113 Questions
What is the primary symptom associated with jaundice?
Yellow coloring of the skin
Which body part should be examined to match the description of a melanoma provided in the text?
Anterior neck
What is an accurate feature of a melanoma according to the text?
Asymmetrical shape with irregular borders
Which area should be examined to observe the shape, contour, and texture of the nails according to the text?
Proximal and lateral nail folds
What should be done to examine most of the upper and lower legs according to the text?
Raise the gown up to mid-thigh
Where should special attention be paid during examination according to the text?
Behind the knees
Which part of both arms should be examined according to the text?
Dorsal and ventral surfaces
What should be done to examine areas between fingers?
Examine webs between fingers
What is the most appropriate action to take first when performing a dermatology exam according to the text?
Assess the skin on the scalp
In dark-skinned individuals, what might simulate cyanosis in the lips?
Melanin in the lips
What area should be examined for pallor to assess better in dark-skinned individuals?
Palms and soles
What is an indicator of central cyanosis based on the text?
Cyanosis of nails, hands, and feet
Why is it important to pull down the lower lids during a dermatology exam?
To assess palpebral conjunctiva
What should be inspected to identify central cyanosis according to the text?
Conjunctival rims
What can be assessed for yellowing of the skin during a dermatology exam?
Palms and soles
What area should be observed closely for changes in pigmentation during a dermatology exam?
Nasolabial folds
What is the primary purpose of lifting a fold of skin on the dorsum of the hand, subclavicular fossa, or anterior thigh?
Assess mobility and turgor
Which clinical characteristic was found to be decreased in elderly people with hypernatremia according to a study mentioned in the text?
Skin turgor
What is a typical presentation of tinea versicolor?
Multiple hypopigmented macules symmetrically distributed on the upper chest
Which condition is characterized by multiple, raised, red, and scaly patches on the hand with thick silvery/white dry scale?
Psoriasis
How can you assess the temperature of the skin on the arms and legs?
Use the backs of your hands
What is a common feature of both tinea versicolor and plaque psoriasis?
'Thick silvery/white dry scale'
When examining the skin for roughness or smoothness, what characteristic are you assessing?
'Texture'
'Moisture' examination in the text refers to assessing which aspect of the skin?
'Dryness, sweating, and oiliness'
What is the characteristic of a macule?
Flat, nonpalpable circumscribed area of color change
Which skin lesion is characterized by elevated, firm, circumscribed lesions up to 1 cm in size?
Papule
What is the likely diagnosis for two annular lesions on the forearm that are circular with red raised borders and central clearing?
Tinea corporis (ringworm)
Which skin lesion involves elevated, flattopped, firm, rough, superficial lesions that are often formed by the coalescence of papules?
Plaque
What is the main difference between a macule and a patch?
Size - Macule is larger than a patch
What is the defining feature of a papule?
Elevated, firm, circumscribed lesion up to 1 cm
How would you describe the color change in a macule?
Nonpalpable with color change
Which skin lesion could be described as a flat nonpalpable circumscribed area with changes in skin color?
Patch
What is a wheal characterized by?
Localized skin edema
How does a pustule differ from a vesicle?
Filled with pus
What is lichenification characterized by?
Thickening of the epidermis and roughening of the skin
Which lesion is described as a nodular, firm, circumscribed area larger than 0.5 cm?
Nodule
What differentiates a bulla from a vesicle?
1 cm or larger with serous fluid
Excoriation is characterized by:
Linear or punctuate loss of epidermis due to scratching
What distinguishes a crust from a scale?
Dried residue of skin exudate
What best describes a vesicle?
Superficial fluid-filled blister
What should be examined to observe the shape, contour, and texture of the nails?
The area around the proximal and lateral nail folds
What is a common feature of both tinea versicolor and plaque psoriasis?
Changes in skin color
In dermatology exams, what could simulate cyanosis in dark-skinned individuals?
Yellow coloration of the sclera
What distinguishes a crust from a scale in skin lesions?
Texture
Why is it important to pull down the lower lids during a dermatology exam?
To observe signs of jaundice
What is lichenification characterized by?
Elevated, rough, superficial lesions
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?
Observe skin turgor and elasticity
Which characteristic is assessed by using the backs of your hands to check the skin's temperature on the arms and legs?
Skin temperature
What can be inferred if, during a dermatology exam, tenting of the skin lasts more than 3 seconds after being lifted for 3 seconds?
Dehydration is present
When examining the skin for roughness or smoothness, which aspect are you primarily assessing?
Texture
What aspect of skin is checked by observing the ability of a lifted fold to return to normal after being released?
Skin turgor
In a dermatology exam, what does tenting of the skin on the dorsum of the hand, subclavicular fossa, or anterior thigh indicate?
Decreased skin turgor
During a dermatology examination, why is it essential to assess skin turgor by lifting a fold of skin?
To check for dehydration based on tenting time
When examining the arms and legs for temperature, what should be used as the primary tool?
Palms of hands
What can be observed in the nails of healthy, darker-skinned individuals according to the text?
Longitudinal bands of pigment
Which skin lesion is described as elevated, flattopped, firm, rough, superficial lesions often formed by the coalescence of papules?
Plaque
What characteristic describes a macule?
Nonpalpable circumscribed area with color change
How are tinea corporis lesions typically described based on the text?
Flat with central clearing
Which characteristic is an indicator of central cyanosis based on the text?
