Review Psoriasis

Exam Review

Psoriasis

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy

Experience unlimited access to all questions, exams, video tutorials and study guides. Subscribe now to access all questions.

Total Questions : 40

Showing 40 questions, Sign in for more

Question 1:

Psoriasis is best described as:

A. A contagious bacterial skin infection B. An autoimmune skin disorder characterized by red, scaly patches C. A fungal infection causing itching and rash D. A viral skin condition resulting in fluid-filled blisters

Answer and Explanation

Choice A:

A contagious bacterial skin infection - Psoriasis is not caused by bacteria, and it is not contagious.

Choice B:

Psoriasis is an autoimmune skin disorder where the immune system mistakenly attacks healthy skin cells, leading to the rapid buildup of skin cells and the formation of red, scaly patches on the skin's surface.

Choice C:

A fungal infection causing itching and rash - Psoriasis is not caused by a fungus; it is an autoimmune condition.

Choice D:

A viral skin condition resulting in fluid-filled blisters - Psoriasis does not result in fluid-filled blisters; it presents as red, scaly patches instead.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 2:

Psoriasis is characterized by which of the following skin changes?

A. Smooth and pink patches on the skin B. Flaky, white patches on the skin C. Red, scaly, and thickened patches on the skin D. Raised, flesh-colored bumps on the skin

Answer and Explanation

Choice A:

Smooth and pink patches on the skin - This is not characteristic of psoriasis, which typically involves scaling and thickening of the skin.

Choice B:

Flaky, white patches on the skin - This is not typical of psoriasis; the patches are usually red and scaly.

Choice C:

Psoriasis commonly presents as red, scaly, and thickened patches on the skin. These patches can be itchy, painful, and sometimes crack and bleed.

Choice D:

Raised, flesh-colored bumps on the skin - This description does not match the typical appearance of psoriasis patches.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 3:

The main cause of psoriasis is:

A. Poor hygiene and lack of skin care B. Exposure to environmental toxins C. Genetic and immune system factors D. Excessive sun exposure

Answer and Explanation

Choice A:

Poor hygiene and lack of skin care - Psoriasis is not caused by poor hygiene or lack of skin care.

Choice B:

Exposure to environmental toxins - While environmental factors may trigger or worsen psoriasis in some individuals, they are not the primary cause of the condition.

Choice C:

Psoriasis is believed to have a genetic component, and it is considered an autoimmune disorder where the immune system mistakenly attacks healthy skin cells, leading to the characteristic skin changes.

Choice D:

Excessive sun exposure - Sun exposure may improve psoriasis symptoms in some people, but it is not the underlying cause of the condition.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 4:

Which of the following areas is most commonly affected by psoriasis?

A. Scalp B. Soles of the feet C. Abdomen D. Neck

Answer and Explanation

Choice A:

Psoriasis commonly affects the scalp, leading to the formation of red, scaly patches on the scalp's surface. It can also extend to the hairline and behind the ears.

Choice B:

Soles of the feet - Psoriasis can affect the soles of the feet, but it is less common than scalp involvement.

Choice C:

Abdomen - Psoriasis can occur on the abdomen, but it is not as frequently affected as the scalp.

Choice D:

Neck - Psoriasis can involve the neck area, but it is not the most common site of involvement.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 5:

Which of the following factors is the primary etiological factor in psoriasis?

A. Bacterial infection B. Fungal overgrowth C. Genetic predisposition D. Allergic reaction

Answer and Explanation

Choice A:

Bacterial infection: Psoriasis is not caused by a bacterial infection. It is an autoimmune condition characterized by an overactive immune response, leading to inflammation and skin cell overproduction.

Choice B:

Fungal overgrowth: Fungal overgrowth is not a cause of psoriasis. Psoriasis is not related to fungal infections and has a different underlying mechanism.

Choice C:

The primary etiological factor in psoriasis is a genetic predisposition. Psoriasis has a strong hereditary component, and individuals with a family history of the condition are at a higher risk of developing it. While environmental triggers can exacerbate psoriasis symptoms, the condition itself is primarily influenced by genetic factors.

Choice D:

Allergic reaction: While certain allergens may exacerbate psoriasis symptoms in some individuals, an allergic reaction is not the primary cause of psoriasis. The condition's pathophysiology is rooted in immune system dysfunction rather than allergic responses.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 6:

Which of the following immune system components plays a key role in the etiology of psoriasis?

A. T-cells B. B-cells C. Platelets D. Eosinophils

Answer and Explanation

Choice A:

Psoriasis is an autoimmune disorder in which T-cells, a type of white blood cell, become overactive and trigger an inflammatory response. These T-cells promote the rapid growth of skin cells, leading to the characteristic plaques seen in psoriasis.

Choice B:

B-cells: While B-cells are important components of the immune system, they are not primarily involved in the etiology of psoriasis. T-cells are the central players in the autoimmune response seen in psoriasis.

