Integumentary System Gas #21

Question 1

Keratin

Answer 1

In epidermis layer, forms outer barrier of the skin and can repel pathogens and prevent excessive fluid loss from the body

Question 2

Layers of the dermis

Answer 2

Papillary & reticular

Question 3

Dermis:papillary function

Answer 3

Produces collagen, contains capillaries and receptors for pain and touch

Question 4

Dermis:reticular function

Answer 4

Blood vessels, sweat, collagen fibers

Question 5

Subcutaneous layer function

Answer 5

Contains adipose tissue which permits skin mobility, molds body contours, insulates the body

Question 6

Eccrine &apocrine glands

Answer 6

Produce sweat

Question 7

Ceruminous glands

Answer 7

Secrete yellow brown waxy cerumen (ear wax)

Question 8

Epidermis function

Answer 8

Protects tissues, prevents water loss, water repellant layer, contains keratin

Question 9

Difference between pruritis, xerosis, psoriasis

Answer 9

Pruritis-itching, xerosis-dry skin, psoriasis-build up of keratin

Question 10

Where is xerosis usually found

Answer 10

Older adult due to decreased skin lubrication and moisture

Question 11

Pruitis/causes

Answer 11

Unpleasant sensation of skin itching, prickly, burning; animals plants fabrics meds can cause this

Question 12

Pruritis treatments

Answer 12

Avoid hot water, use mild soap and warm water, cool compresses, avoid alcohol, use humidifiers, apply bland emollients daily

Question 13

Pruritis treatment medications

Answer 13

Creams-nutraderm, ointments-Vaseline, lotions-calamine, antibiotics-bacitracin, corticosteroids, antihistamines-Benadryl

Question 14

Psoriasis

Answer 14

Chronic noninfectious, inflammatory disease, increased epidermal cells (overproduction of keratin), raised red round plaques covered c thick silvery scales

Question 15

Causes of psoriasis

Answer 15

Stress anxiety trauma can aggravate it, unknown cause

Question 16

Psoriasis treatment

Answer 16

Topical, systemic, photo chemotherapy

Question 17

Psoriasis topical treatment/made out of

Answer 17

Tar products, tazarotene is made from vit A, TIM’s, corticosteroids & you wrap with plastic film after it is applied

Question 18

Psoriasis systemic therapy

Answer 18

Methotrexate, cyclosporine

Question 19

Psoriasis photochemotherapy /risks

Answer 19

PUVA, pt takes a photo sensitivity med exposing themselves to a long wave of ultraviolet light, risks: skin ca, cataracts, premature skin aging

Question 20

MRSA s/s

Answer 20

Small red bumps, boils or “spider bites”, they become deep painful abscesses

Question 21

MRSA causes

Answer 21

Unnecessary antibiotic use, antibiotics in food & water, germ mutation

Question 22

MRSA risk factors

Answer 22

Current or recent hospitalization, long term care, invasive devices, recent antibiotic use (cipro, cephalosporin)

Question 23

Risk factors for CA-MRSA

Answer 23

Young age, contact sports, sharing towels/athletic equipment, weakened immune system, crowded unsanitary conditions, health care workers

Question 24

Folliculitis/ how do you get it

Answer 24

A bacterial infection of a hair follicle, shaving, stye, poor hygiene

Question 25

Folliculotis turns into what

Answer 25

Furuncles

Question 26

Furuncles

Answer 26

Boils, inflammation of one or more hair follicles that spreads to surrounding dermis, usually staph. aureus

Question 27

Furuncles can turn into what

Answer 27

Carbuncle

Question 28

Carbuncle

Answer 28

An abscess of the skin and sq tissue, an extension of a furuncle. Appears where skin is thick and inelastic

Question 29

Systemic symptoms of a carbuncle

Answer 29

Fever, malaise, chills

Question 30

Carbuncle treatment

Answer 30

Systemic antibiotics:cloxacillin, dicloxacillin, flucloxacillin

Question 31

Carbuncle teaching

Answer 31

Don't squeeze boil contact precaution if drainage

Question 32

Cellulitis is an infection of what skin layers

Answer 32

Dermis and sq tissue

Question 33

Cellulitis s/s and systemic s/s

Answer 33

Red, swollen, painful systemic s/s:fever, swollen lymph glands, malaise

Question 34

Impetigo/what is it cause by

Answer 34

Contagious superficial infection of the skin caused by staph strep, or multiple bacteria

Question 35

Impetigo s/s

Answer 35

Honey colored serous liquid that hardens into a crust

Question 36

Impetigo incubation period

Answer 36

4-10 days

Question 37

How long do kids with impetigo have to stay out of school?

Answer 37

Keep out of school until they have treatment with antibiotics

Question 38

What will spread the infection with impetigo

Answer 38

Itching

Question 39

Fungal infection medication/how long until it works/ what do you take it with

Answer 39

Griseofulvin, takes 3-4 wks to work, take with fatty foods

Question 40

Do you treat partner with candidiasis?

Answer 40

Yes

Question 41

Capitis

Answer 41

Head

Question 42

Corporis

Answer 42

Body

Question 43

Pubis

Answer 43

Groin

Question 44

Live hatch in how many days and mature in how many wks

Answer 44

10 days; 2 wks

Question 45

Lice treatment

Answer 45

1% permethrin

Question 46

How long after lice treatment do you repeat?

Answer 46

7-10 days

Question 47

Scabies s/s

Answer 47

Intense pruritis, papular rash, excoriations

Question 48

How long does it take for symptoms to appear with scabies

Answer 48

4 weeks

Question 49

Scabies treatment

Answer 49

Warm, soapy bath, dry and cool skin before application of lindane, crotamiton, permethrin which is left on for 24 hours then washed off then reapplied for 24 hours

Question 50

Shingles (herpes zoster) s/s

Answer 50

Painful, vesicular eruption along nerve path

Question 51

Shingles treatment

Answer 51

Acyclovir (Zovirax) is administered 24 hrs of initial eruption. IV administration reduces pain. Lyrica/neurontin can be give for spasmodic pain

Question 52

Scabies treatment

Answer 52

Warm, soapy bath, dry and cool skin before application of lindane, crotamiton, permethrin which is left on for 24 hours then washed off then reapplied for 24 hours

Question 53

Seborrheic

Answer 53

Atopic dermatitis. Common in the skin and scalp, eyebrows, ear canals, axillae and trunk

Question 54

Exfoliative

Answer 54

Atopic dermatitis. Excessive peeling or shedding of skin, cause is unknown

Question 55

Where do malignant melanomas metastasis first

Answer 55

Regional lymph nodes