Exam Questions The Integumentary System — Dermatology Ch.3

Acquiring Medical Language, 2e (Jones)

Chapter 3 The Integumentary System — Dermatology

1) Translate the root ichthy/o.

A) Dry

B) Fat

C) Nail

D) Scaly

E) Wrinkle

2) Translate the root xer/o.

A) Dry

B) Fat

C) Nail

D) Scaly

E) Wrinkle

3) Translate the root rhytid/o.

A) Dry

B) Fat

C) Nail

D) Scaly

E) Wrinkle

4) The roots onych/o and ungu/o both mean:

A) dry.

B) fat.

C) nail.

D) scaly.

E) wrinkle.

5) Which of the following roots means thick?

A) adip/o

B) pachy/o

C) pil/o

D) steat/o

E) xanth/o

6) Which of the following roots means fat?

A) adip/o

B) lip/o

C) steat/o

D) All of these

E) None of these

7) Which of the following root pairs both mean hair?

A) adip/o, steat/o

B) cutane/o, trich/o

C) ichthy/o, pachy/o

D) onych/o, ungu/o

E) pil/o, trich/o

8) Which of the following roots does NOT refer to a color?

A) erythr/o

B) leuk/o

C) melan/o

D) seb/o

E) xanth/o

9) Identify and define the roots in the term leukoderma.

A) leuko (black) + derma (skin)

B) leuko (blue) + derma (skin)

C) leuko (red) + derma (skin)

D) leuko (white) + derma (skin)

E) leuko (yellow) + derma (skin)

10) Identify and define the roots in the term xanthoderma.

A) xantho (black) + derma (skin)

B) xantho (blue) + derma (skin)

C) xantho (red) + derma (skin)

D) xantho (white) + derma (skin)

E) xantho (yellow) + derma (skin)

11) Identify and define the roots in the term xeroderma.

A) xero (dry) + derma (skin)

B) xero (hard) + derma (skin)

C) xero (horny) + derma (skin)

D) xero (oily) + derma (skin)

E) xero (sweaty) + derma (skin)

12) Identify and define the roots in the term pachyderma.

A) pachy (dry) + derma (skin)

B) pachy (thick) + derma (skin)

C) pachy (horny) + derma (skin)

D) pachy (oily) + derma (skin)

E) pachy (sweaty) + derma (skin)

13) Identify and define the roots in the term erythroderma.

A) erythro (black) + derma (skin)

B) erythro (blue) + derma (skin)

C) erythro (red) + derma (skin)

D) erythro (white) + derma (skin)

E) erythro (yellow) + derma (skin)

14) What is the correct pronunciation for the term alopecia?

A) A-lop-ee-sha

B) a-LOH-pee-cee-ya

C) a-loh-PEE-sha

D) a-lop-ee-CEE-ya

15) What is the correct pronunciation for the term hemathidrosis?

A) hee-mat-ih-DRAW-sais

B) hee-math-ih-DROH-sis

C) heh-mah-thai-DRAW-sis

D) heh-mat-ih-DROH-sis

16) Indicate which syllable receives the emphasis when pronouncing the term petechia.

A) 1st syllable: puh

B) 2nd syllable: tee

C) 3rd syllable: kee

D) 4th syllable: yah

17) Indicate which syllable receives the emphasis when pronouncing the term onychia.

A) 1st syllable: oh

B) 2nd syllable: nik

C) 3rd syllable: ee

D) 4th syllable: ah

18) Identify the correct pronunciation for the term decubitus ulcer.

A) deh-KYOO-bih-tus UL-sir

B) deh-SOO-bih-tus UL-sir

C) deh-KYOO-bih-tus UL-ker

D) deh-SOO-bih-tus UL-ker

19) Indicate which syllable receives the emphasis when pronouncing the term dermopathy.

A) 1st syllable: der

B) 2nd syllable: maw

C) 3rd syllable: pa

D) 4th syllable: thee

20) Identify the correct pronunciation for the term onychodystrophy.

A) AW-ni-choh-DIS-troh-fee

B) AW-ni-choh-DIS-troh-pee

C) AW-ni-koh-DIS-troh-fee

D) AW-ni-koh-DIS-troh-pee

21) Indicate which syllable receives the emphasis when pronouncing the term lipectomy.

