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1. A microscopic examination of the sample taken from a skin lesion indicates hyphae. What type of infection might this indicate?

2. A child with a sandpaper-textured rash probably has:

3. A 40-year-old female patient presents to the clinic with multiple, painful reddened nodules on the anterior surface of both legs. She is …. These are probably … with her history of:

4. A patient is … with tinea pedis. A microscopic examination of the sample taken from the infected area would likely demonstrate:

5. When can a child with chickenpox return to daycare?

6. A patient with a primary case of scabies was probably …:

7. The nurse practitioner examines a patient who has had poison ivy for 3 days. She asks if she can spread it to her family members. The nurse practitioner replies:

8. Which chronic skin disorder primarily affects hairy areas of the body?

9. A patient with diabetes has right anterior shin edema, erythema, warmth, and tenderness to touch. This developed over the past 3 days. There is no visible pus. What is the most likely … to consider?

10. The agent commonly used to treat patients with scabies is permethrin. How often should it … applied to eradicate scabies?

11. Impetigo is characterized by:

12. A 60-year-old patient is noted to have rounding of the distal phalanx of the fingers. What might have caused this?

13. A patient has suspected scarlet fever. He likely has a sandpaper rash and:

14. A patient with a positive history of a tick bite about 2 weeks ago and erythema migrans has a positive ELISA for Borrelia burgdorferi. The Western blot is positive. How should he … managed?

15. A patient will … taking oral terbinafine for fingernail fungus. The NP knows that:

16. A skin lesion that is a solid mass is … as a:

17. The nurse practitioner is examining a 3-month-old infant who has normal development. She has identified an alopecic area at the occiput. What should … done?

18. The most common form of skin cancer is:

19. The nurse practitioner identifies satellite lesions in a 6-month-old infant. These are:

20. A patient who is at high risk for skin cancer should:

21. An example of a premalignant lesion that develops on sun-damaged skin is:

22. Which of the following areas of the body has the greatest percutaneous absorption?

23. The main difference between cellulitis and erysipelas is the:

24. Most cases of atopic dermatitis exacerbation are treated with

25. A 6-year-old patient with sore throat has coryza, hoarseness, and diarrhea. What is the likely etiology?

26. A pregnant mother in her first trimester has a 5-year-old who has Fifth Disease. What implication does this have for the mother?

27. A 74-year-old woman is … with shingles. The NP is deciding how to best manage her care. What should … prescribed?

28. An adolescent has acne. The nurse practitioner prescribed a benzoyl peroxide product for him. What important teaching point should … given to this adolescent regarding the benzoyl peroxide?

29. A 70-year-old is … with multiple cherry angiomas. The nurse practitioner knows that:

30. A patient has seborrheic dermatitis. Which vehicle would … most appropriate to use in the hairline area to treat this?

31. A patient with eczema asks for a recommendation for a skin preparation to help with xerosis. What should the NP respond?

32. A topical treatment for basal cell carcinoma is:

33. The most common place for basal cell carcinoma to … found is the:

34. An infant is … with diaper dermatitis. Satellite lesions are visible. This should … treated with a:

35. A 3-year-old female had a fever of 102° F for the last 3 days. Today she woke up from a nap and is afebrile. She has a maculopapular rash. Which statement is true?

36. A 71-year-old female presents with a vesicular rash that burns and itches. Shingles is …. An oral antiviral:

37. A skin disorder has a hallmark finding of silvery scales. What word below describes this common condition?

38. A child has 8-10 medium brown café au lait spots > 1 cm in diameter. The differential diagnosis should include:

39. A low-potency topical hydrocortisone cream would … most appropriate in a patient who has been … with:

40. A patient is found to have koilonychia. What laboratory test would … prudent to perform?

41. A 23-year-old male appears in clinic with the following lesion on his trunk. This lesion is usually associated with:

42. A 28-year-old has thick, demarcated plaques on her elbows. Which features are suggestive of psoriasis?

43. Which of the following skin lesions in an older adult is a premalignant condition?

44. A patient presents with plaques on the extensor surface of the elbows, knees, and back. The plaques are erythematous and thick, silvery scales are present. This is likely:

45. A 15-year-old male has worked this summer as a lifeguard at a local swimming pool. He complains of itching in the groin area. He is … with tinea cruris. The nurse practitioner is likely to identify:

46. A 68-year-old female adult with pendulous breasts complains of “burning” under her right breast. The nurse practitioner observes a malodorous discharge with mild maceration under both breasts. What is this?

47. An example of a first-generation cephalosporin used to treat a skin infection is:

48. A patient has a “herald patch” and is … with pityriasis rosea. Where is the “herald patch” most commonly found?

49. A 16-year-old has been … with Lyme disease. Which drug should … used to treat him?

50. A 9-year-old female has presented to your clinic because of a rash on the left, upper area of her anterior trunk. She is embarrassed and very reticent to lift her blouse because her nipple will … exposed. How should the NP proceed?

