NPLEX Minor Office Procedures Practice Test

These questions are part of the practice quiz. Start practicing

• Apart from hypotension, what is another concern with the use of epinephrine in local anesthesia?
• Which practice reduces healing time?
• Nikolsky's sign is associated with which condition?
• Actinic keratosis appears indurated on sun-exposed skin and is rarely pre-malignant.
• Which skin condition is characterized by a herald patch and a Christmas tree–like distribution of lesions?
• This is the most dangerous of all the malignant skin tumors.
• What is the concern with atopic dermatitis as described in the material?
• Elliptical excision should have a length to width ratio of _____ with corners at _____ angles?
• Which suture size is used for trunk, legs, feet or scalp wounds and is removed after 7-14 days?
• In adults, which organisms most often cause cellulitis?
• Which statement best describes a lipoma?
• Which of the following are causes of hematoma formation?
• What is your ddx: Red streaks from infected area to the armpit or groin (may vary in intensity.) Throbbing pain along the affected area Fever (100 to 104) Rigors / Chills Myalgia Headache Loss of appetite
• Molluscum contagiosum lesions are best described as:
• Which scalpel blade is used for stabbing and incising the skin in incision and drainage procedures?
• How many milligrams are in 1 mL of a 1% lidocaine solution?
• Pityriasis rosea most commonly affects which age group?
• Which diagnostic test helps differentiate pityriasis alba from vitiligo and tinea versicolor?
• Which of the following is an indication for NON-ABSORBABLE deep suture?
• A benign tumor of encapsulated fat arising from the subcutaneous fascia.
• Which nerve block yields anesthesia to the lateral proximal thumb?
• Which term describes a benign flat pigmented spot on the skin?
• Which nerve block is injected into the anatomical snuff box to anesthesia the lateral aspect of the proximal thumb?
• Which is a potential cause of hematomas?
• Under OSHA standards, is mouth pipetting of blood allowed?
• For the trunk, legs, feet or scalp, use the following type of suture and remove after how many days?
• Which of the following suture is the finest (has the smallest diameter)?
• In dehiscence due to infection, which step is most appropriate first?
• The most common organism causing wound infections is:
• Indicated treatment for infections that result in a collection of purulent material in a circumscribed and closed cavity.
• Which term describes the process of completely removing microorganisms, including spores, from instruments?
• Which of the following conditions can be treated with cryotherapy and has a low risk of complications?
• Granulation tissue formation occurs during which phase of wound healing?
• What is the most common cause of toxic reactions to local anesthetics?
• Describe an atypical nevus?
• What is the standard management for impetigo?
• Which statement about suture sizing is true?
• Which antibiotic is listed as a common agent to treat wound infections?
• What is bupivacaine used for?
• T or F: if you are going to do cryotherapy and need a biopsy you should do the biopsy first.
• Basal cell carcinoma typically presents as
• Regarding Universal Precautions, which statement is false?
• Simple rupture by pressure, simple aspiration, and surgical excision are all potential treatments for:
• Adsons forceps can be used with teeth or without teeth. What is the primary difference?
• Which condition presents with red streaks toward regional lymph nodes?
• Contraindication to I&D include:
• Which skin cancer is the most commonly diagnosed and tends to grow slowly?
• Which of the following is a sign of local anesthesia cardiovascular toxicity?
• If cavernous hemangioma is suspected, what is the recommended management?
• When removing sutures, which method is correct?
• Which diagnosis is characterized by brown, firm papules on the legs that may arise after trauma due to fibroblast overgrowth?
• What is your ddx: Infection of the dermis and subcutaneous tissue following trauma or skin lesions.
• Discoid lupus is more common in which demographic?
• The vertical mattress stitch tends to invert tissue. Which choice correctly matches this concept?
• Chronic yeast overgrowth on the skin, not contagious, producing white, brown, or pink scaling oval patches on the trunk is:
• This stitch is used for triangular flaps:
• Which is the most common type of skin cancer?
• The most common triggers for urticaria are
• Which blade is used for elliptical excisions?
• Which condition is characterized by target-like lesions with central blister and often self-limiting?
• Granuloma annulare histology shows which feature?
• Which suture has less resistance as it passes through tissue and ties easily but knots may slip?
• Which factor does NOT increase the time required for wound healing?
• In wound dehiscence without infection or hematoma, what is the recommended management?
• In addition to hypotension, epinephrine use can cause vasospasm in which tissues?