Choice C:

Platelets: Platelets are primarily responsible for blood clotting and are not directly related to the development of psoriasis.

Choice D:

Eosinophils: Eosinophils are a type of white blood cell involved in immune responses against parasitic infections and allergic reactions. While they are important in certain immune processes, they are not the main players in psoriasis etiology.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 7:

What role does environmental factors such as stress and trauma play in psoriasis etiology?

A. Primary cause of psoriasis B. Minor role with no significant impact C. Triggers that exacerbate psoriasis symptoms in susceptible individuals D. Protective factors against developing psoriasis

Answer and Explanation

Choice A:

Primary cause of psoriasis: Environmental factors are not the primary cause of psoriasis. While they can influence the severity of symptoms, the condition itself is primarily driven by genetic factors and immune system dysfunction.

Choice B:

Minor role with no significant impact: Environmental triggers are not minor in psoriasis etiology. They can have a significant impact on symptom severity and recurrence in susceptible individuals.

Choice C:

Environmental factors such as stress, trauma, infections, and certain medications are considered triggers that can worsen psoriasis symptoms in individuals who are already genetically predisposed to the condition. These triggers can lead to psoriasis flare-ups or worsen existing plaques.

Choice D:

Protective factors against developing psoriasis: Environmental factors are not protective against developing psoriasis. As an autoimmune condition, psoriasis is primarily influenced by genetic predisposition and immune system dysfunction, not by protective environmental factors.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 8:

Which of the following statements best describes the involvement of the immune system in psoriasis etiology?

A. Immune system suppresses inflammation and skin cell proliferation B. Immune system responds normally to environmental triggers C. Immune system becomes overactive, leading to inflammation and excessive skin cell growth D. Immune system functions independently of psoriasis development

Answer and Explanation

Choice A:

Immune system suppresses inflammation and skin cell proliferation: This statement is incorrect. In psoriasis, the immune system does not suppress inflammation but rather promotes it.

Choice B:

Immune system responds normally to environmental triggers: This statement is incorrect. In psoriasis, the immune system's response to triggers is abnormal, leading to the characteristic inflammation and skin cell overgrowth.

Choice C:

Psoriasis is an autoimmune disorder characterized by an overactive immune system. In psoriasis, the immune system mistakenly triggers inflammation, leading to the rapid growth of skin cells and the formation of plaques.

Choice D:

Immune system functions independently of psoriasis development: This statement is incorrect. The immune system plays a central role in psoriasis etiology. The abnormal immune response is the driving force behind the development and progression of psoriasis.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 9:

How does genetic predisposition contribute to the development of psoriasis?

A. Genetic factors increase skin sensitivity to environmental irritants B. Genetic factors cause an allergic reaction to certain foods C. Genetic factors lead to abnormal immune system functioning D. Genetic factors impair the skin's barrier function

Answer and Explanation

Choice A:

Genetic factors increase skin sensitivity to environmental irritants: While some environmental triggers can worsen psoriasis symptoms, genetic predisposition primarily influences the immune system's response, not skin sensitivity to irritants.

Choice B:

Genetic factors cause an allergic reaction to certain foods: Psoriasis is not primarily an allergic reaction, and genetic factors do not cause allergic reactions to specific foods in this context.

Choice C:

Genetic predisposition in psoriasis contributes to the development of the condition by causing abnormal functioning of the immune system. Certain genes involved in the immune response are associated with psoriasis, leading to an overactive immune system that triggers inflammation and skin cell overproduction.

Choice D:

Genetic factors impair the skin's barrier function: Psoriasis is not caused by a skin barrier dysfunction. The condition is characterized by immune system dysregulation and the subsequent inflammation and rapid skin cell turnover.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 10:

Which of the following clinical manifestations is characteristic of psoriasis?

A. Painful, deep ulcers on the skin B. Itchy, raised, red patches with silvery scales C. Small, fluid-filled blisters on the palms and soles D. Thickened, hardened skin with deep cracks

Answer and Explanation

Choice A:

Painful, deep ulcers on the skin: This description does not align with psoriasis. Psoriasis plaques are not typically painful or ulcerated.

Choice B:

Psoriasis is characterized by the presence of itchy, raised, red patches on the skin with silvery scales. These patches are known as plaques and are a hallmark feature of psoriasis.

Choice C:

Small, fluid-filled blisters on the palms and soles: This description is more characteristic of a condition called palmoplantar pustulosis, not psoriasis.

Choice D:

Thickened, hardened skin with deep cracks: This description is more typical of a condition called lichenified eczema or chronic contact dermatitis, not psoriasis.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 11:

Which of the following areas of the body is commonly affected by psoriasis?

A. Scalp and nails B. Buttocks and thighs C. Lower back and shoulders D. Upper arms and neck

Answer and Explanation

Choice A:

Psoriasis commonly affects the scalp and nails in addition to other areas of the body. Scalp psoriasis can cause flaking and scale buildup on the scalp, while nail psoriasis can lead to pitting, discoloration, and thickening of the nails.

