Question 1

Pityriasis rosea is caused by a:

Accepted Answer

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

Question 2

Of the sweat glands, the _____ glands are most abundant in the axillae and genital areas.

Accepted Answer

A)  eccrine 
B)  apocrine 
C)  sebaceous 
D)  subcutaneous 
A)  eccrine 
B)  apocrine 
C)  sebaceous 
D)  subcutaneous B

Question 3

If a patient has carbuncles, the infection will be located in the:

Accepted Answer

A)  hair follicles. 
B)  papillary layer of the dermis. 
C)  reticular layer of the dermis. 
D)  subcutaneous tissue. 
A)  hair follicles. 
B)  papillary layer of the dermis. 
C)  reticular layer of the dermis. 
D)  subcutaneous tissue. A

Question 4

A 52-year-old female diagnosed with systemic scleroderma is at risk for which complication?

Accepted Answer

A)  Cutaneous vasculitis 
B)  Raynaud phenomenon 
C)  Cellulitis 
D)  Infection 
A)  Cutaneous vasculitis 
B)  Raynaud phenomenon 
C)  Cellulitis 
D)  Infection

Question 5

A 36-year-old male is experiencing frontotemporal hair recession.He is diagnosed with male pattern baldness, which is a form of:

Accepted Answer

A)  alopecia. 
B)  areata. 
C)  hirsutism. 
D)  paronychia. 
A)  alopecia. 
B)  areata. 
C)  hirsutism. 
D)  paronychia.

Question 6

A 28-year-old male is admitted to the burn unit 2 hours after receiving second- and third-degree burns over 50% of his body surface in an industrial explosion.Abnormal vital signs include low blood pressure and tachycardia.Lab results show a high hematocrit due to:

Accepted Answer

A)  sickle cell syndrome. 
B)  fluid movement out of the vascular space. 
C)  renal failure. 
D)  increased vascular protein secondary to increased metabolism. 
A)  sickle cell syndrome. 
B)  fluid movement out of the vascular space. 
C)  renal failure. 
D)  increased vascular protein secondary to increased metabolism.

Question 7

A wound scar that is sharply elevated, irregularly shaped, and progressively enlarging is a result of excessive amounts of _____ accumulated during connective tissue repair.

Accepted Answer

A)  elastin 
B)  collagen 
C)  keratin 
D)  calcification 
A)  elastin 
B)  collagen 
C)  keratin 
D)  calcification

Question 8

A 42-year-old female presents with raised red lesions with a brownish scale.She was diagnosed with discoid lupus erythematosus.This disorder is related to:

Accepted Answer

A)  infection. 
B)  trauma. 
C)  autoimmunity. 
D)  cancer. 
A)  infection. 
B)  trauma. 
C)  autoimmunity. 
D)  cancer.

Question 9

Which of the following burns is most painful?

Accepted Answer

A)  First degree 
B)  Second degree 
C)  Charring 
D)  Third degree 
A)  First degree 
B)  Second degree 
C)  Charring 
D)  Third degree

Question 10

A 13-year-old female is concerned about several pigmented skin lesions on her body.Her primary care provider tells her that these lesions must be monitored because of their ability to transform into malignant melanoma.These lesions are referred to as:

Accepted Answer

A)  macules. 
B)  nevi. 
C)  plaques. 
D)  keloids. 
A)  macules. 
B)  nevi. 
C)  plaques. 
D)  keloids.

Question 11

A 30-year-old female has a history of frequent candidiasis.The area most likely affected includes: (Select all that apply.)

Accepted Answer

A)  plantar surface of the foot. 
B)  eyes. 
C)  ears. 
D)  mucous membranes. 
E)  vagina. 
A)  plantar surface of the foot. 
B)  eyes. 
C)  ears. 
D)  mucous membranes. 
E)  vagina.

Question 12

A 50-year-old male recently underwent a liver transplant and is taking immunosuppressive drugs.He now has painful vesicular eruptions on the face and trunk.He reports that he had chickenpox as a child.Which of the following is the most likely diagnosis based on his chicken pox history?

Accepted Answer

A)  Erysipelas 
B)  Poliomyelitis 
C)  Warts 
D)  Herpes zoster 
A)  Erysipelas 
B)  Poliomyelitis 
C)  Warts 
D)  Herpes zoster

Question 13

A 27-year-old male lung transplant patient developed Kaposi sarcoma (KS).The nurse knows that the cause of this patient's KS is most likely related to the fact that the patient:

Accepted Answer

A)  is malnourished. 
B)  was exposed to hepatitis B. 
C)  is immunosuppressed. 
D)  was diagnosed with cystic fibrosis. 
A)  is malnourished. 
B)  was exposed to hepatitis B. 
C)  is immunosuppressed. 
D)  was diagnosed with cystic fibrosis.

Question 14

A 45-year-old male presents with a chronic blister-forming disease of the skin and oral mucous membranes.The nurse would recognize this condition as:

Accepted Answer

A)  lupus erythematosus. 
B)  pemphigus. 
C)  psoriasis. 
D)  eczema. 
A)  lupus erythematosus. 
B)  pemphigus. 
C)  psoriasis. 
D)  eczema.

Question 15

A 10-year-old male is playing with matches and gets burned.His burn is waxy white in appearance.This burn is classified as:

Accepted Answer

A)  first degree. 
B)  superficial partial-thickness. 
C)  deep partial-thickness. 
D)  third degree. 
A)  first degree. 
B)  superficial partial-thickness. 
C)  deep partial-thickness. 
D)  third degree.

Question 16

Individuals of which descent are more prone to developing keloids?

Accepted Answer

A)  Black 
B)  Northern European 
C)  Asian 
D)  Native American 
A)  Black 
B)  Northern European 
C)  Asian 
D)  Native American

Question 17

Dermal appendages include which of the following structures? (Select all that apply.)

