Dermatitis

Question 1

What drug classes precipitate mast cell degradation?

Answer 1

AsA, NSAIDS, opoiods, narcotics

Question 2

What is 1st line treatment for atopic dermatitis?

Answer 2

Emollients

Question 3

If a pediatric patient is being treated with a low potency TCS on the arms with minimal clearing, what should the next step be?

Answer 3

Change to moderate potency TCS

Question 4

An absolute contraindication for using phototherapy include

Answer 4

Xeroderma pigmentosum, Lupus erythematous, basal cell nevus syndrome

Question 5

What should be done prior to a phototherapy treatment?

Answer 5

Apply eye goggles/protection, covering genitals and face, apply non-medicated emollients

Question 6

What is the mechanism action for phototherapy?

Answer 6

Suppression of DNA synthesis and generation of prostaglandins & cytokines

Question 7

Most case reports of eosinophilic pustules folliculitis are from what country?

Answer 7

Japan

Question 8

The lesions of eosinophilic pustular folliculitis include

Answer 8

Pustules, eruptive nature, recurrent

Question 9

The first line therapy for eosinophilic pustular folliculitis is

Answer 9

Indomethacin

Question 10

What medication class is most commonly associated with drug induced erythroderma?

Answer 10

Sulfonamides

Question 11

Erythroderma is more common in

Answer 11

Adult males

Question 12

The definition of erythroderma includes erythema and scale encompassing more than what body percentage?

Answer 12

90%

Question 13

When the etiology of erythroderma is not clear, close examination of what may give clinical clues?

Answer 13

Nails

Question 14

Mortality associated with erythrodermic conditions in the elderly population is most likely associated with

Answer 14

High output cardiac output failure

Question 15

About 33% of erythroderm cases are due to

Answer 15

Idiopathic

Question 16

The autoimmune disorder most closely associated with erythroderma is

Answer 16

Pemphigus foliaceous

Question 17

Patients either asteoatotic eczema are how much more likely to develop Grover’s Disease?

Answer 17

5x more likely

Question 18

Smooth papules of Grover’s Disease show acantholytoc cells patterned after which diseases

Answer 18

Hailey hailey, darier’s disease

Question 19

What can trigger Grover’s Disease?

Answer 19

Ribavirin, UV exposure, heat, sweat

Question 20

The potency of a corticosteroid in decreasing inflammation and controlling pruritis is based on:

Answer 20

Level of vasoconstrictive activity,vehicle, structure and concentration of the molecule

Question 21

Vitamin D receptors have been identified in a number of skin cells including

Answer 21

Melanocytes and keratinocytes

Question 22

First line treatment for intertrigo includes

Answer 22

Topical zinc

Question 23

The medication of choice when treating intertrigo with a secondary fungal infection includes:

Answer 23

Ketoconazole

Question 24

A wood’s lamp will fluoresce coral red if an area of intertrigo contained which organism?

Answer 24

Corynebacterium minutisssimun

Question 25

Keratosis Polaris has the highest incidence in patients with

Answer 25

Icythyosis

Question 26

Which topical treatment of keratosis Polaris has demonstrated highest efficacy?

Answer 26

Lactic acid

Question 27

Cutaneous lichen planus is often described with what descriptors?

Answer 27

Pruritic, planar, polyangular, purple, papule, polished and plentiful

Question 28

Lichenoid drug eruptions are associated with what medications?

Answer 28

Thiazide diuretics

Question 29

Lichen simplex chronicus is most comm9nly seen in

Answer 29

Women over 20 years of age

Question 30

First line treatment strategy for lichen planus is

Answer 30

Topical corticosteroids

Question 31

Lichen simplex chronically is often described as

Answer 31

Papules with aggregation into plaques with excoriations and heightened skin lines

Question 32

True or false: Incidence of nummular eczema is increased in males

Answer 32

True

Question 33

The most common location of nummular eczema in males is

Answer 33

Lefs

Question 34

The appropriate first line treatment for flares of nummular eczema is

Answer 34

High potency TCS

Question 35

A pediatric patient presents to the office with the parent complaining of a white rash on the face. The lesions are small eith slight scale, other than appearance they are asymptomatic. The patient also has a history of atopic dermatitis. This condition is most likely:

Answer 35

Pityriasis alba

Question 36

Nail changes associated with pityriasis rural Polaris include:

Answer 36

Yellow brown discoloration

Question 37

A key clinical finding of pityriasis rubra pilaris includes:

Answer 37

Follicular hyperkeratosis

Question 38

Pityriasis rubra pilaris is often confused with what other dermatological condition?

Answer 38

Psoriasis

Question 39

The classic adult type 1 presentation of pityriasis rubra pilaris accounts for what percentage of cases?

Answer 39

55%

Question 40

PLEVA is which form of pityriasis lichenoides?

Answer 40

Acute

Question 41

Febrile ulceronecrotic Mucha-Habermann disease can involve

Answer 41

GI system

Question 42

First line therapy for pityriasis lichenoides includes

Answer 42

Doxycycline

Question 43

The etiology of pityriasis rosea is postulated to be

Answer 43

Viral

Question 44

PuPPP is more likely to occur in what trimester?

Answer 44

3rd

Question 45

PuPPP lesions start in which area?

Answer 45

Abdominal straie

Question 46

Which antihistamine therapy is generally considered safe to use in the 3rd trimester of pregnancy?

Answer 46

Loratadine

Question 47

PUPPP is more likely to occur in

Answer 47

Primiparous women

Question 48

A 24-year-old pregnant female has been diagnosed with a severe case of PUPPP. She is on oral antihistamines and topical corticosteroids with no relief. Her OB/GYN has agreed a short course of oral corticosteroids is needed. The starting dose of prednisolone should not exceed:

Answer 48

35 mg/day

Question 49

A differential diagnosis for PUPPP is urticarial pemphigoid gestations. This condition can result in

Answer 49

Premature birth

Question 50

Comorbidities seen in psoriasis patients may include:

Answer 50

Depression, rheumatologic disorders, crohn's disease

Question 51

Appropriate education prior to starting a patient on a biologic therapy include:

Answer 51

All appropriate live vaccines should be administered prior to the start of the biologic

Question 52

The most prevalent form of psoriasis is:

Answer 52

Plaque

Question 53

What is true regarding the skin of patients over the age of 60?

Answer 53

Decrease in stratum corneum lipids, decrease in intercellular lipids, decrease in ceramide production

Question 54

What acts as a humectant?

Answer 54

Urea

Question 55

Xerosis cutis initially starts in which body location?

Answer 55

Shins

Question 56

Results for patch testing are interpreted in which time frame?

Answer 56

48 hours, 72 hours and possibly a week

Question 57

Dermatitis conditions that occur due to exposure of the urushiol chemicals are termed:

Answer 57

Rhus dermatitis

Question 58

The type of dermatitis that occurs after exposure due to the fucocoumarin chemical followed by

Answer 58

Phytopytodermatitis

Question 59

What accurately describes the lesions found in contact dermatitis?

Answer 59

Lesions that have well defined lines of demarcation

Question 60

A hairdresser who develops a contact dermatitis on the hands most likely has developed an allergic reaction to

Answer 60

Phenylenadiamine

Question 61

The chronic phase of stasis dermatitis is characterized by

Answer 61

Thick skin