Choice B:

Buttocks and thighs: While psoriasis can occur in these areas, it is not one of the most common areas affected.

Choice C:

Lower back and shoulders: These areas can be affected by psoriasis, but they are not the most commonly affected regions.

Choice D:

Upper arms and neck: Psoriasis can occur on the upper arms and neck, but it is not the most frequently affected area.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 12:

Which of the following symptoms is commonly experienced by individuals with psoriasis?

A. Persistent fever and chills B. Frequent nosebleeds C. Fatigue and malaise D. Excessive thirst and frequent urination

Answer and Explanation

Choice A:

Persistent fever and chills: Fever and chills are not typical symptoms of psoriasis. They may indicate an infection or other underlying health condition.

Choice B:

Frequent nosebleeds: Nosebleeds are not directly associated with psoriasis. They may be caused by other factors such as nasal dryness or irritation.

Choice C:

Fatigue and malaise are common symptoms experienced by individuals with psoriasis. The chronic inflammation and immune system dysregulation in psoriasis can lead to feelings of tiredness and general discomfort.

Choice D:

Excessive thirst and frequent urination: These symptoms are not typically related to psoriasis. They may be indicative of diabetes or other medical conditions.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 13:

Which of the following statements is true regarding the distribution of psoriasis lesions on the body?

A. Psoriasis lesions are evenly distributed across the body. B. Psoriasis lesions are typically limited to the face and neck. C. Psoriasis lesions are more commonly found on the left side of the body. D. Psoriasis lesions are often symmetrical, affecting corresponding areas on both sides of the body.

Answer and Explanation

Choice A:

Psoriasis lesions are evenly distributed across the body: Psoriasis lesions are not evenly distributed and tend to cluster in certain areas, such as elbows, knees, scalp, and lower back.

Choice B:

Psoriasis lesions are typically limited to the face and neck: While psoriasis can occur on the face and neck, it is more commonly found on extensor surfaces (elbows and knees) and the scalp.

Choice C:

Psoriasis lesions are more commonly found on the left side of the body: There is no evidence to support a preference for the left side of the body in psoriasis distribution. The symmetrical pattern is a more characteristic feature.

Choice D:

Psoriasis lesions commonly appear in a symmetrical pattern, affecting similar areas on both sides of the body. For example, if a plaque is present on the right elbow, there is a high likelihood of a corresponding plaque on the left elbow.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 14:

Which of the following skin changes is a hallmark of chronic psoriasis?

A. Generalized redness with no scaling B. Pustules and fluid-filled blisters C. Hyperpigmented patches with rough texture D. Thickened, scaly plaques with silvery-white scales

Answer and Explanation

Choice A:

Generalized redness with no scaling: This description does not align with chronic psoriasis. Psoriasis plaques are typically scaly and have a characteristic appearance.

Choice B:

Pustules and fluid-filled blisters: Pustular psoriasis is a specific subtype of psoriasis characterized by pustules, but it is not a hallmark of chronic psoriasis.

Choice C:

Hyperpigmented patches with rough texture: Hyperpigmentation and rough texture are not typical features of chronic psoriasis. The characteristic feature is the presence of silvery-white scales on thickened plaques.

Choice D:

Chronic psoriasis is characterized by thickened, scaly plaques with silvery-white scales. These plaques result from the excessive growth and turnover of skin cells in psoriasis.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 15:

Which of the following diagnostic criteria is essential for confirming the diagnosis of psoriasis?

A. Positive skin biopsy showing eosinophils infiltration B. Family history of autoimmune diseases C. Presence of at least 3 typical psoriasis plaques on the body D. Elevated erythrocyte sedimentation rate (ESR) on blood test

Answer and Explanation

Choice A:

Positive skin biopsy showing eosinophils infiltration: While a skin biopsy may be performed to support the diagnosis of psoriasis, the presence of eosinophils is not specific to psoriasis and can be found in various skin conditions.

Choice B:

Family history of autoimmune diseases: A family history of autoimmune diseases may increase the risk of developing psoriasis, but it is not a definitive diagnostic criterion for the condition.

Choice C:

The presence of at least 3 typical psoriasis plaques on the body is one of the essential diagnostic criteria for confirming psoriasis. These plaques are characterized by well-defined, erythematous (red), raised lesions with silvery-white scales.

Choice D:

Elevated erythrocyte sedimentation rate (ESR) on blood test: An elevated ESR can indicate inflammation in the body, but it is not specific to psoriasis and may be present in other inflammatory conditions as well.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 16:

Which of the following skin features is commonly observed in psoriasis that aids in its diagnosis?

A. Moist, oozing skin lesions B. Dark, hyperpigmented patches C. Presence of Auspitz sign upon examination D. Translucent, fluid-filled blisters

Answer and Explanation

Choice A:

Moist, oozing skin lesions: Moist, oozing lesions are not typical of psoriasis. Psoriasis plaques are dry and scaly in nature.

