NIC Nail Technician Written ExamScientific ConceptsMedium

A technician is performing a pedicure and notices a client has a small, dark discoloration under their toenail that appears to be a bruise, likely from an injury. The client denies pain but is concerned about its appearance. What is the correct term for this condition?

  1. AMelanonychia
  2. BLeukonychia
  3. COnychosis
  4. DBruised nail
Show answer & explanation

Correct answer: D. Bruised nail

A bruised nail, also known as a subungual hematoma, is caused by trauma or injury to the nail bed, resulting in bleeding under the nail plate. This creates a dark discoloration that can range from red to black. While melanonychia is pigmentation, a bruise is specifically blood. The other terms are incorrect for this scenario.

Why the other options are wrong

  • A. Melanonychia is a brown or black pigmentation of the nail, often a band, due to melanin production, not necessarily a bruise.
  • B. Leukonychia refers to white spots or discoloration on the nail plate.
  • C. Onychosis is a general term for any nail disease or deformity, not a specific condition.

Bruised Nail (Subungual Hematoma)

A condition caused by trauma to the nail, resulting in bleeding under the nail plate.

  • Appears as a dark red, purple, or black discoloration.
  • Often painless unless severe pressure builds.
  • Grows out with the nail plate.

Memory trick: Color clues lead to nail truth.

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