derm

Question 1

onychomycosis

Answer 1

terbin and itrac

Question 2

skin and assossiation

Answer 2

acantosis nigricans: insuline resistance and gastrointestinal malignancy

multiple skin tags : insulin resistance , and pregnancy and crohn disease

perphuria cutana tarda, cutaneous leukocytoclastic vasculitis ( palpable purpura) secondary to cryoglobinemia, lichen planus : all in hep C

dermatitis hereftiformis : celiac disease

sudden onset and severe psoriasis , recurrent herpes zoster, disseminated mulluscum contangiosum : HIV

sever seborrgeic dermatitis : HIV infection, parinson

explosive onset of multiple itchy seborrehic keratosis: gastrointestinal malignancy

pyoderma gangrenosum : inflammatory bowl disease

Question 3

shingles

Answer 3

valcyclovir

Question 4

VZV in pregnancy

Answer 4

immune : ok

not immune : pregnant : immunogluboline or if not availabe ( acyclovir)
if not pregnant : vaccine in the next 5 days

Question 5

psoriasis treatment

Answer 5

no corton , methorexte, IL23 inhibitors,

if mild only NSAID and topical corticosteroids therapy

Question 6

acute paonychia treatment

Answer 6

lateral fold of the nails, treatment i sntiseptic and topical ointment

Question 7

bcc treatmenta

Answer 7

fist biopsyyyyyyy

face or igh rik ; mohs biopsy,
not: 4mm margin

second line: fluorouracil , topical imiquimod, C and E

Question 8

erythema multiforme

Answer 8

cell mediated immune response, commonly triggered by infection( HSV mycoplasma,)
acute onset; erythema well defined borders, pale edematous middle zone, dusky center ( often with bullae and ulceration)
mucosa ( oral or genital ) lesions : painful bullea, erosions,

supportive care topical corticosteroids, recurrent ( consider acyclovir)

Question 9

infentile hemangioma

Answer 9

days to weeks after birth, prolifration till 6 months then involution ( first bright red then deep red niolet lesions)

special considerations : more than 5 cm ( liver US)
facal segmental: echocardiography and MRI of he head
cervicofecial: laryngoscopy
lumbosacral: spinal US

observation, Beta blocer only if: ( large facial rapidly growing)
perioorbital ( visual impairment)
hepatic( high out put heart failure)
subglottic( airway obstruction)

Question 10

nevus fllammeus and nevus simplex

Answer 10

vascular lesions , nevus flammus (port wine lesion) blanchable red capillary malformation that are usually unilateral, can be assossiatedd with sturge weber, leptomeningeal vascular malformation be present)

Question 11

poison ivy and anti histamin

Answer 11

no idiot because they are not histamin mediated

Question 12

rosacea

Answer 12

flushin telangiectasis, pustule

mild cleanser and sunscreen, factorss that tigers flushing avoidance( hot spicy, alcohol, …)
topical brimodinie and laser therapy, topical metronidazol or oral

can cause burning or foreign body sensation in eye, blepharitis, keratitis, conjectivitis,

Question 13

photosensitivity

Answer 13

………… and thiazides

Question 14

molluscum contagiosum

Answer 14

poxvirus, small coloured papul with indented centers, hiv testing,

Question 15

bullos pempigoid

Answer 15

more than 60 years old, rare mucosal involvement, prodorme of ecsema , urtrica or rash,

dementia, parkinson, depression and bipolar,
hemisemosome, igc3 deposition ,,
high potency cotton , plus doxy

Question 16

telogen effluvium

Answer 16

non inflamatory hairloss, acute, (hair shaft easily pulled out
sever illness, surgery, fever, pregnancy, childbirth, emotional distress, endocrine, and nutritional disorders

Question 17

infectious complications of atopic dermatitis

Answer 17

impetigi,
eczema herpeticum( HSV1, painful vesicular , hemorrhagic)
molluscum contagiosum : poxvirus, skin colourd with central umblication
tinea corpis, : trichophytom rubrum: puritc circular patch with central cearing raised scaly border( tinea corpis)