Porth's Pathophysiology, Concepts of Altered Health States 9th Edition by Sheila Grossman-Carol Mattson Porth
Porth's Pathophysiology, Concepts of Altered Health States 9th Edition by Sheila Grossman-Carol Mattson Porth
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Chapter 61- Disorders of Skin Integrity and Function
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | An 18-year-old female of Southeast Asian ancestry is distraught over the recent appearance of white patches on her forearms and upper arms, which have been subsequently confirmed as vitiligo. Which of the following statements by the woman express an accurate understanding of her condition? | |
| A) | “I suppose it’s some comfort that my patches are small and will always stay out of sight in the future.” | |
| B) | “I’m thankful that there are medications to cure this, but I’m nervous about the side effects.” | |
| C) | “I suppose this shouldn’t come as too much of surprise, since this tends to run in my family.” | |
| D) | “I’m surprised that I ended up contacting that fungus that caused this problem for me.” | |
| Ans: | C | |
| Feedback: | ||
| The incidence of vitiligo is thought to have a genetic component. Vitiligo worsens with time, and treatments are not curative. The etiology is not infectious and does not involve fungus. | ||
| 2. | An 11-year-old boy with skin lesions on his trunk characteristic of ringworm has been brought to the family’s primary care provider by his mother. Which of the following aspects of the clinician’s assessment relates most directly to the suspected diagnosis? | |
| A) | Previous infection with other parasitic worms | |
| B) | Potential contact with the fungus from pets or other children | |
| C) | Allergic reactions to drugs and environmental substances | |
| D) | The child’s infant immunization history | |
| Ans: | B | |
| Feedback: | ||
| Ringworm, or tinea, has a fungal etiology. Parasites, allergies, and immunizations would be unlikely to relate directly to the etiology. | ||
| 3. | The father of an 18-month-old girl noticed a small vesicle on her face several days ago. The lesion ruptured and left a straw-colored crust that remained on the girl’s face. The eruption of new vesicles has prompted him to bring the child to the emergency department. Which of the following treatments for the child’s skin problem is most likely? | |
| A) | A topical antifungal ointment | |
| B) | An oral corticosteroid | |
| C) | An antiviral ointment | |
| D) | A topical antibiotic | |
| Ans: | D | |
| Feedback: | ||
| The course and symptomatology of the child’s skin disorder is characteristic of impetigo, which is bacterial in etiology and would likely be treated with a topical antibiotic such as mupirocin. | ||
| 4. | An elderly patient has arrived at the physician’s office complaining of a rash. Upon further investigation, the patient states that the rash feels like a burning pain but also has some tingling. It is extreme sensitive to touch, and it’s “like crazy.” The nurse notes that the rash is made up of vesicles and located on the right thoracic region. The nurse suspects the patient has | |
| A) | chickenpox. | |
| B) | German measles. | |
| C) | herpes zoster. | |
| D) | human papillomavirus. | |
| Ans: | C | |
| Feedback: | ||
| All of the characteristics point to herpes zoster. The vesicles erupt for 3 to 5 days along the nerve pathway (hence the reason for the burning pain). Eruptions usually are unilateral in the thoracic region, trunk, or face. Rubella (German measles) is characterized by a diffuse, punctuate, macular rash that begins on the trunk and spreads to the arms and legs. Varicella (chickenpox) has a macular stage where it develops within hours over the trunk, spreading to the limbs, mucosa, scalp, axillae, upper respiratory tract, and conjunctiva. HPV causes genital warts and is a sexually transmitted disease. | ||
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