Choice B:

Dark, hyperpigmented patches: Hyperpigmentation is not a characteristic feature of psoriasis. Psoriatic plaques are typically erythematous (red) with silvery-white scales.

Choice C:

The Auspitz sign refers to the appearance of tiny bleeding points when the scales on psoriatic plaques are removed or scraped. This sign is a characteristic feature of psoriasis and helps differentiate it from other skin conditions.

Choice D:

Translucent, fluid-filled blisters: Translucent, fluid-filled blisters are not typically associated with psoriasis. This description is more consistent with a condition called pemphigus, not psoriasis.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 17:

Which of the following diagnostic tests is commonly performed to confirm the diagnosis of psoriasis?

A. Skin patch testing for allergens B. Chest X-ray to assess lung involvement C. Complete blood count (CBC) to assess white blood cell count D. Skin biopsy to examine histological changes

Answer and Explanation

Choice A:

Skin patch testing for allergens: Patch testing is used to diagnose allergic contact dermatitis, not psoriasis.

Choice B:

Chest X-ray to assess lung involvement: Chest X-rays are not necessary for the diagnosis of psoriasis, as it primarily affects the skin and joints, not the lungs.

Choice C:

Complete blood count (CBC) to assess white blood cell count: While a CBC may be performed to assess inflammation, it is not specific to psoriasis and cannot confirm the diagnosis. A skin biopsy is needed for definitive diagnosis.

Choice D:

A skin biopsy is commonly performed to confirm the diagnosis of psoriasis. It involves taking a small sample of skin tissue from a psoriatic plaque and examining it under a microscope to identify the characteristic histological changes, such as hyperkeratosis, parakeratosis, and elongation of the rete ridges.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 18:

Which of the following is NOT a characteristic feature of psoriasis, aiding in its diagnosis?

D. velopment of wheals and hives K. ebner phenomenon upon skin trauma

Answer and Explanation

Choice D:

Silvery-white scales on erythematous plaques: Silvery-white scales on erythematous (red) plaques are a classic feature of psoriasis and help differentiate it from other skin conditions.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 19:

The most common type of psoriasis, accounting for approximately 80-90% of cases, is known as:

A. Guttate psoriasis B. Inverse psoriasis C. Plaque psoriasis D. Pustular psoriasis

Answer and Explanation

Choice A:

Guttate psoriasis: Guttate psoriasis is characterized by small, teardrop-shaped lesions scattered on the skin, often following a streptococcal infection. It is less common than plaque psoriasis.

Choice B:

Inverse psoriasis: Inverse psoriasis affects skin folds, such as the armpits, groin, and under the breasts. It appears as smooth, red patches and is less common than plaque psoriasis.

Choice C:

Plaque psoriasis is the most common type of psoriasis, accounting for approximately 80-90% of all cases. It is characterized by the presence of raised, well-defined, erythematous (red) plaques with silvery-white scales.

Choice D:

Pustular psoriasis: Pustular psoriasis is a specific subtype characterized by pustules on the skin, but it is less common than plaque psoriasis.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 20:

The nurse is caring for a patient with psoriasis who is experiencing itching and discomfort. Which nursing intervention is appropriate to address the patient's symptoms?

A. Apply topical corticosteroids liberally to affected areas. B. Encourage the patient to scratch the affected areas gently to relieve itching. C. Administer non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief. D. Advise the patient to take frequent warm baths to soothe the skin.

Answer and Explanation

Choice A:

Applying topical corticosteroids to affected areas can help reduce inflammation, itching, and discomfort associated with psoriasis. However, the nurse should ensure that the patient follows the prescribed dosage and instructions for the use of corticosteroids.

Choice B:

Encouraging the patient to scratch the affected areas gently is not appropriate, as scratching can exacerbate psoriasis and lead to skin damage and infection.

Choice C:

NSAIDs are not typically used to manage itching and discomfort in psoriasis. They may be prescribed for joint pain associated with psoriatic arthritis, but they do not target the skin symptoms of psoriasis.

Choice D:

While warm baths can be soothing, frequent baths may actually dry out the skin and worsen psoriasis. Additionally, the water should be lukewarm rather than hot to avoid triggering flare-ups.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 21:

The nurse is educating a patient with psoriasis about skin care to manage the condition. Which statement by the patient indicates a need for further teaching?

A. "I will moisturize my skin regularly to prevent dryness and scaling." B. "I will avoid using fragranced soaps and lotions on my skin." C. "I will apply sunscreen before going outside to protect my skin from UV rays." D. "I will take long, hot baths to soften the psoriatic plaques for easier removal."

Answer and Explanation

Choice A:

Moisturizing the skin regularly is an essential part of psoriasis management to prevent dryness and scaling.

Choice B:

Avoiding fragranced soaps and lotions can help minimize skin irritation and sensitivity, which is beneficial for patients with psoriasis.

Choice C:

Applying sunscreen before going outside is important, as exposure to UV rays can trigger or worsen psoriasis. Sun protection helps prevent further skin damage.

