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Exam |/ 3 |/- |/NUR |/ 504 |/questions |/with |/correct
|/answers
Which |/layer |/of |/epidermis |/is |/mostly |/found |/in |/the |/skin |/on |/hands |/and |/feet? a. |/Stratum |/corneum b. |/Stratum |/lucidum c. |/Stratum |/granulosum d. |/Stratum |/germinativum |/- |/CORRECT |/ANSWERS |/✔✔b. |/Stratum |/lucidum Most |/hair |/follicles |/originate |/in |/which |/level |/of |/the |/skin? a. |/Epidermis b. |/Subcutaneous |/layer c. |/Adipose |/layer d. |/Dermis |/- |/CORRECT |/ANSWERS |/✔✔d. |/Dermis A |/patient's |/chart |/mentions |/that |/their |/particular |/skin |/ailment |/is |/"confluent." |/What |/does |/this |/describe? a. |/Morphology b. |/Structure c. |/Distribution
d. |/Turgor |/- |/CORRECT |/ANSWERS |/✔✔c. |/Distribution A |/patient |/presents |/with |/red |/papules |/and |/areas |/of |/plaque |/on |/her |/skin |/and |/irregular |/formations |/of |/exfoliated, |/keratinized |/cells. |/What |/is |/the |/most |/likely |/ailment? a. |/Psoriasis b. |/Eczema c. |/Acne d. |/Discoid |/lupus |/- |/CORRECT |/ANSWERS |/✔✔a. |/Psoriasis The |/physician |/has |/determined |/that |/plaque |/on |/a |/patient's |/skin |/is |/less |/likely |/granuloma |/annulare |/and |/more |/likely |/a |/dermatophyte. |/How |/did |/she |/make |/this |/determination? a. |/Noticed |/the |/red |/papules b. |/Tested |/the |/apocrine |/secretions c. |/Scraped |/the |/skin |/with |/a |/#15 |/blade d. |/Pared |/the |/surface |/- |/CORRECT |/ANSWERS |/✔✔c. |/Scraped |/the |/skin |/with |/a |/#15 |/blade
- |/An |/area |/of |/the |/patient's |/arm |/has |/very |/smooth |/skin |/and |/lacks |/any |/apparent |/superficial |/features. |/This |/is |/likely |/what? a. |/Psoriasis b. |/Hypokeratinization
The |/physician |/has |/used |/the |/Wood's |/light |/exam |/to |/look |/more |/closely |/at |/a |/patient's |/skin. |/What |/did |/this |/tell |/the |/physician? a. |/Whether |/the |/disease |/is |/M. |/canis |/or |/M. |/distortum b. |/The |/exact |/pathology |/of |/a |/skin |/finding c. |/Whether |/the |/disease |/was |/contact-related |/or |/internal d. |/Whether |/the |/disorder |/lies |/in |/the |/epidermis |/or |/dermis |/- |/CORRECT |/ANSWERS |/✔✔d. |/Whether |/the |/disorder |/lies |/in |/the |/epidermis |/or |/dermis Which |/of |/the |/following |/is |/the |/least |/common |/pruritic |/condition |/of |/pregnancy? a. |/PUPP b. |/Pemphigoid |/gestationis c. |/Prurigo |/gravidarum d. |/ICP |/- |/CORRECT |/ANSWERS |/✔✔b. |/Pemphigoid |/gestationis A |/patient |/is |/suspected |/to |/have |/allergic |/or |/contact |/dermatitis. |/Which |/of |/the |/following |/diagnostic |/tests |/should |/be |/used? a. |/Patch |/testing b. |/Biopsy c. |/Serum |/total |/IgE d. |/KOH |/scraping |/- |/CORRECT |/ANSWERS |/✔✔c. |/Serum |/total |/IgE
