Which of the following characteristics best describes a papule?
Raised, solid lesion less than 1 cm in diameter
Non-inflammatory lesion with darkened color due to oxidation
Inflamed bump on the skin that can be tender to the touch
Large, firm lesion containing purulent material
The Correct Answer is A
Rationale:
A. Raised, solid lesion less than 1 cm in diameter is correct. A papule is a small, elevated, solid lesion of the skin that is typically less than 1 centimeter in diameter. Papules can result from a variety of dermatologic conditions, including inflammatory responses, infections, or benign growths, and they are distinct from vesicles or pustules because they do not contain fluid or pus.
B. Non-inflammatory lesion with darkened color due to oxidation is incorrect. This description corresponds to a comedo, such as a blackhead, which is a type of acne lesion formed by oxidized sebum in clogged hair follicles. While comedones are common in acne, they are not considered papules because they are not solid raised lesions caused by cellular proliferation or inflammation.
C. Inflamed bump on the skin that can be tender to the touch is incorrect. While some papules may become inflamed and tender, the defining characteristic of a papule is its size and solid, raised nature, not necessarily inflammation. Inflammatory bumps that are tender and red may be better classified as pustules or nodules depending on their content and size.
D. Large, firm lesion containing purulent material is incorrect. This description defines a pustule or abscess, which contains pus composed of white blood cells, bacteria, and cellular debris. Papules do not contain fluid or pus, making this option inconsistent with the definition of a papule.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. These cells are found in the epidermis, specifically in the stratum corneum, which forms the outermost layer of the skin and provides a protective barrier. They are not part of the dermis.
B. Keratinocytes, responsible for producing keratin, are located primarily in the epidermis. While keratin provides structural strength to the skin, hair, and nails, the dermis contains connective tissue, not keratin-producing cells.
C. The dermis contains a variety of sensory receptors, including Meissner’s corpuscles for light touch, Pacinian corpuscles for pressure and vibration, and free nerve endings for pain and temperature. These structures are embedded within the connective tissue of the dermis and allow the skin to detect external stimuli.
D. Melanin-producing melanocytes are incorrect. Melanocytes are located in the basal layer of the epidermis, where they produce melanin to protect against ultraviolet radiation. They are not found in the dermis.
Correct Answer is C
Explanation
Rationale:
A. The Loop of Henle primarily functions to concentrate urine and maintain the osmotic gradient in the renal medulla. It allows for selective reabsorption of water and salts but does not directly filter blood. Its role is in modifying the filtrate that has already been produced by the glomerulus rather than initiating filtration.
B. The proximal convoluted tubule is responsible for reabsorbing the majority of filtered water, glucose, amino acids, and electrolytes from the glomerular filtrate back into the bloodstream. While it plays a crucial role in regulating the composition of the filtrate, it does not perform the initial filtration of blood.
C. The glomerulus is a tuft of specialized capillaries located within Bowman's capsule in the nephron, and it serves as the primary filtration unit of the kidney. Blood enters the glomerulus under high hydrostatic pressure, which forces water, electrolytes, glucose, and small molecules through the glomerular filtration membrane into Bowman's capsule, forming the initial filtrate. The filtration membrane is selective, retaining larger molecules like proteins and blood cells within the circulatory system. This process establishes the foundation for urine formation and allows the kidneys to regulate fluid and electrolyte balance effectively.
D. The collecting duct primarily functions in the final concentration or dilution of urine, responding to hormones such as antidiuretic hormone (ADH) and aldosterone. It fine-tunes water and electrolyte reabsorption but does not participate in the initial filtration of blood.
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