The nurse just noted from the medical record that the patient has ...

[cookcarl]

The nurse just noted from the medical record that the patient has a lesion that is confluent in nature. On examination, the nurse expects to find:
 
  a. Lesions that run together.
  b. Annular lesions that have grown together.
  c. Lesions arranged in a line along a nerve route.
  d. Lesions that are grouped or clustered together.

Question 2

A patient has had a terrible itch for several months that he has been continuously scratching. On examination, the nurse might expect to find:
 
  a. A keloid.
  b. A fissure.
  c. Keratosis.
  d. Lichenification.

[nikmaaacs]

Answer to Question 1

ANS: A
Confluent lesions (as with urticaria hives) run together. Grouped lesions are clustered together. Annular lesions are circular in nature. Zosteriform lesions are arranged along a nerve route.

Answer to Question 2

ANS: D
Lichenification results from prolonged, intense scratching that eventually thickens the skin and produces tightly packed sets of papules. A keloid is a hypertrophic scar. A fissure is a linear crack with abrupt edges, which extends into the dermis; it can be dry or moist. Keratoses are lesions that are raised, thickened areas of pigmentation that appear crusted, scaly, and warty.