A) 1st syllable: lih

B) 2nd syllable: pek

C) 3rd syllable: toh

D) 4th syllable: mee

22) Identify the correct pronunciation for the term onychotomy.

A) aw-ni-KAW-toh-mee

B) awn-KAW-toh-mee

C) OH-nih-KOW-toh-mee

D) OHN-kow-TOH-mee

23) Which is the correct breakdown of the term hypohidrosis into its component parts?

A) hypo/hidrosis

B) hypohidr/osis

C) hypo/hidr/osis

D) hyp/ohidr/osis

E) hy/po/hi/dro/sis

24) Which is the correct breakdown of the term hypopigmentation into its component parts?

A) hypo/pigmentation

B) hypopigment/ation

C) hypo/pigment/ation

D) hypo/pig/ment/ation

E) hypo/pig/mentat/ion

25) Identify the correct breakdown and translation of the term anhidrosis.

A) an (extra) + hidr (sweat) + osis (condition) = extra sweating

B) an (no) + hidr (sweat) + osis (condition) = lack of sweating

C) an (over) + hidr (hair) + osis (condition) = excessive hair

D) an (under) + hidr (oil) + osis (condition) = lack of oil secretions

E) an (without) + hidr (hair) + osis (condition) = without hair

26) Identify the correct breakdown and translation of the term hyperkeratosis.

A) hyper (extra) + kerat (dry) + osis (condition) = extra dry skin

B) hyper (no) + kerat (sweat) + osis (condition) = lack of sweating

C) hyper (over) + kerat (horny) + osis (condition) = excessive growth of horny skin

D) hyper (under) + kerat (oil) + osis (condition) = lack of oil secretions

E) hyper (without) + kerat (hair) + osis (condition) = without hair

27) Identify the correct breakdown and translation of the term hidropoiesis.

A) hidro (fat) + poiesis (condition) = fat condition

B) hidro (oil) + poiesis (condition) = oil condition

C) hidro (sweat) + poiesis (formation) = the formation of sweat

D) hidro (over) + poies (oil) + is (condition) = excessive oil on the skin

E) hidro (under) + poies (fat) + is (inflammation) = excessive fat under the skin

28) Identify the correct breakdown and translation of the term onychophagia.

A) onycho (dry) + phagia (thick) = dry, thick skin

B) onycho (nail) + phagia (eat) + ia (condition) = nail biting or eating

C) onycho (oil) + phag (hair) + ia (condition) = oily hair

D) on (away) + ychoph (yellow) + agia (pain) = painful, yellow skin

E) on (not) + ycho (dry) + phag (oil) + ia (condition) = normal skin

29) Which medical term means skin pain?

A) Dermatitis

B) Dermatodynia

C) Dermatolysis

D) Dermatosis

E) Dermopathy

30) Which medical term means loose skin?

A) Dermatitis

B) Dermatodynia

C) Dermatolysis

D) Dermatosis

E) Dermopathy

31) Which medical term means excessive melanin in the skin?

A) Hypermelanosis

B) Hyperpigmentation

C) Hypomelanosis

D) Hypopigmentation

E) Melanosis

32) Which medical term means formation of oil?

A) Dermatolysis

B) Hidropoiesis

C) Sebopoiesis

D) Seborrhea

E) Trichomegaly

33) Translate the term cyanidrosis as literally as possible.

A) Blue skin condition

B) Blue sweat condition

C) Excessive heat and pain

D) Excessive pigmentation

E) Excessive sweating

34) Translate the term rhytidermia as literally as possible.

A) Hard skin

B) Horny skin

C) Thick hair

D) White skin

E) Wrinkled skin

35) Translate the term seborrhea as literally as possible.

A) Oil discharge

B) Oil formation

C) Pus discharge

D) Sweat formation

E) Sweat discharge

36) Translate the term trichomegaly as literally as possible.

A) Enlarged hair

B) Enlarged oil gland

C) Oily hair

D) Overly watery oil gland

E) Thin hair

37) The medical term for "black head" or "white head" (a hair follicle that is plugged with sebum) is:

A) cicatrix.

B) comedo.

C) ecchymosis.

D) nevus.

E) verruca.

38) A patient with urticaria is experiencing:

A) itching of the skin.

B) plugged hair follicles.

C) raised, red areas of the skin.

