NORCET 3 - 2022 (Shift-1)
Medical & Surgical Nursing
Easy
Identify the given Image? 
Appeared in: NORCET 3 - 2022 (Shift-1)
Explanation
- The image shows a classic ring-shaped (annular) lesion with a raised, scaly, and red border, which is characteristic of Tinea Corporis (ringworm of the body).
- The center of the lesion shows clearing, where the inflammation has subsided, a hallmark feature as the fungus spreads outwards.
- The location on a hairy skin surface is consistent with Tinea Corporis, which affects the trunk, limbs, or face.
- This presentation is caused by dermatophyte fungi growing in the superficial keratinized layers of the skin.
Why Other Options Were Wrong
- Option B: Tinea Pedis, or athlete's foot, specifically affects the feet, typically causing scaling, maceration, and fissures between the toes or on the soles. The lesion in the image is not located on a foot.
- Option C: Tinea Capitis is a fungal infection of the scalp. It presents with scaly patches, hair loss (alopecia), and sometimes 'black dots' where hairs have broken off. The image does not show the scalp.
- Option D: Tinea Unguium (Onychomycosis) is a fungal infection of the nails. It causes nails to become thick, brittle, discolored (yellow or white), and crumbly. The image clearly shows a skin lesion, not an affected nail.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of superficial fungal infections based on clinical presentation as background academic context rather than a clinical decision trigger.
- Accurate identification of tinea infections is crucial for nurses to provide correct patient education on hygiene, medication application, and prevention of transmission to others.
- Nurses must advise patients to avoid using over-the-counter steroid creams on fungal rashes, as this can suppress the local immune response and worsen the infection (tinea incognito).
- Patient counseling on completing the full course of antifungal therapy is a key nursing role to prevent chronic or recurrent infections.
How to Approach the Question
- First, carefully observe the image to identify the key characteristics of the lesion. Note its shape (annular/ring-like), border (raised, scaly), color (red/erythematous), and any other features (central clearing).
- Next, identify the location of the lesion on the body. The image shows a skin surface with hair, suggesting the trunk or a limb.
- Review the options provided. The term 'Tinea' indicates a fungal infection, and the second word specifies the location.
- Match the location from your observation with the Latin terms in the options: 'Corporis' (body), 'Pedis' (foot), 'Capitis' (head/scalp), 'Unguis' (nail).
- Based on the ring-like lesion on the body, conclude that Tinea Corporis is the most fitting diagnosis.
- Eliminate the other options because their locations (foot, scalp, nail) do not match the visual evidence in the image.
Concept Tested & Keywords
- Concept Tested: Identification of superficial fungal infections based on clinical presentation.
- Stem keywords: Image, Tinea, skin lesion
- Lead-in keywords: Identify
- Clinical cues: Annular (ring-shaped) lesion
- Clinical cues: Raised, scaly border
Question ID
Ql1EjoXW2SJgjeIAu2EIxZ
Reference Book
E6 Medicine Harrison 22e Part 1 p. 1764-1766
E6 Nursing Brunner Adult Health 3SA Vol 1 Part 4 p. 76-78
Practise the full NORCET 3 - 2022 (Shift-1)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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