derm+rheum

Question 1

milia vs sebaceous hyperplasia

Answer 1

milia-whitish papules of epithelioid cysts (keratinocytes) on face

sebaceous hyperplasia-more yellowish papules on face, nose, due to maternal androgen levels

Question 2

erythema toxicum neonatorum

-assoc with

Answer 2

eoisinophilia
transient erythematous diffuse rash in neonates
-no treatment needed

Question 3

sebaceous nevi

Answer 3

yellowish-orange hairless plaque
scalp
can become malignant

Question 4

toddler wakes up everynight and parents come in feed him and he goes back to sleep

Answer 4

learned behavior (a type of behavioral insomnia)

Question 5

kid screams during the night and parents can’t wake her

Answer 5

night terrors

• non rem sleep
• autonomic arousal
• seem awake but unresponsive
• can’t be calmed down

Question 6

kid crying and wakes up upset during sleep

Answer 6

nightmare

• rem sleep
• scary dream wakes them up

Question 7

cornelia de langue

Answer 7

bushy eyebrows, hairy, short limbs, VSD, undescended testes, MR

Question 8

name acute phase reactants

Answer 8

ESR, CRP, platelets

Question 9

juvenile rheumatoid arthritis-what causes anemia

Answer 9

anemia of chronic disease-inflamm of synovial joints causes hepcidin to prevent Fe absorption and inc storage

• inc ferritin
• inc Igs
• anemia (microcytic hypochromic anemia)
• inc Acute phase reactants: ESR, CRP, platelets (thrombocytosis)

Question 10

another name for mongolian spots

Answer 10

congenital dermal melanocytosis

• flat blue grey patches on the lower back
• can be mistaken for child abuse

Question 11

very itchy rash that starts on the hands then spreads to

Answer 11

scabies

• love the interdigit spaces in the hands
• periumbilicus, axilla, groin
• erythematous papules, vesicles, exoriactions (scratching)

Question 12

Treatment for scabies

Answer 12

Ivermectin, permethrin

Question 13

palpable step off of the lumbosacral spine
back pain
neurologic issues (incontinence)

Answer 13

Spondylolisthesis

• slippage of one vertebra over the other causng nerve compression
• step off=misalignment of the vertebra that can be felt on exam

Question 14

child with

• short webbed neck
• short posterior hairline
• sprangel deformity (high scapula)
• cervical spine fusion

Answer 14

congenital fusion of 2 cervical vertebrae

-C1-C2 fusion can cause atlantoaxial intability

Question 15

what side effect does isotretinoin have on fats

Answer 15

Inc triglycerides, dec HDL

Question 16

pediculosis capitis aka

Answer 16

head lice

RX: permethrin

Question 17

neonate-erythematous maculopapular rash with pustules that transiently appears and disappears

Answer 17

erythema toxicum-resolution in 7-14 days. spares palms and soles

Question 18

pustular melanosis vs erythema toxicum

Answer 18

both have pustules
-erythema toxicum spares hands and soles

-pustular melanosis can be on hands soles, hyperpigmented macules, common in af american babies