D) swelling of the skin.

E) swollen, raised itchy areas of the skin.

39) Identify the correct breakdown of the medical term dermatoscope into its component word parts.

A) dermato/scope

B) derm/ato/scope

C) derma/tos/cope

D) der/mato/scope

E) der/ma/to/scope

40) Identify the correct breakdown of the medical term erythryocyanosis into its component word parts.

A) erythryo/cyanosis

B) erythryo/cyan/osis

C) eryth/ryo/cyan/osis

D) erythryo/cyan/os/is

E) ery/thryo/cyan/osis

41) Which of these is the correct breakdown and translation of the medical term adipocele?

A) adipo (fat) + cele (formation) = fat formation

B) adipo (fat) + cele (hernia) = hernia filled with fatty tissue

C) adipo (oil) + cele (formation) = oil formation

D) adipo (pus) + cele (formation) = pus formation

E) adipo (pus) + cele (hernia) = hernia filled with pus

42) Which of these is the correct breakdown and translation of the medical term steatoma?

A) steat (fat) + oma (hernia) = hernia filled with fatty tissue

B) steat (fat) + oma (tumor) = fatty tumor

C) steat (oil) + oma (hernia) = hernia filled with oil

D) steat (pus) + oma (formation) = pus formation

E) steat (pus) + oma (tumor) = tumor filled with pus

43) Which of these is the correct breakdown and translation of the medical term xanthoma?

A) xanth (dry) + oma (hernia) = dry hernia

B) xanth (fat) + oma (tumor) = fatty tumor

C) xanth (oil) + oma (hernia) = hernia filled with oil

D) xanth (pus) + oma (formation) = pus formation

E) xanth (yellow) + oma (tumor) = yellow tumor

44) Which of these is the correct breakdown and translation of the medical term paronychia?

A) paronych (hair) + ia (condition) = condition of the hair

B) paronych (nail) + ia (inflammation) = inflammation of the nail

C) par (across) + onych (skin) + ia (pertaining to) = pertaining to across the skin

D) par (around) + onych (nail) + ia (condition) = condition of the tissue around the nail

E) par (under) + onych (fat) + ia (softening) = softening of the fat under the skin

45) Which medical term means procedure for looking at the skin?

A) Dermatograph

B) Dermatography

C) Dermatology

D) Dermoscope

E) Dermoscopy

46) Which medical term means pertaining to horny creation?

A) Hydropoiesis

B) Hidradenitis

C) Keratogenic

D) Sclerodermatitis

E) Trichomegaly

47) Which medical term means abnormal softening of the nail?

A) Onychia

B) Onycholysis

C) Onychomalacia

D) Onychopathy

E) Onychophagia

48) Which medical term means tumors on the skin?

A) Adipocele

B) Dermatofibroma

C) Epidermal tumors

D) Excisional tumors

E) Incisional tumors

49) Translate the term onychopathy as literally as possible.

A) Nail condition

B) Nail disease

C) Scaly disease

D) Scaly condition

E) The loss of a nail

50) Translate the term biopsy as literally as possible.

A) Cut procedure

B) Eye procedure

C) One eye procedure

D) Two cut procedure

E) Two eye procedure

51) Translate the term excisional (as found in the medical term excisional biopsy) as literally as possible.

A) Pertaining to above cut = to cut above an object

B) Pertaining to below cut = to cut below an object

C) Pertaining to in cut = to remove a portion of an object

D) Pertaining to out cut = to cut out an entire object

E) Pertaining to through cut = to remove a portion of an object

52) A telangiectasia or spider angioma is:

A) a crack in the skin.

B) a small blood vessel tumor.

C) a solid mass that extends deeper into the skin.

D) the overexpansion of the end of a blood vessel.

E) wound related to blood vessels.

53) A crack in the skin is called a(n):

A) erosion.

B) excoriation.

C) fissure.

D) macule.

E) bulla.

54) Which of the following is NOT an example of a blister (an elevated, fluid-filled lesion)?

A) Bulla

B) Nodule

C) Pustule

D) Vesicle

55) The medical term for a freckle is:

A) bulla.

B) macule, macula.

C) papule.

D) patch.

E) vesicle.

56) A nevus is more commonly called a:

A) freckle.

B) mole.

C) scar.

D) nerve.

