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SN 4th year low yeald > Derma general > Flashcards

Derma general Flashcards

1
Q

Raised solid skin lesion is also called

A

Nodule

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2
Q

Non palpable small skin bleeding is also called

A

Patechiae

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3
Q

Large arreas of skin hemorrhage may be palpables is also called

A

Purpua

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4
Q

Patechiae saize

A

< 3 mm

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5
Q

Purpura size

A

3-10 mm

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6
Q

Skin bleeding > 10 mm is called

A

Ecchymosis

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7
Q

Urticaria 3 R’s

A

Raised
Red
Rounded

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8
Q

Round lesion=

A

Annular

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9
Q

Coin shaped lesion=

A

Nummular

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10
Q

Give example for skin codition with coin shaped lesions

A

Nummular eczema

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11
Q

2 types of urticaria

A

Acute < 6 weeks

Chronic > 6 weeks

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12
Q

Urticaria may be the result of

A 
Acute infections
SLE
Idiopathic
ACE inhibitors
ARB's
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13
Q

Urticaria definition

A

Prurititc transient swelling of the upper dermis mediated by histamine release

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14
Q

Urticaria classification based on etiology

A

Immunological
Non immunological
Underlying disease

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15
Q

Immunological urticaria can be (3)

A

IgE mediated
Immune complex mediated
Autoimmune

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16
Q

Non-Immunological urticaria can be (3)

A

Direct
Physical forms- heat, cold pressure
Intolerance

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17
Q

Urticaria treatment

2

A

Oral H1 antihistamines
Oral glucocorticoids- Prednisone
+ Epi

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18
Q

Hereditary Angioedema long term treatment

A

Danazol

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19
Q

Atopic dermatitis is in connection with

A

Rhinitis
Asthma
Food allergy

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20
Q

Etiology of Atopic dermatitis

A

Epidermal barrier dysfunction
Fillagrin mutation
Immune dysregulation

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21
Q

Atopic dermatitis skin symptoms by age

A

0-2 extensor surface face cheeks
2-16 flexors, Lichenification
Adults flexors hands face, Lichenification

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22
Q

Major criteria for Atopic dermatitis

A

Pruritus
Typical morphology and distribution
Chronic
Family history

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23
Q

Atopic dermatitis basic therapy

A

Skin hydration

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24
Q

Atopic dermatitis active treatment

Milt to moderate

A

Topical steroids

Topical calcineurin inhibitors

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25
Q

Atopic dermatitis active treatment

Severe

A

Phototherapy
Oral cyclosporin
Dupilumab

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26
Q

How much time is safe to put topical corticosteroids?

A

2-4 weeks

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27
Q

Side effects topical corticosteroids

A

Stria
Atrophy
Teleangiectasis
Superinfections

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28
Q

Alternative to topical corticosteroids

A

Local calcineurin inhibitors

29
Q

Contact dermatitis can be (2)

A

Allergic

Irritative

30
Q

Allergic Contact dermatitis=

A 
Type IV HSN
Sensibilization
Erythematous placque
Dissemination- Papules and vesicles
Itching
Patch test
31
Q

Irritative Contact dermatitis=

A 
Toxic irratation
No Sensibilization
Sharply localized
No distant spreading
Burning sensation
NO patch test
32
Q

Endogenous eczema

A 
Atopic dermatitis
Seborrheic dermatitis
Dyhidrosis
Stasis dermatitis
Nummular dermatitis
33
Q

Seborrhoic dermatitis mainly affects

A

Sabeceous gland rich regions of face, scalp and trunk

34
Q

Nummular dermatitis causes

A

S. Aureus

Alcohol

35
Q

Seborrhoic dermatitis causes

A

Malassezia
Genes
Stress
Immunosupp.

36
Q

3 most serious types of drug rashes

A

Erythroderma
Toxic Epidermal Necrolysis
Anticonvulsant HSN Syndrome

37
Q

Urticaria can be caused by which drugs?

