Health Appraisal for NPs; Dermatology & Psych, Behavioral Health quiz with answers

Health Appraisal for NPs; Dermatology & Psych/Behavioral Health quiz with answers

Dermatology &Psych/Behavioral Health A 55-year-old man who spent the majority of his adult life working outside as a roofer presents to the clinic with complaints of a pruritic raised lesion on his posterior neck. On exam, the nurse practitioner notes a slightly raised,scaly, erythematous plaque. Which of the following may this lesion be a precursor of? A. Basal cell carcinoma B. Melanoma C. Seborrheic keratosis D. Squamous cell carcinoma A 28-year-old man presents to the clinic complaining of a new onset rash that started one week after initiating antiepileptic therapy. He complains of associated fever and joint pain that started with the appearance of his rash. Multiple skin lesions are present on the posterior elbows bilaterally and demonstrate three concentric rings with a dusky, central area surrounded by a pale ring of edema and an erythematous halo. The central maculopapular lesions vary in size from 1 to 3.5 cm in diameter. The patient also has mild mucosal involvement. Which of the following clinical findings indicates a diagnosis of erythema multiforme major versus erythema multiforme minor? A. increased number of lesions B. mucosal involvement C. presence of fever D. target lesions greater than 3cm in diameter Which oral antifungal agent hasthe highest cure rate for toenail onychomycosis? A. Ciclopirox B. Fluconazole C. Pulse dosed itraconazole D. Terbinafine A 52-year-old man presents to the office with a rash on both of his arms for three days. He reports that he was working in his yard the day before the rash appeared. The rash is red, itchy, and only located on his arms. On exam, there are erythematouslinear markings on bilateral ventral forearms, with scattered papules and pustules. What is the most likely diagnosis? A. Contact dermatitis B. Discoid lupus erythematosus C. Herpes Zoster D. Psoriasis Which of the following genera of bacteria is most commonly associated with the development of acne vulgaris? A. Cutibacterium B. Demodex C. Staphylococcus D. Streptococcus A 27-year-old man is being seen by his family practice provider for a skin survey based on having more than fifty nevi on his arms and trunk. Which of the following findings should make the provider concerned about malignant melanoma? A. Border irregularity of lesion B. Diameter of lesion greater than four millimeters C. Slightly raised pearly lesion with telangiectasis D. Uniform black discoloration A 28-year-old woman presents with concernsfor skin changes to her hands, and now a new spot on her face. The spots are not itchy or painful. She recently gave birth to her first child and there were no complications with the pregnancy or delivery. She denies any recent illnesses. On exam she has several well-demarcated pale macules between 1–4 cm in diameter on both of her hands and one near her lips, concerning for vitiligo. Which of the following mechanisms is most likely responsible for pathogenesis of this disease? A. Autoimmune B. Genetic C. Infectious D. Neoplastic A 30-year-old man presents to clinic with pain in the penis and rectum for two days. He had both oral and anal receptive sex with a new partner one week ago without the use of a condom. He denies penile discharge and dysuria, but did have a low-grade fever for one day prior to the onset of pain. Physical examination shows shallow, painful ulcers on the shaft of the penis and a clustered patch of clear vesicles on the rightside of the buttocks adjacent to the anus. No inguinal lymphadenopathy is present. Rapid HIV antibody test is negative. Cultures are obtained from both sites. Which of the following is the most likely diagnosis? A. Chancroid B. Genital herpes C. Lymphogranuloma venereum D. Primary syphilis