A school nurse is assessing a child who has honey-colored crusted lesions around their mouth and on their arms. The nurse should recognize this as a characteristic of which of the following skis infections?
Impetigo
Scabies
Herpes simplex virus
Tinea corporis
The Correct Answer is A
A. Impetigo. Impetigo is a highly contagious bacterial skin infection, often caused by Staphylococcus aureus or Streptococcus pyogenes. It is characterized by honey-colored crusted lesions, especially around the mouth and extremities.
B. Scabies. Scabies presents as intensely itchy burrows or papules, often in the web spaces of the fingers, wrists, and axillae, rather than honey-colored crusts.
C. Herpes simplex virus. Herpes simplex virus (HSV) typically causes grouped vesicular lesions on an erythematous base, not crusted honey-colored lesions.
D. Tinea corporis. Tinea corporis (ringworm) presents as red, scaly, annular lesions with central clearing, not honey-colored crusts.
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Related Questions
Correct Answer is D
Explanation
A. 54%. This percentage would be an overestimate based on the Rule of Nines.
B. 27%. This underestimates the TBSA affected based on the Rule of Nines.
C. 45%. This overestimates the TBSA.
D. 36%. Using the Rule of Nines:
- Entire right arm = 9%
- Front of right leg = 9%
- Front of torso = 18%
Total TBSA = 9% + 9% + 18% = 36%
Correct Answer is A
Explanation
A. Impetigo. Impetigo is a highly contagious bacterial skin infection, often caused by Staphylococcus aureus or Streptococcus pyogenes. It is characterized by honey-colored crusted lesions, especially around the mouth and extremities.
B. Scabies. Scabies presents as intensely itchy burrows or papules, often in the web spaces of the fingers, wrists, and axillae, rather than honey-colored crusts.
C. Herpes simplex virus. Herpes simplex virus (HSV) typically causes grouped vesicular lesions on an erythematous base, not crusted honey-colored lesions.
D. Tinea corporis. Tinea corporis (ringworm) presents as red, scaly, annular lesions with central clearing, not honey-colored crusts.
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