A

Aspirin
NSAID’s
Penicillin

38
Q

Erythema Multiforme can be caused by which drugs?

A

Anticonvulsant

Sulfonamides

39
Q

Erythroderma can be caused by which drugs?

A

Alluporinul
Gold
Sulfonurea

40
Q

TEN can be caused by which drugs?

A

Penicillin
NSAID’s
Carbamazepine

41
Q

Impetigo, describe it

A

Exudative ereas
Honey colored crust
Spread by direct contact

42
Q

If Impetigo extend to the dermis it is called

A

Ecthyma

43
Q

Impetigo treatment

A

Flucidic acid

Povidone iodine

44
Q

Folliculitis treatment

A

Local AB- Flucidic acid

Erythromycin

45
Q

Describe erysipales lesion

A

Well defined
Placques
Erythematous

46
Q

Exogenous TB skin infection (2)

When do they occur

A

Primary inoculation TB- Non immune

TB Verrucosa Cutis- Previously exposed patients

47
Q

Endogenous TB skin

A

Orificial TB- small yellowish

Acute milliary- exanthem

48
Q

Atypical mycobacteria infections (3)
Lesion
Treatment

A

M. Marinum- Crusted lesion. Clarithromycin
M. Ulcerans- Deep painess ulcer. Heat, surgey
M. Fortuitum Complex- Dark red nodules, abscess. Ciprofloxacin

49
Q

Tuberculoid leprosy skin lesion

Treat with

A

Well defined hypopigmented macule/plaucqes with raised erythematous edges. Atrophy at the center
Painless

Dapsone

50
Q

Lepromatous leprosy skin lesion

A 
Skin thickenning
Loss of eyebrows
Nerve involvement
Papules and nodules
Erythema nodosum leprosum

Rifampin and Dapsoe

51
Q

What causes cutaneous leishmania?

A

Leishmania tropica

52
Q

What causes muco-cutaneous leishmania?

A

Leishmania Brazilensis

Ulceration

53
Q

Cutaneous leishmania lesions

A

Single or multiple papules
Prurtitic sometimes

Stibogluconate
Amphotericin B

54
Q

Benign lesions caused by HPV

Describe the lesion

A

Verruca vulgaris- Firm papule, Hyperkeratotic
Plantar warts- flat or papule/plaque
Condyloma acuminatum- 6,11,30

55
Q

2 types of Verruca vulgaris

A

Filiform warts

Butcher warts

56
Q

Treatment of benign HPV lesions

A

Salicylic acid
Cryosurgery with liquid nitrogen
Electrosurgery
CO2 laser surgery

57
Q

Malignant lesions caused by HPV

A

Cervical carcinoma
SCC
Carcinoma in situ

58
Q

Chicken pox lesions

A

pruritic vesicles pustules and crust

59
Q

Complication of HSV

A

Erythema multiforme

60
Q

Pitryasis versicolor treatment

A

Selenium sulfide
-azoles
Terbinafine

61
Q

Dermatophytes common terms and how the lesion looks like

A

Ringworm- Patch with central clearing and scaling
Onychomycosis- Nail
Tinea-

62
Q

Scabies causes

A

Infestation by mite of Sarcoptes scabiei

63
Q

Two types of Scabies

A

Classic- Knots on a rope. Pruritic papules

Crusted- Norwegian!! Immunosupp. Scaling and crusting, fisuring

64
Q

Scabies skin distribution

A

Webs of fingers
Axillae
Areola
Genitalia

65
Q

Scabies treatment

A

Topical Permethrin

Ivermectin

66
Q

Pompholyx is also called

A

Dyshidrotic eczema

67
Q

Pompholyx symp.

A

Tiny blisters on fingrs and palms

Intense itching and burning

68
Q

Cutaneous candidiasis

A

Intertrigo
Interdigital
Diaper
Follicular

69
Q

Cutaneous candidiasis treatment

A 
Wash with benzoyl peroxide
Miconazole powder
Castellani's paint
Nystatin cream
Azole cream

SN 4th year low yeald (7 decks)

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