Deck 53: Alterations in the Integumentary System

Question 1

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

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

Answer 1

acne vulgaris.

Question 2

Melanocytes

A) are cancerous.
B) contain pigment.
C) are immune cells within the skin.
D) produce sebum.

Answer 2

contain pigment.

Question 3

Deep pressure sores

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.

Answer 3

result from thrombosis of deep vessels.

Question 4

Contact dermatitis is most likely to occur in

A) infants.
B) children.
C) adolescents.
D) the elderly.

Question 5

Impetigo is a skin infection caused by

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

Question 6

A topical therapy that would tend to dry the skin is

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

Question 7

Heat loss through the skin is reduced by

A) sweating.
B) vasodilation.
C) vasoconstriction.
D) hyperemia.

Question 8

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 9

Keratinocytes are the majority of the cell types in the

A) epidermis.
B) dermis.
C) subcutaneous tissue.
D) eccrine gland.

Question 10

Which of the following cancers is considered to be the most malignant?

A) Hyperkeratosis
B) Basal cell carcinoma
C) Squamous cell carcinoma
D) Melanoma

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

Sebaceous gland secretion is increased by

A) androgens.
B) aging.
C) parasympathetic nervous system stimulation.
D) cool environmental temperature.

Question 13

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 14

Susie is a 4-year-old girl brought to the clinic for evaluation of dry, scaly, itchy patches on her 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) eczema.
C) psoriasis.
D) scabies.

Question 15

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 16

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 17

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

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

Question 18

Alan is a 48-year-old man who is concerned about a skin lesion on his back. The lesion is determined to be a nevus (mole). Which of the following findings indicates a need for further evaluation?

A) Skin-colored nevus, lacking dark pigmentation
B) Variations in color within the nevus
C) Very dark coloration
D) Size greater than 2 mm diameter

Question 19

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 20

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.