Choice D:

Taking long, hot baths can actually worsen psoriasis by drying out the skin and triggering flare-ups. Instead, patients with psoriasis should take short, lukewarm baths or showers to avoid exacerbating the condition.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 22:

The nurse is caring for a patient with psoriasis who is prescribed phototherapy. Which information should the nurse provide to the patient about phototherapy?

A. "You should avoid any sun exposure during phototherapy treatment." B. "Phototherapy may cause permanent skin darkening or tanning." C. "Protect your eyes and genitals during phototherapy using special shields." D. "Phototherapy may increase the risk of skin infections, so practice good hygiene."

Answer and Explanation

Choice A:

Patients undergoing phototherapy are actually exposed to controlled amounts of UV light, which is different from uncontrolled sun exposure. Phototherapy is a prescribed treatment and should be done under healthcare professional supervision.

Choice B:

While phototherapy may cause temporary skin darkening or tanning, it is not associated with permanent changes in skin color.

Choice C:

Phototherapy involves exposing the skin to UV light to treat psoriasis. During phototherapy sessions, patients should wear special shields to protect their eyes and genitals from potential UV damage.

Choice D:

Phototherapy does not increase the risk of skin infections. However, patients with psoriasis should practice good hygiene to prevent infections related to their condition and skin care routine.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 23:

The nurse is caring for a patient with psoriasis who is prescribed a topical retinoid. Which instruction should the nurse provide to the patient regarding the use of topical retinoids?

A. "Apply the topical retinoid directly to wet skin after bathing." B. "Use the topical retinoid only on affected areas of psoriasis plaques." C. "You may experience immediate relief of itching and redness after applying the retinoid." D. "Avoid sun exposure and use sunscreen when using topical retinoids."

Answer and Explanation

Choice A:

Topical retinoids should be applied to dry skin, not wet skin, to ensure proper absorption and effectiveness.

Choice B:

Topical retinoids are typically applied to the entire affected area, not just individual psoriasis plaques. They work best when applied consistently to the entire affected area.

Choice C:

Topical retinoids may take several weeks to show significant improvement in psoriasis symptoms, and immediate relief is not typical.

Choice D:

Topical retinoids can increase the skin's sensitivity to sunlight and may cause sunburn. Patients should avoid excessive sun exposure and use sunscreen to protect their skin when using topical retinoids.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 24:

The nurse is caring for a patient with psoriasis who is prescribed an immunosuppressive medication. Which information should the nurse include in the patient's teaching plan?

A. "Report any signs of infection or illness to your healthcare provider immediately." B. "You can take this medication with or without food, depending on your preference." C. "Immunosuppressive medications may increase your risk of sunburn, so avoid sun exposure." D. "You may need to discontinue the medication abruptly if you experience side effects."

Answer and Explanation

Choice A:

Immunosuppressive medications can weaken the immune system, making the patient more susceptible to infections. It is important for the patient to promptly report any signs of infection or illness to their healthcare provider for appropriate management.

Choice B:

The administration of immunosuppressive medications is often specific to each medication and should be taken as prescribed by the healthcare provider, with or without food, as indicated.

Choice C:

Immunosuppressive medications can increase the risk of infections, but they do not directly increase the risk of sunburn. Patients should, however, be cautious about sun exposure due to potential skin sensitivity.

Choice D:

Discontinuing immunosuppressive medications abruptly can be dangerous and should only be done under the guidance of a healthcare provider. Sudden discontinuation can lead to worsening of psoriasis and potential rebound effects.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 25:

Which of the following statements should the nurse include in the patient education for psoriasis management?

A. "Avoid using moisturizers, as they can worsen psoriasis flare-ups." B. "Take hot baths with scented soaps to soothe the skin." C. "Keep your skin well-hydrated by using fragrance-free moisturizers." D. "Expose your skin to direct sunlight for prolonged periods to improve symptoms."

Answer and Explanation

Choice A:

"Avoid using moisturizers, as they can worsen psoriasis flare-ups." - This statement is incorrect. Moisturizers are important for managing psoriasis symptoms and preventing dryness and irritation.

Choice B:

"Take hot baths with scented soaps to soothe the skin." - Hot baths and scented soaps can actually worsen psoriasis symptoms and should be avoided.

Choice C:

Keeping the skin well-hydrated is essential in managing psoriasis. Patients should use fragrance-free moisturizers to prevent skin dryness and irritation, which can trigger flare-ups.

Choice D:

"Expose your skin to direct sunlight for prolonged periods to improve symptoms." - While some sunlight exposure may benefit psoriasis, prolonged and direct exposure can lead to skin damage and increase the risk of skin cancer. Sun exposure should be limited and done with caution.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 26:

Which of the following should the nurse emphasize to the patient about avoiding triggers for psoriasis flare-ups?

