Derm 2

Question 1

White patches on the oral mucosa that cannot be removed from scrapping? pt chewed tobacco.

Answer 1

Oral Leukoplakia. - associated with increase risk of malignant transformation.

Question 2

Management of Nail psoriasis?

Answer 2

Topical steroids for 1-2 nail involvement.

Systemic therapy for WIDESPREAD Involvement. high risk of psoriatic arthritis.

Question 3

Occurs 2-8 Weeks after ingestion of an anticonvulsant (lamotrigene, Allopurinol or Abx.) Pts develop Fever, Lymphadenopathy, Facial Edema, Diffuse Morbiliform Skin Rash and EOSINOPHILIA with Elevated LFTs. Dx?

Answer 3

DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms.

Question 4

Occurs 1-2 weeks after exposure to Anti-Convulsants, Abx or Infections. Pt presents with Arthralgia, Urticarial or Serpiginous Macular Rash. WITHOUT Eosinophilia.

Dx?

Answer 4

Serum Sickness-Like Syndrome.

Question 5

Rash occurs in Children and Young Adults. Pt present with Erythematous Papules and Plaques with a Fine Scale 2-3 weeks (ACUTE) after strep infection.

Dx?
Rx?

Answer 5

Guttate Psoriasis

Usually Resolves Spontaneously.
If it doesn’t. UV Phototherapy can help.

Question 6

What is the lesion?

Answer 6

Nummular Eczema

Question 7

What is the lesion?

Answer 7

Secondary Syphilis

Question 8

Name the Associated Condition:

1. Acanthosis Nigricans
2. Multiple Skin tags
3. Dermatitis Herpetiformis
4. Explosive Onset multiple itchy Seborrheic Keratoses
5. Pyoderma Gangrenosum

Answer 8

1. Insulin Resistance
2. Insulin Resistance, Pregnancy
3. Celiac Disease
4. GI Malignancy
5. IBD (Rx with Steroids Avoid Debreidement)

Question 9

Name the Associated Conditions:

HIV (4)

Answer 9

1. Severe Psoriasis
2. Recurrent Herpes Zoster
3. Disseminated Molluscum Contagiosum
4. Severe Seborrheic Dermatitis (BAD LICE)

Question 10

Lesion not improving with psoriasis treatment.

Answer 10

Squamous Cell Carcinoma

Question 11

Answer 11

Stasis dermatitis

Question 12

Answer 12

Actinic Keratosis

Question 13

Answer 13

Seborrhic Keratosis

Question 14

Answer 14

Pytriasis Rosea

Question 15

Answer 15

Malar Rash

Question 16

Answer 16

Roseacea

Question 17

Answer 17

Neurofibroma

Question 18

Answer 18

Venous Lake

Question 19

Answer 19

Herpatic Whitlow

Question 20

Answer 20

Halo Nevus

Question 21

Answer 21

Erysipelas

Question 22

Answer 22

Seborrheic Dermatitis

Question 23

Answer 23

Seborrheic Dermatitis

Question 24

It bleeds easily

Answer 24

Pyogenic Granuloma

Question 25

Occurs with excessive scratching

Answer 25

Prurigo Nodules