CMP Nail Disorders & Treatment 2

Question 1

A client presents with onycholysis of the big toenail following aggressive pedicure work. What is the most appropriate action?

Accepted Answer

Refer the client to a podiatrist and avoid filing under the free edge

Answer

Onycholysis (nail-plate separation) can worsen with trauma under the free edge; referral is warranted if the cause is unclear or spreading.

Question 2

Which condition is characterized by an abnormal thickening and upward curvature of the nail plate, often seen in elderly clients?

Accepted Answer

Onychogryposis

Answer

Onychogryposis (ram's-horn nail) is a hypertrophic deformity common in older adults caused by poor circulation or repeated trauma.

Question 3

A pedicure client has transverse depressions running across all ten nails at the same relative position. These are most likely caused by:

Accepted Answer

A systemic illness or physiological stress that temporarily halted nail growth

Answer

Beau's lines appear across all nails simultaneously when nail growth is disrupted by systemic illness, high fever, or severe stress.

Question 4

When performing a pedicure on a client with mild clubbing of the toenails, a CMP should:

Accepted Answer

Note the condition, avoid aggressive services, and encourage the client to consult a physician

Answer

Nail clubbing can signal underlying cardiopulmonary or systemic disease and warrants medical evaluation.

Question 5

Which antifungal medication is commonly prescribed orally for onychomycosis because it incorporates into the nail plate as it grows?

Accepted Answer

Terbinafine

Answer

Terbinafine (Lamisil) is an oral allylamine antifungal that binds to the nail plate and is the first-line prescription treatment for onychomycosis.

(CMP) Certified Master Pedicurist Practice Test