Cyanotic lips
What is lichenification characterized by?
Thickening and roughening of the skin
What differentiates a pustule from a vesicle?
Presence of thick silvery/white dry scale
How would you describe a patch based on the text?
"Flat, nonpalpable lesion with changes in skin color"
Which skin lesion is typically deeper and firmer than a papule?
Nodule
What skin lesion is filled with pus?
Pustule
What is the visual characteristic of lichenification?
Roughening of the skin with increased visibility of normal skin furrows
Which skin lesion is characterized by a relatively transient, elevated, irregularly shaped area of localized skin edema?
Wheal
What skin lesion is an elevated, flattopped, firm, rough, superficial lesion often formed by the coalescence of papules?
Plaque
Which skin lesion is a palpable, elevated, circumscribed, superficial, fluid-filled area?
Vesicle
What skin lesion involves a nodular area larger than 0.5 cm?
Nodule
Which skin lesion is characterized by a vesicle 1 cm or larger filled with serous fluid?
Bulla
During a dermatology exam, where should the examiner primarily assess the skin color?
Neckline and ears
What should be examined to identify pallor as part of a dermatology exam?
Eyelids
What might simulate cyanosis in dark-skinned individuals during a dermatology exam?
Melanin in lips
Where should special attention be paid during a dermatology exam according to the text?
Behind the ears
In dark-skinned individuals, where might pallor be observed to assess cyanosis?
Fingernails
What should an examiner assess for to better visualize skin underneath during a dermatology exam?
Color changes
What should an examiner observe for yellowing of the skin during a dermatology exam?
Eyes and mouth area
What is a common feature of a melanoma based on the description provided?
Brown in color with variation of darker brown in 1/3rd of the lesion
How should the arms be examined to observe the skin lesions properly?
Examine the dorsal and ventral surfaces of both arms, elbows, wrists, hands, and fingers
During a dermatology exam, where should special attention be paid according to the text?
Behind the knees
What should an examiner assess for yellowing of the skin during a dermatology exam?
Sclera
What could simulate cyanosis in dark-skinned individuals according to the text?
Reddish discoloration on the arms
Which skin lesion is typically described as a flat non-palpable circumscribed area with changes in skin color?
Macule
What should be done to examine the areas between fingers properly?
Carefully examine the webs between fingers
What is the primary reason for examining the skin on the scalp first during a dermatology exam?
To assess the skin color underneath
What characteristic of dark-skinned individuals may mimic cyanosis in the lips during a dermatology exam?
Melanin in the lips
What area should be inspected to identify pallor as part of a dermatology exam in individuals with darker skin?
Rim around palpebral conjunctiva
Why is it important to observe the areas around and behind the ears during a dermatology exam?
To identify central cyanosis signs
In a dermatology exam, what is an indicator of pallor in mucous membranes that can be useful in assessing central cyanosis?
Pulling down the lower lids
What skin area should be examined primarily to detect pallor in dark-skinned individuals during a dermatology exam?
Underneath the chin
During a dermatology exam, what is best indicated by pallor on the neckline, as well as around and behind the ears?
Central cyanosis signs
What is the primary method to assess skin turgor according to the text?
Lifting a fold of skin for 3 seconds
How can skin turgor be determined to be decreased based on the text?
If tenting lasts for less than 3 seconds
What is the typical presentation of plaque psoriasis according to the text?
Raised, red, and scaly patches on the dorsal hand with silvery/white dry scale
How should an examiner assess skin temperature on the arms and legs according to the text?
By using the backs of the hands
Which presentation is most indicative of tinea versicolor based on the information provided?
Hypopigmented macules symmetrically distributed on the upper chest
What characteristic differentiates tinea versicolor from plaque psoriasis?
Symmetrical distribution on upper chest compared to dorsal hand presentation
In assessing skin texture, what aspect should an examiner primarily focus on according to the text?
Palpating for roughness or smoothness
Why should an examiner use specific areas for skin turgor assessment according to the text?
To standardize assessment conditions
What characteristic defines a macule skin lesion?
Flat, nonpalpable, color change
What is the likely diagnosis for two annular lesions with circular red raised borders and central clearing?
Tinea corporis (ringworm)
Which lesion type is characterized by a flat, nonpalpable lesion with changes in skin color, 1 cm or larger?
Patch
What differentiates a pustule from a vesicle skin lesion?
Presence of pus
What aspect of skin is assessed by observing the ability of a lifted fold to return to normal after being released?
Turgor
Which skin lesion is described as an elevated, flattopped, firm, rough, superficial lesion often formed by coalescence of papules?
Plaque
What skin examination technique is important in identifying central cyanosis?
Lifting a skin fold on the anterior thigh
What is the defining feature of a papule skin lesion?
Firm and circumscribed
Which skin lesion involves a nodular area larger than 0.5 cm?
Lichenification
What distinguishes a crust from a scale?
Crust is filled with serous fluid, while scale is a flake of dead skin.
What is an accurate feature of a melanoma according to the text?
Thick silvery/white dry scale
Which skin lesion is filled with pus?
Pustule
What might simulate cyanosis in dark-skinned individuals during a dermatology exam?
Jaundice
What is a common feature of both tinea versicolor and plaque psoriasis?
Scaly patches
Prepare for the CMS100 practical exams by learning about dermatology exam techniques. Understand how to inspect and palpate the skin, assess skin color, and more. Consent and patient positioning are also covered.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