A. "Maintain a healthy diet, including foods high in sugar and saturated fats." B. "Avoid stressful situations and practice relaxation techniques." C. "Exposure to cold weather can help improve psoriasis symptoms." D. "Regularly use alcohol-based hand sanitizers to prevent infections."

Answer and Explanation

Choice A:

"Maintain a healthy diet, including foods high in sugar and saturated fats." - While a healthy diet is beneficial for overall health, there is no specific evidence that links certain foods to psoriasis flare-ups.

Choice B:

Stress is a known trigger for psoriasis flare-ups. Managing stress through relaxation techniques, such as meditation or deep breathing, can help reduce the risk of exacerbations.

Choice C:

"Exposure to cold weather can help improve psoriasis symptoms." - Cold weather may actually exacerbate psoriasis symptoms, as dry and cold conditions can lead to skin dryness and irritation.

Choice D:

"Regularly use alcohol-based hand sanitizers to prevent infections." - Alcohol-based hand sanitizers can dry out the skin and may irritate psoriasis lesions. It is better to use gentle, non-irritating handwashing techniques.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 27:

During patient education on psoriasis, the nurse should emphasize the importance of:

A. Regularly scrubbing the affected areas to remove scaling. B. Avoiding all forms of physical activity to prevent skin irritation. C. Using topical corticosteroids as needed without healthcare provider consultation. D. Adhering to prescribed treatment plans and follow-up appointments.

Answer and Explanation

Choice A:

"Regularly scrubbing the affected areas to remove scaling." - Vigorous scrubbing can irritate the skin and worsen psoriasis symptoms. Gentle cleansing is recommended.

Choice B:

"Avoiding all forms of physical activity to prevent skin irritation." - Engaging in light physical activity is generally encouraged, as long as it does not exacerbate psoriasis symptoms.

Choice C:

"Using topical corticosteroids as needed without healthcare provider consultation." - It is essential for patients to follow their healthcare provider's instructions regarding the use of topical corticosteroids, as inappropriate or excessive use can lead to adverse effects.

Choice D:

Adherence to prescribed treatment plans and attending follow-up appointments with healthcare providers are crucial for effectively managing psoriasis and preventing complications.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 28:

Which of the following strategies should the nurse recommend to a patient with psoriasis to manage itchiness and discomfort?

A. Take long, hot showers to soothe the skin. B. Apply petroleum-based ointments to affected areas. C. Wear tight-fitting clothing to prevent skin irritation. D. Use scented moisturizers for a pleasant fragrance.

Answer and Explanation

Choice A:

"Take long, hot showers to soothe the skin." - Hot showers can actually worsen psoriasis symptoms by drying out the skin. Patients should take short, lukewarm showers instead.

Choice B:

Petroleum-based ointments can help seal in moisture and soothe the skin, reducing itchiness and discomfort associated with psoriasis.

Choice C:

"Wear tight-fitting clothing to prevent skin irritation." - Tight-fitting clothing can rub against the skin and worsen psoriasis symptoms. Patients should wear loose, breathable clothing.

Choice D:

"Use scented moisturizers for a pleasant fragrance." - Scented moisturizers may contain ingredients that can irritate the skin and trigger flare-ups. Unscented or fragrance-free moisturizers are recommended.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 29:

During patient education on psoriasis, the nurse should emphasize the importance of protecting the skin from:

A. Direct exposure to sunlight for extended periods. B. Applying emollients or moisturizers regularly. C. Engaging in outdoor physical activities. D. Frequent application of alcohol-based hand sanitizers.

Answer and Explanation

Choice A:

While sunlight can improve psoriasis symptoms in some individuals, direct exposure for extended periods can lead to skin damage and increase the risk of skin cancer. Sunscreen and limited sun exposure are advised.

Choice B:

"Applying emollients or moisturizers regularly." - Regular application of emollients or moisturizers is important for keeping the skin hydrated and preventing dryness and irritation, which can exacerbate psoriasis.

Choice C:

"Engaging in outdoor physical activities." - Engaging in light physical activities is generally encouraged, as long as it does not worsen psoriasis symptoms.

Choice D:

"Frequent application of alcohol-based hand sanitizers." - Alcohol-based hand sanitizers can dry out the skin and may irritate psoriasis lesions. It is better to use gentle, non-irritating handwashing techniques.More questions

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 30:

The nurse is teaching a patient about psoriasis. Which statement by the patient indicates a need for further education?

A. "Psoriasis is a chronic skin condition that causes red, scaly patches on the skin." B. "Psoriasis is an autoimmune disease that occurs when the body attacks healthy skin cells." C. "Psoriasis is contagious and can be spread through direct contact with affected individuals." D. "Treatment for psoriasis aims to reduce inflammation and slow down the rapid skin cell growth."

Answer and Explanation

Choice A:

This statement is correct. Psoriasis is a chronic skin condition that causes red, scaly patches on the skin.

Choice B:

This statement is correct. Psoriasis is indeed an autoimmune disease where the body's immune system attacks healthy skin cells.

