Derm/MSK Flashcards

1
Q

“Stuck-on” appearance

A

seborrheic keratosis

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2
Q

Red plaques with silvery-white scales and sharp margins

A

psoriasis

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3
Q

Most common type of skin cancer; lesion is a pearly-coloured papule w/ a translucent surface and telangiectasias

A

Basal cell carcinoma

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4
Q

Honey-crusted lesions

A

impetigo

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5
Q

A febrile Pt w/ h/o DM presents w/ red, swollen, painful lower extremity

A

Cellulitis

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6
Q

Pos Nikosky’s sign

A

Pemphigous vulgaris

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7
Q

Dirty, velvety patches on back of neck

A

Acanthosis nigricans; check fasting blood glucose to rule out DM

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8
Q

Dermatomal distribution

A

Varicella zoster

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9
Q

Flat-topped papules

A

lichen planus

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10
Q

It is-like target lesions

A

erythema multiforem

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11
Q

Presents w/ a herald patch, christmas-tree pattern

A

pityriasis rosea

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12
Q

pinkish, scaling, flat lesions on the chest and back; KOH prep has a “spaghetti-and-meatballs” appearance

A

Tine versicolor

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13
Q

4 characteristics of a nexus suggestive of melanoma

A

asymmetry, border irregularity, color variation, large diameter

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14
Q

Premalignant lesion from sun exposure that channeled to SCC

A

Actinic keratosis

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15
Q

“dewdrops on a rose petal”

A

Lesions of primary varicella

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16
Q

“cradle cap”

A

seborrheic dermatitis; treat conservatively w/ bathing and moisturizing agents

17
Q

Ass. w/ Propionibacterium acnes and changes in androgen levels

A

Acne vulgaris

18
Q

Painful, recurrent vesicular eruption of mucocutaneous surfaces

A

Herpes simplex

19
Q

Inflammation and epithelial thinning of the anogenital area, predominantly in postmenopausal women

A

Liche sclerosus

20
Q

Exophytic nodules on the skin w/ varian degrees of scaling or ulceration; the second most common type of skin cancer

A

Squamous cell carcinoma

21
Q

Back pain exacerbated by standing and walking and relieved w/ sitting and hyper flexion of hips

A

spinal stenosis

22
Q

Joints in hand affected in RA

A

MCP and PIP; DIPJs are spared

23
Q

Joint pain/stiffness that worsen over the course of the day and relieved by rest

A

Osteoarthritis

24
Q

Genetic DO associated w/ multiple fractures and blue sclerae, commonly mistaken for child abuse

A

Osteogenesis Imperfecta

25
Q

Hip & back pain along w/ stiffness that improves w/ activity over the course of the day and worsen at rest. Diagnostic test?

A

Suspect ankylosing spondylitis. Check HLA-B27

26
Q

Arthritis, conjunctivitis, and urethritis in young men. Associated organisms?

A

Reactive (Reiter’s) arthritis. Most commonly ass. w. Chlamydia. Also consider campylobacter, shigella, salmonella, and ureaplasma.

27
Q

55yo M has sudden, excrutiating first MTP joint pain after a night of drinking red wine. Dx, workup, and chronic Tx?

A

Gout. Needle-shaped, negatively birefringent crystals are seen on joint fluid aspirate. Chronic treatment w/ allopurinol or probenecid.

28
Q

Rhonboid-shaped, positively birefringent crystals on joint fluid aspirate

A

Pseudogout

29
Q

Elderly F presents with pain/stiffness of shoulder and hips; she cannot lift her arms above her head. Labs show anemia and elevated ESR.

A

Polymyalgia rheumatica

30
Q

Active 13yo M has anterior knee pain

A

Osgood-schlatter disease

31
Q

Bone fx in a fall on an outstretched hand

A

Distal radius (Colles’ fracture)

32
Q

Complication of scaphoid fx

A

Avascular necrosis

33
Q

Signs suggesting radial nerve damage w/ humeral fracture

A

wrist drop, loss of thumb abduction

34
Q

Young child presents w/ proximal muscle weakness, waddling gait, and pronounced calf muscles

A

Duchenne muscular dystophy

35
Q

First-born female who was born in breech position is found to have asymmetric skin fold on newborn exam. Dx? Tx?

A

Developmental dysplasia of the hip. If sever, consider a Pavlik harness to maintain abduction

36
Q

11yo AAM presents w/ sudden onset of limp. Dx? Workup?

A

Slipped capital femoral epiphysis. AP and frog-leg lateral x-rays

37
Q

Most common primary malignant tumor of bone

A

Multiple myeloma