Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What symptom differentiates the severe form of tinea pedis from the mild form?

1. Presence of callus around the foot

2. Lack of visible blisters

3. Large weeping blisters and deep fissures

4. Thinner and softer skin layers

The correct answer is: Large weeping blisters and deep fissures

The presence of large weeping blisters and deep fissures is a defining symptom that differentiates the severe form of tinea pedis from its mild form. In severe cases, the skin becomes more damaged and presents with significant inflammation and secondary complications, leading to the formation of large blisters that are often filled with fluid. These blisters can weep, creating an environment for infection and further complications. Additionally, deep fissures can develop between the toes or on the soles of the feet, which not only causes pain and discomfort but also increases the risk of bacterial infections. In contrast, the mild form of tinea pedis typically does not exhibit these severe symptoms, often presenting instead with superficial scaling or erythema without the profound tissue disruption seen in more advanced cases. The severity of symptoms, particularly the development of blisters and fissures, is crucial for determining the appropriate management and treatment approach for individuals affected by this condition.