Choice C:

Psoriasis is not contagious and cannot be spread through direct contact with affected individuals. It is an autoimmune disease where the immune system mistakenly attacks healthy skin cells, leading to the characteristic red, scaly patches on the skin.

Choice D:

This statement is correct. Treatment for psoriasis aims to reduce inflammation and slow down the rapid skin cell growth to manage the symptoms of the condition.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 31:

The nurse is caring for a patient with psoriasis and notices the presence of "Auspitz sign" during the assessment. What does this finding indicate?

A. Increased bleeding tendency in the patient. B. Presence of skin pustules and blisters. C. Formation of deep fissures in the skin. D. Presence of pinpoint bleeding when scales are removed.

Answer and Explanation

Choice A:

Auspitz sign is not related to increased bleeding tendency in the patient; it is specific to psoriasis and its characteristic skin changes.

Choice B:

Presence of skin pustules and blisters is not associated with Auspitz sign and may indicate other skin conditions.

Choice C:

Formation of deep fissures in the skin is not directly related to Auspitz sign, which focuses on the bleeding after scale removal.

Choice D:

Auspitz sign is a characteristic finding in psoriasis where pinpoint bleeding occurs when scales on the skin are removed. It is caused by the rapid growth and shedding of skin cells, which leads to the formation of delicate blood vessels that bleed easily.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 32:

The nurse is assessing a patient with suspected psoriasis. What is the primary assessment technique used to diagnose psoriasis?

A. Skin biopsy. B. Blood test. C. Physical examination. D. Magnetic resonance imaging (MRI).

Answer and Explanation

Choice A:

A skin biopsy may be performed to confirm the diagnosis of psoriasis, but it is not the primary assessment technique used to diagnose the condition.

Choice B:

Blood tests may be conducted to rule out other conditions or assess for systemic involvement, but they are not the primary method of diagnosing psoriasis.

Choice C:

The primary assessment technique used to diagnose psoriasis is a physical examination of the skin. The characteristic red, raised patches with silver scales are indicative of psoriasis. While additional tests like skin biopsy may be used to confirm the diagnosis, the initial diagnosis is based on the visual appearance of the skin lesions.

Choice D:

MRI is not a diagnostic tool for psoriasis. It may be used in certain cases to assess joint involvement in psoriatic arthritis, but it does not diagnose psoriasis itself.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 33:

Which statement accurately defines psoriasis?

A. Psoriasis is an autoimmune disease that primarily affects the respiratory system. B. Psoriasis is a bacterial skin infection caused by Streptococcus bacteria. C. Psoriasis is a chronic inflammatory skin condition characterized by red, scaly patches. D. Psoriasis is a type of skin cancer that arises from melanocytes.

Answer and Explanation

Choice A:

Psoriasis is not primarily an autoimmune disease affecting the respiratory system. It is primarily a skin condition, although it may be associated with certain autoimmune factors.

Choice B:

Psoriasis is not caused by a bacterial infection. It is a non-infectious skin disorder with an underlying immune-mediated mechanism.

Choice C:

Psoriasis is a chronic skin disorder that results from an overactive immune response, leading to the rapid growth of skin cells. This causes red, raised, and scaly patches to form on the skin, which can be itchy and painful.

Choice D:

Psoriasis is not a type of skin cancer. It is a benign skin condition that does not involve the malignant transformation of melanocytes.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 34:

What are the typical clinical manifestations of psoriasis?

A. Purulent discharge from the affected areas. B. Smooth, raised, and painless skin lesions. C. Itchy, red, and scaly patches on the skin. D. Ulcerated and bleeding skin sores.

Answer and Explanation

Choice A:

Purulent discharge is not a characteristic feature of psoriasis. Psoriasis lesions typically do not contain pus.

Choice B:

Psoriasis lesions are not smooth and painless. They are raised and may be painful or itchy.

Choice C:

The typical clinical manifestations of psoriasis include red, raised, and scaly patches on the skin. These patches are often itchy and may be associated with discomfort.

Choice D:

Ulcerated and bleeding skin sores are not typical of psoriasis. Psoriasis lesions are characterized by dry, scaly plaques rather than open sores.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 35:

What is the primary factor contributing to the development of psoriasis?

A. Genetic predisposition and family history. B. Exposure to harsh chemicals and irritants. C. Bacterial infection of the skin. D. Excessive sun exposure.

Answer and Explanation

Choice A:

Psoriasis has a strong genetic component, and individuals with a family history of the condition are more likely to develop it. Specific genetic factors are involved in the immune response and skin cell growth regulation, leading to psoriasis.

Choice B:

While exposure to certain chemicals and irritants can exacerbate psoriasis symptoms, they are not the primary factor contributing to its development.

Choice C:

Psoriasis is not caused by a bacterial infection. It is a non-infectious inflammatory skin disorder.

Choice D:

Sun exposure can affect psoriasis, but it is not the primary factor contributing to its development. In some cases, moderate sunlight exposure may even improve psoriasis symptoms.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 36:

Which nursing intervention is appropriate for a patient with psoriasis?