E) wart.

57) A verruca is more commonly called a:

A) freckle.

B) mole.

C) scar.

D) scratch.

E) wart.

58) A cicatrix is more commonly called a:

A) freckle.

B) mole.

C) scar.

D) cyst.

E) wart.

59) Identify the correct breakdown of the term scleronychia into its component parts.

A) sclero/nychia

B) scler/onych/ia

C) sclero/nych/ia

D) scler/on/ych/ia

E) scler/o/nych/i/a

60) Identify the correct breakdown of the term mycodermatitis into its component parts.

A) myco/dermatitis

B) myco/dermat/itis

C) my/co/dermat/itis

D) my/co/derm/atitis

E) my/co/derm/a/ti/tis

61) Which of these is the correct breakdown and translation of the medical term ichthyosis?

A) ichthy (hard) + osis (condition) = a hardening of the skin

B) ichthy (hidden) + osis (condition) = a hidden condition of the skin

C) ichthy (dry) + osis (condition) = dry skin condition

D) ichthy (scaly) + osis (condition) = a condition of the skin that is dry and scaly

E) ichthy (yellow) + osis (condition) = yellow skin condition

62) Which of these is the correct breakdown and translation of the medical term xanthosis?

A) xanth (hard) + osis (condition) = a hardening of the skin

B) xanth (hidden) + osis (condition) = a hidden condition of the skin

C) xanth (dry) + osis (condition) = dry skin condition

D) xanth (scaly) + osis (condition) = a condition of the skin that is dry and scaly

E) xanth (yellow) + osis (condition) = yellow skin condition

63) Which of these is the correct breakdown and translation of the medical term trichomycosis?

A) tricho (hair) + mycosis (condition) = condition of the hair

B) tricho (nail) + mycosis (inflammation) = inflammation of the nail

C) tricho (hair) + myc (fungus) + osis (condition) = fungal condition of the hair

D) tricho (nail) + myc (tumor) + osis (inflammation) = inflammation caused by a tumor on the nail

E) tricho (oil) + myc (pathogen) + osis (pertaining to) = pertaining to the oil secreted by a pathogen

64) Which of these is the correct breakdown and translation of the medical term hidradenitis?

A) hidra (sweat) + denitis (inflammation) = inflammation of the sweat glands

B) hidr (oil) + aden (gland) + itis (condition) = condition of the oil glands

C) hidr (oil) + aden (gland) + itis (inflammation) = inflammation of the oil glands

D) hidr (sweat) + aden (gland) + itis (condition) = condition of the sweat glands

E) hidr (sweat) + aden (gland) + itis (inflammation) = inflammation of the sweat glands

65) What is the medical term that means excessive growth of hair?

A) Hypertrichosis

B) Hypertrichia

C) Hypotrichosis

D) Hypotrichia

E) Trichomegaly

66) What is the medical term that means fungal condition?

A) Dermatomycosis

B) Dermatoconiosis

C) Mycodermatitis

D) Mycosis

E) Trichomycosis

67) Which medical term means skin inflammation?

A) Dermatitis

B) Dermatolysis

C) Dermatoma

D) Dermatomalacia

E) Dermatosis

68) Translate the term steatitis as literally as possible.

A) Condition of the fat

B) Condition of the skin

C) Inflammation of fat

D) Inflammation of oil

E) Pertaining to the fat

69) Translate the term dermatosis as literally as possible.

A) Condition of the skin

B) Disease of the skin

C) Fungus of the skin

D) Inflammation of the skin

E) Pertaining to the skin

70) Which is the correct definition for the term eczema?

A) A fungal skin condition

B) A red itchy rash that may weep or ooze, then become crusted and scaly

C) A skin condition caused by dirt

D) Inflammation of the skin caused by sun exposure

E) Inflammation of the skin follicles

71) Which is the correct definition for the term actinic dermatitis?

A) A fungal skin condition

B) A red itchy rash that may weep or ooze, then become crusted and scaly

C) A skin condition caused by dirt

D) Inflammation of the skin caused by sun exposure

E) Inflammation of the skin follicles

72) Identify the correct breakdown of the term epidermal into its component parts.

A) epi/dermal

B) epi/derm/al

C) ep/ider/mal

D) ep/i/der/mal

73) Which of these is the correct breakdown and translation of the medical term percutaneous?

