Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Clin Med > Derm 2: Alopecia, Bacterial, Fungal, Viral > Flashcards

Derm 2: Alopecia, Bacterial, Fungal, Viral Flashcards

1
Q

The disease that affects the upper epidermis sharply bordered, often in kids

A

Erysipelas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What bacteria causes Erysipelas?

A

Beta Hemolytic Strep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Treatment for Erysipelas?

A

Antibiotics (topical)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Disease that affects the deep dermis, with no borders?

A

Cellulitis (lower leg, calve)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Is cellulitis often G+ or G->

A

Gram negative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the bacteria of cellulitis

A

G- Beta Hemolytic strep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Treatment for Cellulitis

A

PO Antibiotics, or IV if bad (hospitalize)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What type of trauma puts you at risk for anaerobic bacterial cellulitis infection?

A

Human/animal bites

make sure your Abx covers that

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What disease shows oral lesions evolving from papule to vesicle to pustule to crust?

A

Impetigo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the two possible bacteria for impetigo

A

Staph

Beta Hemolytic Strep (Group A)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Giving antibiotics for impetigo should cover what two bacteria?

A

Staph

Beta Hemolytic strep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

In an afebrile patient with impetigo you would likely give topical or oral abx?

A

topical (febrile is systemic, so give PO)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are two risk factors for impetigo?

A

Rheumatic fever and Post-strep glomerulonephritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

An infection of skin around the nails

A

Paronychia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

whose at risk for paronychia

A

stressed out PA students who bite their fingernails and suck their thumb. HIV, construction workers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

tx for paronychia

A

I&D, Abx is a judgement call

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

In chronic paronychia consider what alternative tx?

A

Topical steroid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

the best but seldom used test for Tinea (fungal infections)

A

KOH scraping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How does tinea usually present

A

a single annular plaque with central clearing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

that same tinea lesion looks like what in another disease?

A

The herald patch in Pityriasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

for all areas of the body in Tinea we give topical antifungal, where do YOU NOT give antifungals?

A

Nails or the head (give PO)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is a serious side effect of PO antifungals?

A

Hepatotocxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Fungal infections are what type of ‘phyte’

A

dermatophyte

by the way, candida is not dermatophytic, so only drug appropriate for that is Nystatin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Hypopigmented lesions on the skin during summer months?

A

Tinea Versicolor (fungus occupies skin and prevents a tan)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
oh back up to Tinea....PO antifungals can create what huge benign lesion on the scalp that looks infected (pustular, exudative, lymphadenopathy)?
A Kerion
26
What the the general term for nails appearing yellow to white with scaling at its distal free edge?
Onychomycosis
27
what are the three types of onychomycosis?
Distal subungual, proximal subungual, white supeficial
28
Which is the most common type of onychomycosis?
Distal sunungual
29
what is the most common source of onychomycosis infection....yeast or fungus?
yeast
30
tx for onychomycosis
symptomatic, treat nails if comorbidities exist like diabetes, neuropathy, etc.
31
true or false, many disease could be responsible for onychomycosis?
true
32
Wht is the only type of scarring hair loss
Cicatricial Alopecia
33
What is Cicatricial Alopecia caused by?
Burns/truma, chemical damage, HSV | (the follicle is physically damaged
34
What are the three phases of hair growth?
Anagen ,Catagen, Telogen | Growth, Transition, Resting phase
35
What type of hair loss shows a patch or patches completely smooth skin>
Alopcia Areata
36
What is the etiology of Areata?
Autoimmune disorder that can occur anywhere on the body
37
What is Areata Totalis
Affects the entire head
38
What is Areata Universalit
Affects the entire body
39
Tx for Alopecia Areata
Steroid
40
What type of alopecia shows crown/recession in men, and thinning/widening anterior part in females?
Pattern Alopecia
41
What is the pathology/cause of Pattern Alopecia
Hormonal issue with androgen receptors on the scalp
42
Tx for Pattern Alopecia?
Oral antiandrogen
43
What do you watch for in females after administration of antiandrogens
Hirsutism
44
This hair loss comes from pulling hair out (stress, psych, etc.)
Trillotichomania
45
This hair loss comes from seeing more hair in the drain
Telogen Effuvium
46
A patient may have Telogen Effuvium if all other signs of hair loss are absent, except what in the history?
A hx of bodily stress/illness/pregnancy 3 months ago.
47
Tx for Telogen Effuvium?
Youll be fine
48
Patient shows grouped vesicles around the mouth, they likely have...?
HSV1
49
What are the prodromal signs of HSV 1/2
Burning, stinging, pain
50
Tx for HSV 1/2
Antivirals ('ovirs)
51
Herpetic ulcers are painful or painless?
Painful
52
What in the DD shows painless ulcers
Chancre (Syphilis)
53
What are s/s's of a true primary episode of HSV?
10-14 days with fever, pain, lymphadenopathy
54
Where do re-occurences come from in the body
Neural ganglia (IgG antibody induced)
55
What is the best lab diagnosis if you are unsure of you clinical diagnosis of HSV?
1. PCR 2. Direct Fluoride Antibody Test 3. Tsank Test (multinucleated giant cells) 4. Viral Culture (slow)
56
This person shows generalized vesicular rashes in all different stages, they likely have...?
Varicella (Chicken Pox)
57
Chicken pox shows prodrome, and what other s/s's?
Fever, malaise, pharyngitis, loss of appetite
58
Tx for chicken pox?
self-limiting
59
What people should you be concerned about giving live vaccines such as for HSV?
Pregnant women, immunocompromised, HIV
60
What are 4 complications of Chicken pox?
Encephalitis, Impetigo, Pneumonia, Reye's Syndrome (aspirin to kids)
61
What is the infection that shows recurrent dermatomal lesions?
Herpes Zoster
62
If shingles reoccurs a second time, consider...?
Immunocompromisation
63
Tx for shingles?
Antiviral and pain med | Vaccine
64
Complications of shingles
Post herpetic neuralgia, zoster opthalmicus, bacterial infection, motor neuropathy, meningitis
65
Best test for Varicella and Herpes Zoster
PCR!
66
This infection shows generalized flesh colored papules with a central core
Molloscum Contagiosum | Pox Virus
67
Where does MC usually occur?
abdomen or chest
68
Tx for MC?
None, but use contact precautions

Clin Med (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions