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MIR JA > Derma > Flashcards

Derma Flashcards

repaso

1
Q

Ac anti IgG contra superficie de queratonicitos, que enfermedad?

A

Pénfigo vulGar

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2
Q

melanoma +frc en hombre

A

melanoma nodular

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3
Q

melanoma sin fse de creciemnto radial (horozontal)

A

melanoma nodular

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4
Q

melanoma de peor pronostico

A

melanoma nodular

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5
Q

melanoma en zona de espalda y piernas?

A

melanoma de extension 5uperficial (crec radial 5 ä)

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6
Q

metastasis de peor pronostico del melanoma

A

organos sólidos (crbr, hgd,hueso)

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7
Q

como se hace la biospsia del melanoma

A

Excisional (se quita todo el tumor)

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8
Q

tratamiento farmacologico melanoma

A

Vemurafenib (INH V600 gen BRAF) Inh MAP-kinasa

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9
Q

queratosis actinica, que carcinoma?

A

carcinoma Espinocelular

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10
Q

efecto adverso de inhibidores de BRAF? tto melanoma

A

Queratocantoma, ca escamoso

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11
Q

queratocantoma

A

crecimeitno rapido

Dxd espinocelular

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12
Q

Nevus sebaceo de Jadassohn

A

precanceroso –> Espinocelular

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13
Q

queilitis actinica

A

labio inferior, sol y tabaco

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14
Q

leucoplasia oral

A

no se quita con el raspado, tbco y alcol

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15
Q

xroderma pigmentosusm

A

Autosomica R

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16
Q

Epidermoplasia verruciforme de Lewandosky

A

HPV
Espncllr
AR

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17
Q

sindrome Gorlin

A

depresiones Plmplntr
anomalías organos
AD

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18
Q

Micosis FungToide

A 
Linfocitos T 
microabscesos de pauTrier 
macular --> Topico 
infiltrativo --> mosTaza
tumoral --> rT, poliqT, reTinoides
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19
Q

mastocitosis

A

trisptasa alta en sangre

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20
Q

Dx mastocitosis sistemica

A

Bx M.O

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21
Q

necrobiosis colageno + dorso mano

A

Granuloma Anular

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22
Q

sindrome constitucional + hiperqueratosis plantar

A

queratodermia plantar paraneoplasica

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23
Q

un granuloma es

A

un agregado de histiocitos

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24
Q

DX de penfigoide ampolloso

A

Bx de piel e IFD

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25
Q

DX mastocitosos sistemica

A

Bx M.O

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26
Q

ampollas dorso mano + hipertricosis malar

A

Porfiria cutanea tarda

Dx: uroporfirina en orina

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27
Q

el mixedema pretibial de Hipertiroidismo involuciona tras contorl de la enfemredad, Verdadero o Falso?

A

Falso. No desaparece

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28
Q

paniculitis septal sin vasculitis

A

Eritema Nodoso

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29
Q

intértigo

A

lesiones en pliegues

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30
Q

moluscos contagiosos, virus

A

Poxvirus

Es ETS si afecta zona genital

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31
Q

Acitretino

A

Tto. eleccion psoriasis de los pliegues

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32
Q

dolor abdominal + nodulos eritematosos + Necrosis Grasa

A

paniculitis pancreatica

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33
Q

Hipertricosis malar + elevacion transaimnasa + PAS (+)

A

Porfiria cutanea tarda (deficit Decarboxilasa)

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34
Q

DM + placas marrones cara anterior tibia

A

dermopatía diabetica

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35
Q

diabetes + ampollas espontaneas en piernas y pies

A

Bullosis diabeticorum

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36
Q

papulas en gluteo y codos + hiperquilomicronemia

A

xantoma eruptivo

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37
Q

xantoma plano/macula amrillenta en parpado

A

Xantelasma (no hay alteracion lipidica)

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38
Q

eritema nedrotico migratorio

A

Glucagonoma

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39
Q

hemtoma periumbilical y hemoatoma en flancos

A

pancreatitis aguda hemorragica

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40
Q

petargia positiva (pustula esteril)

A

Behcet

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41
Q

Pioderma gangrenosa

A

Colitis Ulcerosa
AR
Bechet

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42
Q

maculas rojas cara + labio + lengua + dorso mano y pies

A

Randu-Osler (tto. Electrocoagular la lesion) (AD)

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43
Q

anticonceptivos orales/embarazo + hiperpigmentacion zona fotoexpusta

A

cloasma hepaticum

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44
Q

uña de Terry (blanca)

A

cirrosis

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45
Q

Lunulas azules

A

Wilson

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46
Q

lesiones sobre cicatrices de hace años

A

Sarcoidosis (muy tipico)

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47
Q

Placa indurada violacea sobre la nariz (Lupus Pernio)

A

sarcoidosis

48
Q

Addison Moreno se hizo PuPa TIRando BLASTOs al suelo

A

Hiperpigmentacion adisoniana

  • Ca PUlmonar
  • Ca PAncreas
  • Ca tiroides
  • NeroBLASTOma
49
Q

melanoma gris + melanuria

A

Mx melanoma

50
Q

Eritema necrotico migratorio

A

Glocagonoma

51
Q

ACantolisis niGricans maligna

A

AdenoCarcinoma Gastrico

52
Q

escamas dedos, nariz y oreja

A

Bazex/ca aerodigestivo

53
Q

queratodermia palmoplantar

A

hay que descartar neoplasia (digestiva o de pulmon)

54
Q

eritema gyratum repens (eritema serpiginoso)

55
Q

hipertricosis lanuginosa (como los RN)

A

ca colon o bronquios

56
Q

ictiosis adquirida paraneoplasica

A

LNF HDGKIN

57
Q

tromboflebitis crónica migrans

A

adenocarcinoma de pancreas

58
Q

dermatomiositis + >40 años

A

buscar cancer

59
Q

Sd Sweet (dermatosis neutrofilicca + fiebre aguda)

A

Leucemia Mieloide Aguda (LMA)

60
Q

mujer 40 años + fiebre súbita + neutrofilia + placas eritematosas en montaña rusa

A

Sd Sweet (tto. CC)

61
Q

deficit de Zinc + retraso de crecimiento + lesiones periorificiales (nariz-boca) + diarrea

A

acrodermatitis enteropatica (tto. suple. Zinc)

62
Q

Demencia + Diarrea + Dermatitis cara/cuello

A

Pelagra (tto. supl. Niacina = B3)

63
Q

Luxacion del cristalino, queratocon

A

Sd. Marfan (aneurisma aortico y prolapso mitral)

64
Q

calcificacion de tejido elastico + piel en pollo desplumado + piel laxa

A

pseudoxantoma elastico

65
Q

hiperextensibilidad de la piel + cicatrices en papel de fumar

A

Sd. Ehlers-Danlos (patro hereditario variable)

66
Q

placa recorrida por teleangiectasia pretibial + DM

A

Necrobiosis lipoidica diabeticorum

67
Q

Necrosis grasa pancreatica + celulas fantasma

A

pancreatitis o Ca pancreas (lipasa aumentada)

68
Q

celulas en bolsa de judías

A

paniculitis histiocitica citofagica (paniculitis lobullillar sin vasculitis)

69
Q

niño + alopecia ciatricial + cuero cabelludo con pustulas

A

tiña capitis inflamatoria

70
Q

tto. tiña capitis niño

A

Griseofluvina (pq es mas seguro)

71
Q

niño+ gato o conejo

A

pensar en Tiña

72
Q

niño + perro

A

pensar en Rickettsia conorii (fiebre botonosa mediterranea)

73
Q

espaguetis y albondiguillas

A

pitriasis versicolor

74
Q

eritema pliegue proximal uña + edema + supuracion

A

paroniquia (candidiasis cutanea) tto. azoles topicos

75
Q

tiña mano /tiña pie. cuasante

76
Q

Mujer + depilacion de pierna

A

Granuloma tricofitico de Majocchi

77
Q

jardinero + linangitis (trayectoria de linfaticos)