Accepted Answer

A)  Apocrine glands 
B)  Nails 
C)  Dermal papilla 
D)  Hair 
E)  Eccrine glands 
A)  Apocrine glands 
B)  Nails 
C)  Dermal papilla 
D)  Hair 
E)  Eccrine glands

Question 18

A 40 year old is diagnosed with skin cancer.It is explained that the most important risk factor for skin cancer is:

Accepted Answer

A)  amount of direct sun exposure at a young age. 
B)  amount of sun exposure over age 50. 
C)  lifetime amount of sun exposure. 
D)  living in equatorial regions where the sun is most intense. 
A)  amount of direct sun exposure at a young age. 
B)  amount of sun exposure over age 50. 
C)  lifetime amount of sun exposure. 
D)  living in equatorial regions where the sun is most intense.

Question 19

In burn injury patients, the rule of nines and the Lund and Browder chart are used to estimate:

Accepted Answer

A)  depth of burn injury. 
B)  possibility of infection. 
C)  degree of systemic involvement. 
D)  total body surface area burned. 
A)  depth of burn injury. 
B)  possibility of infection. 
C)  degree of systemic involvement. 
D)  total body surface area burned.

Question 20

A 70-year-old male nursing home resident developed a dermal pressure ulcer.This condition is most often caused by: (Select all that apply.)

Accepted Answer

A)  shearing forces 
B)  friction 
C)  moisture 
D)  unrelieved pressure 
E)  high-carbohydrate diet 
A)  shearing forces 
B)  friction 
C)  moisture 
D)  unrelieved pressure 
E)  high-carbohydrate diet

Exam 43: Structure, Function, and Disorders of the Integument

Pityriasis rosea is caused by a:

Of the sweat glands, the _____ glands are most abundant in the axillae and genital areas.

If a patient has carbuncles, the infection will be located in the:

A 52-year-old female diagnosed with systemic scleroderma is at risk for which complication?

A 36-year-old male is experiencing frontotemporal hair recession.He is diagnosed with male pattern baldness, which is a form of:

A 28-year-old male is admitted to the burn unit 2 hours after receiving second- and third-degree burns over 50% of his body surface in an industrial explosion.Abnormal vital signs include low blood pressure and tachycardia.Lab results show a high hematocrit due to:

A wound scar that is sharply elevated, irregularly shaped, and progressively enlarging is a result of excessive amounts of _____ accumulated during connective tissue repair.

A 42-year-old female presents with raised red lesions with a brownish scale.She was diagnosed with discoid lupus erythematosus.This disorder is related to:

Which of the following burns is most painful?

A 13-year-old female is concerned about several pigmented skin lesions on her body.Her primary care provider tells her that these lesions must be monitored because of their ability to transform into malignant melanoma.These lesions are referred to as:

A 30-year-old female has a history of frequent candidiasis.The area most likely affected includes: (Select all that apply.)

A 50-year-old male recently underwent a liver transplant and is taking immunosuppressive drugs.He now has painful vesicular eruptions on the face and trunk.He reports that he had chickenpox as a child.Which of the following is the most likely diagnosis based on his chicken pox history?

A 27-year-old male lung transplant patient developed Kaposi sarcoma (KS).The nurse knows that the cause of this patient's KS is most likely related to the fact that the patient:

A 45-year-old male presents with a chronic blister-forming disease of the skin and oral mucous membranes.The nurse would recognize this condition as:

A 10-year-old male is playing with matches and gets burned.His burn is waxy white in appearance.This burn is classified as:

Individuals of which descent are more prone to developing keloids?

Dermal appendages include which of the following structures? (Select all that apply.)

A 40 year old is diagnosed with skin cancer.It is explained that the most important risk factor for skin cancer is:

In burn injury patients, the rule of nines and the Lund and Browder chart are used to estimate:

A 70-year-old male nursing home resident developed a dermal pressure ulcer.This condition is most often caused by: (Select all that apply.)

Cellular Biology

Genes and Genetic Diseases

Epigenetics and Disease

Altered Cellular and Tissue Biology

Fluids and Electrolytes, Acids and Bases

Innate Immunity: Inflammation and Wound Healing

Adaptive Immunity

Disorders of the Central and Peripheral Nervous Systems and Neuromuscular Junction

Alterations in Immunity

Infection and Defects in Mechanisms of Defense

Stress and Disease

Biology of Cancer

Cancer Epidemiology

Cancer in Children and Adolescents

Structure and Function of the Neurologic System

Pain, Temperature, Sleep, and Sensory Function

Alterations in Cognitive Systems, Cerebral Hemodynamics, and Motor Function

Mechanisms of Hormonal Regulation

Alterations of Hormonal Regulation

Obesity and Disorders of Nutrition

Structure and Function of the Hematologic System

Alterations of Hematologic Function

Alterations of Hematologic Function in Children

Structure and Function of the Cardiovascular and Lymphatic Systems

Alterations of Cardiovascular Function

Alterations of Cardiovascular Function in Children

Structure and Function of the Pulmonary System

Alterations of Pulmonary Function

Alterations of Pulmonary Function in Children

Structure and Function of the Renal and Urologic Systems

Alterations of Renal and Urinary Tract Function

Alterations of Renal and Urinary Tract Function in Children

Structure and Function of the Reproductive Systems

Alterations of the Female Reproductive System

Alterations of the Male Reproductive System

Structure and Function of the Digestive System

Alterations of Digestive Function

Alterations of Digestive Function in Children

Structure and Function of the Musculoskeletal System

Alterations of Musculoskeletal Function

Alterations of Musculoskeletal Function in Children

Alterations of the Integument in Children

Alterations of Neurologic Function in Children

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