Eccrine |/glands |/originate |/in |/the |/dermis |/and |/open |/directly |/to |/the |/surface |/of |/the |/skin |/- |/CORRECT |/ANSWERS |/✔✔True "Histologic |/evaluation" |/is |/another |/term |/for |/biopsy |/- |/CORRECT |/ANSWERS |/✔✔True Keratinization |/is |/an |/inherited |/skin |/disorder |/linked |/to |/the |/father's |/side |/of |/the |/family. |/- |/CORRECT |/ANSWERS |/✔✔False Hirsutism |/is |/a |/medical |/condition |/related |/to |/females |/rather |/than |/males. |/- |/CORRECT |/ANSWERS |/✔✔True Seborrheic |/keratosis, |/moles, |/and |/hemangiomas |/can |/generally |/appear |/anywhere |/on |/a |/person's |/body. |/- |/CORRECT |/ANSWERS |/✔✔False Shave |/biopsies, |/punch |/biopsies, |/and |/excisional |/biopsies |/require |/suturing |/for |/closure |/- |/CORRECT |/ANSWERS |/✔✔False What |/is |/the |/mnemonic |/for |/evaluating |/pigmented |/lesions |/through |/surface |/microscopy, |/and |/what |/do |/the |/letters |/stand |/for? |/- |/CORRECT |/ANSWERS |/✔✔ABCDE: |/Asymmetry, |/border |/irregularity, |/color |/variegation, |/diameter |/> |/ 6 |/mm, |/and |/elevation/enlargement
Which |/of |/the |/following |/is |/true |/of |/the |/optic |/disc? a. |/It |/contains |/the |/fovea |/and |/macula. b. |/It |/lacks |/retinal |/receptors. c. |/It |/is |/protected |/by |/the |/cornea. d. |/It |/is |/the |/only |/part |/of |/the |/internal |/eye |/with |/nerve |/fibers. |/- |/CORRECT |/ANSWERS |/✔✔b. |/It |/lacks |/retinal |/receptors. A |/healthcare |/provider |/asks |/a |/patient |/whether |/or |/not |/he |/or |/she |/wears |/contact |/lenses. |/This |/is |/part |/of |/which |/section |/of |/the |/patient's |/health |/history? a. |/Past |/medical |/history b. |/Chief |/complaint c. |/Social |/history d. |/Family |/history |/- |/CORRECT |/ANSWERS |/✔✔a. |/Past |/medical |/history Why |/is |/asking |/about |/tobacco |/use |/important |/as |/part |/of |/a |/social |/history? a. |/Smoke |/can |/scar |/the |/cornea. b. |/The |/chemicals |/in |/tobacco |/smoke |/can |/cloud |/the |/vitreous |/humor. c. |/Cigarette |/use |/is |/associated |/with |/the |/appearance |/and |/frequency |/of |/floaters.
d. |/Long-term |/tobacco |/use |/causes |/predictable |/vascular |/changes |/in |/the |/fundus. |/- |/CORRECT |/ANSWERS |/✔✔d. |/Long-term |/tobacco |/use |/causes |/predictable |/vascular |/changes |/in |/the |/fundus. A |/farmer |/working |/in |/wind-blown |/fields |/is |/most |/susceptible |/to |/what |/ailment? a. |/Viral |/conjunctivitis b. |/Pterygium c. |/Myasthenia |/gravis d. |/Proptosis |/- |/CORRECT |/ANSWERS |/✔✔b. |/Pterygium Presbyopia |/is |/a |/failure |/of |/the |/eye |/to |/accommodate |/what? a. |/Bright |/light b. |/Very |/near |/vision c. |/Distant |/vision d. |/Subtle |/color |/shifts |/- |/CORRECT |/ANSWERS |/✔✔b. |/Very |/near |/vision Using |/a |/slit |/lamp |/biomicroscope, |/the |/physician |/is |/most |/likely |/to |/find |/evidence |/of |/what? a. |/Hyphema b. |/Obstructed |/lacrimal |/ducts c. |/Nystagmus d. |/Papilledema |/- |/CORRECT |/ANSWERS |/✔✔a. |/Hyphema