A) per (beneath) + cutane (nail) + ous (condition) = condition beneath the nail

B) per (beneath) + cutane (skin) + ous (inflammation) = inflammation beneath the skin

C) per (inside) + cutane (nail) + ous (condition) = condition inside the nail

D) per (through) + cutane (nail) + ous (pertaining to) = pertaining to through the nail

E) per (through) + cutane (skin) + ous (pertaining to) = pertaining to through the skin

74) Which of these is the correct breakdown and translation of the medical term rhytidoplasty?

A) rhytido (hard) + plasty (reconstruction) = reconstruction of a hardening of the skin

B) rhytido (hidden) + plasty (reconstruction) = reconstruction of a hidden condition of the skin

C) rhytido (dry) + plasty (reconstruction) = reconstruction of dry skin

D) rhytido (scaly) + plasty (reconstruction) = reconstruction of skin that is dry and scaly

E) rhytido (wrinkle) + plasty (reconstruction) = reconstruction of wrinkled skin

75) Which of these is the correct breakdown and translation of the medical term antipruritic?

A) anti (against) + pruritic (itching) = a drug that prevents or relieves itching

B) anti (against) + pruritic (rotting) = a drug that prevents rotting

C) anti (against) + pruritic (sensation) = a drug that temporarily blocks sensation

D) anti (toward) + pruritic (life) = a drug that encourages regeneration

E) anti (toward) + pruritic (sensation) = a drug that encourages sensation

76) Which medical term means against histamine?

A) Anesthetic

B) Antibiotic

C) Antihistamine

D) Antipruritic

E) Antiseptic

77) Which medical term means incision into a nail?

A) Lipectomy

B) Onychectomy

C) Onychotomy

D) Rhytidoplasty

E) Xenograft

78) Translate the term chemotherapy as literally as possible.

A) Destruction of tissue through freezing

B) Removal of tissue that has been destroyed using chemicals

C) Rubbing or scraping away the outer surface

D) Treatment using chemicals

E) Using electricity to destroy a tissue by burning it

79) Translate the term electrocauterization as literally as possible.

A) Destruction of tissue through freezing

B) Removal of tissue that has been destroyed using chemicals

C) Rubbing or scraping away the outer surface

D) Treatment using chemicals

E) Using electricity to destroy a tissue by burning it

80) Translate the term anesthetic as literally as possible.

A) Against histamine

B) No itching

C) Against life

D) Against rotting

E) No sensation

81) Which of the following is a drug that prevents sepsis (a rotting of the flesh) by killing microorganisms?

A) Anesthetic

B) Antibiotic

C) Antihistamine

D) Antipruritic

E) Antiseptic

82) An incision and drainage is a procedure that:

A) cuts into a lesion in order to examine it.

B) cuts into a wound to allow trapped infected liquid to drain.

C) removes tissue that has been destroyed using chemicals.

D) transplants skin taken from a different place on the patient's body.

E) uses electricity to destroy tissue by drying it.

83) Identify which of the following pairs are synonyms.

A) Autograft, heterograft

B) Autograft, xenograft

C) Allograft, homograft

D) Allograft, xenograft

E) Homograft, xenograft

84) An autograft is a skin transplant taken from:

A) a different place on the patient's body.

B) a species other than the patient's.

C) another member of the patient's species.

D) same place on the patient's body.

E) None of these.

85) SCC is an abbreviation for:

A) sclerodermatitis.

B) scleronychia.

C) squamous cell carcinoma.

D) subcutaneous cell.

E) subcutaneous cell carcinoma.

86) ABCDE is a mnemonic device for remembering steps in analysis and means:

A) analysis, biopsy, chemotherapy, dermatitis, evolution.

B) anesthetic, biopsy, cryotherapy, dermanalysis, excision.

C) assessment, border, coloration, dermotherapy, elimination.

D) asymmetry, border, color, diameter, evolving.

E) autograft, basal, cicatrix, deconstruction, eczema.

87) A person with EAHF has:

A) eczema, asthma, hay fever.

B) erythema, abrasion, hypopigmentation, fissure.

C) erythrocyanosis, adipocele, hyperfibroma.

D) erythroderma, abscess, hyperhidrosis, fever.

E) excoriation, alopecia, hypohidrosis, fibroma.

