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Integumentary Skin Lecture pt. 2 Flashcards | StudBud
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Integumentary Skin Lecture pt. 2
Integumentary Skin Lecture pt. 2
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Questions
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Answers
1
How do you diagnose acne vulgaris?
made from cultures
based on H&P (history & physical examination)
2
How do you treat lichen planus?
Antihistamines for itching
Topical/Systemic cortiocosteroids for inflammation
Surgical excision
Injection
3
____ is a
bacterial infection
of the
hair follicule.
Cellulitis
Carbuncles
Furuncles
Folliculitis
4
____ results from
repeated rubbing & scratching.
Impetigo
Lichen Planus
Lichen Simplex
Psoriasis
5
What is the most DISTRESSING SYMPTOM for lichen planus?
lesions
itching
pain
dry skin
6
T/F:
Cleaning with SOAP & WATER and TOPICAL ABT
are
effective
in treating
FOLLICULITIS.
True
False
7
What is the treatment for acne conglobata?
accutane
systemic corticoidsteroid therapy
oral retionoids
systemic ABX
8
Folliculitis develops from _____
around the opening
of the
follicule
with
spreading into the follicule.
proliferations of viral organisms
from proliferation of microorganisms
9
T/F:
Post-inflammatory hyperpigmentation
is
common
for
lichen planus.
True
False
10
What kind of clinical manifestations do acne rosacea have?
telangiectasia (dilated or broken blood vessels)
erythema (skin redness)
bulla
papules (raised area of skin tissue) & pustules (bulging patch of skin)
11
Where is
lichen simplex
most commonly seen?
NAPE of the NECK, WRISTS, ANKLES, or ANAL AREA.
BEHIND THE EARS
CHIN
STOMACH
12
T/F: The
color for blackheads
results from
MELANIN
that has moved into
SEBACEOUS GLANDS
from
adjoining epidermal cells.
True
False
13
4 acne vulgaris, ____
40-100 papules & pustules
&
occasionally LARGER DEEPER, nodular inflamed lesion
(face, chest, back
Mild
Moderately Severe
Moderate
14
What drug induced skin eruption has a NIKOLSKY SIGN (skin separates easily from the DERMIS)?
Toxic Epidermal Necrolysis (TEN)
Stevens-Johnson Syndrome
Erythema Multiforme Syndrome
15
Lichen simplex begins as a SMALL PRURITIC PATCH, which after a repetitive cycle of itching & scratching develops into:
Chronic dermatitis
Acute dermatitis
16
The
incidence & severity
for
acne vulgaris
are
GREATER IN MALES.
False
True
17
What is acne rosacea associated with?
Sun sensitivity
Flushing
Warts
Nodules
18
Furuncles & carbuncles
develops after _____.
PARONYCHIA
FOLLICULITS
IMPETIGO
19
T/F:
Folliculitis
is
most prominent
on the
scalp and extremities.
False
True
20
What is the treatment for
moderate cases
of drug induced skin eruptions (like erythema multiforme)?
topical ABT
corticosteroid therapy (which is controversial)
21
T/F:
Lichen planus papules
are
FLAT-TOPPED.
The
new lesions
are
PALE PINK
& evolve into a
DARK VIOLET COLOR.
False
True
22
List the
3 types of drug reactions
that result in
bullous skin lesions.
Toxic Epidermal Necrolyis (TEN) (>30% of the epidermis)
Stevens-Johnson Syndrome (cases involving <10% of the body surface area)
Erythema Multiforme Minor (self-limiting)
Stevens-Jones Syndrome (cases involving <1% of the body surface area)
23
T/F: For
lichen simplex
,
SCRATCHING
leads to
THICKENING of the SKIN
, that looks like
TREE BARK.
True
False
24
The
comedones or cysts
for
acne conglobata
have:
have MULTIPLE OPENINGS
have LARGE ABSCESSES
have ONE OPENING
have INTERCONNECTING TISSUE
25
Acne Vulgaris may lead to
SCARRING.
NO
YES
26
T/F: Bacterial inf. can be
primary (impetigo)
or
secondary infections (deeper cutaneous infection like infected ulcers).
TRUE
FALSE
27
_____ are a
COLLECTION of FURUNCLES
that
coalesce
to form a
LARGE, INFECTED MASS.
Erysipelas
Carbuncles
28
T/F: For
furuncles,
it
frequently drains LARGE AMOUNTS of PURULENT EXUDATE.
True
False
29
T/F: Healing, for drug induced skin eruptions, are
slow and takes 6 weeks or more to regenerate skin.
False
True
30
___ is the
OUTERMOST RINGS
of
target lesions are erythemateous
; the
central portion is opaque yt, yellow, or gray
, in...