A. Encouraging the patient to pick or scratch the affected areas for relief. B. Applying hot packs to the skin lesions to soothe itching. C. Recommending a diet high in spicy and acidic foods to promote healing. D. Educating the patient about the importance of moisturizing the skin regularly

Answer and Explanation

Choice A:

Encouraging the patient to pick or scratch the affected areas can worsen psoriasis and lead to skin damage and infection.

Choice B:

Applying hot packs to the skin lesions can exacerbate psoriasis and should be avoided. Lukewarm or cool packs may provide relief for some patients.

Choice C:

A diet high in spicy and acidic foods is not recommended for psoriasis patients, as certain foods may trigger flare-ups or exacerbate symptoms. A well-balanced, anti-inflammatory diet is more appropriate for psoriasis management.

Choice D:

Moisturizing the skin is essential for managing psoriasis and preventing dryness and scaling. Regular use of moisturizers helps maintain skin hydration and reduce the discomfort associated with psoriasis.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 37:

How is psoriasis typically diagnosed?

A. Blood test to detect the presence of Streptococcus bacteria. B. Biopsy of the skin lesions for histopathological examination. C. Chest X-ray to assess lung involvement. D. Urinalysis to identify inflammatory markers.

Answer and Explanation

Choice A:

Blood tests are not used to diagnose psoriasis, as it is not caused by a bacterial infection.

Choice B:

A definitive diagnosis of psoriasis is often made through a skin biopsy, where a small sample of the affected skin is taken and examined under a microscope to confirm the presence of psoriasis-related changes.

Choice C:

Chest X-rays are not part of the diagnostic process for psoriasis, as it primarily affects the skin and not the lungs.

Choice D:

Urinalysis is not used to diagnose psoriasis, as it does not provide relevant information about the skin condition.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 38:

The nurse is providing education to a patient with psoriasis about potential triggers that can worsen the condition. Which statement by the patient indicates a need for further education?

A. "I should avoid stress as it can exacerbate my psoriasis." B. "I will limit alcohol consumption to prevent psoriasis flare-ups." C. "I should avoid using moisturizers on my skin to keep it dry." D. "I will quit smoking to help improve my psoriasis symptoms."

Answer and Explanation

Choice A:

Stress is a known trigger for psoriasis flare-ups, and avoiding stress can help manage the condition.

Choice B:

Limiting alcohol consumption is important as alcohol can trigger or exacerbate psoriasis symptoms.

Choice C:

Moisturizers are beneficial in managing psoriasis symptoms as they help keep the skin hydrated and reduce dryness and itching. Avoiding moisturizers can worsen psoriasis symptoms and is not recommended.

Choice D:

Smoking is associated with increased severity and risk of psoriasis, and quitting smoking can help improve symptoms.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 39:

The nurse is caring for a patient with psoriasis. Which assessment finding is consistent with psoriasis?

A. Clear and smooth skin without any changes. B. Red and raised skin patches with silver scales. C. Skin rash with fluid-filled blisters. D. Purple or red lumps under the skin.

Answer and Explanation

Choice A:

Clear and smooth skin without any changes is not consistent with psoriasis, which is marked by visible skin changes like red, raised patches.

Choice B:

Psoriasis is characterized by red and raised skin patches covered with silver or white scales. These patches are often itchy and can be found on various parts of the body, such as the scalp, elbows, knees, and lower back.

Choice C:

Skin rash with fluid-filled blisters may indicate conditions such as contact dermatitis or eczema but is not typical of psoriasis.

Choice D:

Purple or red lumps under the skin are more suggestive of other conditions, such as nodules or hematomas, rather than psoriasis.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Question 40:

What is the typical age of onset for psoriasis?

A. Infancy and early childhood B. Adolescence and young adulthood C. Middle age and older adulthood D. Any age, as it is random

Answer and Explanation

Choice A:

Infancy and early childhood - Psoriasis can occur in children, but it is less common in infancy and early childhood.

Choice B:

Psoriasis can develop at any age, but the most common age of onset is during adolescence and young adulthood. However, it can also appear for the first time later in life.

Choice C:

Middle age and older adulthood - While psoriasis can develop at any age, it is less common to have an onset in middle age and older adulthood.

Choice D:

Any age, as it is random - Although psoriasis can appear at any age, there is a higher prevalence of onset during adolescence and young adulthood.

Discussion Section

Posting as Anonymous or Login Here

0 Pulse Checks

No comments

Sign Up or Login to view all the 40 Questions on this Exam

Join over 100,000+ nursing students using Naxlex’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.

Exam Review

Psoriasis Share this Share This Link Share on social media Facebook Messager WhatsApp Share URL Copy Close

Total Questions : 40

Sign Up or Login to view all the 40 Questions on this Exam

Psoriasis

Share This Link

Share on social media

Facebook

Messager

WhatsApp

Share URL
Copy