Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

MARYVILLE NURS 623 EXAM 1 VERIFIED QUESTIONS & ANSWERS 100% CORRECT, Exams of Gerontology

MARYVILLE NURS 623 EXAM 1 VERIFIED QUESTIONS & ANSWERS 100% CORRECT 1. MARYVILLE NURS 623 EXAM 1 study guide with verified answers 2. Where to find 100% correct MARYVILLE NURS 623 EXAM 1 questions 3. MARYVILLE NURS 623 EXAM 1 practice test with verified solutions 4. How to prepare for MARYVILLE NURS 623 EXAM 1 with accurate materials 5. MARYVILLE NURS 623 EXAM 1 review questions and answers pdf 6. Best resources for MARYVILLE NURS 623 EXAM 1 preparation 7. MARYVILLE NURS 623 EXAM 1 sample questions with explanations 8. Verified MARYVILLE NURS 623 EXAM 1 question bank 9. MARYVILLE NURS 623 EXAM 1 study tips and verified answers 10. Where to buy MARYVILLE NURS 623 EXAM 1 verified study materials 11. MARYVILLE NURS 623 EXAM 1 past papers with correct solutions 12. How to ace MARYVILLE NURS 623 EXAM 1 with verified resources 13. MARYVILLE NURS 623 EXAM 1 mock test with 100% accurate answers 14. Reliable MARYVILLE NURS 623 EXAM 1 study materials online 15. MARYVILLE NURS 623 EXAM 1

Typology: Exams

2024/2025

Available from 07/02/2025

Prof.Steve
Prof.Steve 🇺🇸

361 documents

1 / 61

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1 / 31
MARYVILLE NURS 623 EXAM 1 VERIFIED
QUESTIONS & ANSWERS
1. Basics with skin conditions: •Alopecia
Rash
Pruritus
Uticaria
Pigmentation change
Skin lesion—New vs. Change
2. HPI questions for skin problems: Duration of symptoms
Precipitating factors
Medications
Food
Occupation
Outdoors
Hobbies/Sport participation
Exposure to insects
Jewelry/metals/chemicals
Family history
Is it:
Local or systemic
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27
pf28
pf29
pf2a
pf2b
pf2c
pf2d
pf2e
pf2f
pf30
pf31
pf32
pf33
pf34
pf35
pf36
pf37
pf38
pf39
pf3a
pf3b
pf3c
pf3d

Partial preview of the text

Download MARYVILLE NURS 623 EXAM 1 VERIFIED QUESTIONS & ANSWERS 100% CORRECT and more Exams Gerontology in PDF only on Docsity!

MARYVILLE NURS 623 EXAM 1 VERIFIED

QUESTIONS & ANSWERS

1. Basics with skin conditions: •Alopecia

  • Rash
  • Pruritus
  • Uticaria
  • Pigmentation change Skin lesion—New vs. Change

2. HPI questions for skin problems: Duration of symptoms

Precipitating factors

  • Medications
  • Food
  • Occupation
  • Outdoors
  • Hobbies/Sport participation
  • Exposure to insects
  • Jewelry/metals/chemicals
  • Family history Is it: Local or systemic

Pruritus- all day or worse at night Uticaria - duration Pigmented changes

3. Pigmentation/Changes of the skin Diff diagnosis: Nevi- brown, beige or

pink(< 5mm) Melanoma Related to pregnancy- melasma (mask of pregnancy) Addison disease Side effect of medication- steroid therapy

4. skin lesions: Macule - flat, nonpalpable (freckle, petechia) Papule

  • PALPABLE, solid elevation of skin (elevated nevus) Nodule - elevated solid mass, deeper and firmer than papule (wart) Tumor - solid mass deep in subcutaneous tissue (epithelioma) Wheal - irregularly shaped, elevated area (hive, mosquito bite

The entire household must be treated. Everything should be washed with hot water/detergent, treat any infection that is present. Starve mites by sealing them in a bag for about 10 days.

9. Lice treatment: Permethrin 1% leave on for 10 mins then rinse. May repeat in

7 days if needed.

10. Fungal skin infections: · Candidiasis- bright, beefy red rash treat with topical

antifungal,

· Dermatophytoses - the tineas (ringworm)

· Onychomycosis treat with Terbinafine for 6-12 weeks (only 73-79% effective,

educate patient.

· Fungal infections survive on keratin, so considered superficial.

