DERM 2 Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Tx for seborrheic keratosis?

A
  • Scissor biopsy

- Electrosurgery/Freezing

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2
Q

“I have warts or moles that are growing”

A

Seborrheic keratosis

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3
Q

What skin condition is characterized by the following: small, rough, pink or brown macules, papules, or plaques on sun-exposed areas?

A

Actinic keratosis

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4
Q

Tx for lice?

A
  • Permethrin, malathion, lindane, benzyl alcohol
  • Innoculate close contacts
  • Wash bedding/clothes in hot water
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5
Q

Tx for scabies?

A
  • Permethrin

- Treat close contacts

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6
Q

What skin condition is characterized by inflammatory, erythematous, itchy papules found on flexor surfaces of wrists, elbows, genitalia, feet, and finger webs?

A

Scabies

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7
Q

What spider bite is characterized by the following: burning pain 1-24 hours after bite, fever, chills, malaise, nausea, possible necrosis, and a wound that may be asymptomatic for up to 3 days?

A

Brown recluse spider

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8
Q

What spider bite is characterized by the following: burning within minutes of bite that resolves within hours, systemic onset within 30 minutes: cramps, dyspnea, sweating, N/V, restlessness, or sense of impending death?

A

Black widow spider

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9
Q

Test for brown recluse?

A

UA for hemolysis

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10
Q

Which spider bite requires cool compresses?

A

Brown recluse

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11
Q

What skin condition is characterized by the following: pink pearly papules, sometimes with telangiectasias, rolled margins, possibly ulcerated center, on face and neck?

A

Basal cell carcinoma

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12
Q

Where is the superficial form of BCC found?

A

Trunk or extremities

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13
Q

What kind of biopsy would you use for BCC?

A

Shave, but punch can assess depth

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14
Q

Tx for BCC?

A
  • Meds: 5-flurouracil, imiquimod
  • Radiation, phototherapy
  • Surgical excision preferred if tolerable (Mohs, excision)
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15
Q

What is the acral form of malignant melanoma?

A

Nails

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16
Q

How big of an excision is necessary for a malignant lesion 1-2 mm thick?

A

1-2 cm

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17
Q

How big of an excision is necessary for a malignant lesion around 1 mm thick?

A

1 cm

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18
Q

What skin condition is characterized by the following: slow-growing, hyperkeratotic lesions, possible ulceration, crusting in sun-exposed areas?

A

SCC

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19
Q

Where does SCC most commonly metastasize to?

A

The lungs

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20
Q

From where does SCC most commonly metastasize?

A

Ears and vermilion border (lips)

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21
Q

Tx for SCC?

A
  • Total excision
  • Electrosurgery
  • Mohs
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22
Q

What is alopecia totalis?

A

Hair loss of the entire scalp

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23
Q

What is alopecia universalis?

A

Hair loss of entire body

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24
Q

What two conditions are associated with hair loss?

A
  • Lupus

- Thyroid issues

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25
Q

Tx for alopecia areata?

A
  • Intralesional steroids

- Oral corticosteroids

26
Q

Which type of hair loss is characterized by miniaturization of follicles and pattern baldness?

A

Androgenetic alopecia

27
Q

Tx for androgenetic alopecia?

A

Minoxidil or Finasteride

28
Q

Tx for onycomycosis?

A
  • Oral anti-fungals first line (side effects)
  • Cicloporox nail solution better tolerated
  • Nail debridement
29
Q

What nail condition is characterized by inflammation of skin folds surrounding nails?

A

Paronychia

30
Q

What organism causes green changes in nails?

A

Pseudomonas

31
Q

Tx for paronychia?

A
  • Tetanus if indicated
  • ABX, antifungals
  • Incision and drainage
32
Q

Tx for condylomata acuminata?

A
  • Imiquimod
  • Podophyllin
  • TCA acid
  • Cryosurgery
33
Q

What lesions can be detected using acetowhitening test?

A

Condylomata acuminata

34
Q

What viral skin infection can also manifest as encephalitis or pneumonia?

A

HSV

  • Fever
  • Lymphadenopathy
35
Q

Tx for molluscum contagiosum?

A
  • Cantharidin (harsh med)
  • Podophyllin
  • Cryosurgery
36
Q

What skin condition is characterized by the following: non-umbilicated center, black dots, raised, rough?

A

Verrucae

37
Q

What infection has dermatomal pattern?

A

Varicella-Zoster

38
Q

Tx for varicella-zoster infection?

A
  • Antivirals within 72 hours

- Gabapentin for pain

39
Q

Tx for cellulitis?

A
  • Oral dicloxacillin
  • Cephalexin
  • Clindamycin or IV cefazolin
  • Nafcillin
40
Q

Tx for severe cellulitis?

A

Hospital admission

41
Q

What diagnosis should be considered whenever a pt. has a prolonged, unexplained systemic illness?

A

Vasculitis

42
Q

What condition is characterized by the following: palpable purpura, livedo reticularis, nodules, ulcers, gangrene, nail changes, malaise, fatigue, weight loss and sweating?

A

Vasculitis

43
Q

Tx for vasculitis?

A
  • GLUCOCORTICOIDS

- Then stronger immunosuppressives

44
Q

What skin condition is characterized by the following: sharply demarcated erythema, raised borders, shiny plaques, HA, vomiting, and a possible prodromal phase?

A

Erysipelas

45
Q

What organism causes erysipelas?

A

S. pyogenes

46
Q

Tx for Erysipelas?

A
  • Mild: Penicillin
  • Moderate-severe: Cefazolin
  • MRSA: Vancomycin
47
Q

What skin condition is characterized by the following: honey-colored crusts, bullae, common around mouth, and satellite lesions?

A

Impetigo

48
Q

What organism usually causes impetigo?

A

S. aureus

49
Q

Tx for impetigo?

A

Mild: topical ABX

Moderate-Severe: oral ABX

50
Q

What skin condition is characterized by perifollicular swelling with a pus plug?

A

Furuncle/carbuncle/abscess

51
Q

Tx for abscesses?

A

Oral ABX

-Vancomycin if MRSA

52
Q

What skin condition is characterized by brown, velvety patches of skin?

A

Acanthosis nigricans

53
Q

What condition is associated with acanthosis nigricans?

A

Diabetes

54
Q

Tx for acanthosis nigricans?

A

Treat underlying disorders

55
Q

Based on rule of 9s, how much BSA does each part of body contribute?

A
  • Upper extremities: Both 9% (adult and child)
  • Lower extremities: adult 18%, child 14%
  • Anterior trunk: both 18%; Posterior: 18%
  • Head and neck: adult 9%, child 18%
  • 1% genitals
56
Q

Tx of pressure ulcers?

A
  • ABX for cellulitis or osteomyelitis
  • Zinc and vit. C if deficiency
  • High protein diet
  • Silver dressings/ sealed padding
57
Q

What skin condition consists of acute, tender, cyst-like abscesses in apocrine gland tissue, sinus tracts, and hyperhidrosis?

A

Hidradenitis suppurativa

58
Q

Tx for hidradenitis suppurativa?

A

Oral ABX

59
Q

What skin condition is characterized by the following: rapidly erupting rash that blanches and often disappears within 24 hours?

A

Urticaria (hives)

60
Q

First-line tx for urticaria?

A
  • 1st gen. antihistamines

- 2nd gen. H1 blockers

61
Q

Tests for vitiligo?

A

-TSH