A

Esporotricosis (tto. Itra)

78
Q

Niño + costra cerca de boca /nariz + no sintomas sistémicos

79
Q

tto impetigo

A

Mupirocina tópica

80
Q

complicaiciones impétigo

A

glomerulonefritis postestreptococcica

81
Q

uso tampones

A

shock toxico (tto. Cloxa)

82
Q

forunculo cara

A

riesgo tromboflebitis seno cavernoso

83
Q

ganadero + ulcera indolora

A

carbunco (tto. Penicilina)

84
Q

que afectan las toxinas del estafilococo aureus y estreptococo del grupo A ?

A

desmogleina que une los queratinocitos

85
Q

papulas umbilicadas

A

molluscum contagioso (tto. curetaje o crioterapia)

86
Q

fiebre repentina + pustulas esteriles

A

psoriasis Von Zumbusch

87
Q

psoriasis pustulosa del emabrazo, afectacion a nivel placentario

A

insuficiencia placentaria

88
Q

pitequeado (pitting) /mancha de aciete (uña amarilla) /onicodistrofia

A

Psoriasis ungueal

89
Q

hiperplasia con hiperqueratosis orto y paraqueratosica

90
Q

vamos a iniciar tto biologico en Psoriasia , que hay que hacer antes?

A

mantoux con booster (descartar TBC), VHC, VHB, HIV

91
Q

Papula plana + Poligonal + Purpura pruriginosa

A

Liquen Plano

92
Q

pterigum ungeal

A

Liquen plano

93
Q

papulas planas en flexion de muñecas, antebrazos, tobillo y region lumbosacra

A

Liquen plano

94
Q

hipergranulosis (epidermi)

A

Liquen plano

95
Q

cuerpos coloides

A

liquen plano

96
Q

dermis - dientes de sierra

A

Liquen Plano

97
Q

dolor garganta leve + placa numular (medallon heráldico) + multiples lesiones + autolimitada en 4-8 semanas

A

Pitriasis rosa de Gilbert

98
Q

pitriasis rosada de Gilbert etiología

99
Q

placas anaranjadas

A

Pitriasis rubra pilaris

100
Q

Luz Wood (+) + descamacion fina tras rascado (signo de la uñada) + fin de verano/bañista

A

Pitriasis versicolor (antifungicos topicos o sulfuro de selenio)

101
Q

pitriasis versicolor. etio?

A

malassezia Furfur, Malassezia globoso

102
Q

comedones

5- alfa -DHT

A

acné (ATB prolongado)

103
Q

Demodex folliculorum

Rinofima

A

Rosacea

contraindicados CC tópicos

104
Q

alopecia + postmenopausica

A

alopecia fibrosante

105
Q 
dermatitis atópica 
Ig?
Herencia?
Asociaciones/ virus...?
tto.
A 
IgE
Poligénica 
V. herpes y urticaria alergica 
tto: 
Anhistaminicos sistemicos 
Inh calcineurina (tacrolimus, pimecrólimus)
PUVA
anti IL-4 e IL-13 (dupilumab)
106
Q

erupcion < 24 h

107
Q

disminucion inhibidor C1 esterasa

A

edema Quincke

108
Q

tto urticaria crónica (>6 sem)

A

1º anti H1 2º gen
2º anti H1 2º gen dosis cuadruple
3º omalizumab (antiIgE)
4º ciclosporina, monteleukast

109
Q

nevus histología maligna, comportamiento benigno

110
Q

halo nevus

A

No es maligno

111
Q

lentiginosis + poliposis intestinal

A

Petz-Jeghers

112
Q

ECG alterado + anomalías oculares + sordera

113
Q

Manchas cafe con leche

A

Ricklinhausen

114
Q

melanosis de Becker Dxd

A

Nevus pigmentario piloso gigante (tiene degeneracion maligna)

115
Q

queratosis folicular, que patologías?

A

Darier

pitriasis Rubra pilaris

116
Q

Afectacion ungueal V, + queratosis folicular + empeora en verano

MIR JA (9 decks)

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