Deck 43: Alterations of the Integument in Children

Question 1

Pregnant women who contract rubella during the first trimester may have a fetus with congenital defects.

Answer 1

True

Question 2

Which bacterial infection has as its source of infection a staff member in a newborn nursery or a family member with a pustule?

A) Atopic dermatitis
B) Staphylococcal scalded-skin syndrome
C) Bullous impetigo
D) Vesicular impetigo

Answer 2

Bullous impetigo

Question 3

Scalded-skin syndrome is the result of staphylococcal infection of burned skin.

Answer 3

False

Question 4

How does the nurse describe the skin lesions caused by tinea capitis or tinea corporis?

A) Pink to red coalescing maculopapular rash on the scalp or trunk
B) Vesicles that rupture creating a thin,flat,honey-colored crust
C) Circular (round or oval)with erythema and scaling patches
D) Red papules,vesicles,and pustules in clusters

Question 5

Which skin disorder has as its hallmark clinical manifestation skin lesions that rupture creating a thin,flat,honey-colored crust?

A) Rubella
B) Tinea capitis
C) Atopic dermatitis
D) Impetigo

Question 6

What is a common source of tinea corporis?

A) Mites
B) Kittens and puppies
C) Fleas
D) Ticks

Question 7

In cases of staphylococcal scalded-skin syndrome,the most effective treatment is direct application of antibiotics to the skin.

Question 8

Which clinical manifestation is considered the hallmark of atopic dermatitis?

A) Papular rash
B) High fever
C) Vesicles that burst and form crusts
D) Itching

Question 9

What is the most significant complication of streptococcal impetigo?

A) Acute glomerulonephritis
B) Valvular heart disease
C) Streptococcal pneumonia
D) Liver failure

Question 10

Fungal disorders of the skin are known as mycoses and when caused by dermatophytes,the mycoses are termed tinea.

Question 11

Koplik spots are characteristic of rubella.

Question 12

Frequently,diaper dermatitis is secondarily infected with:

A) Escherichia coli.
B) Candida albicans.
C) Proteus species.
D) Staphylococcus aureus.

Question 13

Atopic dermatitis is the most common cause of eczema in children.

Question 14

Which immunoglobulin is elevated in atopic dermatitis?

A) Immunoglobulin A (IgA)
B) Immunoglobulin M (IgM)
C) Immunoglobulin E (IgE)
D) Immunoglobulin G (IgG)

Question 15

Which leukocytes are elevated in atopic dermatitis?

A) Eosinophils
B) Neutrophils
C) Basophils
D) Monocytes

Question 16

Bullous impetigo is caused by a strain of _____ that produces an exfoliative toxin,resulting in a disruption in cellular adhesion.

A) Staphylococcus aureus
B) Streptococcus pyogenes
C) Escherichia coli
D) Candida albicans

Question 17

The majority of strawberry hemangiomas require surgical treatment.

Question 18

Acne lesions may be divided into inflammatory lesions (pustules,papules,and nodules)and noninflammatory lesions (closed and open comedones).

Question 19

Scabies is a contagious disease caused by the itch mite,Sarcoptes scabiei.

Question 20

Impetigo is a common viral skin infection in infants and children.

Question 21

MATCHING
Match the viral disease with the skin lesions produced.Viral diseases may be used more than once.
Groups of vesicles on an inflammatory base following the course of a sensory nerve

A)Rubella (German measles)
B)Rubeola (red measles)
C)Roseola (exanthema subitum)
D)Varicella (chicken pox)
E)Herpes zoster (shingles)

Question 22

MATCHING
Match the viral disease with the skin lesions produced.Viral diseases may be used more than once.
Early lesions blanche under pressure,followed by a brownish hue that does not blanch as the rash fades

A)Rubella (German measles)
B)Rubeola (red measles)
C)Roseola (exanthema subitum)
D)Varicella (chicken pox)
E)Herpes zoster (shingles)

Question 23

Rubella (German or 3-day measles)is a common communicable disease of children caused by a:

A) virus.
B) bacterium.
C) fungus.
D) yeast.