· Pathogens: Epidermophyton, trichophyton, microsporum.

· Those at risk are DM and immunocompromised.

· Diagnostics: KOH

11. Tinea corporis

(Ringworm of body): Hx of erythematous round and elevated pruritic lesion that grows in size & starts to clear in the center Miconazole 2% cream BID x4 weeks, Clotrimazole 1%, Terbafine 1%

12. Tinea capitus (ringworm of head): Children common. Painless bald spot, may

have kerion that looks like honeycomb, inflammation. Boggy mass containing broken hairs and oozing purulent material from follicular orifices Systemic antifungals - Griseofulvin BID for 2-4 months or 2 weeks after negative cultures. Teratogenic - use 2nd method of contraception.

Purulent cellulitis

· I&D first line

· NO 1st gen cephalosporine

· Consider MRSA- Bactrim, Cleocin, Doxycycline

15. Impetigo: Honey crusted plaques, usually on face

Bullous: begin as small vesicles that rupture easily with serous fluid turning into crust Nonbullous, vesticulopustular: thick, adherent lesions, dirty yellow-colored crust with erythematous margins Treatment: Clean lesions. Bactroban TID x 7 days. Antibiotic (Keflex, Augmentin, Cloxacillin). With no treatment, it is self-limiting 2-3 wks

16. follilculitis: Staphylococcus. Multiple small papules on erythematous base,

can be large yellow white tender pustules in adults. Common in places hair is present, widespread is characteristic, bumpy rash, no itching. Treatment: Only if becomes infected. Large lesions cleansed with weak soap solution, followed by soaking with saline or aluminum subacetate BID. TAO can be used BID for 5 days. Oral ABT 1st gen cephalo. if resistant

17. Localized cellulitis: The typical lesion of cellulitis is wide, diffuse area of

erythematous skin that is warm and tender to palpation. Infection is occasionally accompanied by severe edema. Systemic symptoms such as fever, chills, and

malaise may also be present. CAUSES- Diabetic patient or other immunocompromised patients. Any break in the skin. Skin breaks from surgical incisions, skin tears, wounds, trauma, insect bites or stings, and animal or human bites. PREEXISTING conditions- stasis ulcers, dermatitides, viral skin infections, superficial bacterial infections, and bolus disease all have the risk for secondary infections. Subjective- tender, warm, erythematous areas of skin usually on face, neck, and extremities. Usually report an insect bite or some form of skin break. If recurrent cellulitis may deny any trauma or injury. Objective- Lower leg most common site of infection .If lower extremity cellulites should look for SS of tinea pedis (Athletes foot) infection can be point of entry for

· NO 1st gen cephalosporine

· Consider MRSA- Bactrim, Cleocin, Doxycycline

20. Viral Skin Infections: chicken pox, shingles, measles, warts, herpes

21. Herpes Zoster (shingles): Unexplained pain along dermatome. Unilateral

vesicular rash along dermatome lasting 3-5 days, up to 30. Treatment Famcyclovir, Acyclovir, Valacyclovir.

Prednisone taper. Vaccine.

22. herpes simplex: Oral or genital, can be asymptomatic. Tenderness, pain, mild

paresthesia's, or burning before onset. Prodrome can include headache, fever, muscle ache, lymphadenopathy, local pain. Grouped vesicles on erythematous base. No cure. Oral: lip ointment Blistex. OTC Abreva. Denavir for extensive lesions. Genital: Valacyclovir and famciclovir better choices

23. acne vulgaris: Located on face, chest, back, and upper outer arms.

· Mild = total lesions <30, noninflammatory. Comedones with small papules.

· Moderate = total lesions 30-125, inflammation. Papules & pustules with yel-

low/green tops.

· Severe = lesions > 125, nodulocystic acne.

Treatments: Tretinoin, topical vs. systemic antibiotics, Isotretinoin

24. Rosacea: Chronic, central face, persistent erythema telangiectasia, erythema-

tous papules. Treatment : Avoid triggers, topical flagyl (may take 6-8 wks), PO tetracycline, minocycline, or

27. Contact Dermatitis: o a rash that occurs at the site of exposure to a substance

capable of producing an allergic or irritant skin response. Cause:

o Noxious, irritating substances or substances to which the patient has developed

a skin allergy.

o Direct exposure to substance that triggers an immune response (T-cell mediated

response)

o May be allergic or irritant induced

Ex: poison ivy

28. Contact dermatitis treatment: o Treated topically with evaporative measures.

· the application of repeated cycles of cool water compresses followed by drying.

o Once the weeping and oozing have stopped, application of:

·-potent topical steroids two times a day to the affected areas for two to three weeks.

o It may be necessary to treat with oral steroids for two to three weeks- if more

than 10% of the body It will usually take one to three weeks for the allergen to be entirely removed from the skin so that the rash resolves entirely.

