Derm

Question 1

high fever, severe headache, n/v, photophobia, myalgia and arthralgia that is followed by rash that erupts 2-5 days after onset
Petechiae on wrists and forearms and ankles and

Answer 1

RMSF

Treat w/ doxy

Question 2

red rash w/ central clearing that feels rough and appears within 7-10 days of inciting event

Answer 2

Lyme

Question 3

Purple colored to dark red painful skin lesions all over body that does not blanch

Answer 3

Meningococcemia ** CDC reportable

Question 4

T/F

If herpetic rash is seen on tip of nose assume it is shingles

Answer 4

T

Question 5

Pearly or waxy skin lesion w/ atrophic/ulcerated center that does not heal

Answer 5

BCC

Question 6

lesions w/ rough texture that do not heal. Dry round and red-colored

Answer 6

AK

Question 7

If > ___ of nail bed is affected by subungual hematoma it should be drained

Answer 7

> 25%

Question 8

What do all the following medications have in common: allopurinol anticonvulsants, oxicam NSAIDs, sulfonamides

Answer 8

SJS/TEN

Question 9

Xanthoma that are on fingers are pathomnemonic for

Answer 9

famililal hypercholesterolemia

Question 10

Duration of use for topical steroids

Answer 10

< 2 weeks

Question 11

How to treat periorbital and tonsillar cellulitis.

Answer 11

Admit to ED for IV abx

Question 12

Treatment of folliculitis

Answer 12

mupirocin

Question 13

If furuncle over joint, what is next step?

Answer 13

Xray to r/o osteomyelitis

Question 14

What is the most common organism fo Erysipelas

Answer 14

GAS

Question 15

Treatment for human AND animal bites

Answer 15

Amox-clav x 10 days or doxy if allergic

Question 16

Tx for hydradenitis suppirativa

Answer 16

Tetracycline or doxycyline x 10 days AND topical clindamycin

Question 17

Tx of meningococcemia/ bacterial meningitis

Answer 17

droplet precautions

Rifampin and treat close contacts w/ same

Question 18

shingles treatment 1) initial 2) repeat flare up

Answer 18

1) antiviral x 10 days
2) antiviral x 7 days
Most effective if started w/ in first 48-72 hours

Question 19

Treatment for post-herpetic neuralgia

Answer 19

TCA
Gabapentin
Pregabalin

Question 20

Ramsay hunt

Answer 20

Vesicles of shingles in ear canal causing unilateral facial paralysis

Question 21

Duration of pityriasis rosea

1) 4-6 weeks
2) 2-4 weeks
3) 6-8 weeks

Answer 21

6-8 weeks

Question 22

Asymptomatic scaly patch that gradually enlarges on scalp, hairs in patch easily break off and looks like black dogs causing patchy alopecia
Treatment?

Answer 22

Tinea capitis

Must be treated w/ oral antifungals i.e grisofulvin x 6-12 weeks