Dermatological Disorders

Question 1

furuncle

Answer 1

abscess, boil
deep infection of hair follicles

Question 2

bulla or blister

Answer 2

fluid filled or pus filled, >0.5cm

Question 3

macule

Answer 3

flat change in skin with color change

Question 4

nodule

Answer 4

solid lesion >0.5-2cm

Question 5

papule

Answer 5

raised, solid lesion <0.5cm, varies in color

Question 6

plaque

Answer 6

raised, solid lesion >0.5cm

Question 7

vesicle

Answer 7

<0.5cm elevated lesion, contains fluid

Question 8

wheal

Answer 8

hive
transient rounded or flat topped plaque

Question 9

folliculitis most common cause

Answer 9

staph

Question 10

most common bacteria in bites

Answer 10

staph, strep

Question 11

management of bite wound

Answer 11

clean and flush thoroughly
antibiotic prophylaxis 3-5 days in high risk pt
tetanus prophylaxis

Question 12

antibiotic used to tx lyme disease

Answer 12

doxycycline

Question 13

shingles

Answer 13

reactivated varicella zoster
common over age 50

Question 14

pharm tx shingles

Answer 14

nsaids for pain, narcotic if severe
antiviral- if <72 hours symptoms, if >72 hrs with new lesions

Question 15

shingles vaccine

Answer 15

2 injections, 2-6 months apart
contra: pregnancy, HIV

Question 16

SLE symptoms

Answer 16

butterfly rash
fatigue
fever
arthralgia

Question 17

is the best predictor of malignancy derm

Answer 17

asymmetry

Question 18

actinic keratosis

Answer 18

dry rough scaly patch
risk: skin
precancerous!

Question 19

seborrheic keratosis

Answer 19

brown, rough warty spots
appear “stuck on”
biopsy to r/o malignancy

Question 20

suspect cellulitis r/t cancer if

Answer 20

nonhealing wound/cellulitis
no fever
normal wbc
no response to abx

Question 21

malignant melanoma assessment tool

Answer 21

Asymmetry
Border irregular
Color variation
Diameter
Elevation
Feeling

Question 22

pharm management psoriasis

Answer 22

emollients
topical steroid

Question 23

lowest to highest stream vehicle for topical steroids

Answer 23

lotions
creams
gels
ointments

Question 24

tinea capitis tx

Answer 24

oral

Question 25

tinea corporis tx

Answer 25

topical

Question 26

tinea cruris tx

Answer 26

topical

Question 27

tinea pedis tx

Answer 27

topical

Question 28

tinea unguium tx

Answer 28

oral

Question 29

fungal characteristics

Answer 29

circular
dry erythematous scales
central clearing

Question 30

pityriasis rosea

Answer 30

herald patch appears first
Christmas tree pattern on back
symptomatic tx

Question 31

percentage of basal cell carcinoma on face

Answer 31

70%
typically pink or flesh colored

Question 32

dermatomyositis

Answer 32

muscle weakness
predominant symptom pruritus
weight loss, fever

Question 33

bed bug tx

Answer 33

tx environment

Question 34

pubic lice tx

Answer 34

topical premetharin

Question 35

scabies tx

Answer 35

topical permethrin

Question 36

pinworm tx

Answer 36

mebendazole single dose