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Flashcards in Dermatologic Conditions Deck (97)
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1

A postterm infant has lesions of varying morphology including wheals, vesicles, and pustules on her trunk. You suspect:
a) cutis marmorata
b) erythema toxicum neonatorum
c) milia
d) contact dermatitis

b) erythema toxicum neonatorum

2

A postterm infant has lesions of varying morphology including wheals, vesicles, and pustules on her trunk. In order to confirm the diagnosis you order a Wright's stained smear. If your diagnosis is correct, what are the expected results of the smear?
a) presence of eosinophils
b) presence of neutrophils
c) presence of keratinous material
d) presence of staphylococcus bacteria

a) presence of eosinophils

3

A postterm infant has lesions of varying morphology including wheals, vesicles, and pustules on her trunk. In order to confirm the diagnosis you order a Wright's stained smear. In addition to monitoring the skin for any changes what is the best management?
a) topical antibiotics on lesions
b) topical steroids on lesions
c) a moisturizer on lesions
d) No treatment necessary since the condition will resolve spontaneously in 5-7 days

d) No treatment necessary since the condition will resolve spontaneously in 5-7 days

4

You examine a newborn and observe numerous white papular lesions on the cheeks, forhead, and nose. You suspect either milia or neonatal acne. Which physical finding helps confirm a diagnosis of milia?
a) papular lesions are intermixed with pale yellow macules
b) papular lesions have an erythematous circular ring at the base
c) papular lesions are surrounded by lacy blue are with erythematous mottling
d) papular lesions, yellow in color, are observed on the hard palate

d) papular lesions, yellow in color, are observed on the hard palate

5

A newborn is 3 weeks premature and you observe a macular erythematous lacy appearance to her skin. She has which condition?
a) cutis marmorata
b) erythema toxicum neonatorum
c) salmon patch
d) nevus flammeus

a) cutis marmorata

6

A newborn is 3 weeks premature and you observe a macular erythematous lacy appearance to her skin. In addition to monitoring the skin for any changes, what is the best management?
a) keep pt warm
b) decrease the environmental temperature
c) use a moisturizer on affected skin areas
d) No treatment necessary since the condition will resolve spontaneously in 5-7 days

a) keep pt warm

7

A newborn has a vascular lesion that will not fade as she gets older. What is your diagnosis?
a) salmon patch
b) capillary hemangioma
c) cafe au lait
d) port-wine stain (nevus flammeus)

d) port-wine stain (nevus flammeus)

8

A newborn has a vascular lesion that will not fade as she gets older. Her parents are concerned about her appearance and the psychological effect on their daughter as she becomes aware of her condition. In educating the parents you tell them about several options. Which of the following is not appropriate management?
a) application of topical steroids to the affected area to prevent puritus
b) camouflage affected areas with cosmetics
c) pulsed laser treatment to affected area
d) counseling for psychological concerns

a) application of topical steroids to the affected area to prevent puritus

9

Which condition is thought to be more apparent in darker-skinned individuals or during the summer months?
a) tinea corporis
b) psoriasis
c) pityriasis alba
d) pityriasis rosea

c) pityriasis alba

10

An 8 yo boy has scaly, hyperpigmented lesions in a "fir tree" distribution, predominately on his trunk. One lesion on the buttocks is larger than all the other lesions and measures 4 cm in diameter. What is your likely diagnosis?
a) psoriasis
b) eczema
c) pityriasis alba
d) pityriasis rosea

d) pityriasis rosea

11

An 8 yo boy has scaly, hyperpigmented lesions in a "fir tree" distribution, predominately on his trunk. One lesion on the buttocks is larger than all the other lesions and measures 4 cm in diameter. What symptom is commonly experienced in this condition?
a) pruritus
b) pain at site of lesions
c) nausea
d) headache

a) pruritus

12

An 8 yo boy has scaly, hyperpigmented lesions in a "fir tree" distribution, predominately on his trunk. One lesion on the buttocks is larger than all the other lesions and measures 4 cm in diameter. What management would you not recommend with this condition?
a) cool bath or cool compresses to lesions
b) topical steroids to lesions
c) oral antibiotics
d) monitored and controlled daily sunlight exposure

c) oral antibiotics

13

You have diagnosed a pt with acute atopic dermatitis. which of the following is not correct regarding the incidence of this condition?
a) most likely an infant
b) has a greater chance of developing asthma later in childhood than the average individual
c) has a greater chance of developing melanoma in adulthood than the average individual
d) has a condition associated with a familial predisposition

c) has a greater chance of developing melanoma in adulthood than the average individual

