Exam (elaborations)
Chapter 42 Alterations of the Integument in Children
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- Galen College Of Nursing
Chapter 42 Alterations of the Integument in Children
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Chapter 42: Alterations of the Integument in ChildrenMULTIPLE CHOICE
1. Acne vulgaris involves inflammation of the:
a. hair follicles.
b. sebaceous follicles.
c. eccrine glands.
d. apocrine glands.
ANS: B
Acne is a disorder of the pilosebaceous units, known as sebaceous follicles. Acne is
not associated with inflammation of hair follicles, eccrine glands, or apocrine glands.
REF: p. 1084
2. A 4-month-old brought to his primary care provider for severe itching and skin lesions is
diagnosed with atopic dermatitis. Which of the following would be elevated in this patient?
a. Immunoglobulin D (IgD)
b. Immunoglobulin M (IgM)
c. Immunoglobulin E (IgE)
d. Immunoglobulin G (IgG)
ANS: C
Most individuals affected with atopic dermatitis show an increased serum IgE level.
Neither IgD, IgM, nor IgG wNouUldRbSeIeNleGvaTteBd.COM
REF: p. 1085
3. A 4-month-old is diagnosed with atopic dermatitis (AD). Which assessment finding will
most likely support this diagnosis?
a. Blistering
b. Moist reddened skin
c. Dry, itchy skin
d. White patches
ANS: C
AD has a constellation of clinical features that include dry, sensitive, itchy, and easily
irritated skin because the barrier function of the skin is impaired. Blistering, moist skin is not
associated with AD. White patches are characteristic of other disorders, such as measles.
REF: p. 1085
4. A 14-year-old presents with severe acne. Which of the following promotes acne development?
a. Androgens
b. Estrogens
c. Gonadotropins
d. Glucocorticoids
ANS: A
, Androgens, not estrogens, increase the size and productivity of the sebaceous glands
and promote P. acnes. Neither gonadotropins nor glucocorticoids increase the size and
productivity of the sebaceous glands and promote P. acnes.
REF: p. 1084
5. Bullous impetigo is caused by a strain of:
a. Staphylococcus aureus.
b. Molluscum contagiosum.
c. Escherichia coli.
d. Candida albicans.
ANS: A
S. aureus, not molluscum contagiosum, is currently the most common overall cause of
impetigo. The most common overall cause of impetigo is not associated with E. coli or
Candida albicans.
REF: p. 1086
6. A 2-month-old develops diaper dermatitis. A nurse will monitor this patient for
which secondary infection?
a. Streptococcus
b. Proteus
c. Candida albicans
d. Staphylococcus aureus
ANS: C
Diaper dermatitis is secondarNUily S
Rinfe
NIcted
T GwiBth.CCandMida albicans, not
Streptococcus, Proteus, or Staphylococcus aureus.
O
REF: p. 1086
7. A 10-year-old presents with vesicles consistent with vesicular impetigo. What is the most
likely cause of the condition?
a. Herpes virus
b. Candida albicans
c. Streptococcus pyogenes
d. Human papillomavirus (HPV)
ANS: C
Vesicular impetigo is caused by Streptococcus pyogenes.
Vesicular impetigo is not caused by herpes, Candida albicans, or HPV.
REF: p. 1086, Box 42-1
8. A 3-year-old develops tinea capitis after playing with the family dog. This infection is
caused by a:
a. fungus.
b. bacterium.
c. virus.
d. parasite.
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