Target or Iris Lesions
Nikolsky Sign
31
What is the
most common
cause of
folliculitis?
staph aureus
person to person contact
32
Lichen planus
may
last months to years.
What is the
average duration?
3-4 months
1 year
9-12 months
6-18 months
33
T/F:
Acne rosacea
occur in
MIDDLE OF THIRD OF FACE
, including
forehead, nose, cheeks, & chin.
False
True
34
Select all the Pustular Disorders.
Acne Vulgaris
Acne Conglobota
Erythema Multiforme
35
T/F: Treament for bacterial infections is
ABX THERAPY
.
False
True
36
T/F: Furuncles & carbuncles
initial lesions
are a
deep, firm, red, painful NODULE 1-5 cm in diameter.
True
False
37
Bacterial infections can be:
CARBUNCLES & CELLULITIS
ERYSIPELAS & IMPETIGO
FURUNCLES
FOLLICULITIS & IMPETIGO
38
What drug induced skin eruption has a target or iris lesion?
Toxic Epidermal Necrolysis (TEN)
Erythema Multiforme Minor
Stevens-Johnson Syndrome
39
What are some
factors
for
folliculitis?
trauma
poor hygiene
prolonged skin moisture
good hygiene
40
____ is a
pustular disorder
that occurs
LATER IN LIFE
as a
CHRONIC FORM of ACNE.
Impetigo
Acne Vulgaris
Carbuncles
Acne Conglobata
41
_____ is
chronic inflammation of the skin
that develops in
MIDDLE-AGED ADULTS
. The
CAUSE IS UNKNOWN.
Furuncles
Acne Vulgaris
Acne Conglabota
Acne Rosacea
42
What is the treatment for furuncles & carbuncles?
I&D (incision & drainage for abscess)
warm compresses
cold compresses
ABT (for recurrent infections)
43
Healing (for acne conglobata) often leaves DEEP KELODIAL LESIONS.
YES
NO
44
Furuncles can be on the ____, _____, & ____.
FACE
LEGS
BACK
NECK
45
T/F: For
acne conglobata
,
INFLAMMATORY NODULES
are
NOT UNCOMMON
.
False
True
46
With _____ it can develop into
FIRM MASS
that evolves into an
ERYTHEMATOUS painful swollen mass tht DRAINS THRU OPENINGS
CARBUNCLES
ERYSIPELAS
47
T/F:
Furuncles
are usually caused by
s. aureus
and
BEGINS at HAIR FOLLICULES.
True
False
48
For acne conglobata, affected persons have:
ESR
anemia with ELEVATED WBCs
s. aureus
neutrophil counts
49
BACTERIA
is considered
NORMAL FLORA of the SKIN.
True
False
50
____ involves
> 30% of the EPIDERMIS.
Stevens-Johnson Syndrome
Toxic Epidermal Necrolysis (TEN)
Erythema Multiforme Minor
51
T/F: Soap is effective for acne vulgaris.
True
False
52
What are some characteristics of erythema multiforme?
BULLS EYE or TARGET LESIONS (w/ concentrated rings)
SCATTERED RASH
53
T/F: Most BACTERIA are NOT PATHOGENIC.
True
False
54
For lichen planus, persistant lesions become ______.
decreases in size
hypertrophic (enlargement or overgrowth)
55
____ is
SELF-LIMITATING.
Stevens-Johnson Syndrome
Erythema Multiforme Minor
Toxic Epidermal Necrolysis (TEN)
56
T/F: Lesions for erythema multiforme vary in presentation & may involve the skin or mucus membranes or both.
True
False
57
____ is when
LATERAL PRESSURE
causes the
SURROUNDING SKIN
to
SEPARATE EASILY
from the
DERMIS.
Nikolsky Sign
Target or iris lesions
58
Acne vulgaris affects
more than ___% of teenagers.
45%
30%
85%
10%
59
Review: Furuncles are "____" & they are
inflammation of hair follicules.
BOILS
CYSTS
60
T/F:
Toxic epidermal necrolysis
(TEN) have
numerous erythematous bullous lesions
on the
skin & mucus membranes.
False
True
61
____: consist of
PAPULES, PUSTULES, NODULES
and, in
severe cases, CYSTS.
(acne vulgaris section)
Non-inflammatory
Inflammatory
62
_____ is called when
SQUEEZING BOILS
result in
SPREAD OF INFECTION
to other
AREAS OF THE SKIN.
Autoinoculation
Carbuncles
63
T/F: Any
skin area with HAIR can be infected by FURUNCLES & CARBUNCLES.
True
False
64
Acne rosacea
may have
CONJUNCTIVITIS & KERATITIS
that may result in _______.
Physical Impairment
Motor impairment
Visual Impairment
65
T/F:
Acne vulgaris
can cause
PSYCHOLOGICAL ISSUES.
