Deck 53: Alterations in the Integumentary System

Question 1

Impetigo is usually caused by a

A) virus.
B) fungus.
C) protozoan.
D) bacteria.

Answer 1

bacteria.

Question 2

Acute, painful inflammation with vesicles along the distribution of a spinal nerve (dermatome)is characteristic of

A) herpes zoster.
B) herpes simplex.
C) human papillomavirus.
D) tinea.

Answer 2

herpes zoster.

Question 3

Impetigo is a skin infection caused by

A) fungus.
B) yeast.
C) bacteria.
D) parasite.

Answer 3

bacteria.

Question 4

A 4-year-old is brought to the clinic for evaluation of dry, scaly, itchy patches on the face, antecubital areas, and behind the ears and knees.The skin is dry overall, and there is evidence of scratching.This is likely a case of

A) impetigo.
B) atopic dermatitis
C) psoriasis.
D) scabies.

Question 5

Corticosteroids are commonly administered for the management of skin disorders because they

A) are analgesics.
B) prevent infection.
C) enhance collagen production.
D) reduce inflammation.

Question 6

Which type of dermatitis is associated with cradle cap in newborns?

A) Irritant
B) Seborrheic
C) Atopic
D) Stasis

Question 7

At puberty when sebaceous gland secretion increases, follicle obstruction and infection may occur, resulting in

A) psoriasis.
B) eczema.
C) acne vulgaris.
D) pemphigus.

Question 8

Deep pressure ulcers usually

A) appear first as reddened areas that do not blanch.
B) begin in the dermal and epidermal skin layers.
C) result from thrombosis of deep vessels.
D) are an unavoidable consequence of immobility.

Question 9

Shingles is caused by the same virus that causes

A) measles.
B) mumps.
C) chicken pox.
D) rubella.

Question 10

What is the most common, benign form of skin cancer?

A) Basal
B) Squamous
C) Melanoma
D) Actinic keratosis

Question 11

Atopic dermatitis (eczema)is due to

A) parasitic infestation of the skin.
B) superficial staphylococcal infection.
C) superficial fungal infection.
D) contact with skin allergens.

Question 12

Manifestations of herpes zoster include

A) multiple fluid-filled vesicles on the lips, tongue, and hands.
B) generalized, painful maculopapular rash.
C) red, itchy palms and soles of feet.
D) a dermatomal distribution of lesions and pain.

Question 13

The presence of a widely distributed pruritic maculopapular rash and erythema is commonly associated with

A) psoriasis.
B) drug reaction.
C) scleroderma.
D) bedbug bites.

Question 14

What is the most deadly form of skin cancer?

A) Basal
B) Squamous
C) Melanoma
D) Actinic keratosis

Question 15

It is true that vitiligo

A) occurs as a result of a genetic lack of melanin production.
B) is a depigmented patch of skin.
C) occurs most commonly in light-skinned individuals.
D) is a warning sign for malignant melanoma.

Question 16

Itchy linear burrows on the hands and wrists are associated with

A) tick bites.
B) Rocky Mountain spotted fever.
C) scabies.
D) contact dermatitis.

Question 17

Which finding indicates a need for further evaluation of a nevus mole?

A) The presence of light pigmentation
B) Variations in color within the nevus
C) Very dark coloration of the mole
D) Diameter less than 2 mm

Question 18

A topical therapy that would tend to dry the skin because it is an astringent is

A) lotion.
B) gel.
C) cream.
D) ointments.

Question 19

The cancer considered to be the most malignant is

A) hyperkeratosis.
B) basal cell carcinoma.
C) squamous cell carcinoma.
D) melanoma.

Question 20

Scleroderma is characterized by

A) large, weeping, open sores.
B) thickening and decreased elasticity of the skin.
C) butterfly rash on the face.
D) hair loss and ulcer formation on the extremities.

Question 21

A post-infective painful neuralgia can occur as a complication of

A) shingles.
B) herpes simplex.
C) impetigo.
D) verrucae.

Question 22

The difference between chickenpox and measles is that chickenpox

A) is caused by a virus, whereas measles is caused by a bacterium.
B) causes a widespread rash, whereas measles causes a macular rash.
C) is a childhood infection, but measles can evolve into shingles in adults.
D) causes vesicles that scab, whereas measles remains a macular rash.

Question 23

A large, palpable bump is a

A) nodule.
B) pustule.
C) macule.
D) vesicle.
E) papule.

Question 24

A major difference between a vesicle and a wheal is that vesicles

A) contains fluid, but wheals are edematous tissue.
B) are palpable, but a wheal is not.
C) are larger than wheals.
D) are smaller than wheals.

Question 25

Which finding is characteristic of oral candidiasis?

A) Silvery plaques on the skin
B) Itching, oozing rash
C) Thickened, discolored nails
D) Whitish coating on the tongue

Question 26

Which skin disorder is thought to be caused by an autoimmune reaction and is characterized by bullous eruptions?

A) Pemphigus
B) Psoriasis
C) Pityriasis rosea
D) Lichen planus

Question 27

An elevated lesion containing purulent material is a

A) nodule.
B) pustule.
C) macule.
D) vesicle.
E) papule.

Question 28

Conditions caused by a virus include

A) athlete's foot.
B) boils.
C) warts.
D) impetigo.

Question 29

Onycholysis is characterized by

A) silvery plaques on the skin.
B) itching, oozing rash.
C) destruction of the nails.
D) whitish coating on the tongue.

Question 30

A nonpalpable spot that is not elevated or depressed is a

A) nodule.
B) pustule.
C) macule.
D) vesicle.
E) papule.

Question 31

Herpes simplex I infection

A) causes both oral and genital infections.
B) begins with a burning or tingling sensation.
C) reactivates with stress, sun exposure, menses.
D) is painless.
E) remains latent in spinal ganglia between outbreaks.

Question 32

A small blister is referred to as a

A) nodule.
B) pustule.
C) macule.
D) vesicle.
E) papule.

Question 33

A small, palpable bump is a

A) nodule.
B) pustule.
C) macule.
D) vesicle.
E) papule.

Question 34

Psoriasis is characterized by

A) silvery scale on the skin.
B) itching, oozing rash.
C) thickened, discolored nails.
D) whitish coating on the tongue.