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HK Last - Cardio > Derm > Flashcards

Derm Flashcards

1
Q

first line treatment for acne rosacea

A

oral tetracycline
topical metronidazole
oral retinoids

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2
Q

tx acne vulgaris

A

Clindamycin
Doxycycline
Isotretinoin
OCP

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3
Q

abscess larger than boil with multiple openings

A

carbuncle

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4
Q

most common cause of carbuncle

A

staph A

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5
Q

inflammation of dermis and subcutaneous fat caused by bacterial infection (commonly GAS, Staph A.) often after damage to skin
borders are not elevated, vessicles are poorly demarcated

A

cellulities

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6
Q

tx cellulitis

A

cephalexin 1st line

* if DM, use Trimethoprim-sulfamethoxazole

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7
Q

deep folliculitis, infection of hair follicle with accumulation of pus and dead tissue

A

furuncle

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8
Q

tx furuncle

A

topical ab (Mupirocin)

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9
Q

Tzank smear looks for ____, but this test has been replaced by the preferred _____. Can also use.

A

HSV-1
HSV-PCR
viral culture of lesion

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10
Q

acute, purulent infection, with vessicles on face, arms, legs, buttocks.

A

impetigo vulgaris (non-bullous)

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11
Q

Common cause of impetigo

A

Staph A or GAS

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12
Q

tx impetigo

A

topical mupirocin

systemic Cephalexin

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13
Q

acute, chronic inflammation of mucus membranes on wrists, ankles, nails, scalp. Very pruritic, scaly, polygonal, light purple papules

A

lichen planus

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14
Q

lichen planus has an increased risk of developing

A

SCC

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15
Q

tx lichen planus

A

topical corticosteroids
immunosuppressnat (methotrexate, cyclosporine)
retinoids

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16
Q

poxvirus
can be transmitted sexually
dome shaped lesions with central crater containing white papule

A

molluscum contagiosum

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17
Q

workup suspected necrotizing fasciitis

A

clinical dx
blood and tissue culture
plain film x-ray
extreme elevation in CK seen as late sign

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18
Q

tx necrotizing fasciitis

A

IV penicillin or clindamycin

surgical debridement

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19
Q

most commmon cause of onychomycosis

A

trichophyton rubrum (90%)

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20
Q

infection around soft tissue of fingernail

A

paronychia

antifungal for chronich

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21
Q

tx pediculosis

A

permethrin cream

shave area

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22
Q

HSV7
single, large oval, scaly plaque called ____
then spreads into papular rash parallel to the ribs called _____

A

Pityriasis rosea
Herald Patch
christmas tree lesion

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23
Q

tx pityriasis rosea

A

clears within 6-12 weeks
UV light can speed recovery
topical corticosteroids

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24
Q

yellow to white flakes associated with Malassezia spp yeast

A

seborrheic derm

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25
Q

tx seborrheic derm

A 
selenium sulfide shampoo
zinc pyrithione (head and shoulders)
26
Q

brown white scaling superficial scaling macules
caused by pityrosporum ovale (Malassezia furfur)
and tx

A

tinea versicolor
topical terbinafine
ketoconazole antifungal cream

27
Q

describe sebaceous cyst

A

round, yellow colored, mobile, slow growing, fluctuant nodule

28
Q

most common benign tumor in older people
stuck on appearance
light brown flat macule that evolves into a n unevan warty waxy papule

A

seborrheic keratosis

29
Q

describe wart

A

hyperkeratotic flesh colored hard papules

30
Q

cell mediated delayed type IV hypersensitivity reaction

erythema with papulovesicular eruption, swelling, pruruits

A

Contact dermatitis

31
Q

type I IgE mediated hypersensitivity reaction with epidermal barrier dysfunction

A

eczema

32
Q

infection with mycoplasma pneumonia, HSV

vesicles and bullae that have classic bulls eye pattern

A

erythema multiforme

33
Q

autoimmune disease
IgG aginst epidermal desmoglein 1 and 3 leads to loss of intercellular adhesion
type II hypersensitivity reaction

A

pemphigus vulgaris

34
Q

workup pemphigus vulgaris

A

Nikolsky sign
IgG and C3 deposition
serum anti-desmogloein IgG ab

35
Q

tx pemphigus vulgaris

A

corticosteriods (prednisone)

Immunosuppressives (methotrexate) - may be fatal without

36
Q

IgG ab against dermal-epidermal basement membrane proteins which leads to subepidermal bullae
Type II hypersensitivity reaction

A

bullous pemphigoid

37
Q

well-demarcated flat elevated erythematous papules

plaques with silvery white scales

A

psoriasis

38
Q

tx psoriasis

A

sunlight
topical corticosteroids
retinoids
systemic methotrexate

39
Q

precursor to scc

small rough spots that turn into hyperkaratotic, pearly grey lesions due to long term sun exposure

A

actinic keratosis

40
Q

tx for actinic keratosis

A

liquid nitrogen
5-fluororuacil
excision

41
Q

most common malignancy
skin colored papule/nodule with rolled, translucent border
telangiectatic vessels

A

BCC

42
Q

tx BCC

A

shave excision
cryotherapy
topical 5 fu
radiation (elderly)

43
Q

spindle cell tumor from endothelial cell
raised round oval papules that are red purple and ulcerate
skin, mouth, GI tract
AIDS, HPV8

A

kaposi sarcoma

44
Q

tx Kaposi sarcoma

A

HAART

excision

45
Q

hx of arsenic exposure
most common complication of immunosuppressive therapy
indurated erythematous nodule/plaque with surface scale/crust ulceration
often lowe lip ear, forehead

A

Squamous cell carcinoma

46
Q

tx SCC

A

Mohs

surgical excision

47
Q

strong topical corticosteroid drug that treats inflammatory hyperkeratotic dermatosis

A

Mometasone

48
Q

antibiotic used for dog bites

A

amox-clav

49
Q

homeopathic for fearful, wakes at 2am-4am, stitching stabbing pain, worse cold, better movement, lots of colds

A

kali carb

50
Q

what herbs are safe for derm conditions in children

A

mellissa, echinacea, sambuca

51
Q

proper management of puncture wounds

A

apply lidocaine, epi, tetracine gel. Clean with iodine and irrigate with saline. Cover with gauze and allow to heal with secondary intention.

52
Q

What vaccine should you give with dog bite

A

DTaP booster due to tetanus risk

53
Q

herbal acne treatment

A

arctium lappa, berberine, rumex, galium

54
Q

topical botanicals for psoriasis

A

berberis and smilax

55
Q

homeopathic for simple speach, cold, rose hot shower, worse morning, constipated

A

graphites

56
Q

cranial caudal macular papular rash with CLAD and fever

A

rubella

57
Q

cough coryza conjunctivitis koplick spots

A

measles

58
Q

HHV6/7 maculopapular rash with high fever

A

roseola infantum

59
Q

tx for vitiligo

A

copper
vit D
phylalanine

60
Q

tx atopic derm

A

psorinum
sulphur
vit C

61
Q

when do drug eruptions begin

A

7 days post med

62
Q

lichen planus vs lichen simplex

A

lichen planus: wickham striae, 5 ps hep C

lichen simplex: red, scaling, itching

HK Last - Cardio (16 decks)

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