in diameter.
These may be caused by burns, bites, irritant or
allergic contact dermatitis, and drug reactions.
Primary skin lesions are those which develop as a
direct result of the disease process.
primary versus secondary
skin lesions Secondary lesions are those which evolve from
primary lesions or develop as a consequence of the
patient's activities.
,Parasitic Skin Infections scabies and lice
Highly contagious infestation that occurs mainly in
children, young adults, health care workers, and
institutionalized persons of all ages.
Subjective: Complaints of intense itching that is
usually more severe at night.
Scabies
Objective:Earliest physical sign is small 1 to 2 mm red
papules located in areas of body most attractive to
mites. Itching, excoriation, , crusting, and scaling may
be present making it hard to see scabies.
Diagnostics:Ink burrow test
Permethrin 5% cream (Remember you have 5 fingers)-
leave on for 8-14 hours then shower- daily for 7 days.
Oral antihistamines for itching, topical steroids for
itching.
Scabies treatment
The entire household must be treated. Everything
should be washed with hot water/detergent, treat any
infection that is present.
Starve mites by sealing them in a bag for about 10
days.
Permethrin 1% leave on for 10 mins then rinse. May
Lice treatment
repeat in 7 days if needed.
, · Candidiasis- bright, beefy red rash treat with topical
antifungal,
· Dermatophytoses - the tineas (ringworm)
· Onychomycosis treat with Terbinafine for 6-12 weeks
(only 73-79% effective, educate patient.
Fungal skin infections
· Fungal infections survive on keratin, so considered
superficial.
· Pathogens: Epidermophyton, trichophyton,
microsporum.
· Those at risk are DM and immunocompromised.
· Diagnostics: KOH
Hx of erythematous round and elevated pruritic lesion
that grows in size & starts to clear in the center
Tinea corporis
(Ringworm of body)
Miconazole 2% cream BID x4 weeks, Clotrimazole 1%,
Terbafine 1%
Children common. Painless bald spot, may have
kerion that looks like honeycomb, inflammation.
Boggy mass containing broken hairs and oozing
purulent material from follicular orifices
Tinea capitus (ringworm of
head)
Systemic antifungals - Griseofulvin BID for 2-4 months
or 2 weeks after negative cultures. Teratogenic - use
2nd method of contraception.
OR terbinafine cream
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