29. Seborrheic Dermatitis: o Common in Parkinson's patients and patients with

HIV. Severe cases should prompt you to look for risk factors of HIV

o Caused by Increased production of sebum

o Scaly, greasy rash- affected skin is pink, edematous, and cover with yellow to

brown scales and crusts.

o Usually seen on scalp, forehead, eyebrows, and area surrounding the nose/ears.

o Common in infancy and called "cradle cap"

Subjective- pink scaling rash located on face and scalp, typically male. May itch Objective- scaly patches that may be slightly papular. Each patch is surrounded by erythema. Greasy and appear yellow.

30. Seborrheic Dermatitis treatment: OTC dandruff shampoo, leave on 5-7 mins

to be effective. Resistant seborrhea dermatitis may require a prescription shampoo 2.5 selenium sulfide shampoo, a ketoconazole shampoo (Nizoral shampoo) and a detoconazole shampoo are available. Keratolytic or oil based lotions are used to soften heavy crust.

triamcinolone acetonide)

32. Bullous Phephigoid: Average onset 65y

-Primary lesions, tense vesicles or bulla filled with serous or serosanguineous fluid -Pruritus -Autoimmune

  • Can be caused by drugs -Diuretics -Antibiotics -Ace Inhibitors Dx: Two Biopsies Tx: Topical corticosteroid <5% body
  • Oral corticosteroids (0.5-1mg/kg tapered slowly over 6-12 months)

33. Psoriasis: o An inflammatory disease that manifests most commonly as

well-circumscribed, erythematous papules and plaques covered with *silvery scales.

o Bilaterally symmetrical

o Commonly occurs in ear canal

o Areas of the body most commonly affected are the back of the forearms, shins,

navel area, extensor surfaces of the elbows and knees, umbilicus, gluteal cleft, and scalp

o Varies in severity from small, localized patches to complete body coverage

Five main types of psoriasis:

o Plaque psoriasis: presents as red patches with white - silvers scales on top,

bilateral, seen on knees, elbows, neck, scalp, between buttock, and back, positive auspitzs sign and kobners phenomenon

o Guttate psoriasis: drop-shaped lesions, small red papules less than 1 cm, usually

on genital/lips

o Pustular psoriasis: small non-infectious pus-filled blisters, persistent or recurrent

dry red/scaly rash, first appears infancy, history of dry skin since birth

o Inverse psoriasis: red patches in skin folds, armpit,groin, etc,

oErythrodermic psoriasis: widespread rash

34. Treatment for Psoriasis: Topical treatments

· Systemic retinoids

(e.g., acitretin, isotretinoin)

· Immunosuppressants

· Cyclosporine

· Immunomodulatory agents

35. Diagnostics for Psoriasis: CBC with diff and serum chemistry profile, plus

serum uric acid, antinuclear antibody titer, and **URIC ACID USUSALLY ELEVATED Rheumatoid factor Throat culture if strep suspected Xray to search for associated arthritis

36. How Would You Characterize Someone who presents with psoriasis?: -

Chronic relapsing disorder. Plaques surrounded by thick silvery scale resembling mica.

37. How would you document/describe skin findings?: Location, color, shape

and size. Measure length, width and depth and document. Detection of tenderness, firmness, and depth with palpation. Documentation: Noted areas of plaque are red patches with white scales on top, measuring 2 cm by 3 cm noted on the back of forearms, localized, bilaterally symmetrical.

38. Squamous cell carcinoma: *· Red firm bump or

· Scaly patch or

· Sore that heals then reopens

o A malignant tumor originating from keratinocytes, which can invade the dermis

and occasional metastasize to distant sites.

o More common on head and neck (55%)

o More common in fair skinned

o 2nd most common type of skin cancer

o Tends to form in high sun exposure areas:

o Rims of ears

o Face

o Neck

o Arms

o Chest

o Back