NURS 623 EXAM 1 MARYVILLE UNIVERSITY
| QUESTIONS AND CORRECT ANSWERS |
GRADED A+ | LATEST VERSION |
PROFESSOR VERIFIED
What is the Auspitz's sign? ------CORRECT ANSWER---------------Multiple
small sites of bleeding are noted when the psoriasis scales are
traumatically removed.
What is the goal of management for psoriasis? ------CORRECT ANSWER--
-------------Control the disease so that the patient no longer feels physically
or psychologically hindered by the skin lesions. Decreasing epidermal
proliferation and underlying dermal inflammation through the use of topical
corticosteroids.
What is the first line pharmacotherapeutics for psoriasis if < 20% of the
body is involved? ------CORRECT ANSWER---------------Topical agents are
the first line therapy. Emollients twice daily.
When should you refer a patient with psoriasis to a dermatologist or
psoriasis specialty clinic? ------CORRECT ANSWER---------------Newly
diagnosed patients and patients with moderate to extensive skin
involvement (more than 20%). Patients with recalcitrant or with frequent
flares. Patient with inflammatory arthritis should be referred to
Rheumatology.
What should be included in the patient education of psoriasis? ------
CORRECT ANSWER---------------This is NOT contagious. It is important to
avoid skin trauma, as this can create new lesions. Controlled sun exposure
,will help, use high SPF sun screen. Strep infections need to be treated
promptly. Try to control or eliminate aggravating factors like stress and
alcohol intake.
What is the clinical presentation of acne vulgaris? ------CORRECT
ANSWER---------------Comedomes are the primary lesion in acne, it also
includes papules, nodules, and cysts on the face, back, chest, and upper
arms. Between 12-25, peaking at age 15.
What is different in the presentation of rosacea versus acne? ------
CORRECT ANSWER---------------Comedones are never found in rosacea.
Easy flushing with alcohol & heat and is centrally located on cheeks, nose,
& chin. Telangiectasias can been seen in rosacea. Occurring between 30-
60 years old.
What pt ed do you provide when start a pt on iron supplement? ------
CORRECT ANSWER---------------take on an empty stomach with water or
juice 1 hr before or 2 hrs after a meal, avoid taking with milk or calcium, if
upsets stomach can take immediately after meal
How is mono transmitted? ------CORRECT ANSWER---------------
droplets/saliva
What virus causes mono? ------CORRECT ANSWER---------------EBV
How long should someone take it easy after Mono diagnosis? ------
CORRECT ANSWER---------------4 weeks
,Treatment for mono ------CORRECT ANSWER---------------Supportive care
with Tylenol or NSAIDs. Adequate fluids
Treatment for contact dermatitis? ------CORRECT ANSWER---------------
triamcimilone cream, oral or IM steroid, use lower dose sparingly on face
What lab findings are presented with scleroderma ------CORRECT
ANSWER---------------Will have abnormal PFTs, Pulmonary HTN, Aspiration
Pneumonia, ANA elevated to greater than 1:80
Well-circumscribed, raised, erythematous papules and plaques, covered
with silvery-white scales, usually involving extensor areas in adults such as
the elbows and knees, the scalp, and, in some forms, the flexural surfaces -
-----CORRECT ANSWER---------------Psoriasis
Treatment for psoriasis ------CORRECT ANSWER---------------topical steriod
if <20% body, systemic if >20%, refer to derm, UV light therapy
Mode of transmission for parasitic skin infections ------CORRECT
ANSWER---------------Close direct skin contact.
Clinical presentation for Scabies ------CORRECT ANSWER---------------
Intense itching, worse at night. Burrows noted between webs of fingers.
, Commonly prescribed medications for Scabies ------CORRECT ANSWER--
-------------Permethrin Cream 5% (Elimite) is the first-line treatment. Safe in
2 months and older. Apply to all areas from neck down and leave on for 8-
12 hours. Repeat application in 1 week. May repeat a third time in another
week. Follow up in 1 week.
Antihistamines and topical steroids if the pruritis is bad.
What should you include in the patient education to prevent spreading of
the various parasitic skin problems? ------CORRECT ANSWER---------------
Avoid close contact. Wash all bedding, clothing, cloth items, and stuffed
animals in hot water. All close contacts family members, people you live
with and sexual partners need to be treated as well.
Which bacterial skin infection is considered highly contagious? ------
CORRECT ANSWER---------------Impetigo
What is the "classic" presentation of impetigo? ------CORRECT ANSWER---
------------Honey crusted lesions
What is the management of a minor case of folliculitis (non-
pharmacologic)? ------CORRECT ANSWER---------------Gentle cleansing by
washing the skin twice a day with antibacterial soap.
What are the commonly prescribed medications for folliculitis? ------
CORRECT ANSWER---------------Mupirocin (Bactroban) 2% ointment or
cream, TID, 5-14 days, for secondarily infected skin lesions.
Mupirocin (Bactroban) twice daily for 5 days in the nose for people with
recurrent folliculitis to clear the colonization of S. Aureus.
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