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Dr. Van Offer is a medical doctor with an idea about how to improve his dermatology patients care. He would like to perform a study. What type of study should he consider?
descriptive
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The nurse is presenting an in-service to a group of nurses who will be working in a dermatology clinic. One participant asks the nurse about a bacterial skin infection that she has seen in children. Which of the following disorders is the nurse most likely referring to? a) Impetigo b) Miliaria rubra c) Seborrheic dermatitis d) Candidiasis
a)Impetigo Explanation: Impetigo is a superficial bacterial skin infection.
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The nurse is presenting an in-service to a group of nurses who will be working in a dermatology clinic. One participant asks the nurse about a bacterial skin infection that she has seen in children. Which of the following disorders is the nurse most likely referring to? a) Candidiasis b) Seborrheic dermatitis c) Impetigo d) Miliaria rubra
c)Impetigo Explanation: Impetigo is a superficial bacterial skin infection.
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Chapter 5 | Dermatology | Integumentary System
A brief Introduction to Dermatology
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A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy? a. Shave biopsy b. Punch biopsy c. Incisional biopsy d. Excisional biopsy
ANS: C An incisional biopsy would remove the entire mole and the tissue borders. The appearance of the mole indicates that it may be malignant. A shave biopsy would not remove the entire mole. The mole is too large to be removed with punch biopsy. Excisional biopsies are done for smaller lesions and where a good cosmetic effect is desired, such as on the face.
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1481. Health Maintenance/Dermatology Which of the following is considered a risk factor for the development of malignant melanoma? A. male gender B. inability to tan C. Japanese ethnicity D. brown-haired individuals
Explanations (u) A. Incidence of malignant melanoma is equal in males and females. (c) B. Inability to tan and propensity to burn are risk factors for developing malignant melanoma. (u) C. Malignant melanomas are most common in Caucasians and are rarely seen in the Japanese population. (u) D. Red hair and freckling is one of the major risk factors for malignant melanoma, not brown hair.
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Health Maintenance/Dermatology A person with atopic dermatitis should be advised to Answers A. avoid cutaneous irritants. B. take hot water baths or showers. C. use a high potency glucocorticoid on skin after bathing. D. begin a prophylactic antibiotic.
Explanations (c) A. Avoidance of cutaneous irritants, such as wool and other rough clothing, is the cornerstone of therapy for atopic dermatitis. (u) B. Patients should bathe in warm, tepid water, not hot water. (u) C. Topical glucocorticoids of low or medium potency in a cream or ointment base should be used on the skin immediately after bathing. (u) D. Prophylactic antibiotics are not indicated in the treatment of atopic dermatitis.
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History & Physical/Dermatology A patient presents with a rash, characterized by red macules and edematous papules with a clearing center. This best describes which of the following? Answers A. erythema marginatum B. erythema multiforme C. varicella D. impetigo
Explanations (u) A. Erythema marginatum is associated with rheumatic fever and is characterized by macular to maculopapular lesions. A clearing center is not found in the rash. (c) B. Target lesions, also termed iris lesions, are characteristic of erythema multiforme. The rash may be recurrent but typically resolves over 3-6 weeks. (u) C. The rash of varicella typically has maculopapules, vesicles, and scabs in various stages of development. A clearing center is not found in the rash. (u) D. The lesions of impetigo are pustules that form a honey-colored crust after rupturing.
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