AAFP Skin

Question 0

Domed skin lesion with central plug. May heal on its own - over how long?

Answer 0

Keratoacanthoma; within six months to one year

Question 1

Leukoplakia usually due to? Next step?

Answer 1

Irritation from mechanical or chemical stimuli (including alcohol)

Biopsy (4% of the lesions will undergo malignant transformation into SCC)

Question 2

Stasis dermatitis?

Answer 2

Reddish-brown discoloration of the skin due to venous stasis

Question 3

Lichen simplex chronicus - due to? Description?

Answer 3

Habitual scratching or rubbing

Isolated, hyperpigmented, Edematous lesion which becomes scaly and thickened

Question 4

Xerosis? Worse when? Population?

Answer 4

Pathologic dryness of the skin caused by abnormalities in maturation of the epidermis that leads to decreased hydration

Worse in winter

Elderly

Question 5

When to use punch biopsy instead of excisional biopsy?

Answer 5

Lesion is too large or substantial disfigurement would occur

Question 6

Chronic Paronychia? Treatment?

Answer 6

Inflammation of nail folds caused by exposure to chemical irritants (or being wet for long periods of time)

Treat with topical steroids

Question 7

Atopic dermatitis – first-line therapy for flare-ups? For maintenance therapy?

Answer 7

Steroids (then cancineurin)

Emollient

Question 8

Patients with highest incidence of melanoma?

Answer 8

Males over age 50

Question 9

First-line treatments for mild acne?

Answer 9

#Topical benzoyl peroxide
#Retinoids
#Topical antibiotics

Question 10

Standard therapy for scabies?

Answer 10

#If over five, 5% permethrin (next line: lindane)
#If Under five -?

Question 11

Treatment for painful ingrown toenails with granulation tissue and lateral nail fold hypertrophy?

If only mildly inflamed ingrown toenail?

Answer 11

Excision of the lateral nail plate and lateral matricectomy

If mild inflamed ingrown toenail, use antibiotic therapy and cotton wick elevation

Question 12

If periorbital cellulitis - bug?

If Crepitus and tissue necrosis?

Answer 12

pneumococcus

E. Coli and clostridium

Question 13

Most common knee conditions in children and adolescents?

Answer 13

#Patellar subluxation
#Tibio apophysitis
#Patellar tendinitis

Question 14

Analgesic contraindicated in patients with seizures?

Answer 14

Tramadol

Question 15

Only approved treatment for male osteoporosis?

Answer 15

#Alendronate
#Recombinant parathyroid hormone

Question 16

Patient presents with pain in anatomical snuffbox – type of fracture? Issue with healing? Initial treatment?

Answer 16

if initial radiographs negative, thumb spica splint for two weeks before repeat imaging

Scaphoid fracture; high rate of nonunion

Question 17

Medications with the strongest association with falls in the elderly?

Answer 17

#SSRIs
#Tricyclic antidepressants
#Benzodiazepines
#Anticonvulsants