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Clin Med 1 > Derm > Flashcards

Derm Flashcards

1
Q

2 classifications of acne

A

inflammatory vs noninflammatory

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2
Q

tx for comedonal acne

A

retinoids

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3
Q

backbone of acne tx

A

retinoids

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4
Q

tx for inflammatory acne (5)

A

retinoids plus
1. topical abx: clindamycin
2. oral abx:
Doxycycline
Minocycline
3. Spironolactone
4. Isotretinoin

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5
Q

which acne tx is a high risk med

A

Isotretinoin - oral retinoid

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6
Q

s.e of clindamycin

A

C. diff complications

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7
Q

s.e of minocycline

A

hyperpigmentation

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8
Q

major s.e of minocycline and doxycycline

A

pseudomotor cerebri

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9
Q

what bacteria causes acne

A

cutibacterium acnes

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10
Q

hidradenitis supporative acne

A

terrible life altering acne in interiginous zones
smokers, obesity

tx:

  1. minimize contributing lifestyle factors
  2. treat like acne:

oral doxy/mino

antiseptic washes

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11
Q

rosacea tx (4)

A
  1. avoid triggers
  2. oral doxycycline and minocycline
  3. topical clindamycin
    * *4. v beam and pulse dye laser**
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12
Q

rosacea rhinophyma/phymatous rosacea tx

A

oral doxycycline, minocycline

do not use steroids

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13
Q

pitting and oil spots and adherent silvery white scaly plaques

A

psoriasis

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14
Q

psoriasis is ___ inflammation

A

systemic

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15
Q

Auspitz sign

A

psoriasis

pinpoint bleeding when scale is removed

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16
Q

tx for psoriasis

A
  1. topical steroids + vitamin D
  2. biologics → methotrexate (DMARDS)
  3. phytotherapy
  4. always order labs
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17
Q

guttate psoriasis is preceded by

A

classic streptococcal pharyngitis or URI

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18
Q

inverse psoriasis is easily confused with

A

fungal infection

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19
Q

pruritic patch or plaque w. scaling excoriations

A

eczema

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20
Q

atopic dermatitis is a type of

A

eczema

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21
Q

atopic dermatitis triad

A

allergies

asthma

eczema

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22
Q

tx for atopic dermatitis

A

moisturizer!

Dupixent (Dupilumab) → biologic

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23
Q

allergic contract dermatitis is a __ rxn

A

type IV delayed rxn

24
Q

tx for allergic contact dermatitis

A

remove offending agent

moisturizer

topica/oral steroids

allergy testing referral

25
Q

Asteatotic Eczema is

A

regular dry skin

26
Q

most common human malignancy

A

basal cell carcinoma

27
Q

basal cell carcinoma is characterized by

A

pink, pearly, telangiectatic papules

non healing pimple or bleeding mole

28
Q

tx for basal cell carcinoma

A

Mohs micrographic surgery

29
Q

second most common type of cutaneous non melanoma skin cancer

A

squamous cell

30
Q

what cancer are AKs associated with

A

squamous cell

31
Q

tx for squamous cell carcinoma

A

mohs micrographic surgery

topical chemo (5 fluorouracil)

32
Q

5th most common cancer in men; 6th most common cancer in women

A

melanoma

33
Q

melanoma is characterized by

A

ABCDEs

34
Q

according to Breslow’s depth of _ or greater signifies aggressive _

A

0.8; melanoma

35
Q

pearly pink dome shaped papule w. central umbilication

A

molluscum contagiosum

36
Q

where is herpes simplex virus 1 found in the body

A

dormant in dorsal root ganglion

37
Q

painful, grouped uniform appearing vesicles on an erythematous base

A

herpes simplex 1

38
Q

honey colored crusting is associated w

A

herpes gladitorum (mat herpes)

39
Q

shingles is caused by

A

herpes zoster

40
Q

herpes zoster is dormant in

A

dorsal root ganglion

41
Q

tx for herpes zoster (shingles)

A

Acyclovair or Valacyclovair ASAP

42
Q

tinea and ringworm are what type of inxn

A

cutaneous fungal

43
Q

tinea and ringworm are

A

dermatophytes

44
Q

most common dz affecting feet and toes

A

tinea pedis (athlete’s foot)

45
Q

gold standard to dx tinea pedis

A

fungal foot culture

but KOH is easier

46
Q

treatment for most tinea fungal infections

A

topical: Ketoncazole

systemic: Terbinafine/Fluconazole

exception: tinea capitis

47
Q

s.e of Terbinafine/Fluconazole

A

liver damage

48
Q

gold standard for diagnosing cutaneous fungal infections

A

fungal culture

but KOH is easier

49
Q

tinea cruris is commonly called

A

jock itch

50
Q

scaly macule/patches w. serpiginous and scaly borders and central clearing

A

tinea corporis

51
Q

tinea corporis pt’s often think they have

A

eczema

52
Q

two feet, one hand syndrome

A

tinea manuum

53
Q

tinea capitis is associated w.

A

kerions: tender, boggy, soft plaques and pustules

54
Q

gold standard tx for tinea capitis

A

Griseofulvin

55
Q

candidiasis infxns are associated with

A

satellite pustules

56
Q

tinea versicolor is characterized by

A

hypopigmented patches with a fine scale

57
Q

spaghetti and meatballs

A

microscope/KOH appearance of tinea versicolor

Clin Med 1 (6 decks)

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