88) ID is an abbreviation for:

A) intradermal = intra (above) + derm (skin) + al (pertaining to) = pertaining to above the skin.

B) intradermal = intra (across) + derm (skin) + al (pertaining to) = pertaining to across the skin.

C) intradermal = intra (beneath) + derm (skin) + al (pertaining to) = pertaining to beneath the skin.

D) intradermal = intra (inside) + derm (skin) + al (pertaining to) = pertaining to inside the skin.

E) intradermal = intra (upon) + derm (skin) + al (inflammation) = pertaining to upon the skin.

89) Which of the following is NOT an acceptable abbreviation for subcutaneous?

A) SC

B) SCC

C) SQ

D) None of the these.

90) TD is an abbreviation for:

A) transdermal = trans (above) + derm (skin) + al (pertaining to) = pertaining to above the skin.

B) transdermal = trans (through) + derm (skin) + al (pertaining to) = pertaining to through the skin.

C) transdermal = trans (beneath) + derm (skin) + al (pertaining to) = pertaining to beneath the skin.

D) transdermitis = trans (across) + derm (skin) + itis (inflammation) = inflammation across the skin.

E) transdermitis = trans (beneath) + derm (skin) + itis (inflammation) = inflammation beneath the skin.

91) The correct definition for C&S is:

A) growing microorganisms in isolation in order to determine which drugs it might respond to.

B) procedure for looking at the skin.

C) removal of a portion of a lesion for examination.

D) removal of an entire lesion for examination.

E) skin transplant taken from a different place on the patient's body.

92) The correct definition for BCC is:

A) a biopsy of cancerous cells.

B) a cancerous tumor of basal skin cells.

C) a mole with bad changes or formations.

D) a procedure in which a rash is biopsied, cultured, and treated with chemotherapy.

E) the removal of an entire lesion for examination.

93) Read the following excerpt from a patient's physical exam:

Physical exam revealed a well-developed, well-nourished, fair-skinned male. His heart was regular in rate and rhythm. His lungs were clear. His mucous membranes were moist and pink. His skin exam was significant for papules of hyperkeratosis with surrounding erythema. A few of the lesions are hyperpigmented. He has larger patches on his scalp.

What kind of papules did the medical professional find in this patient's physical exam?

A) hyper (over) + kerat (hairy) + osis (condition) and erythema (moisture) = overly hairy skin with surrounding moisture

B) hyper (over) + kerat (hairy) + osis (condition) and erythema (fungus) = overly hairy skin with surrounding fungus

C) hyper (over) + kerat (horny) + osis (condition) and erythema (redness) = overly horny skin with surrounding redness

D) hyper (over) + kerat (horny) + osis (condition) and erythema (whiteness) = overly horny skin with surrounding whiteness

E) hyper (under) + kerat (elastic) + osis (condition) and erythema (dryness) = under-elastic skin (loose skin) with surrounding dryness

94) Read the dermatology clinic note below.

A skin Bx performed in my office confirmed the diagnosis of AK. After explaining the results to Mr. Johnson, I recommended cryotherapy for the smaller lesions on his arms and dermabrasion for his scalp lesions. I explained to Mr. Johnson that AK can lead to squamous cell carcinoma and taught him about the risks of sun exposure, including further AKs and melanoma.

According to the clinic note, which is NOT true?

A) A skin biopsy confirmed the patient has a horny skin condition caused by sun exposure.

B) AK can lead to a cancerous tumor of squamous skin cells.

C) AK can lead to tumors of the melanin cells.

D) The history of the patient's skin condition confirmed the doctor thinks the patient has skin cancer.

E) The physician recommended that the lesions on the patient's scalp be removed by rubbing or scraping away the outer surface of the skin.

95) Read this patient's medical history:

Social Hx: 1-pack-per-day smoker.

Social drinker: 3–4 glasses of wine a week.

Family Hx: Positive for psoriasis in mother.

PMHx: Dermatofibromas x 3 on legs removed via cryosurgery 3 years ago.

Which of the following is true about this patient's medical history?

A) Her fatty tumors were removed by using electricity to destroy them.

B) Her fibrous skin tumors were removed by freezing.

C) Her hernias filled with fatty tissue were cut and drained.

D) Her horny tissue condition was removed with chemicals.

