AGNP Dermatological question With Correct Answers!!
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Course
AGNP Dermatological
Institution
AGNP Dermatological
A high school athlete who is on the wrestling team complains of multiple bumps on his lower left arm. The patient denies pruritus, pain, or discomfort from the lesions. During the skin exam, the nurse practitioner notices multiple smooth domed papules that are 2 to 5 mm in diameter with central umb...
AGNP Dermatological question With
Correct Answers!!
A high school athlete who is on the wrestling team complains of multiple bumps on his lower left
arm. The patient denies pruritus, pain, or discomfort from the lesions. During the skin exam, the
nurse practitioner notices multiple smooth domed papules that are 2 to 5 mm in diameter with
central umbilication. Which diagnosis is most likely?
A.Molluscum contagiosum
B.Acne vulgaris
C.Verruca vulgaris
D.Basal cell carcinoma - ANSWERA. Molluscum contagiosum is caused by the poxvirus. It is highly
contagious and spreads by autoinoculation, skin-to-skin contact, sexual contact, and sharing towels.
It is a self-limited infection in immunocompetent patients. It resolves in 6 to 12 months. Advise
healthy patients that it is a self-limited infection. Acne does not appear on the lower left arm.
Verruca vulgaris is the common wart; in this case, the appearance is not wartlike. It also does not
look like basal cell cancer (pearly edges, telangiectasia, papule, or central ulceration).
An adult Black male presents with blood under the nail of the great toe that involves approximately
50% of the nail area. He reports dropping a hammer accidentally on his toe about 5 hours ago.
Which of the following is the recommended treatment?
A.Biopsy to rule out melanoma
B.No treatment is needed
C.Trephination
D.Nail removal - ANSWERC. Trephination is the name of a procedure in which a small hole is drilled
on top of the nail so that the blood can drain. An 18-gauge needle or a large paperclip (straighten
one end) is used and heated with a flame from a lighter. If the blood is not drained, it will result in
permanent ischemic damage to the nail bed, which can lead to permanent loss of the toenail.
All of the following pharmacologic agents are indicated for the treatment of plaque psoriasis, except:
A.Topical corticosteroids
B.Vitamin D analogs
C.Ultraviolet light therapy
D.Oral antibiotics - ANSWERD. Oral antibiotics are not used to treat plaque psoriasis (the most
common type of psoriasis), because it is not caused by bacterial infection. Topical corticosteroids,
vitamin D analogs (calcipotriene ointment), and ultraviolet light therapy (UVB light) are methods
used to treat psoriasis.
, 4.6% complete
Question
Which of the following is considered as a precursor lesion of squamous cell skin cancer?
A.Atopic dermatitis
B.Actinic keratosis
C.Seborrheic keratosis
D.Nevi - ANSWERB. Actinic keratosis (AK) is the precursor lesion of squamous cell carcinoma of the
skin. It is caused by chronic sunlight exposure or chronic indoor tanning (UV rays). Several to many
lesions are common. It is located in sun-exposed areas, such as the face, the dorsum of the arms and
hands, and the chest. It appears like a small dry, scaly-to-rough patch of skin that does not go away,
and it may bleed with trauma. Only about 5% to 10% of AK will turn into skin cancer, but it can
become invasive. Atopic dermatitis and eczema are pruritic and appear in hands, knees, and other
classic areas. Seborrheic keratosis looks like soft warts pasted on the skin; most are located on the
back and can range in color from tan to black. It does not itch or hurt and is benign.
Molluscum contagiosum is caused by:
A.Herpesvirus
B.Poxvirus
C.Staphylococcus aureus
D.Haemophilus influenzae - ANSWERB. Poxvirus
Molluscum contagiosum is caused by a poxvirus infection of the skin.
Which debridement method works best for wounds with minimal to no discharge?
A.Autolytic debridement
B.Sharp debridement
C.Jet lavage debridement
D.Enzymatic debridement - ANSWERA. In autolytic debridement, the wound is covered with hydrogel
sheet, alginate sheet, or semiocclusive transparent film, which retains the enzymes produced by the
wound. It works best in wounds with minimal to no discharge. In sharp debridement, the necrotic
tissue is cut with a scalpel or sharp scissors. Water is used to clean and debride in jet lavage
debridement, and proteolytic enzymes are applied to the wound in enzymatic debridement.
A 13-year-old girl wants to be treated for his acne. He has a large number of closed and open
comedones on his face. The patient has been treating himself with over-the-counter benzoyl
peroxide and topical salicylic acid products. Which of the following would be recommended next?
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