Derm/Rheum

Question 1

When Will you see gluten associated DERM herpatiformis

Answer 1

40s and 50s

Rare in children

Question 2

Where will you see DERM herpetiformis on body

Answer 2

Butt and extensors

Question 3

What mutation is likely causing eczema

Answer 3

Filagrin

Asc w/ impairment of skins barrier function

Usually high ige present

Question 4

A small blue tumor under the nail that hurts is from a cell type doing?

Answer 4

Thermo regulation (smooth m cell) of dermal glomus bodies

Ddx glomangioma

Question 5

What is the lesser trelat sign

Answer 5

Sudden eruption of seborrheic keratosis that arise in response to internal malignancy

Question 6

Nerve and fx of supraspinatous

Answer 6

Supra scapular

aBduction

Question 7

Nerve and function of Infraspinatous

Answer 7

Supra scapular n

External rotation

Question 8

Nerve and fx of teres minor

Answer 8

Axiallary

aDduction

External rotation

Question 9

Subscapularis n and fx

Answer 9

Upper and lower subscap n

aDduction

Internal rotation

Question 10

What cell type is active and targeted to treat gout

Answer 10

PMNs

NSAIDs decrease PMNs
Colchicine preferred if PUD

Question 11

What is the most common rotator cuff injury

Answer 11

Tendon of supraspinatous

Pain with aBduction

Question 12

Targetoid/Bullard rash diffusely after genital lesions might be

Answer 12

Erythema multiforme

Asc with HSV

Question 13

Hyperkeratotic scaly plaque of the face is what, and leads to what

Answer 13

Actinic keratosis

Leads to squamous cell carcinoma

Question 14

How will a basal cell ca look

Answer 14

Pearly papules with central depression or ulcer

Question 15

Radical mastectomy with lymph removal leads to what outcomes

Answer 15

Chronic lymphedema first, which then progresses to development of angiosarcoma

Question 16

The CREST stands for what

Answer 16

Calcinosis

Raynold

Esophogus dsymotility

Scleraldatcyly

Telengitecatsia

Question 17

CREST autoantibody

Answer 17

Anti centromere

Question 18

What is anti histone antibody

Answer 18

Drug induced lupus

Question 19

Compare strawberry and cherry hemangioma

Answer 19

Strawberry - large, tounge people get em. Grows rapidly, regresses

Cherry- small, old people. Do not go away

Question 20

Trendelnburg sign involves what nerve

Answer 20

Superior gluteal

Question 21

Injury of this muscle may compress the sciatic nerve

Answer 21

Piriformis travels through the greater sciatic Foramen with the sciatic nerve

Question 22

What does a frame shift usually result in

Answer 22

A shorter non fx protein

Question 23

This lesion is found on eyelids and is comprised of foamy lipid laden macs

Answer 23

Xanthelasema

Often arises due to conditions that increase cholesterol

Question 24

What cytokine is responsible for fibroblast migration and keloid formation

Answer 24

Transforming growth factor b

Tgf-b

Question 25

What normal human cell had reverse transcriptase activity

Answer 25

Telomerase

Normally expressed in stem cells

Question 26

Spaghetti and meat ball KOH prep

Tinea versicolor

Answer 26

Malassezia species

Hypo or hyper pigmented patches

Question 27

Why does skeletal muscle not get effected by verapamil

Answer 27

Verapamil is a ca drug

Skeletal muscle does not require an influx of extra cellular ca

Smooth and cardiac muscle do relay on this

Question 28

What is the sickle cell mutation

Answer 28

Point mutation

Glutamic acid replaced by valine on beta chain

Question 29

If you peirce your ears conch, what nerve will feel it

Answer 29

Auricular branch of vagus