d. |/Herpetic |/lesion |/- |/CORRECT |/ANSWERS |/✔✔a. |/Hyphema Parents |/bring |/a |/5-month-old |/infant |/for |/an |/examination. |/Which |/of |/the |/following |/will |/be |/true? a. |/The |/infant's |/peripheral |/vision |/will |/not |/fully |/have |/developed |/yet. b. |/The |/infant's |/eyes |/are |/now |/able |/to |/perceive |/a |/single, |/undoubled |/image. c. |/It |/is |/appropriate |/for |/the |/physician |/to |/perform |/the |/cover-uncover |/test. d. |/The |/infant |/likely |/cannot |/distinguish |/colors |/yet. |/- |/CORRECT |/ANSWERS |/✔✔d. |/The |/infant |/likely |/cannot |/distinguish |/colors |/yet. The |/sclera |/merges |/with |/the |/cornea |/at |/the |/limbus |/- |/CORRECT |/ANSWERS |/✔✔True A |/person |/reading |/a |/book |/looks |/up |/and |/focuses |/on |/something |/in |/the |/distance. |/To |/do |/this, |/the |/eyes |/must |/decrease |/lens |/curvature, |/relax |/the |/pupils, |/and |/reduce |/convergence |/- |/CORRECT |/ANSWERS |/✔✔True The |/testing |/of |/visual |/fields |/is |/the |/"vital |/sign" |/in |/ophthalmology. |/- |/CORRECT |/ANSWERS |/✔✔False Paleness |/of |/conjunctiva |/may |/indicate |/severe |/anemia. |/- |/CORRECT |/ANSWERS |/✔✔True
Fundoscopy |/in |/the |/primary-care |/setting |/generally |/offers |/a |/complete |/and |/fully |/adequate |/examination. |/- |/CORRECT |/ANSWERS |/✔✔False A |/pregnant |/woman's |/eyes |/tend |/to |/be |/more |/sensitive |/and |/dry. |/- |/CORRECT |/ANSWERS |/✔✔True What |/steps |/are |/involved |/in |/inspecting |/the |/eyelids |/and |/eyelashes? |/During |/which |/step |/may |/ptosis |/be |/noticed? |/- |/CORRECT |/ANSWERS |/✔✔(1) |/Assess |/symmetry, |/position, |/closure (2) |/inspect |/eyelids |/for |/color, |/swelling, |/lesions, |/nodules, |/styes, |/discharge |/(3) |/inspect |/for |/entropion |/or |/ectropion; (4) |/assess |/blinking. |/ Ptosis |/may |/be |/noted |/in |/the |/first |/step. What |/is |/cupping, |/what |/test |/and |/instrument |/discovers |/it, |/and |/what |/disease |/does |/it |/suggest? |/- |/CORRECT |/ANSWERS |/✔✔Cupping |/is |/an |/irregularity |/in |/the |/physiological |/cup. |/It |/may |/be |/larger |/than |/normal |/or |/asymmetric. |/This |/is |/discovered |/using |/an |/ophthalmoscope |/during |/fundoscopic |/assessment |/and |/suggests |/glaucoma. Which |/of |/the |/following |/parts |/of |/the |/outer |/ear |/is |/composed |/of |/fat |/and |/subcutaneous |/tissue? a. |/Lobule
b. |/Yellow |/fluid c. |/Clear, |/mucoid |/fluid d. |/Brown |/fluid |/- |/CORRECT |/ANSWERS |/✔✔a. |/Clear, |/watery |/fluid
- |/Which |/of |/the |/following |/syndromes |/or |/illnesses |/is |/not |/associated |/with |/ear |/conditions? a. |/Stickler |/syndrome b. |/Leukemia c. |/Trisomy |/ 13 d. |/CHARGE |/association |/- |/CORRECT |/ANSWERS |/✔✔b. |/Leukemia A |/patient |/arrives |/complaining |/of |/significant |/vertigo, |/which |/began |/after |/a |/sneezing |/fit |/and |/is |/persisting. |/Before |/the |/fit, |/the |/patient |/had |/not |/experienced |/notable |/ear |/problems. |/What |/most |/likely |/happened? a. |/The |/mastoid |/bone, |/deteriorated |/by |/anaerobic |/infection, |/broke. b. |/The |/patient |/is |/showing |/early |/symptoms |/of |/Meniere's |/disease. c. |/The |/patient |/aggravated |/latent |/otitis |/media. d. |/The |/patient |/ruptured |/the |/round |/window |/in |/one |/or |/both |/inner |/ears. |/- |/CORRECT |/ANSWERS |/✔✔c. |/The |/patient |/aggravated |/latent |/otitis |/media. The |/physician |/observes |/the |/patient |/and |/notes |/that |/his |/head |/is |/not |/rotated |/toward |/either |/side, |/his |/head |/is |/tilted |/toward |/the |/left |/ear,
