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The nails of older adults grow slowly because of


A) decreased circulation.
B) dietary deficiencies.
C) fungal infections.
D) low hormone levels.
E) high estrogen levels.

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Which of the following, if reported, belongs in the family history of a patient with a skin rash?


A) Father has chronic asthma.
B) Sister repeatedly uses a tanning booth.
C) Mother trims patient's nails too short.
D) Sister had measles as a child.
E) Grandparent had chemical burn.

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The most common inflammatory skin condition is


A) cutis marmorata.
B) eczematous dermatitis.
C) intradermal nevus.
D) pityriasis rosea.
E) psoriasis.

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Normal hormone-related changes of adolescence include


A) increased oil production.
B) the development of fine silky lanugo hair.
C) depletion of apocrine glands.
D) decreased sebaceous gland activity.
E) slowed hair growth.

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Which cultural group has the lowest incidence of nevi?


A) Native Americans
B) African Americans
C) Mexican Americans
D) Asians
E) Eastern Europeans

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Café au lait patches are numbered with each assessment of infants and young children because


A) their numbers are expected to increase each year.
B) coalescent lesions are a more serious finding.
C) the presence of more than six patches suggests neurofibromatosis.
D) decreasing numbers are expected with growth.
E) a higher number correlates with the development of erythema toxicum.

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Small, less than 0.5-cm in diameter, red-purple nonblanchable discolorations of the skin are


A) ecchymoses.
B) petechiae.
C) spider veins.
D) telangiectasias.
E) purpura.

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Painful vesicles are associated with


A) psoriasis.
B) pityriasis rosea.
C) paronychia.
D) herpes zoster.
E) rosacea.

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Expected hair distribution changes in the older adults include


A) increased terminal hair follicles to the scalp.
B) more prominent axillary and pubic hair production.
C) increased terminal hair follicles to the tragus of men's ears.
D) more prominent peripheral extremity hair production.
E) women possibly developing less coarse facial hair.

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Which structure is the site of new nail growth?


A) Cuticle
B) Paronychium
C) Eponychium
D) Nail bed
E) Matrix

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Soft, painless, bluish papules in persons who are HIV-positive are most likely


A) Kaposi sarcoma (KS) .
B) malignant melanoma.
C) molluscum contagiosum.
D) pityriasis rosea.
E) herpes zoster.

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You are conducting a preschool examination on a 5-year-old child. Which injury would most likely raise your suspicion that the child was being abused?


A) Recent bruising over both knees
B) A healed laceration under the chin
C) A bruise on the right shin with associated abrasion of tissue
D) Bruises in various stages of resolution over body soft tissues
E) A scab on the elbow

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A 17-year-old student complains of a "rash for 3 days." You note pale, erythematous oval plaques over the trunk. They have fine scales and are arranged in a fernlike pattern with parallel alignment. What is the nurse's next action?


A) Teach infectious control measures.
B) Inquire about another recent skin lesion.
C) Inspect the palms and the soles.
D) Inform the patient that this will resolve within 1 week.
E) Ask about sexual contacts.

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