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Nurse Practitioner:
doi: 10.1097/01.NPR.0000371295.32438.00
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Hidradenitis suppurativa: A Clinician's Tool for Early Diagnosis and Treatment

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INSTRUCTIONS Hidradenitis suppurativa: A clinician's tool for early diagnosis and treatment

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Hidradenitis suppurativa: A clinician's tool for early diagnosis and treatment

General Purpose: To familiarize NPs with the diagnosis and treatment of HS. Learning Objectives: After reading the previous article and taking the following test, the NP will be able to: 1. Discuss the pathophysiology and prevalence of HS. 2. Describe the diagnostic process for HS. 3. Identify treatment options for HS.

1. HS lesions usually occur near which glands?

a. thyroid

b. salivary

c. adrenal

d. sweat

2. HS lesions are most likely to be found in which area?

a. palms

b. groin

c. flank

d. scapular

3. HS is sometimes associated with

a. pilonidal sinuses.

b. acne rosacea.

c. carbuncles.

d. furunculosis.

4. HS primarily affects

a. preadolescent children.

b. older adults.

c. women.

d. men.

5. Where would HS prevalence probably be higher?

a. Arizona

b. Minnesota

c. Vermont

d. Florida

6. In men, HS most often occurs in which area of the body?

a. anogenital region

b. axillae

c. shoulders

d. periumbilical area

7. Which age falls within the peak range for HS onset?

a. 9 years

b. 32 years

c. 51 years

d. 66 years

8. Predisposing factors of HS include

a. menopause.

b. poor hygiene.

c. smoking.

d. shingles.

9. Compared with the general population, the mortality associated with HS is

a. lower.

b. the same.

c. higher.

d. significantly higher.

10. Recent studies suggest that HS is caused by

a. stratum corneum malfunction.

b. apocrine gland infection.

c. apocrine gland occlusion.

d. follicular occlusion.

11. Early HS lesions are usually

a. itchy.

b. bridged comedones.

c. purulent.

d. disfiguring.

12. Which of the following is the hallmark finding of HS?

a. abscess

b. infected lesions

c. bridged comedones

d. scarring

13. Diagnosis usually does not include

a. positive biopsy.

b. typical lesions.

c. characteristic lesion distribution.

d. recurrence.

14. The first clinical stage is usually associated with

a. oozing.

b. surgical intervention.

c. isolated lesions.

d. sinus tracts.

15. Initial treatment includes

a. cool compresses.

b. incision and drainage.

c. intravenous antibiotics.

d. intralesional corticosteroid injections.

16. An antibiotic commonly used in early HS is

a. penicillin.

b. doxycycline.

c. gentamicin.

d. sulfamethoxazole.

17. Which drug would most likely be recommended for pain?

a. ibuprofen

b. aspirin

c. codeine

d. oxycodone with acetaminophen

18. The most effective curative therapy for third stage HS is

a. incision and drainage.

b. silver-impregnated dressings.

c. tumor necrosis factor blockers.

d. radical surgery.

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