• This stitch is placed in the dermis and is not visible. It works best in wounds where there is minimal tension, and in clean, linear wounds:
• A skin infection characterized by golden honey-colored crusts and usually caused by Staphylococcus aureus or Streptococcus pyogenes is known as:
• Elliptical excisions should ideally be made with a #____ blade, initially cutting ____ to the skin.
• Which symptom is a later sign of local anesthetic toxicity if blood levels rise?
• Which of the following is a benign, flat pigmented spot on the skin?
• In discoid lupus, which immunoglobulins are deposited in the skin?
• Which infestation is described as very pruritic, especially at night, with burrows on hands, wrists, elbows, axilla, umbilicus, groin/penis?
• Which surface feature is commonly seen in verruca vulgaris (common warts)?
• Granuloma annulare presents as a ring of small, firm, flesh-colored or red papules on the lateral or dorsal surfaces of the hands and feet, beginning with a flesh-colored papule with central involution and histology showing collagen degeneration. Which diagnosis fits this description?
• Pityriasis rosea has been linked to which infectious agents?
• Stasis dermaitis is usually the result of what?
• When suturing a wound, which measures can reduce tension?
• Tinea versicolor is associated with a yeast-like organism named:
• Hemostats are also known by which of the following names?
• Stevens-Johnson syndrome mortality rate and management
• This easy and most versatile stitch can cause 'railroad track' scarring.
• The most common organism causing wound infections is:
• What is the most common, fundamental suture technique?
• What is a common adverse effect of lidocaine and bupivacaine?
• Which of the following is a correct pairing for a lesion type and its origin?
• How do sutures work?
• Which of the following is metabolized in the liver?
• In the event of a toxic reaction to local anesthesia, the recommended treatment is:
• What scalpel blade size attaches to a reusable handle and is often disposable?
• Indications for hyfrecation include:
• What type of forceps can be used to reduce trauma to skin edges when suturing?
• Based on a chronic recurrent autoimmune skin disorder with sun exposure preceding lesions, IgG and IgM deposition in the skin, and female predominance with onset in the 30s, which diagnosis is most likely?
• The destruction of all living microorganisms including bacterial spores is called what?
• Cryotherapy is indicated for which of the following?
• Which statement about the vertical mattress stitch is true?
• What is a risk factor for developing melanoma?
• Which patient condition increases the risk of hematoma formation after wound closure?
• What is the most common, slow-growing, rarely metastatic skin cancer?
• What is the treatment for a brown recluse bite?
• What blade size is used for excision, trimming, and dissecting tissue?
• What is the difference between erysipelas and impetigo?
• Epithelial tumors caused by HPV, presenting as flesh-colored papules that evolve to gray-brown, hyperkeratotic growths with black dots on the surface are called:
• Which cyst tends to occur on the scalp as a movable subcutaneous nodule with firmer keratin content and may pop out during surgery?
• What is the typical size range of the Harold patch?
• Which instrument is used for removing scalpel blades, holding tourniquets, clamping vessels, and holding skin tags and toenails, and may be curved or straight?
• Onychomycosis is treated with a combination of urea paste dissolution and antifungal medications. Which option is Onychomycosis?
• A 10 mL (10 cc) vial of 1% lidocaine contains how many milligrams of lidocaine?
• Railroad-track scarring is a potential complication of which stitch?
• What is the best treatment for a toxic reaction?
• True or False: If removing an unusual or inflamed skin tag, send to pathology?
• Which stitch is placed invisibly in the dermis and is best for minimal tension, clean linear wounds?
• Which suture material is preferred for simple interrupted and vertical mattress stitches?
• Which nerve block is useful for anesthesia to the tip of the little finger?
• Disposable gloves should be decontaminated for reuse.
• Which forceps are designed for handling tissue without teeth?
• Which suture material is most likely to provoke tissue reaction?
• What scalpel blade size is used for stabbing or incising the skin in an incision and drainage (I&D) procedure?
• Cryotherapy and biopsy order: which sequence is correct?
• Actinic keratoses are best described as which of the following?
• Which agent is commonly used as a topical treatment in acne management to reduce bacteria and inflammation?
• Which internal chronic diseases may cause urticaria?
• In which scenario is color of the solution NOT a main pharmacologic property to consider when choosing a local anesthetic?
• Autoimmune skin changes with white patches due to loss of pigment best describe:
• What is the duration of action for bupivacaine?
• Toothed needle tips versus smooth tips: which statement is true?
• Which of the following suture types has the highest likelihood of tissue reaction?
• Which forceps are used for handling tissue and may be with teeth or smooth?
• A genital infection presents with soft, moist, skin-colored papules that progress to cauliflower-like masses. The most likely diagnosis is:
• Which suture technique is the most common method for skin closure?
