Derm 3

Question 1

serologic testing for Lyme disease
2

Answer 1

1. ELISA (enzyme linked immunosorbent assay) - first serologic test in diagnosing Lyme disease; if positive, confirmation is needed
2. Western Blot - positive test confirm diagnosis of Lyme disease

Question 2

red circle with white center

Answer 2

erythema migrans EM - characteristic skin lesions of Lyme disease and usually occurs 1 month following tick bite

Question 3

the appropriate treatment for erythema migrans is
3

Answer 3

doxycycline
amoxicillin
cerfuroxime
for 21 days

Question 4

area of the body with the greatest percutaneous absorption

Answer 4

genitalia

Question 5

herald patch common locations
3

Answer 5

chest
neck
back

Question 6

single, round, pink or salmon-colored, nonpruritis plaque on chest, neck, or back

Answer 6

herald patch - precededs christmas tree rash of PR by 1-2 weeks

Question 7

how often should permethrin be applied for scabies

Answer 7

once

Question 8

fifth disease appears as

Answer 8

maculopapular rash that blanches easily; slapped cheeks - rash may last for several weeks

Question 9

fifth disease - when can child go to school

Answer 9

when they have been fever free for 24 hours

Question 10

fifth disease - discomforts from illness include & do what with them

Answer 10

fever
body aches

treat with tylenol or ibuprofen

Question 11

fifth disease - the parent of affected child may experience what

Answer 11

arthralgias and myalgias for several weeks

Question 12

cherry angiomas

Answer 12

mature capillary proliferations that are more common in middle aged and older adults

Question 13

mature capillary proliferations that are more common in middle aged and older adults

Answer 13

cherry angiomas

Question 14

cherry angiomas common found where

Answer 14

trunk as multiple lesions

Question 15

cherry angiomas - bleeding

Answer 15

may bleed profusely if ruptured

Question 16

law on reporting animals bites

Answer 16

all 50 states require reporting animal bites to animal control or appropriate authority

Question 17

the incubation for scabies after primary infection is

Answer 17

3-4 weeks

Question 18

itching that is worse at night, with a rash that appears in new areas over time

Answer 18

scabies

Question 19

intact skin and nonblanchable redness

Answer 19

stage 1

Question 20

partial-thickness loss of dermis presenting as a shallow open ulcer or a red-pink wound bed

Answer 20

stage 2

Question 21

full-thickness tissue loss with or without visible fat

Answer 21

stage 3

Question 22

full thickness tissue loss with exposed bone, tendon, or muscle

Answer 22

stage 4

Question 23

cafe au lait spots - differential should include

Answer 23

neurofibromatosis NF - children with this disorder may have cognitive deficits, learning disabilities, and other neurological related problems

Question 24

what should be monitored while on oral antifungal meds

Answer 24

liver enzymes - d/c if elevations are >2.5 times the upper limits of normal

Question 25

pregnant mother has a child with fifth disease

Answer 25

there is a risk of fetal death if she becomes ill - she should be monitored for a rash which could indicate infection

Question 26

common abx associated with photosensitivity 3

Answer 26

tetracyclines sulfa drugs fluoroquinolones

Question 27

koilonychia

Answer 27

spoon shaped nails

Question 28

describes spoon shaped nails

Answer 28

koilonychia

Question 29

koilonychia may be present in patients who have longstanding what

Answer 29

IDA - get a CBC

Question 30

most common place for BCC

Answer 30

face - face is the most common sun exposure area

Question 31

what percent of BCC occur on the face

Answer 31

70%