NIC Esthetician Written ExamScientific ConceptsMedium

An esthetician is performing a skin analysis and observes a client with thickened, discolored, and brittle toenails, particularly on the great toe. The client reports occasional discomfort. This condition is most likely indicative of which of the following?

  1. AAthlete's Foot (Tinea Pedis)
  2. BOnychomycosis
  3. CParonychia
  4. DOnycholysis
Show answer & explanation

Correct answer: B. Onychomycosis

Onychomycosis is a fungal infection of the nail, characterized by thickening, discoloration (yellow, brown, white), and brittleness. It commonly affects toenails and can cause discomfort.

Why the other options are wrong

  • A. Athlete's Foot is a fungal infection of the skin on the feet, typically causing itching and scaling, not primarily nail changes.
  • C. Paronychia is an infection of the skin around the nail, causing redness and swelling, not primarily nail discoloration and thickening.
  • D. Onycholysis is the separation of the nail plate from the nail bed, which may or may not include thickening or discoloration.

Onychomycosis

A common fungal infection of the nail bed, matrix, or plate, leading to discolored, thickened, and brittle nails.

  • More common in toenails than fingernails.
  • Can be caused by dermatophytes, yeasts, or molds.
  • Requires professional medical treatment, often prolonged.

Memory trick: Nails need care, especially from fungus.

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