Question 1

What term is used to identify skin lesions that are elevated, rounded, and firm with irregular clawlike margins that extend beyond the original site of injury?

Accepted Answer

A) Psoriasis 
B) Dermatitis 
C) Acne 
D) Keloid

Question 2

A patient was hospitalized with frostbite and is receiving ibuprofen. The patient asks the healthcare professional to explain the rationale for the drug. What is the best response?

Accepted Answer

A) Treating fever 
B) Preventing plate aggregation 
C) Reducing pain 
D) Inhibiting prostaglandins

Question 3

A healthcare professional assesses a patient who has elevated lesions on the face that are waxy and yellowish. What condition does the professional discuss with the patient?

Accepted Answer

A) Basal keratosis 
B) Seborrheic keratosis 
C) Keratoacanthoma 
D) Actinic keratosis

Question 4

Which inflammatory mediators are active in frostbite? (Select all that apply.)

Accepted Answer

A) Leukotrienes 
B) Histamine 
C) Prostaglandins 
D) Bradykinin 
E) Thromboxanes

Question 5

Cutaneous vasculitis develops from the deposit of which substance?

Accepted Answer

A) Immune complexes 
B) Immunoglobulin E (Ig
E)  
C) Complement proteins 
D) T lymphocytes

Question 6

The student learns that which skin lesion is mediated by the immunoglobulin E (IgE)-stimulated release of histamine, bradykinin, or kallikrein from mast cells?

Accepted Answer

A) Dermatitis 
B) Scleroderma 
C) Urticaria 
D) Cutaneous vasculitis

Question 7

In allergic contact dermatitis, which cells possess the antigens and present them to T cells?

Accepted Answer

A) Langerhans cells 
B) Merkel cells 
C) Keratinocytes 
D) Macrophages

Question 8

A patient shows the healthcare professional a collection of infected hair follicles on the back of the neck is red, painful, and draining. What condition does the professional educate the patient on?

Accepted Answer

A) Erysipelas 
B) Furuncles 
C) Carbuncles 
D) Boils

Question 9

Which receptors of the sympathetic nervous system regulate heat loss through the skin?

Accepted Answer

A) Cholinergic 
B) b-Adrenergic 
C) a-Adrenergic 
D) Anticholinergic

Question 10

A patient has an intradermal nevus. What assessment does the healthcare professional know is consistent with this lesion?

Accepted Answer

A) Flat, dark, may be up to 2 cm in size 
B) Elevated and smooth surface 
C) Regular edges with bristle-like hairs 
D) Heaped-up, keratinized cells

Question 11

The healthcare professional educates a community group that chickenpox (varicella) may be followed years later by which disorder?

Accepted Answer

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

Question 12

A patient with scleroderma asks the healthcare professional how this condition was acquired. What response is best?

Accepted Answer

A) X-linked recessive gene 
B) X-linked dominant gene 
C) Virus 
D) Autoantibodies

Question 13

In latex allergies, which immunoglobulin (Ig) is associated with an immediate reaction?

Accepted Answer

A) IgA 
B) IgE 
C) IgG 
D) IgM

Question 14

A woman has developed hirsutism. What conditions should the healthcare professional assess her for? (Select all that apply.)

Accepted Answer

A) Adrenal hyperplasia 
B) Cushing disease 
C) Polycystic ovaries 
D) Addison disease 
E) Adrenal tumor

Question 15

A patient has a furuncle. Where would the healthcare professional assess the patient for this condition?

Accepted Answer

A) Feet 
B) Palms 
C) Hair follicles 
D) Fingernails

Question 16

What information does the student learn about Kaposi sarcoma? (Select all that apply.)

Accepted Answer

A) South America has been the site of the endemic form of Kaposi sarcoma. 
B) Kaposi sarcoma is a vascular malignancy. 
C) It is associated with drug-induced immunosuppression. 
D) Kaposi sarcoma is associated with acquired immunodeficiency syndrome (AIDS). 
E) The classic form of Kaposi sarcoma is observed on the lower legs of older men.

Question 17

A patient has an onychomycosis. Where would the healthcare professional assess this disorder?

Accepted Answer

A) Scalp 
B) Fingernail 
C) Lower legs 
D) Mucus membranes

Exam 47: Structure, Function, and Disorders of the Integument