INSTRUCTIONS Face Up to Rosacea
TEST INSTRUCTIONS
* To take the test online, go to our secure Web site at http://www.nursingcenter.com/ce/NP.
* On the print form, record your answers in the test answer section of the CE enrollment form on page 36. Each question has only one correct answer. You may make copies of these forms.
* Complete the registration information and course evaluation. Mail the completed form and registration fee of $19.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
* You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.
* Registration deadline is September 30, 2007.
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PROVIDER ACCREDITATION:
This Continuing Nursing Education (CNE) activity for 3.0 contact hours is provided by Lippincott Williams & Wilkins (LWW), which is accredited as a provider of continuing education in nursing by the American Nurses Credentialing Center's Commission on Accreditation and by the American Association of Critical-Care Nurses (AACN 00012278, CERP Category A). This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 3.0 contact hours. LWW is also an approved provider of CNE in Alabama, Florida, and Iowa, and holds the following provider numbers: AL #ABNP0114, FL #FBN2454, IA #75. All of its home study activities are classified for Texas nursing continuing education requirements as Type 1. This activity has been assigned 0.5 pharmacology credit. Your certificate is valid in all states. This means that your certificate of earned contact hours is valid no matter where you live.
Face Up to Rosacea
General Purpose: To provide the nurse practitioner (NP) with information needed to diagnose and treat rosacea. LearningObjectives: After reading the preceding article and taking the following test, the NP should be able to: 1. Discuss rosacea in terms of the etiology, risk factors, and symptoms. 2. Diagnose rosacea and differentiate between the different types of rosacea. 3. Describe treatment options for rosacea.
1. Who is most likely to seek treatment for rosacea?
a. 15-year-old female of Irish descent
b. 30-year-old male of Asian descent
c. 50-year-old man of German descent
d. 50-year-old woman of Scandinavian descent
2. According to the author, one of the reasons people with rosacea tend to also suffer from low self-esteem is because it is
a. so obvious to others.
b. resistant to treatment.
c. difficult to diagnosis.
d. contagious.
3. The etiology of rosacea is theorized as related to all of the following except
a. genetic predisposition.
b. prolonged use of antibiotics.
c. vascular changes associated with hormonal fluctuations.
d. environmental factors that cause skin inflammation.
4. A diagnosis of rosacea is based on the clinical picture, focused history, and
a. microscopic evaluation of hair follicles.
b. skin culture from affected areas.
c. cutaneous findings.
d. skin biopsy.
5. When considering a diagnosis of rosacea, the NP should specifically ask questions about
a. the number of severe facial sunburns in the patient's past.
b. exposure to Helicobacter pylori and Demodex folliculorum.
c. flushing-what causes and relieves it.
d. history of alcohol use.
6. Which of the following is not a primary feature for diagnosis of rosacea?
a. transient or nontransient erythema
b. burning or stinging of central facial area
c. papules or pustules
d. telangiectases
7. The standard classification system for rosacea is based on
a. pathogenesis.
b. disease progression.
c. severity of condition.
d. morphologic characteristics.
8. Ms. M. complains of persistently red cheeks that sometimes sting. The NP considers a diagnosis of
a. erythematotelangiectatic rosacea.
b. papulopustular rosacea.
c. phymatous rosacea.
d. granulomatous rosacea.
9. Mrs. H. seeks treatment for acne. However, after noting the patient has central erythema, flushing, and papules, but no comedones, the NP determines Mrs. H. has
a. erythematotelangiectatic rosacea.
b. papulopustular rosacea.
c. phymatous rosacea.
d. acne vulgaris.
10. The most common phymatous type is
a. gnathophyma.
b. metophyma.
c. otophyma.
d. rhinophyma.
11. Patients with ocular rosacea are most likely to complain of
a. scales and crust on the eyelid margins.
b. dilated pupils.
c. difficulty seeing.
d. pain and swelling of the tear ducts.
12. According to a National Rosacea Society survey, what is the most common trigger for rosacea?
a. stress and strong emotions
b. drinking alcohol
c. exposure to sunlight
d. vasodilator medications
13. Typically, patients with mild rosacea can initially be treated with
a. combination therapy with topical and oral medications.
b. oral medications only.
c. topical medications only.
d. lifestyle changes only.
14. Although the mechanism of action for most topical rosacea treatments is unclear, it is theorized that most are effective because of their
a. drying effect.
b. antimicrobial effect.
c. antivascular effect.
d. anti-inflammatory effect.
15. First-line topical therapies for rosacea are
a. sulfacetamide and sulfur armamentarium.
b. sulfur preparations and metronidazole.
c. sulfacetamide and azelaic acid.
d. metronidazole and azelaic acid.
16. Recent research has shown that the most effective topical therapy for rosacea is
a. azelaic acid.
b. metronidazole.
c. sulfacetamide.
d. sulfur armamentarium with sun protection factor 18.
17. What is the most effective form of azelaic acid therapy?
a. 100 mg given orally in divided doses, two times a day
b. 100 mg given orally, once a day
c. topical 20% cream formulation
d. topical 15% gel formulation
18. The most severe cases of rosacea may need to be treated with
a. angiotensin-converting enzyme inhibitors.
b. isotretinoin.
c. vasodilators.
d. corticosteroids.