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Primary Care Art and Science 4th Edition Dunphy Porter Test Bank
ISBN-13: 978-0-8036-3801-3
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Chapter 7. Skin Problems
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause?
| a. | “You must be under a lot of stress lately.” |
| b. | “It is hereditary. Did your father experience this also?” |
| c. | “The cause is unknown, but we suspect it is due to an immunologic mechanism.” |
| d. | “We’ll have to do some tests.” |
____ 2. Which of the following is “a linear crack extending from the epidermis to the dermis?”
| a. | An ulcer |
| b. | A fissure |
| c. | Lichenification |
| d. | An excoriation |
____ 3. A bulla is:
| a. | A vesicle larger than 1 cm in diameter |
| b. | An elevated solid mass with a hard texture; the shape and borders can be regular or irregular |
| c. | A superficial elevated lesion filled with purulent fluid |
| d. | Thinning of the skin (epidermis and dermis) that appears white or translucent |
____ 4. An example of ecchymosis is:
| a. | A hematoma |
| b. | A keloid |
| c. | A bruise |
| d. | A patch |
____ 5. When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are?
| a. | Spores |
| b. | Leukocytes |
| c. | Pseudohyphae |
| d. | Epithelial cells |
____ 6. Your patient is in her second trimester of pregnancy and has a yeast infection. Which of the following is a treatment that you usually recommend/order in nonpregnant patients, but is listed as a Pregnancy category D?
| a. | Vagistat vaginal cream |
| b. | Monistat combination pack |
| c. | Terazol vaginal cream |
| d. | Diflucan, 150 mg |
____ 7. Tinea unguium is also known as:
| a. | Onychomycosis |
| b. | Tinea versicolor |
| c. | Tinea manuum |
| d. | Tinea corporis |
____ 8. Sally, age 25, presents with impetigo that has been diagnosed as infected with Staphylococcus. The clinical presentation is pruritic tender, red vesicles surrounded by erythema with a rash that is ulcerating. Her recent treatment has not been adequate. Which type of impetigo is this?
| a. | Bullous impetigo |
| b. | Staphylococcal scalded skin syndrome (SSSS) |
| c. | Nonbullous impetigo |
| d. | Ecthyma |
____ 9. Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin reveals crepitus due to gas production by which anaerobic bacteria?
| a. | Staphylococcal aureus |
| b. | Clostridium perfringens |
| c. | S. pyrogenes |
| d. | Streptococcus |
____ 10. When using the microscope for an intravaginal infection, you see something translucent and colorless. What do you suspect?
| a. | A piece of hair or a thread |
| b. | Hyphae |
| c. | Leukocytes |
| d. | Spores |
____ 11. Marci has a wart on her hand. She says she heard something about “silver duct tape therapy.” What do you tell her about his?
| a. | It is an old wives’ tale. |
| b. | It is used as a last resort. |
| c. | Salicylic acid is more effective. |
| d. | It is a simple treatment that should be tried first. |
____ 12. Which is the most potent and irritating dose of tretinoin?
| a. | 0.05% liquid formulation |
| b. | 0.1% cream |
| c. | 1% foam |
| d. | 0.02% cream |
____ 13. Of the following types of cellulitis, which is a streptococcal infection of the superficial layers of the skin that does not involve the subcutaneous layers?
| a. | Necrotizing fasciitis |
| b. | Periorbital cellulitis |
| c. | Erysipelas |
| d. | “Flesh-eating” cellulitis |
____ 14. Mandy presents with a cauliflower-like wart in her anogenital region. You suspect it was sexually transmitted and document this as a:
| a. | Filiform/digitate wart |
| b. | Dysplastic cervical lesion |
| c. | Condyloma acuminata |
| d. | Koilocytosis |
____ 15. Jeffrey has atopic dermatitis. You are prescribing a low-dose topical corticosteroid for him. Which would be a good choice?
| a. | Betamethasone dipropionate 0.05% |
| b. | Hydrocortisone base 2.5% |
| c. | Halcinonide 0.1% |
| d. | Desonide 0.05% |
____ 16. Harvey has a rubbery, smooth, round mass on his chest that is compressible and has a soft-to-very-firm texture. What do you diagnose this as?
| a. | A lipoma |
| b. | A nevi |
| c. | A skin tag |
| d. | A possible adenoma |
____ 17. Which of the following statements is accurate when you are removing a seborrheic keratosis lesion using liquid nitrogen?
