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NU 518 Exam 3 Study Questions and Answers 100% Pass | Latest Update A 35-year-old archaeologist comes to your office (located in Phoenix, Arizona) for a regular skin check-up. She has just returned from her annual dig site in Greece. She has fair skin and reddish-blonde hair. She has a family ...

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  • December 8, 2024
  • 184
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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NU 518 Exam 3 Study Questions and

Answers 100% Pass | Latest Update


A 35-year-old archaeologist comes to your office (located in Phoenix,

Arizona) for a regular skin check-up. She has just returned from her annual

dig site in Greece. She has fair skin and reddish-blonde hair. She has a

family history of melanoma. She has many freckles scattered across her

skin. From this description, which of the following is not a risk factor for

melanoma in

this patient?

A) Age

B) Hair color

C) Actinic lentigines

D) Heavy sun exposure - ✔✔A

You are speaking to an 8th grade class about health prevention and are

preparing to discuss the ABCDEs of melanoma. Which of the following

descriptions correctly defines the ABCDEs?

A) A = actinic; B = basal cell; C = color changes, especially blue; D =

diameter >6 mm; E =evolution
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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

,B) A = asymmetry; B = irregular borders; C = color changes, especially

blue; D = diameter >6 mm; E = evolution

C) A = actinic; B = irregular borders; C = keratoses; D = dystrophic nails; E

= evolution

D) A = asymmetry; B = regular borders; C = color changes, especially

orange; D = diameter >6 mm; E = evolution - ✔✔B

You are beginning the examination of the skin on a 25-year-old teacher.

You have previously elicited that she came to the office for evaluation of

fatigue, weight gain, and hair loss. You strongly suspect that she has

hypothyroidism. What is the expected moisture and texture of the skin of a

patient with hypothyroidism?

A) Moist and smooth

B) Moist and rough

C) Dry and smooth

D) Dry and rough - ✔✔D

A 28-year-old patient comes to the office for evaluation of a rash. At first

there was only one large patch, but then more lesions erupted suddenly on

the back and torso; the lesions itch. On physical examination, you note that

the pattern of eruption is like a Christmas tree and that there are a variety



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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

,of erythematous papules and macules on the cleavage lines of the back.

Based on this description, what is the most likely diagnosis?

A) Pityriasis rosea

B) Tinea versicolor

C) Psoriasis

D) Atopic eczema - ✔✔A

A 19-year-old construction worker presents for evaluation of a rash. He

notes that it started on his back with a multitude of spots and is also on his

arms, chest, and neck. It itches a lot. He does sweat more than before

because being outdoors is part of his job. On physical examination, you

note dark tan patches with a reddish cast that has sharp borders and fine

scales, scattered more prominently around the upper back, chest, neck,

and upper arms as well as under the arms. Based on this description, what

is your most likely diagnosis?

A) Pityriasis rosea

B) Tinea versicolor

C) Psoriasis

D) Atopic eczema - ✔✔B

A 68-year-old retired farmer comes to your office for evaluation of a skin

lesion. On the right temporal area of the forehead, you see a flattened

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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

, papule the same color as his skin, covered by a dry scale that is round and

feels hard. He has several more of these scattered on the forehead, arms,

and legs. Based on this description, what is your most likely diagnosis?

A) Actinic keratosis

B) Seborrheic keratosis

C) Basal cell carcinoma

D) Squamous cell carcinoma - ✔✔A

A 58-year-old gardener comes to your office for evaluation of a new lesion

on her upper chest. The lesion appears to be "stuck on" and is oval, brown,

and slightly elevated with a flat surface. It has a rough, wartlike texture on

palpation. Based on this description, what is your most likely diagnosis?

A) Actinic keratosis

B) Seborrheic keratosis

C) Basal cell carcinoma

D) Squamous cell carcinoma - ✔✔B

A 72-year-old teacher comes to a skilled nursing facility for rehabilitation

after being in the hospital for 6 weeks. She was treated for sepsis and

respiratory failure and had to be on the ventilator for 3 weeks. You are

completing your initial assessment and are evaluating her skin condition.

On her sacrum there is full-thickness skin loss that is 5 cm in diameter, with

4
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

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