Ch5 Skin, Hair, And Nails Exam Questions

CHAPTER 5: ADVANCED HEALTH ASSESSMENT OF SKIN, HAIR, AND NAILS

1. The clinician is educating a group of new students about the skin, hair, and nails. Which statement outlines the primary function of the skin?

a. Providing warmth to internal organs

b. Providing areas for tactile sensation

c. Acting as a barrier for protection of the body

d. Maintaining the alignment of internal organs

2. Cells that provide the opportunity for the brain to recognize touch are known as which cell type?

a. Melanocytes

b. Merkel cells

c. Keratinocytes

d. Langerhans cells

3. Which finding should the clinician anticipate in patients receiving medications with anticholinergic effects?

a. Hypohidrosis

b. Hypothermia

c. Hyperpigmentation

d. Alopecia

4. Which of the following hormonal factors influence hair growth? (Select all that apply).

a. Estrogens

b. Prolactin

c. Retinoids

d. Glucocorticoids

e. Albumin

5. A patient presents with male pattern baldness. Which hormonal factors are responsible for this finding?

a. Androgens

b. Estrogens

c. Retinoids

d. Glucocorticoids

6. Which finding would the clinician anticipate in a patient with a history of respiratory disorders?

a. Spooning

b. Clubbing

c. Thickening

d. Beau’s lines

7. The clinician would expect to find nail pitting in patients with which disorders?

a. Diabetes and hypertension

b. Psoriasis and eczema

c. Asthma and emphysema

d. Crohn’s and ulcerative colitis

8. An infant born at 33 weeks’ gestation is covered with fine hairs. The clinician reassures the parents this occurrence is a normal finding. The clinician is referring to what type of hair growth?

a. Lanugo

b. Vellus

c. Terminal hair

d. Hyper follicular hair

9. The clinician assessing a new patient complaining of increased tiredness throughout the later part of the day notes pallor of the face and fingers. The clinician would be correct in identifying that this finding is associated with which disorder?

a. Arterial insufficiency

b. Vitiligo

c. Liver disease

d. Cardiopulmonary disease

10. Which cells are responsible for the differences in skin pigmentation?

a. Melanocytes

b. Merkel cells

c. Keratinocytes

d. Langerhans cells

11. Which of the following disorders have been associated with free radical damage? (Select all that apply)

a. Aging

b. Cancer

c. Wrinkles

d. Weight gain

e. Brittle nails

12. In assessing a 6-year-old with atopic dermatitis, the clinician asks the parents to describe the eating behavior and most commonly ingested foods. The mother asks the clinician about the rationale for assessing dietary intake. What is the reasoning behind this assessment?

a. Absence of specific vitamins in the diet is the root cause.

b. Triggers for this type of dermatitis are often food related.

c. Malnutrition can lead to skin disorders.

d. Dermatitis is often a sign of child abuse.

13. The clinician discovers a patient has hyperhidrosis of the hands and feet. What symptoms led the clinician to this diagnosis and which cells and cellular processes are responsible for this outcome?

The secretory cells contain two types of cells: the large clear cells responsible for the gland’s secretory function and the dark cells, of unknown function, with basophilic granules.

14. Compare and contrast the role of vasodilation and vasoconstriction in regard to heat regulation.

15. Drugs to treat disorders such as allergies and asthma are referred to as mast cell stabilizers. What is the rationale for the use of these drugs in these disorders?

16. The clinician suggests that a patient with psoriasis begin a gluten-free diet. What is the rationale for this suggestion?

17. Describe the differences in the guidelines when evaluating a patient experiencing fever versus the evaluation of skin texture.

18. Describe the differences between evaluating skin’s turgor and the skin’s mobility and expected findings.

19. During the annual physical exam, the clinician is assessing a patient with diabetes. What specific skin interruptions would the clinician anticipate in this patient?

20. Both men and women may experience hair loss during the course of their lives. Outline three causes of hair loss regardless of age or gender.