True
False
66
____ is characterized by INFLAMMATION of the SKIN and MUCOUS MEMBRANES, often associated with TOXIC REACTIONS to DRUGS.
Cellulitis
Impetigo
Erythema Multiforme
Furuncles
67
T/F: For acne rosacea, hypertrophy of sebacious gland may produce reversible bulbous appearance of the nose (rhinophyma)
False
True
68
For acne vulgaris
, _____ is
10-40 erythemateous papules & pustules
usually
LIMITED
to the
FACE
.
Moderately Severe
Moderate
Mild
69
(some) Lichen planus develop after:
chicken pox
staph aureus
cause is unknown
exposure to drugs or film processing chemical
70
T/F:
Surgical excision of excessive tissue
may be needed for
rhinophyma.
True
False
71
The
lesions for folliculitis
appears as ____ with a
surrounding area of erythema.
fissure
nodules
pustules
patch
72
What is the treatment for
minor cases
of drug induced skin eruptions (like erythema multiforme)?
antipruritic drugs
topical anesthetics
accutane
compresses
73
What are some prodromal symptoms of erythema multiforme?
cough
malaise
sore throat
H/A (headache) & fever
74
_____ (for acne vulgaris) are PLUGS of MATERIAL that accumulate in SEBACEOUS GLANDS that OPEN to the SKIN SURFACE.
WHITEHEADS
BLACKHEADS
75
The pruritic papules for lichen planus are found where?
WRISTS & ANKLES
GENITALIA
NECK
LOWER LEGS
76
T/F: For drug induced skin eruptions,
early recognition & discontinuation
of the drug
are
ESSENTIAL.
NO
YES
77
What is the treatment for
severe cases
of drug induced skin eruptions (like erythema multiforme)?
hospitalization (refer to packet for details)
home therapy
78
T/F: Most
drugs
(in drug induced skin eruptions) can cause a
LOCALIZED or GENERALIZED SKIN ERUPTION
& can be
FATAL.
False
True
79
Select the treatments for acne vulgaris.
Cleaning oils
Topical ABX & Oral ABX
Isotretinoin (Accutane)
Topical Retinoids
80
Lichen simplex is characterized by the occurence of ______.
moist & hydrated skin
itchy, reddened, thickened, & scaly patches of dry skin
lesions
warts
81
For
acne vulgaris,
_____
is < 10 comedones
with
few inflammatory papules.
Moderate
Moderately Severe
Mild
82
In acne rosacea ____ and ____ accentuates (makes it more noticeable) erythema.
Greasy Foods
Chocolate
Hot Drinks
Alcohol
83
____: consists of
COMEDONES
(whiteheads & blackheads)
(acne vulgaris section)
Inflammatory
Non-inflammatory
84
_____ are a collection of infected hair follicules; usually at the BACK OF THE NECK, UPPER BACK & LATERAL THIGHS.
Cellulitis
Carbuncles (second definition of it)
85
T/F: With
carbuncles,
you can develop an
ABSCESS.
True
False
86
T/F:
Furuncles
is a
bacterial infection
that is also called
BOILS.
True
False
87
T/F: For
acne vulgaris
,
whiteheads
, are
PALE
, slightly
ELEVATED PAPULES
with
NO VISIBLE ORFICE.
True
False
88
___ is a
BENIGN
AUTOIMMUNE INFLAMMATORY DISORDER
of the SKIN and
MUCOUS MEMBRANES
.
Lichen Simplex
Acne Rosacea
Lichen Planus
Acne Conglobata
89
The severity of acne (for acne vulgaris) is assessed by the ____, ____, and _____.
color
type
number
distribution of lesions
90
Treatment for acne vulgaris focuses on what?
limiting scar formation
clearing up existing lesions
preventing new lesions
compresses
91
What is the most common form of erythema multiforme in children and young adults?
Stevens-Johnson Syndrome (severe bullous form)
Toxic Epidermal Necrolysis (TEN)
Steven-Jones Syndrome
92
______ is a
disorder
of the
PILOSEBACEOUS unit
that results in
formation of discrete papular or pustular lesions.
Psoriasis
Acne Vulgaris
Acne rosacea
Acne Conglobata
93
T/F: Lichen planus begins with non-scaling, violet colored pruritic papules that are 2-4 mm.
False
True
94
How do you diagnose for bacterial infections?
from cultures
based on H&P
95
Where are the lesions located for acne vulgaris?
to a lesser extent, on the back, chest, & shoulders.
Face & Neck
Extremities
96
When does acne vulgaris begins?
Begins around puberty -- may begin earlier & persist longer for females
In childhood
97
____ has cases involving
< 10% of the BODY SURFACE AREA.
Erythema Multiforme Minor
Stevens-Johnson Syndrome
Toxic Epidermal Necrolyis (TEN)