E) Her yellow tumors were rubbed or scraped away.

96) Read the following excerpt from a patient's health record:

Temp: 98.7; HR: 74; RR: 16; BP: 115/73.

Gen: Woman with healthy appearance, alert and oriented.

HEENT: TMs normal. Xanthochromic/stained teeth. Mucous membranes moist and pink.

CV: RRR no murmurs.

Resp: CTA.

Skin: Erythematous papules and plaques with a silver scale on the extensor surface of knees, elbows, and back; onycholysis of toe nails.

Skin Bx: Epidermal hyperplasia.

Which of the following best describes the condition of the patient's skin?

A) Red, elevated, palpable, solid masses with silver flakes on the surface of her knees, elbows, and back

B) Red, elevated, fluid-filled masses with silver flakes on the surface of her knees, elbows, and back

C) Red, flat, nonpalpable masses with silver flakes on the surface of her knees, elbows, and back

D) Red and silver elevated masses on the surface of her knees, elbows, and back

E) Silver masses with red flakes on the surface of her knees, elbows, and back

97) The following is Dr. Hernandez's differential diagnosis for her patient, who has a rash and has developed difficulty with her toenails.

 DDx:

1. Rash: Plaque psoriasis, seborrheic dermatitis, atopic dermatitis.

2. Onycholysis: Psoriatic vs. onychomycosis.

Which of the following is NOT true?

A) The patient is losing her nail.

B) The patient may have a fungal condition of the nail.

C) The rash may be an unusual inflammation of the skin.

D) The rash may be an unusual inflammation of the skin caused by the discharge of oil.

E) The rash may be caused by fungus.

98) Read this patient's treatment plan:

I will begin her on topical corticosteroids and have her follow up in 2–4 months. For any unresponsive areas I will try photochemotherapy. For the patient's onycholysis, I have referred her to a podiatrist for an onychectomy.

According to the plan, the patient is being referred to a podiatrist for which procedure?

A) Reconstruction of wrinkled skin

B) Removal of a nail

C) Removal of tissue that has been destroyed using chemicals

D) Rubbing or scraping away the outer surface of the skin

E) Treatment using chemicals

99) Read the excerpt from this note:

I had the pleasure of seeing your patient in my clinic. As you know, Mr. Skein is a 39-year-old male with a chronic history of atopic dermatitis. His atopic dermatitis was well controlled with topical corticosteroids until 3 weeks ago, when he developed a new rash consisting of vesicles overlying the areas of xerosis on his extremities. He was initially diagnosed with impetigo and treated with topical antibiotic therapy. He returned in 1 week without any improvement and was put on oral antibiotics at that time. He has now come to my office for a second opinion.

Mr. Skein was initially diagnosed with impetigo, which is:

A) a highly contagious bacterial infection of the skin.

B) a small blister.

C) an unusual inflammation of the skin.

D) diminished melanin in the skin.

E) dry skin.

100) Read the following excerpt from a consult note:

The physical exam showed erythematous, xerotic patches in his flexural creases of his elbows and knees as well as the extensor surface of his legs. He has numerous hemorrhagic crusts and vesicles, along with scattered excoriations and erosions. The rest of the exam was unremarkable except mild scalp alopecia.

According to the excerpt, which of the following is NOT true?

A) The patient has dried substance and blisters on his skin.

B) The patient has mild baldness.

C) The patient has scattered scratches.

D) The patient's skin looks white.

E) The physical exam showed red, dry patches on his elbows and knees.

101) Which degree burn is described by deep burn affecting the epidermis, dermis, and subcutaneous layer 

A) First Degree

B) Second Degree

C) Third Degree

D) Fourth Degree

102) If the skin is being cultured for infection, what is the sample for?

A) To see if it harbors a fungus

B) To see if it harbors a virus

C) To see if it harbors bacteria

D) None of these.

E) All of these.

103) A decubitus ulcer is common:

A) In males

B) In females

C) In bedridden patients

D) None of these.

E) All of these.

104) A heterograft is used for:

A) acne vulgaris

B) allograft

C) first-degree burn

D) abrasion

105) Chemosurgery is:

A) treatment for cancer

B) surgery for cancer

C) removal of tissue that has been destroyed by medicine

D) removal of tissue that has been destroyed by chemicals