Integumentary System Diagnostics Quiz
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Integumentary System Diagnostics Quiz

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Questions and Answers

What is the primary manifestation of impetigo?

  • Dry, scaly patches on skin
  • Small, red macules that form vesicles (correct)
  • Smooth, red, moist surfaces
  • Discoloration and peeling of skin

    • Which of the following is NOT a recommended nursing management practice for impetigo?

  • Bathe at least once daily
  • Use of systemic antibiotics
  • Avoiding contact with infected individuals
  • Apply moisturizing lotion frequently (correct)

    • Which diagnostic method is specifically mentioned for assessing skin conditions?

  • Skin scraping (correct)
  • X-ray examination
  • Blood tests
  • MRI scan

    • What type of infection is impetigo classified as?

    <p>Superficial bacterial skin infection</p> Signup and view all the answers

    What is a characteristic sign of nonbullous impetigo?

    <p>Honey-colored crusts</p> Signup and view all the answers

    Which condition is characterized by an infestation localized to the genital region and primarily transmitted by sexual contact?

    <p>Pediculosis Pubis</p> Signup and view all the answers

    What symptoms are commonly associated with Pediculosis Corporis?

    <p>Thick, dry, and scaly skin with pigmentation</p> Signup and view all the answers

    What is the most effective method for preventing reinfestation of body lice?

    <p>Washing all bedding and clothing in hot water</p> Signup and view all the answers

    Which of the following statements about Scabies is true?

    <p>It is caused by the mite Sarcoptes scabiei</p> Signup and view all the answers

    Which of the following management strategies is not recommended for lice treatment?

    <p>Sharing personal grooming items</p> Signup and view all the answers

    What is the primary cause of scabies outbreaks in long-term care facilities?

    <p>Close living conditions</p> Signup and view all the answers

    Which treatment is initially recommended for patients diagnosed with scabies?

    <p>Permethrin 5%</p> Signup and view all the answers

    What type of lesions are characterized by erythematous papules and pustules in acne?

    <p>Inflammatory lesions</p> Signup and view all the answers

    What is a closed comedone commonly referred to in acne terminology?

    <p>Whitehead</p> Signup and view all the answers

    What condition results from androgens stimulating the sebaceous glands?

    <p>Acne</p> Signup and view all the answers

    What is one of the primary assessments for diagnosing Toxic Epidermal Necrolysis (TEN) or Stevens-Johnson Syndrome (SJS)?

    <p>Skin biopsy results</p> Signup and view all the answers

    Which of the following is a critical aspect of the medical management of TEN/SJS?

    <p>Immediate cessation of precipitating medications</p> Signup and view all the answers

    What major complication should be prevented in the medical management of TEN/SJS?

    <p>Sepsis</p> Signup and view all the answers

    Which treatment modality for TEN/SJS remains controversial among healthcare providers?

    <p>Systemic corticosteroids</p> Signup and view all the answers

    What symptom might CBC results indicate in a patient diagnosed with TEN or SJS?

    <p>Anemia</p> Signup and view all the answers

    What is a defining characteristic of folliculitis?

    <p>Inflammation of hair follicles with potential spread to the dermis</p> Signup and view all the answers

    Which symptom is specifically associated with a carbuncle?

    <p>Abscess that extends from a furuncle</p> Signup and view all the answers

    What is the most likely complication of untreated furuncle?

    <p>Infection progressing to cellulitis</p> Signup and view all the answers

    What method is commonly used for managing folliculitis?

    <p>Warm, moist compresses</p> Signup and view all the answers

    What triggers the reactivation of herpes zoster?

    <p>Stress and weakened immunity</p> Signup and view all the answers

    What distinguishes herpes zoster from other skin conditions?

    <p>Distribution along the sensory nerves or dermatome</p> Signup and view all the answers

    Which treatment is NOT typically used for a carbuncle?

    <p>Topical antifungal cream</p> Signup and view all the answers

    Which of the following is a common symptom of a furuncle?

    <p>Localized tenderness</p> Signup and view all the answers

    Study Notes

    Integumentary System Diagnostics

    • Skin assessments can involve skin scrapings, biopsies, patch testing, Tzanck smears, and clinical photographs.
    • Woody Light examination is a diagnostic tool used for highlighting certain skin conditions.

    Impetigo

    • A highly contagious bacterial skin infection, prevalent in children.
    • Begins as small, red macules that quickly develop into vesicles, which rupture and form honey-colored crusts.
    • Smooth, red, moist surfaces present beneath the crusting.
    • Treatment includes topical antibacterial therapy, systemic antibiotics, and bactericidal soap.
    • Importance of daily bathing, hand hygiene, and separating towels and washcloths to prevent transmission.

    Folliculitis, Furuncles, and Carbuncles

    • Folliculitis: Inflammation of hair follicles due to bacterial, viral, fungal, or parasitic infections; presents as single or multiple papules/pustules.
    • Furuncles (boils): Abscesses that arise from folliculitis, featuring deeper inflammation.
    • Carbuncles: Extensions of furuncles affecting larger skin areas.
    • Symptoms may include fever, pain, and associated cellulitis; treatment often involves systemic antibiotics, incision/drainage, and warm compresses.

    Herpes Zoster (Shingles)

    • Caused by the reactivation of the varicella-zoster virus, primarily affecting individuals with prior chickenpox.
    • Symptoms include painful vesicular eruptions following sensory nerve paths (dermatomes) and often affect areas along the back and head.

    Pediculosis (Lice Infestations)

    • Pediculosis Capitis: Head lice infestation requiring specialized shampoos; combing with fine comb is essential.
    • Pediculosis Corporis: Body lice live in seams of clothing, causing itching and secondary skin lesions; prevent reinfestation by washing items in hot water.
    • Pediculosis Pubis: Genital lice transmitted primarily through sexual contact; exhibits intense itching at night.

    Scabies

    • Caused by mite infestation, particularly in unhygienic conditions and often affecting fingers.
    • Symptoms appear 4 weeks post-infestation, including severe nighttime itching and raised skin burrows.
    • Treatment includes warm baths, permethrin application, and washing bedding in hot water.

    Acne

    • An inflammatory disorder of sebaceous glands, producing both inflammatory lesions (pustules, papules, nodules) and non-inflammatory lesions (comedones).
    • Androgens stimulate oil production, leading to clogged pores and inflammation.
    • Clinical manifestations include closed (whiteheads) and open comedones (blackheads).

    Toxic Epidermal Necrolysis (TEN) and Stevens-Johnson Syndrome (SJS)

    • Serious skin reactions potentially indicated by leukopenia and anemia.
    • Requires hospitalization in burn centers for fluid management, wound care, and pain management.
    • Discontinuation of precipitating medications is crucial, along with supportive treatments including IVIG and topical protective agents.

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    Description

    Test your knowledge on various skin conditions and their diagnostic methods. This quiz covers assessments like skin scrapings and the effects of infections such as Impetigo and Folliculitis. Understand treatments and prevention strategies for common skin issues.

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