|/and |/he |/shows |/no |/reluctance |/to |/move |/his |/head |/in |/various |/directions. |/What |/does |/this |/most |/likely |/suggest? a. |/A |/well |/patient b. |/Otalgia |/in |/the |/left |/ear c. |/Hearing |/loss |/in |/the |/right |/ear d. |/Vertigo |/- |/CORRECT |/ANSWERS |/✔✔b. |/Otalgia |/in |/the |/left |/ear During |/the |/physical |/examination, |/the |/physician |/notices |/visible |/blood |/vessels |/in |/the |/center |/of |/the |/patient's |/tympanic |/membrane. |/What |/is |/the |/likeliest |/diagnosis? a. |/Acute |/or |/chronic |/otitis b. |/Bone |/exostoses c. |/A |/normal, |/healthy |/tympanic |/membrane d. |/Tympanosclerosis |/- |/CORRECT |/ANSWERS |/✔✔a. |/Acute |/or |/chronic |/otitis What |/hearing |/test |/is |/specifically |/designed |/to |/compare |/air |/conduction |/to |/bone |/conduction? a. |/Rinne b. |/Weber c. |/Whisper d. |/Tympanic |/- |/CORRECT |/ANSWERS |/✔✔a. |/Rinne
Tinnitus |/affects |/nearly |/one-third |/of |/the |/adult |/population. |/- |/CORRECT |/ANSWERS |/✔✔False Exposures |/to |/rubella, |/cytomegalovirus, |/and |/herpes |/simplex |/in |/utero |/are |/linked |/to |/later |/hearing |/loss. |/- |/CORRECT |/ANSWERS |/✔✔True A |/patient's |/pinnae |/are |/fully |/below |/the |/level |/of |/an |/imaginary |/line |/drawn |/from |/the |/outer |/canthus |/of |/her |/ipsilateral |/eye |/to |/the |/occiput. |/This |/may |/be |/associated |/with |/congenital |/hearing |/loss |/in |/the |/patient |/- |/CORRECT |/ANSWERS |/✔✔True The |/bulb |/of |/an |/otoscope |/is |/used |/to |/apply |/both |/positive |/and |/negative |/pressure |/to |/the |/tympanic |/membrane |/so |/its |/movement |/can |/be |/studied. |/- |/CORRECT |/ANSWERS |/✔✔True Neonates |/can |/discriminate |/a |/full |/spectrum |/of |/sounds, |/but |/respond |/best |/to |/low |/and |/midrange |/tones, |/or |/"brown |/noise." |/- |/CORRECT |/ANSWERS |/✔✔False What |/are |/the |/six |/categories |/of |/questions |/to |/ask |/and |/information |/to |/gain |/in |/the |/health |/history |/of |/a |/patient |/whose |/chief |/complaint |/is |/vertigo? |/- |/CORRECT |/ANSWERS |/✔✔Onset, duration/frequency/regularity/severity
precipitating |/factors aggravating/alleviating |/factors What |/behaviors |/and |/medical |/conditions |/in |/a |/pregnant |/patient |/are |/noted |/to |/cause |/ear |/abnormalities |/and |/problems |/in |/the |/developing |/fetus? |/- |/CORRECT |/ANSWERS |/✔✔Smoking, |/exposure |/to |/viral |/infections, |/maternal |/diabetes, |/Rh |/incompatibility, |/toxemia |/of |/pregnan The |/bulb |/of |/an |/otoscope |/is |/used |/to |/apply |/both |/positive |/and |/negative |/pressure |/to |/the |/tympanic |/membrane |/so |/its |/movement |/can |/be |/studied. |/- |/CORRECT |/ANSWERS |/✔✔True Tinnitus |/affects |/nearly |/one-third |/of |/the |/adult |/population. |/- |/CORRECT |/ANSWERS |/✔✔False Which |/type |/of |/otalgia |/can |/be |/tested |/using |/a |/tympanogram? a. |/Acute |/otitis |/media b. |/Serous |/otitis c. |/Chronic |/otitis |/media Trauma |/- |/CORRECT |/ANSWERS |/✔✔