Question 24

Thrush is a superficial infection that commonly occurs in children and is caused by:

A) staphylococcus.
B) streptococcus.
C) herpesvirus.
D) Candida.

Question 25

MATCHING
Match the viral disease with the skin lesions produced.Viral diseases may be used more than once.
Pink to red coalescing maculopapular rash on the scalp or trunk

A)Rubella (German measles)
B)Rubeola (red measles)
C)Roseola (exanthema subitum)
D)Varicella (chicken pox)
E)Herpes zoster (shingles)

Question 26

Which skin disorder is characterized by a vesicular eruption after prolonged exposure to perspiration,with subsequent obstruction of the eccrine ducts?

A) Scabies
B) Tinea corporis
C) Pediculosis
D) Miliaria

Question 27

Which contagious disease has clinical manifestations of burrows several millimeters to 1 cm long,papules,and vesicular lesions with severe itching that worsens at night?

A) Pediculosis
B) Tinea capitis
C) Scabies
D) Rubeola

Question 28

Which vascular anomaly is a congenital malformation of dermal capillaries that does not fade with age?

A) Cutaneous hemangioma
B) Port-wine (nevus flammeus)stain
C) Strawberry hemangioma
D) Cavernous hemangioma

Question 29

Which of the following viral diseases has an incubation period of 14 to 21 days and a duration of 1 to 4 days?

A) Rubeola
B) Rubella
C) Roseola
D) Varicella

Question 30

The measles-mumps-rubella (MMR)vaccine should be administered between 12 and 15 months of age because:

A) children under this age are not susceptible to rubellA.
B) by this time maternally acquired passive immunity has been depleted.
C) children younger than 15 months of age are more likely to have an allergic reaction to the vaccine.
D) this is the period of greatest susceptibility.

Question 31

MATCHING
Match the viral disease with the skin lesions produced.Viral diseases may be used more than once.
Erythematous macular rash over the trunk and neck that lasts 24 hours

A)Rubella (German measles)
B)Rubeola (red measles)
C)Roseola (exanthema subitum)
D)Varicella (chicken pox)
E)Herpes zoster (shingles)

Question 32

MATCHING
Match the viral disease with the skin lesions produced.Viral diseases may be used more than once.
Pinpoint white spots surrounded by an erythematous ring over the buccal mucosa

A)Rubella (German measles)
B)Rubeola (red measles)
C)Roseola (exanthema subitum)
D)Varicella (chicken pox)
E)Herpes zoster (shingles)

Question 33

_____ is a contagious disease caused by the itch mite.

A) Miliaria
B) Tinea corporis
C) Pediculosis
D) Scabies

Question 34

What is the cause of molluscum contagiosum?

A) Bacteria
B) Viruses
C) Fungi
D) Rickettsia

Question 35

What is the cause of chickenpox?

A) Poxvirus
B) Herpesvirus
C) Adenovirus
D) Human papillomavirus

Question 36

Which contagious disease creates a primary skin lesion that is a pinpointed macule,papule,or wheal with hemorrhagic puncture site?

A) Pediculosis
B) Tinea capitis
C) Scabies
D) Rubeola

Question 37

Thrush may be defined as:

A) the presence of Candida in the mucous membranes of the mouths of infants.
B) the presence of bacteria in the nasal mucous membranes of infants.
C) any viral infection of the mucous membranes of the mouths of infants.
D) an acute immune response to oral medication,located in the mucosal lining of the mouths of infants.

Question 38

Rubeola is a highly contagious,acute _____ disease of children.

A) bacterial
B) fungal
C) yeast
D) viral

Question 39

Rubeola and rubella have many of the same clinical manifestations.Which clinical manifestation is present in rubeola,but not rubella?

A) Conjunctivitis
B) Enlarged lymph nodes
C) Presence of a cough
D) Runny nose

Question 40

MATCHING
Match the viral disease with the skin lesions produced.Viral diseases may be used more than once.
Red papules,vesicles,and pustules in clusters on the trunk,scalp,or face

A)Rubella (German measles)
B)Rubeola (red measles)
C)Roseola (exanthema subitum)
D)Varicella (chicken pox)
E)Herpes zoster (shingles)