Geriatric Skin Disorders

Question 1

stage this wound according to NPUAP: non-blanchable erythema.

Answer 1

stage 1

Question 2

stage this wound according to NPUAP: necrosis with superficial to partial thickness skin loss

Answer 2

stage 2

Question 3

stage this wound according to NPUAP: necrosis with full-thickness skin loss to fascia

Answer 3

stage 3

Question 4

stage this wound according to NPUAP: extensive necrosis to muscle and bone

Answer 4

stage 4

Question 5

what are the 2 types of normal skin aging?

Answer 5

1. chronological- physiologic alteration in skin fxn

2. photoaging: secondary to UV exposure

Question 6

what is the physiologic change that occurs that leads to dryness?

Answer 6

decrease in skin lipids

Question 7

what is the physiologic change that occurs that leads to roughness, delayed healing?

Answer 7

decreased cell replacement

Question 8

what is the physiologic change that occurs that leads to increased malignancies?

Answer 8

decreased DNA repair

Question 9

what is the physiologic change that occurs that leads to wrinkles, and increase in ulcers?

Answer 9

fragmentation of collagen/elastin

Question 10

what is the physiologic change that occurs that leads to increased purpura?

Answer 10

reduced CT support of blood vessels

Question 11

what is the physiologic change that occurs that leads to increased injury?

Answer 11

decreased sensation

Question 12

what 4 drugs are associated with bullous pemphigoid in the elderly?

Answer 12

furosemide
ibuprofen
enalapril
flu vaccine

Question 13

what is the physiologic change that occurs that leads to vunerability to heat and cold?

Answer 13

impaired thermoregulation

Question 14

what is the physiologic change that occurs that leads to decreased lipids?

Answer 14

reduced function of sebaceous glands

Question 15

what is the physiologic change that occurs that leads to risk of overheating?

Answer 15

reduced fxn of sweat glands

Question 16

what is the physiologic change that occurs that leads to delayed healing and increase in infection?

Answer 16

decreased Langerhans cells

Question 17

what is the physiologic change that occurs that leads to increased risk of injury?

Answer 17

reduced SC fat

Question 18

what is the physiologic change that occurs that leads to increased risk of skin tears and blisters?

Answer 18

flattening of DE junction

Question 19

what is the physiologic change that occurs that leads to brittle nails, natural longitudinal striations?

Answer 19

reduced linear nail growth

Question 20

what is the physiologic change that occurs that leads to increase in malignancies?

Answer 20

decreased melanocytes

Question 21

name the extrinsic changes that occur due to UV light.

Answer 21

pruritis
spider veins
age spots
easy bruising and skin breaks

Question 22

what is the “coin-shaped” eczema called?

Answer 22

nummular eczema

Question 23

what is this disease: exagerrated skin lines with hyperpigmented plaque on anterior ankle?

Answer 23

lichen simplex chronicus

Question 24

name this dz: antibodies to desmosomal proteins that causes separation of dermis and epidermis.

Answer 24

bullous pemphigoid

Question 25

What are the 5 systemic diseases that may cause pruritis?

Answer 25

``` PHILL Polycythemia vera HIV iron-deficiency anemia liver and kidney dysfunction lymphoma (especially Hodgkin's) ```