Answer to Question 1
Correct Answer: 1
Lichenification is a rough, thickened, hardened area of epidermis resulting from chronic irritation such as scratching or rubbing. An example of lichenification is chronic dermatitis. A fissure is a linear crack with sharp edges, extending into the dermis. Examples include cracks at the corners of the mouth or in the hands, or those seen with athlete's foot. A keloid is an elevated, irregular, darkened area of excess scar tissue caused by excessive collagen formation during healing. It extends beyond the site of the original injury. An example of a keloid is scar tissue from ear piercing. Scales are shedding flakes of greasy, keratinized skin tissue. Examples of scales include dry skin, dandruff, psoriasis, and eczema.
Answer to Question 2
Correct Answer: 3
Thinning of the nails in seen in nutritional deficiencies. One laboratory test to assess for nutritional deficiencies is a serum albumin level. Pulse oximetry measures the oxygen level of the blood. Decreased oxygenation might cause nail thickening. Hemoglobin measures red blood cell oxygen-carrying capacity. If the patient has a hemoglobin problem, the nails would be spoon-shaped. A white blood cell count is used to check for an infection. The nails would appear to be inflamed or separating from the nail bed.
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