51. Hand-foot-and-mouth disease and herpangina:

52. A 74-year-old male patient has sustained a laceration to his foot. His last tetanus shot was more than 10 years ago. He has completed the primary series. What should … recommended?

53. An adolescent takes isotretinoin for nodulocystic acne. She is on oral contraceptives. Both were prescribed by the dermatologist. The adolescent presents to your clinic with a sinus infection. Her temperature is 99.5° F and her blood pressure is 160/100 mmHg. How should this … managed?

54. Johnson is a 74-year-old who presents with a pearly-domed, nodular-looking lesion on the back of the neck. It does not hurt or itch. What is a likely etiology?

55. A 16-year-old male has nodulocystic acne. What might have the greatest positive impact in managing his acne?

56. Which of the following antibiotics may increase the likelihood of photosensitivity?

57. Which of the following lesions never blanches when pressure is applied?

58. An older adult patient has been … with shingles on the right lateral aspect of her trunk. It initially appeared yesterday. It is very painful. How should she … managed?

59. A young child has developed a circumferential lesion on her inner forearm. It is slightly raised, red and is pruritic. It is about 2.5 cm in diameter. This is probably related to:

60. The primary therapeutic intervention for patients who present with hives is:

61. The lesions seen in a patient with folliculitis might … filled with:

62. Which vehicle is least appropriate in a patient who has atopic dermatitis?

63. A patient has been … with scabies. What is the medication of choice to treat this?

64. The American Cancer Society uses an ABCDE mnemonic to help patients develop awareness of suspicious skin lesions. What does the “B” represent?

65. A “herald patch” is a hallmark finding in which condition?

66. A patient has used a high-potency topical steroid cream for years to treat psoriasis exacerbations when they occur. She presents today and states that this cream “just doesn’t work anymore.” What word describes this?

67. A patient has been … with MRSA. She is allergic to sulfa. Which medication could … used to treat her?

68. Topical 5-fluorouracil (5-FU) is used to treat:

69. A patient was burned with hot water. He has several 2-3 cm fluid-filled lesions. What are these termed?

70. A child received a burn on his chest from a cup of hot coffee. On examination, the injured area appeared moist, red to ivory white in color, and features blisters. It is painful to touch. This burn would … classified as a:

71. What finding is most characteristic of shingles? A patient reports that he found a tick on himself about 2 weeks ago. He presents today with a red circle and a white center near where he remembers the tick bite. He did not seek treatment at that time. Today he complains of myalgias and arthralgias. Which laboratory test can … used to help diagnose Lyme disease?

72. The best way to evaluate jaundice associated with liver disease is to observe:

73. The term caput succedaneum refers to:

74. A 4-year-old has been … with measles. The nurse practitioner identifies Koplik’s spots. These are:

75. A patient calls your office. He states that he just came in from the woods and discovered a tick on his upper arm. He states that he has removed the tick and the area is slightly red. What should he … advised?

76. A wound has the following characteristics; partial thickness loss of dermis, a shallow open ulcer with red/pink bed, and no evidence of sloughing. What stage of pressure ulcer does this describe?

77. A patient has been in the sun for the past few weeks and has developed darkened skin and numerous 3-6 mm light-colored, flat lesions on his trunk. What is the likely etiology?

78. What advice should … given to a parent who has a child with Fifth Disease?

79. A 6-year-old has been … with Lyme disease. Which drug should … used to treat him?

80. A patient presents with small vesicles on the lateral edges of his fingers and intense itching. On close inspection, there are small vesicles on the palmar surface of the hand. What is this called?

81. A patient has 10 cm of well demarcated erythema on his lower leg that is raised and warm to touch. He had an abrupt onset of lower leg pain, and fever that began 36 hours ago. What is this?

82. What is the proper technique to safely remove a tick from a human?

83. A skin lesion fluoresces under a Wood’s lamp. What microscopic finding is consistent with this?

84. A 23-year-old male appears in clinic with the following nonpruritic lesion on his trunk. He first noticed this about 3 days ago. The lesion is probably:

85. A patient presents to the minor care area of the emergency department after … bitten by a dog. The patient states that the dog had a tag around his neck and had been seen roaming around the neighborhood for days before the patient was bitten. The dog did not exhibit any odd behavior. How should this … managed? Patients with atopic dermatitis are likely to exhibit: Which test is NOT suitable to diagnose shingles if the clinical presentation is questionable?

86. A patient exhibits petechiae on both lower legs but has no other complaints. How should the NP proceed?

87. A 9-year-old has …. with chickenpox. A drug that should … avoided in him is: