CMS100 Practical Exams Dermatology Exam Techniques
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Questions and Answers

What is the primary symptom associated with jaundice?

  • Blue discoloration of the lips
  • White patches on the hands
  • Yellow coloring of the skin (correct)
  • Red coloring of the eyes

Which body part should be examined to match the description of a melanoma provided in the text?

  • Anterior neck (correct)
  • Elbows
  • Back of the knees
  • Feet

What is an accurate feature of a melanoma according to the text?

  • Symmetrical shape with regular borders
  • Flat lesion with even color distribution
  • Yellow in color
  • Asymmetrical shape with irregular borders (correct)

Which area should be examined to observe the shape, contour, and texture of the nails according to the text?

<p>Proximal and lateral nail folds (E)</p> Signup and view all the answers

What should be done to examine most of the upper and lower legs according to the text?

<p>Raise the gown up to mid-thigh (A)</p> Signup and view all the answers

Where should special attention be paid during examination according to the text?

<p>Behind the knees (C)</p> Signup and view all the answers

Which part of both arms should be examined according to the text?

<p>Dorsal and ventral surfaces (A)</p> Signup and view all the answers

What should be done to examine areas between fingers?

<p>Examine webs between fingers (B)</p> Signup and view all the answers

What is the most appropriate action to take first when performing a dermatology exam according to the text?

<p>Assess the skin on the scalp (A)</p> Signup and view all the answers

In dark-skinned individuals, what might simulate cyanosis in the lips?

<p>Melanin in the lips (A)</p> Signup and view all the answers

What area should be examined for pallor to assess better in dark-skinned individuals?

<p>Palms and soles (D)</p> Signup and view all the answers

What is an indicator of central cyanosis based on the text?

<p>Cyanosis of nails, hands, and feet (C)</p> Signup and view all the answers

Why is it important to pull down the lower lids during a dermatology exam?

<p>To assess palpebral conjunctiva (C)</p> Signup and view all the answers

What should be inspected to identify central cyanosis according to the text?

<p>Conjunctival rims (B)</p> Signup and view all the answers

What can be assessed for yellowing of the skin during a dermatology exam?

<p>Palms and soles (A)</p> Signup and view all the answers

What area should be observed closely for changes in pigmentation during a dermatology exam?

<p>Nasolabial folds (E)</p> Signup and view all the answers

What is the primary purpose of lifting a fold of skin on the dorsum of the hand, subclavicular fossa, or anterior thigh?

<p>Assess mobility and turgor (A)</p> Signup and view all the answers

Which clinical characteristic was found to be decreased in elderly people with hypernatremia according to a study mentioned in the text?

<p>Skin turgor (D)</p> Signup and view all the answers

What is a typical presentation of tinea versicolor?

<p>Multiple hypopigmented macules symmetrically distributed on the upper chest (C)</p> Signup and view all the answers

Which condition is characterized by multiple, raised, red, and scaly patches on the hand with thick silvery/white dry scale?

<p>Psoriasis (A)</p> Signup and view all the answers

How can you assess the temperature of the skin on the arms and legs?

<p>Use the backs of your hands (B)</p> Signup and view all the answers

What is a common feature of both tinea versicolor and plaque psoriasis?

<p>'Thick silvery/white dry scale' (D)</p> Signup and view all the answers

When examining the skin for roughness or smoothness, what characteristic are you assessing?

<p>'Texture' (C)</p> Signup and view all the answers

'Moisture' examination in the text refers to assessing which aspect of the skin?

<p>'Dryness, sweating, and oiliness' (D)</p> Signup and view all the answers

What is the characteristic of a macule?

<p>Flat, nonpalpable circumscribed area of color change (B)</p> Signup and view all the answers

Which skin lesion is characterized by elevated, firm, circumscribed lesions up to 1 cm in size?

<p>Papule (D)</p> Signup and view all the answers

What is the likely diagnosis for two annular lesions on the forearm that are circular with red raised borders and central clearing?

<p>Tinea corporis (ringworm) (D)</p> Signup and view all the answers

Which skin lesion involves elevated, flattopped, firm, rough, superficial lesions that are often formed by the coalescence of papules?

<p>Plaque (C)</p> Signup and view all the answers

What is the main difference between a macule and a patch?

<p>Size - Macule is larger than a patch (D)</p> Signup and view all the answers

What is the defining feature of a papule?

<p>Elevated, firm, circumscribed lesion up to 1 cm (B)</p> Signup and view all the answers

How would you describe the color change in a macule?

<p>Nonpalpable with color change (D)</p> Signup and view all the answers

Which skin lesion could be described as a flat nonpalpable circumscribed area with changes in skin color?

<p>Patch (D)</p> Signup and view all the answers

What is a wheal characterized by?

<p>Localized skin edema (C)</p> Signup and view all the answers

How does a pustule differ from a vesicle?

<p>Filled with pus (B)</p> Signup and view all the answers

What is lichenification characterized by?

<p>Thickening of the epidermis and roughening of the skin (C)</p> Signup and view all the answers

Which lesion is described as a nodular, firm, circumscribed area larger than 0.5 cm?

<p>Nodule (D)</p> Signup and view all the answers

What differentiates a bulla from a vesicle?

<p>1 cm or larger with serous fluid (C)</p> Signup and view all the answers

Excoriation is characterized by:

<p>Linear or punctuate loss of epidermis due to scratching (D)</p> Signup and view all the answers

What distinguishes a crust from a scale?

<p>Dried residue of skin exudate (B)</p> Signup and view all the answers

What best describes a vesicle?

<p>Superficial fluid-filled blister (B)</p> Signup and view all the answers

What should be examined to observe the shape, contour, and texture of the nails?

<p>The area around the proximal and lateral nail folds (B)</p> Signup and view all the answers

What is a common feature of both tinea versicolor and plaque psoriasis?

<p>Changes in skin color (A)</p> Signup and view all the answers

In dermatology exams, what could simulate cyanosis in dark-skinned individuals?

<p>Yellow coloration of the sclera (D)</p> Signup and view all the answers

What distinguishes a crust from a scale in skin lesions?

<p>Texture (A)</p> Signup and view all the answers

Why is it important to pull down the lower lids during a dermatology exam?

<p>To observe signs of jaundice (C)</p> Signup and view all the answers

What is lichenification characterized by?

<p>Elevated, rough, superficial lesions (A)</p> Signup and view all the answers

What is the primary purpose of lifting a fold of skin on the dorsum of the hand, subclavicular fossa, or anterior thigh during a dermatology exam?

<p>Observe skin turgor and elasticity (D)</p> Signup and view all the answers

Which characteristic is assessed by using the backs of your hands to check the skin's temperature on the arms and legs?

<p>Skin temperature (C)</p> Signup and view all the answers

What can be inferred if, during a dermatology exam, tenting of the skin lasts more than 3 seconds after being lifted for 3 seconds?

<p>Dehydration is present (A)</p> Signup and view all the answers

When examining the skin for roughness or smoothness, which aspect are you primarily assessing?

<p>Texture (D)</p> Signup and view all the answers

What aspect of skin is checked by observing the ability of a lifted fold to return to normal after being released?

<p>Skin turgor (A)</p> Signup and view all the answers

In a dermatology exam, what does tenting of the skin on the dorsum of the hand, subclavicular fossa, or anterior thigh indicate?

<p>Decreased skin turgor (C)</p> Signup and view all the answers

During a dermatology examination, why is it essential to assess skin turgor by lifting a fold of skin?

<p>To check for dehydration based on tenting time (D)</p> Signup and view all the answers

When examining the arms and legs for temperature, what should be used as the primary tool?

<p>Palms of hands (B)</p> Signup and view all the answers

What can be observed in the nails of healthy, darker-skinned individuals according to the text?

<p>Longitudinal bands of pigment (D)</p> Signup and view all the answers

Which skin lesion is described as elevated, flattopped, firm, rough, superficial lesions often formed by the coalescence of papules?

<p>Plaque (D)</p> Signup and view all the answers

What characteristic describes a macule?

<p>Nonpalpable circumscribed area with color change (B)</p> Signup and view all the answers

How are tinea corporis lesions typically described based on the text?

<p>Flat with central clearing (C)</p> Signup and view all the answers

Which characteristic is an indicator of central cyanosis based on the text?

<p>Cyanotic lips (B)</p> Signup and view all the answers

What is lichenification characterized by?

<p>Thickening and roughening of the skin (B)</p> Signup and view all the answers

What differentiates a pustule from a vesicle?

<p>Presence of thick silvery/white dry scale (C)</p> Signup and view all the answers

How would you describe a patch based on the text?

<p>&quot;Flat, nonpalpable lesion with changes in skin color&quot; (C)</p> Signup and view all the answers

Which skin lesion is typically deeper and firmer than a papule?

<p>Nodule (B)</p> Signup and view all the answers

What skin lesion is filled with pus?

<p>Pustule (C)</p> Signup and view all the answers

What is the visual characteristic of lichenification?

<p>Roughening of the skin with increased visibility of normal skin furrows (C)</p> Signup and view all the answers

Which skin lesion is characterized by a relatively transient, elevated, irregularly shaped area of localized skin edema?

<p>Wheal (A)</p> Signup and view all the answers

What skin lesion is an elevated, flattopped, firm, rough, superficial lesion often formed by the coalescence of papules?

<p>Plaque (C)</p> Signup and view all the answers

Which skin lesion is a palpable, elevated, circumscribed, superficial, fluid-filled area?

<p>Vesicle (A)</p> Signup and view all the answers

What skin lesion involves a nodular area larger than 0.5 cm?

<p>Nodule (A)</p> Signup and view all the answers

Which skin lesion is characterized by a vesicle 1 cm or larger filled with serous fluid?

<p>Bulla (B)</p> Signup and view all the answers

During a dermatology exam, where should the examiner primarily assess the skin color?

<p>Neckline and ears (C)</p> Signup and view all the answers

What should be examined to identify pallor as part of a dermatology exam?

<p>Eyelids (B)</p> Signup and view all the answers

What might simulate cyanosis in dark-skinned individuals during a dermatology exam?

<p>Melanin in lips (D)</p> Signup and view all the answers

Where should special attention be paid during a dermatology exam according to the text?

<p>Behind the ears (B)</p> Signup and view all the answers

In dark-skinned individuals, where might pallor be observed to assess cyanosis?

<p>Fingernails (A)</p> Signup and view all the answers

What should an examiner assess for to better visualize skin underneath during a dermatology exam?

<p>Color changes (A)</p> Signup and view all the answers

What should an examiner observe for yellowing of the skin during a dermatology exam?

<p>Eyes and mouth area (B)</p> Signup and view all the answers

What is a common feature of a melanoma based on the description provided?

<p>Brown in color with variation of darker brown in 1/3rd of the lesion (B)</p> Signup and view all the answers

How should the arms be examined to observe the skin lesions properly?

<p>Examine the dorsal and ventral surfaces of both arms, elbows, wrists, hands, and fingers (A)</p> Signup and view all the answers

During a dermatology exam, where should special attention be paid according to the text?

<p>Behind the knees (A)</p> Signup and view all the answers

What should an examiner assess for yellowing of the skin during a dermatology exam?

<p>Sclera (A)</p> Signup and view all the answers

What could simulate cyanosis in dark-skinned individuals according to the text?

<p>Reddish discoloration on the arms (C)</p> Signup and view all the answers

Which skin lesion is typically described as a flat non-palpable circumscribed area with changes in skin color?

<p>Macule (D)</p> Signup and view all the answers

What should be done to examine the areas between fingers properly?

<p>Carefully examine the webs between fingers (B)</p> Signup and view all the answers

What is the primary reason for examining the skin on the scalp first during a dermatology exam?

<p>To assess the skin color underneath (D)</p> Signup and view all the answers

What characteristic of dark-skinned individuals may mimic cyanosis in the lips during a dermatology exam?

<p>Melanin in the lips (B)</p> Signup and view all the answers

What area should be inspected to identify pallor as part of a dermatology exam in individuals with darker skin?

<p>Rim around palpebral conjunctiva (B)</p> Signup and view all the answers

Why is it important to observe the areas around and behind the ears during a dermatology exam?

<p>To identify central cyanosis signs (B)</p> Signup and view all the answers

In a dermatology exam, what is an indicator of pallor in mucous membranes that can be useful in assessing central cyanosis?

<p>Pulling down the lower lids (D)</p> Signup and view all the answers

What skin area should be examined primarily to detect pallor in dark-skinned individuals during a dermatology exam?

<p>Underneath the chin (C)</p> Signup and view all the answers

During a dermatology exam, what is best indicated by pallor on the neckline, as well as around and behind the ears?

<p>Central cyanosis signs (C)</p> Signup and view all the answers

What is the primary method to assess skin turgor according to the text?

<p>Lifting a fold of skin for 3 seconds (B)</p> Signup and view all the answers

How can skin turgor be determined to be decreased based on the text?

<p>If tenting lasts for less than 3 seconds (B)</p> Signup and view all the answers

What is the typical presentation of plaque psoriasis according to the text?

<p>Raised, red, and scaly patches on the dorsal hand with silvery/white dry scale (C)</p> Signup and view all the answers

How should an examiner assess skin temperature on the arms and legs according to the text?

<p>By using the backs of the hands (B)</p> Signup and view all the answers

Which presentation is most indicative of tinea versicolor based on the information provided?

<p>Hypopigmented macules symmetrically distributed on the upper chest (C)</p> Signup and view all the answers

What characteristic differentiates tinea versicolor from plaque psoriasis?

<p>Symmetrical distribution on upper chest compared to dorsal hand presentation (D)</p> Signup and view all the answers

In assessing skin texture, what aspect should an examiner primarily focus on according to the text?

<p>Palpating for roughness or smoothness (B)</p> Signup and view all the answers

Why should an examiner use specific areas for skin turgor assessment according to the text?

<p>To standardize assessment conditions (C)</p> Signup and view all the answers

What characteristic defines a macule skin lesion?

<p>Flat, nonpalpable, color change (B)</p> Signup and view all the answers

What is the likely diagnosis for two annular lesions with circular red raised borders and central clearing?

<p>Tinea corporis (ringworm) (D)</p> Signup and view all the answers

Which lesion type is characterized by a flat, nonpalpable lesion with changes in skin color, 1 cm or larger?

<p>Patch (A)</p> Signup and view all the answers

What differentiates a pustule from a vesicle skin lesion?

<p>Presence of pus (B)</p> Signup and view all the answers

What aspect of skin is assessed by observing the ability of a lifted fold to return to normal after being released?

<p>Turgor (B)</p> Signup and view all the answers

Which skin lesion is described as an elevated, flattopped, firm, rough, superficial lesion often formed by coalescence of papules?

<p>Plaque (C)</p> Signup and view all the answers

What skin examination technique is important in identifying central cyanosis?

<p>Lifting a skin fold on the anterior thigh (B)</p> Signup and view all the answers

What is the defining feature of a papule skin lesion?

<p>Firm and circumscribed (C)</p> Signup and view all the answers

Which skin lesion involves a nodular area larger than 0.5 cm?

<p>Lichenification (A)</p> Signup and view all the answers

What distinguishes a crust from a scale?

<p>Crust is filled with serous fluid, while scale is a flake of dead skin. (C)</p> Signup and view all the answers

What is an accurate feature of a melanoma according to the text?

<p>Thick silvery/white dry scale (D)</p> Signup and view all the answers

Which skin lesion is filled with pus?

<p>Pustule (D)</p> Signup and view all the answers

What might simulate cyanosis in dark-skinned individuals during a dermatology exam?

<p>Jaundice (A)</p> Signup and view all the answers

What is a common feature of both tinea versicolor and plaque psoriasis?

<p>Scaly patches (A)</p> Signup and view all the answers

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