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239B > cumulative part fo 439B final > Flashcards

cumulative part fo 439B final Flashcards

1
Q

papule

A

elevated round <1 cm

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2
Q

plaque

A

palpable, elevated, depressed, >1cm

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3
Q

macule

A

flat, non-pal <1cm

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4
Q

patch

A

flat, >1cm (interchange with plaque)

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5
Q

vesicle

A

fluid filled <1cm

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6
Q

bullae

A

fluid filled >1cm

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7
Q

postules

A

pus filled vesciles

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8
Q

urticaria

A

wheals/hives, elevated, red ,pruiritic lesions

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9
Q

nodule

A

firm, palpable, extend into dermis or sq tissue

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10
Q

scale

A

scaley

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11
Q

crust

A

crust

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12
Q

petechiae

A

pinpoint non-blanchable red purple spots

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13
Q

telangiectasia

A

spider veins

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14
Q

risk facotrs SCC

A 
elderly and Caucasian
cumulative UV exposure
fair skin
male 
>50 YO
inflammatory skin DO
exposure to carcinogens
HPV infection
immunosuppression (transplant pts)
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15
Q

Immunosupression transplant pts in SCC

A

65 fold increase risk

more aggressive and freq metastases than traditional SCC

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16
Q

actinic keratosis

A

chronic UV exposure
rough, scaly plaques
<1 % progress to SCC
topical or cryo

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17
Q

bowens disease

A

chronic sun exposure or viral infection like HPV 16 or 18
up to 25% can become invasive SCC into dermis
red brown plaque with crusted scale
tx sx chemo or cryo

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18
Q

SCC metastases

A

2-6%

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19
Q

SCC variants

A

keroacanthoma- can regress- resembles SCC
verrucous carcinoma- giant warts
marjolins ucler- AGGRESSIVE, scc developing from ulcer or wd
Mucosal SCC- more aggressive than usual scc 20-70% mets

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20
Q

BCC risk factors

A 
elderly and caucasians
austrilians
hihg UVB exposure
ionizing radiation (xray ) exposure
exposure to carcinogenic chemicals
genetic syndromes
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21
Q

s&S BCC

A

pearly nodule, head and neck with CENTRAL ucler

- can be pigmented, raised, shiny pearly borders

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22
Q

BCC tx

A 
biopsy if suspicious-refer to derm
curettage/electo <1cm, cure 95%
cryosurgery- cure 90%
topical chemo- 75% (superficial BCC only)
radiation- 80%
surgical excision ** gold** 95%c cure
mohs micrographic surgery (for aggreesive BCC) cure 95%
vemuragenib - local chemo
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23
Q

fragility fx

A

low trauma fall from standing height or lower that occurred during injury

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24
Q

Plaquenili

A 
- photosensitivity
renal issues- renal toxicity
opthlamology at baseline
skin changes
n/v/ tinnitus
-continue dose even with SE
tx lupus
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25
Q

OA and RA on xray

A

RA has erosion of bone, OA shows osteophytes, malalignment, bone on bone (narrow space)
xray may NOT correlate with s&S

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26
Q

plantar fascilitis

A

painful DO involving plantar aspect of heel
acute or chronic
-point tenderness
tx rest, footwear, NSAIDS, ice, massage

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27
Q

mortons neuroma

A

irritation of interdigital nerve btwn the metetarsal heads and beneath the overlying tranvserve ligament

  • point tenderness btwn 3 and 4th toes
  • mudlers sign (click or palpation tender)
  • women with high heeled shoes, walk on marble, burning pain
28
Q

metatarsal stress fx

A

initally pain occurs with activity only
point tenderness
xray- stress fx rarely visible until 2-6 weeks
MRI support dx
TX: heel without immoblization as long as causative activity stopped
-wt bearing painful- crutch/pwb
4-8 wks resume

29
Q

normal abi

A

1-1.4

30
Q

abnormal abi

A

0.9 or less

31
Q

non-compressible abi

A

> 1.4

32
Q

severe ischemia abi

A

<0.5 intermittent claudication

33
Q

vascular surgery Referral

A

abi <50, urgent referral for ABI 0.4 with gangrene

34
Q

Tdap

A

1 dose of tdap for Td Booster then Td every 10 years

tdap if not as a kid for 11 YO >, prego ok

35
Q

varicella vaccine

A

2 doses
not for prego
ok to hold off if past zoster/chicken pox

36
Q

HPV female vaccine

A

3 doses up to 11- 26 YO

nont for prego

37
Q

HPV male vaccine

A

3 doses up to 21 YO and up to 26YO with risk (immunocompromised)
not for prego

38
Q

Zoster vaccine

A

only for 60>YO 1 dose
regarless prior hx zoster
not for immunocompromised or prego

39
Q

MMR vaccine

A

1 or 2 doses up to 55 YO (if not as a kid)
prior to 1957 ok- no vaccine
not for prego

40
Q

PNA vaccine

A

> 65 YO 1 dose

41
Q

Meningococcal

A

1 or more doses any age

college up to 21 YO

42
Q

HEP A vaccine

A

2 doses at any age

risks: MSM, liver DO, healthcare,

43
Q

Hep B vaccine

A

4 doses at any age

risk:MSM, increased risk STD, ESRD

44
Q

hiB

A

1 or 3 doses at any age
-adults with hematopoietic stem cell transplant - 6-12months after,
asplenia or sickle cell disease

45
Q

vaccines recommend off of

A

age, prior vaccine, health conditions, lifestyle, occupation and travel

46
Q

influenza vaccine

A

annually
prego ok
6m and older

47
Q

inactivated vaccines ok for immunosuppressants

A

pna
meningococcal
influenza (inactive)

48
Q

ABI

A

right ankle systolic pressure/right brachial systolic pressure and left ankle systolic pressure/left brachial sytolic pressure-
lower # drives interpretation/care

49
Q

sausage digits

A

psoriatic arthirtis

50
Q

ithcy rash on Forehead and chin with b/l knee pain, ANA titer 1:40

A

low probability of SLE

51
Q

swollen PID

A

Bouchards Nodes

52
Q

swollen DID

A

Herbedens nodes

53
Q

24 YO AFF with SLE has + prego

A

anti-phospholipid syndrome- cause death

54
Q

gout patho

A

under excrete of uric acid

55
Q

superficial spreading melanoma

A

caucasian male 70% of melanomas

56
Q

what aggravates acne

A

dilantin

57
Q

ACL

A

lachman

58
Q

Menisucus

A

Mcmurray

lock/catch

59
Q

theaters sign

A

patellar syndrome

60
Q

Thompson test

A

squeeze and illicit Achilles reflex

61
Q

Squeeze test

A

syndresmosis test

62
Q

atopic dermatitis

A

folds/elbows/knees

63
Q

MCP jts

A

RA

64
Q

antifungal

A

elevated boarder but central clearing- ok

65
Q

prego __ gets better

A

RA

lupus it worsens so REFER

66
Q

seborrhatic dermatitis

A

itchym nasal folds and eyebrows

67
Q

osteoporosis drugs

A

give biphosphonates first before $$ meds

239B (14 decks)

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