| a. | Do not use lidocaine as it may potentiate bleeding. |
| b. | Pinch the skin taut together. |
| c. | Use gel foam to control bleeding. |
| d. | This should be performed by a dermatologist only. |
____ 18. The “B” in the ABCDEs of assessing skin cancer represents:
| a. | Biopsy |
| b. | Best practice |
| c. | Boundary |
| d. | Border irregularity |
____ 19. The majority of HSV-1 and HSV-2 infections are asymptomatic so that only which elevated antibody titer shows evidence of previous infection?
| a. | IgA |
| b. | IgE |
| c. | IgG |
| d. | IgM |
____ 20. Eighty percent of men have noticeable hair loss by what age?
| a. | 35 |
| b. | 50 |
| c. | 70 |
| d. | 85 |
____ 21. Prevalence of psoriasis is highest in which group?
| a. | Scandinavians |
| b. | African Americans |
| c. | Asians |
| d. | Native Americans |
____ 22. The most common precancerous skin lesion found in Caucasians is:
| a. | A skin tag |
| b. | Actinic keratosis |
| c. | A melanoma |
| d. | A basal cell lesion |
____ 23. Ian, age 62, presents with a wide, diffuse area of erythematous skin on his lower left leg that is warm and tender to palpation. There is some edema involved. You suspect:
| a. | Necrotizing fasciitis |
| b. | Kaposi’s sarcoma |
| c. | Cellulitis |
| d. | A diabetic ulcer |
____ 24. Josh, aged 22, has tinea versicolor. Which description is the most likely for this condition?
| a. | There are round, hypopigmented macules on his back. |
| b. | Josh has red papules on his face. |
| c. | There are crusted plaques in Josh’s groin area. |
| d. | There are white streaks on his neck. |
____ 25. Tori is on systemic antifungals for a bad tinea infection. You are aware that the antifungals may cause:
| a. | Renal failure |
| b. | Skin discoloration |
| c. | Breathing difficulties |
| d. | Hepatotoxicity |
____ 26. Which scalp problem can be caused by a fever and certain drugs?
| a. | Telogen effluvium (TE) |
| b. | Trichotillomania |
| c. | Psoriasis |
| d. | Alopecia areata |
____ 27. Why do people of African descent have a lower incidence of non-melanoma skin cancer?
| a. | They have an increased number of melanocytes. |
| b. | Their darker skin protects from ultraviolet radiation. |
| c. | Their skin is thicker. |
| d. | Their immune system is stronger. |
____ 28. Which statement is true regarding chloasma, the ‘mask of pregnancy’?
| a. | It is caused by a decrease in the melanocyte-stimulating hormone during pregnancy. |
| b. | This condition only occurs on the face. |
| c. | Exposure to sunlight will even out the discoloration. |
| d. | It is caused by increased levels of estrogen and progesterone. |
____ 29. When instructing your elderly client about treating her xerosis, what do you tell her?
| a. | A daily hot bath may help the associated pruritus. |
| b. | Rub the skin briskly to make sure it is completely dry after bathing. |
| c. | Only take short tepid showers. |
| d. | Use a gel that is alcohol-based after bathing to soften the skin. |
____ 30. Which medication used for scabies is safe for children 2 months and older?
| a. | Permethrin cream |
| b. | Lindane |
| c. | Crotamiton lotion and cream |
| d. | Ivermectin |
____ 31. Which of the following is an infraorbital fold skin manifestation in a patient with atopic dermatitis?
| a. | Keratosis pilaris |
| b. | Dennie’s sign |
| c. | Keratoconus |
| d. | Pityriasis alba |
____ 32. Which of the following statements about performing cryosurgery for actinic keratosis is true?
| a. | It is better to slightly overfreeze the area, so you only have to do it once. |
| b. | Using liquid nitrogen, freeze each lesion for at least 30 seconds. |
| c. | Every lesion should be biopsied after using liquid nitrogen. |
| d. | The ‘freeze balls’ should be approximately one-and-a-half times as wide as they are deep. |
____ 33. An example of a primary skin lesion is a/an:
| a. | Bulla |
| b. | Scale |
| c. | Excoriation |
| d. | Fissure |
____ 34. Which statement regarding necrotizing fasciitis is true?
| a. | The hallmark of this infection is its slow and steady progression. |
| b. | Once the border of the infection is “established,” it does not spread. |
| c. | Loss of life or limb is a potential complication. |
| d. | The lesion is most dangerous, because it is painless. |
____ 35. When staging a malignant melanoma using Clark’s levels, which level extends into the papillary dermis?
| a. | Level I |
| b. | Level II |
| c. | Level III |
| d. | Level IV |
Chapter 7. Skin Problems
Answer Section
MULTIPLE CHOICE
- ANS: C PTS: 1
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