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PANCE Review > Derm > Flashcards

Derm Flashcards

1
Q

Chronic, pruritic, a/w DM or Immunocompromised…..test?

A

KOH if + = fungal

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2
Q

All funguses treat w/ creams EXCEPT

A

tinea capitus= griseofulvin
tinea versicolor= ketoconazole
onchomycosis= lamisil

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3
Q

Palms + Soles

A

Syphilis (salmon patch *Pityriasis Rosea- RPR)

Kawasaki’s

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4
Q

Macule

A

change in skin color w/out elevation or depression

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5
Q

Papule

A

“pimple”

superficial, solid lesion, <0.5cm in diameter

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6
Q

Nodule

A 
"small knot" 
Large papule (pimple), palpable
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7
Q

Vesicle

A

“little bladder”

superficial, fluid filled, <0.5cm

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8
Q

Bulla

A

“bubble”

large vesicles, +0.5cm

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9
Q

Pustule

A

superficial, contains purulent exudate

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10
Q

“Cradle Crap”

A

Seborrheic dermatitis

Tx: Adults-selenium sulfide shampoo, ketoconazole shampoo

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11
Q

Tapioca-like vesicles

A

dyshidrotic eczematous dermatitis

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12
Q

Tx for Lichen Simplex Chronicus

A

Occlusive dressings at night

Topical steroids

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13
Q

comedones, papules, pustules, nodules and cysts on the face, chest, and back

A

Acne Vulgaris

Not cx’ed by food

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14
Q

tiny papues and papulopustules on the face; NO comedones; flushing;

A

Rosacea

Tx: sunscreen, emollients, metronidazole gel, oral ABX

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15
Q

symmetric erythematous papulopustules on an erythematous background, perioral area, sparing vermillion boarder

A

perioral dermatitis

Tx: STOP steroids, topical abx

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16
Q

very tender, red, inflammed, purulent drainage, same location, double comedones

A

Hidradenitis Suppurativa
F>M
Axilla/ Inguinal Folds

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17
Q

Tx for Hidradenitis Suppurativa

A

Antibiotics
Intralesional steroids
Isotretinoin
Surgery

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18
Q

solitary, discrete 0.5-5cm nodule, freely mobile often with a central punctum, located on face/ neck/ trunk

A

Epidermal inclusion Cyst

Tx: Excise when not inflamed

19
Q

MC Skin CA

A

Basal Cell

20
Q

Pearly, rolled boarders, telangiectasias

A

Basal Cell

21
Q

ABCDE’s

A

Melanoma

22
Q

Tx of Basal Cell

A

Bx
Moh’s surgery
Good F/u

23
Q

Tx for AK

A

Cryotherapy

Pre-CA skin lesion to SCC

24
Q

Any isolated keratotic or eroded papule or plaque present for longer than 1 mo should be considered a CA until proven

A

Bx

Surgical removal

25
Q

Lichen Planus

A

4 P’s (Pruritic, Purple, Polygonal, Papules) ; wrists, shins/ankles, mucous membranes
Koebner phenomenon
Wickham striae

26
Q

Fine white lines

A

Wickham striae

Lichen Planus

27
Q

Tx for lichen planus

A

topical steroids
uv therapy
retinoids

28
Q 
nail pits
koebner phenomenon
auspitz sign (pick it bleeds) 
extensor surfaces
Pruritic, well-demarcated red plaque with thick, silvery scale
A

Psoriasis

*Eczema- flexor

29
Q

Tx of psoriasis

A

topical steroids

30
Q

Erythema Multiforme tx

A

Oral antihistamines
tylenol
cool compress

31
Q

Drugs that can cause SJS

A 
NSAIDS
Sulfonamides (bactrim)
Anti-convulsants (carbamazepine)
PCN
Lamictal kids <16
32
Q

hemorrhagic crusts on lips

A

SJS

33
Q

Tx SJS

A

D/c drug (med alert bracelet)

Supportive Care

34
Q

URI prodrome, conjunctivitis, stomatitis (inflam sore mouth), Nickolsky’s sign

A

TEN

35
Q

Fungal infections

1) Topical drugs
2) PO

A

1) Clotrimazole, miconazole, terbinafine

2) griseofulvin, itraconazole, terbinafine

36
Q

Malessezia furfur

A

tinea versicolor

KOH- spaghetti + meatballs
Wood’s lamp- blue- green fluorescence

37
Q

Tx of Tinea Versicolor

A

Topical:
Selenium sulfide
Ketoconazole

38
Q

Tx for Shingles

A

1) Cyclovir w/in 48-72 hrs

2) Pain control

39
Q

Hutchinson’s sign

A

Vesicles on the tip of the nose, or side of the nose, precedes the development of ophthalmic herpes zoster.

40
Q

Tx for scabies/lice

A

Permethrin lotion

41
Q

Brown recluse

A

venom necrotizing
violin

Tx: Immobilization, ice/elevation, tetanus, abx

42
Q

Black widow

A

venom is neurotoxic (muscle)
red hourglass

Tx: antivenom, m. relaxants

43
Q

Paronychia

A

s. aureus

tx: I&D, dicloxacillin/cephalexin/erythromycin

44
Q

b/l, symmetric, sharply defined depigmented macules; “chalky”

A

Vitiligo

*Lisa- areas of pink skin

Tx: sunscreen, topical steroids, PUVA, Grafting

PANCE Review (10 decks)

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