• Which anesthetic is an ester prototype?
• Diagnosis of pemphigus vulgaris is supported by which test?
• A poxvirus infection seen in children with small, harmless skin growths that start as a dimple and later enlarge, waxy with a central pit, and can spread person-to-person is:
• Which of the following is a NONABSORBABLE MONOFILAMENT:
• In medical terminology, infection around the nail bed is called?
• Which statement correctly matches the organism types for tinea versus candida infections?
• Which lesion is a subcutaneous movable fatty growth and may be hereditary?
• Pemphigus vulgaris typically presents with which feature?
• Which skin cancer is the fastest growing metastatic skin cancer?
• Contraindication to I&D include:
• Which of the following is a correct description of how to remove stitches?
• What device is ratcheted to hold the needle and suture during suturing?
• Children and young adults may present with round or oval fine scaling plaques leaving pale marks on the face, neck, and arms; KOH testing helps differentiate this from vitiligo or tinea versicolor. This condition is:
• Which regional block is useful for anesthesia to the tip of the little finger?
• Four cardinal signs of slight finger flexion, fusiform swelling of the finger, pain on passive or active extension of the finger, and tenderness along the tendon sheath into the palm indicate:
• Wounds that are too contaminated to close initially but may be closed after 3-4 days are categorized as which type?
• Which statement about epinephrine when used with local anesthetics is true?
• What blade size is similar to the #14 blade but larger, for tougher skin such as on the back or scalp?
• Which sign may occur as a progression with increasing local anesthetic blood levels?
• Which agent is primarily metabolized by plasma enzymes?
• Is isotretinoin teratogenic?
• Which lesion is a subcutaneous movable nodule consisting of fatty tissue that may be hereditary and can recur after removal?
• Disruption of blood vessels describes which phenomenon in wound healing?
• Which is a disadvantage of the simple interrupted suture?
• Which of the following is included in the OSHA standards summary?
• Which spider's venom contains sphingomyelinase D?
• What may be elevated in atopic dermatitis?
• Indications for adding epinephrine to local anesthetics include all the following EXCEPT:
• Procaine is an ester local anesthetic.
• Which is long-acting among local anesthetics?
• What is the initial management concern for pemphigus vulgaris?
• Which of the following is an early sign of local anesthetic toxicity?
• Drug eruptions most commonly occur within
• Which is NOT a potential cause of wound infection?
• This stitch is great for everting skin edges and precise approximation of wound edges with little tension.
• Actinic keratoses are most commonly found on which areas?
• Characteristic lesion in erythema multiforme is
• Which is a contraindication for shave biopsy?
• Procaine is metabolized to PABA in peripheral tissues and plasma. Which is a true statement about this metabolism?
• What content is found inside an epidermal inclusion cyst?
• In psoriasis, removal of the scale can cause pinpoint bleeding. What is this phenomenon called?
• Greasy, scaly, or verrucous flat papules to plaques that appear stuck-on describe which lesion?
• Which lesion is often mistaken for melanoma but is actually benign?
• Which instrument is a very fine scissor used for dissecting and trimming skin, and should not be used to cut sutures or bandages?
• Granuloma annulare histology shows which feature?
• Urea paste dissolution and anti-fungal oral medications are appropriate treatments for:
• Which lesion is a movable, skin-colored subcutaneous cyst on the face, back, ears, or groin, containing a keratin-filled sac and may become inflamed?
• Which drug is oral: tretinoin or isotretinoin?
• Which spider bite is classically associated with a delayed onset intense pain due to a neurotoxin?
• Genital warts are most commonly caused by which HPV types?
• Nylon is what type of suture:
• Lidocaine and bupivacaine are prototypes for which type of local anesthetics?
• All of the following are variables that determine amount of time to leave sutures in EXCEPT:
• Which cyst characteristically pops out during surgery due to its contents?
• What is your ddx: Superficial cellulitis involving lymphatics. Usually caused by group A beta-hemolytic Streptococcus pyogenes (GAS). Painful, raised sharply demarcated 'orange peel' lesion.
• Which scalpel blade is best for larger, thick, and tough skin on the back?
• A patient develops severe, life-threatening blistering with fever and conjunctivitis after starting a drug; most consistent with
• Symmetric vesicular hand and foot dermatitis preceded by itching, with palms red and sweating and a high incidence of nickel allergy, is most consistent with:
• Which statement correctly describes tungsten carbide tipped needle holders?
• Which of the following is a nutrient that is known to promote wound healing:
• What type of suture technique can eliminate dead space?
• Which option is the best single choice indicating the most common fundamental wound closure technique?