14

You have diagnosed a pt with acute atopic dermatitis. Which of the following management measures or treatments would you not recommend?
a) topical steroids to affected areas
b) wet compresses to affected areas
c) maintain a dry, warm environment
d) eliminate all substances that dry the skin

c) maintain a dry, warm environment

15

In addition to having atopic dermatitis you have diagnosed this pt with a secondary bacterial infection at the site of several lesions. What is the best management for the infection?
a) topical antibiotics to affected areas
b) oral antibiotics
c) hot compresses to affected areas
d) monitored and controlled daily sun exposure until lesions resolve

b) oral antibiotics

16

You see a 6 week old with a bright red, raised, rubbery lesion of irregular shape and 2 cm in diameter on the occiput. What condition do you suspect?
a) malignant melanoma
b) port-wine stain
c) capillary hemangioma
d) burn

c) capillary hemangioma

17

You see a 6 week old with a bright red, raised, rubbery lesion of irregular shape and 2 cm in diameter on the occiput. Which of the following is not characteristic of the lesion?
a) it was not present at birth, however pt's mother noticed site was blanched
b) it will continue to grow for the first 9-12 months of life
c) it will begin to gradually resolve when pt is between 12-15 months
d) it is expected to completely resolve by the time pt is 10 years old

b) it will continue to grow for the first 9-12 months of life

18

You notice 10 macular tan lesions of various sizes on a pt and refer him for a medical evaluation to rule out neurofibromatosis or Albright's syndrome. What kind of lesions are these?
a) malignant melanoma
b) cafe au lait spots
c) mongolian spots
d) vitiligo

b) cafe au lait spots

19

You notice 10 macular tan lesions of various sizes on a pt and refer him for a medical evaluation to rule out neurofibromatosis or Albright's syndrome. What is characteristic of these lesions?
a) more common in caucasians than dark skinned individuals
b) more common in males than females
c) lesions can be present at birth, however, more lesions may develop at any age
d) lesions usually fade spontaneously and completely resolve in adult life

c) lesions can be present at birth, however, more lesions may develop at any age

20

You suspect that a 9 yo has either pityriasis alba or vitiligo. Which of the following would not confirm the diagnosis of pityriasis alba?
a) skin would be normally pigmented except for areas of depigmentation
b) skin would have one or more scaly areas of hypopigmentation
c) complains of mild itching in areas of hypopigmentation
d) lesions became more pronounced when exposed to sunlight

a) skin would be normally pigmented except for areas of depigmentation

21

Pt was diagnosed with pityriasis alba. Which of the following is proper management of pt's condition?
a) bland moisturizers to reduce overdrying
b) topical steroids to affected areas
c) expose affected areas to short periods of sunlight
d) burow's wet compresses to affected areas

d) burow's wet compresses to affected areas

22

Pt education is a major part of the PNP's role. What would you teach the patient's parent regarding the progress and prognosis of pityriasis alba?
a) pt will continue to develop lesions for the rest of her life
b) Pt's condition should fade appreciably in 3-4 months
c) Pt's condition is permanent and affected areas will not repigment
d) Pt's condition will resolve completely, however, the affected areas can become slightly reddened when exposed to sunlight

b) Pt's condition should fade appreciably in 3-4 months

23

Malignant melanoma is a form of much dreaded skin cancer. Which of the following is not characteristic of this condition?
a) occurs in all ethnic groups but more common in light-skinned individuals
b) severe sunburn or excessive exposure to sunlight before the age of 10 predisposes developing melanoma later in childhood or adult life
c) spreads through the lymphatic system and invades other distant skin surfaces and organs
d) spreads primarily by invading skin surfaces that surround the major lesion

d) spreads primarily by invading skin surfaces that surround the major lesion

24

Which of the following does not characterize the lesion of malignant melanoma?
a) irregular asymmetrical nodule with blurred borders
b) raised with distinct symmetrical borders
c) uneven coloring in which blue, black, brown, tan, and red may all be present in the same lesion
d) bleeding, ulceration in later stages

b) raised with distinct symmetrical borders

25

Patient education regarding prevention of malignant melanoma is essential. Which of the following is not considered best prevention education?
a) avoid sunlight, especially during the hours of 0900-1300
b) avoid tanning lamps
c) use cover-up clothing, hats and sunglasses
d) use sun blocks that protect against ultraviolet exposure with 30 SPF

a) avoid sunlight, especially during the hours of 0900-1300

26

You suspect a pt is having chronic psoriasis. Which of the following is characteristic of her lesions if she has psoriasis vulgaris?
a) Scaly erythematous patches and plaques 3 to 10 mm in diameter
b) Round or oval in shape
c) Large scaly silver-white plaque 5 to 10 cm in diameter
d) Located mainly on her trunk

c) Large scaly silver-white plaque 5 to 10 cm in diameter

27

The condition of psoriasis is common in approximately 33% of children. Which of the following is not correct regarding the etiology or incidence of this condition?
a) Occurs more commonly in dark-skinned ethnic individuals
b) Associated with constant rubbing or trauma to exposed affected areas such as elbows
c) Associated with overproduction of epithelial cells
d) Associated with epithelial cells that migrate to the skin surface much more quickly than normal

a) Occurs more commonly in dark-skinned ethnic individuals

28

What would you not advise regarding the management or treatment of psoriasis?
a) Excise lesions
b) Apply topical steroids
c) Apply mineral oil and moisturizers
d) Expose to monitored short periods of sunlight

a) Excise lesions

29

You have diagnosed a pt with contact dermatitis. Which symptom is most characteristic of his condition?
a) Headache
b) Difficulty breathing
c) Pruritus at site of affected areas
d) Pain at site of affected areas

c) Pruritus at site of affected areas

30

Which of the following is not characteristic of contact dermatitis?
a) Hypersensitivity to a substance within the environment when direct contact is made
b) A delayed reaction of several days with re-exposure to an allergen
c) Caused by direct contact with topical medications, soaps, cosmetics, fabrics, or plants
d) Typical response is redness and edema at the site of contact which may progress to papules and vesicles

b) A delayed reaction of several days with re-exposure to an allergen