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CPNP EXAM PREP > Dermatology > Flashcards

Dermatology Flashcards

1
Q

Harold patch

A

Pitaryasis roses

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2
Q

Open comedome

A

Blackhead; skin capped with blackened mass skin debris

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3
Q

Closed comedome

A

Whiteheads; obstructed opening can rupture causing low-grade low Inflammation

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4
Q

Severe inflamed cyst and nodules acne treatment

A

Oral anabiotic plus combination therapy OR

Oral isotretinoin

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5
Q

How often should you follow up for acne vulgaris

A

Every 4 to 6 weeks until control

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6
Q

Common oral anabiotic’s used in the treatment of acne for moderate or severe

A

Doxycycline, Erythromycin,minocycline

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7
Q

Tretinoin is a ____.

A

Retinoid

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8
Q

Don’t give tetracyclines an acne because….?

A

Can cause staining of the permanent teeth

Wait till 9 years front teeth are in; 12 all permanent teeth in

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9
Q

First appearing lesion is known as

A

Primary lesion

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10
Q

This lesion follows primary lesions

A

Secondary lesion

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11
Q

Macule

A

A flat discoloration;Moles, freckle

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12
Q

Patch

A

Flat discoloration looks like a collection of tiny multiple pigment changes

Mongolian spot,cafe au lait

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13
Q

Nodule

A

Elevated firm lesion >1 cm; fibroma

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14
Q

Tumor

A

Elevated firm lump; nodule that’s been there a while

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15
Q

Papule

A

Small elevated firm skin lesion >1cm; ant bite, elevated nevis (mole) , wart

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16
Q

Plaque

A

Scaly elevated lesion; psoriasis

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17
Q

Vesicle

A

Small <1 cm papule Filled with serious fluid; herpes Symplex, varicella herpes zoster (shingles)

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18
Q

Bulla

A

Serious fluid filled vesicle >1cm

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19
Q

Wheal

A

Lesion raised above the surfacing standing a bit below the epidermidis, allergic reaction; PPD test, mosquito bite

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20
Q

Pustule

A

Pus filled lesion <1cm

Acne , impetigo

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21
Q

Abscess

A

Pus filled lesion >1cm

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22
Q

Cyst

A

Large raised lesion filled with serious fluid, blood, and pus

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23
Q

What does one lesion look like describes what

A

Morphology

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24
Q

Where the lesion appears on the body or body part describes what

A

Distribution

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25
Q

Shape of the Lesion describes what

A

Configuration

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26
Q

A patient you’re taken care of just came from a burning building. What two signs during your assessment of ABC’s warrants Prophylactic intubation?

A

Singed nares or eyebrows

Soot in mouth/nares

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27
Q

What is the first action of the provider in the event that a child is burned

A

Stop the burning process with a cool not icy water to prevent further damage and remove all burned clothing

Apply clean wraps to the burned area to prevent systematic hypothermia

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28
Q

Breakfast, lunch, dinner sign three linear erythematous papules in a row shows what type of derm problem?

A

Bedbug bites

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29
Q

Where does bedbug bites most commonly occur?

A

Exposed areas of the face, neck, arms, or hands

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30
Q

Pruritic , erythematous/Edematous papules in a linear array

A

Signs and symptoms of bedbug bites

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31
Q

Mangement for bedbugs

A

Antihistamines for itching
Wash things in hot water
Exterminator

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32
Q

Pediculosis

A

Head lice

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33
Q

How is head lice transmitted

A

Direct or indirect contact; does not jump; lives 30 days on single host and lays 100 nits

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34
Q

Small white flakes that do not wipe away easily seen on the scalp, body, pubic area

A

Lice

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35
Q

Mangement for pediculosis

A

Permethrin first choice
Remove Nits
Wash sheets, towels, clothing, cleanse environment
Vacuum
Place items that cannot be washed and dried plastic bag for two weeks
Soak brushes/hair accessories

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36
Q

Highly contagious skin infestation caused by parasitic might grows into the stratum corneum

A

Scabies

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37
Q

What is the transmission of scabies

A

Spread through direct or indirect contact with personal items

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38
Q

Child presents with intense itching, irritability, and linear curved boroughs that look like a snake & are found on the hands/soles/ abdomen/neck/ interdigital

A

Scabies

39
Q

What does the scabies lesions look like

A

Red brown vasculopapular lesions

And linear or curved burrows /snake like

40
Q

Diagnostics for scabies

A

Skin scrapings (show might, ova, or feces); not typically indicated

Burrow ink test

41
Q

Scabies treatment

A

Permethrin (Nix) 5% rinse —-First treatment leave on for 8 to 14 hours, repeat in one week

Ivermectin (don’t use on pregnancy/lactating) kills eggs& mom

Wash items/store items for two weeks

42
Q

After a scabies treatment what are some anticipatory guidance for parents regarding their child’s rash and symptoms

A

Rash can last one week; itching can last three weeks repeat if new papule’s

43
Q

A mother complains that a child recently has a bite that started inching instantly but has stopped today. Chad has a small vascular papular rash, with no local adenopathy on his lower limb.

A

Flea bite

Local adenopathy is not common
Common on lower limbs and itch the day they bite you

44
Q

Acne is more severe in males or females

A

Males

45
Q

What does acne caused by

A

Activated by hormones androgens and genetically predisposed individuals not food

46
Q

Tinea corporis

A

Fungal infection of the body

47
Q

Tinea capitis

A

Fungal infection of the face or head

48
Q

Tinea Curis

A

Fungal infection of the groin —- JOCK ITCH

49
Q

Tinea manumission/pedis

A

Fungal infection of the feet

50
Q

Erythematous scaly define borders with a central clearing

A

Ringworm, annular, oval, lesions with red scaly borders and central clearing; prominent over hair follicles——tinea

51
Q

Evaluation of Tinea

A

KOH treated scrapings:hyphae /spores

Woods lamp does not fluoresce most tinea

52
Q

Treatment for tinea coporis

A

Topical antifungal‘s miconazole 2% or ketoconazole 2% until lesion has resolved 2 to 3 days; treat beyond edge 1 inch

53
Q

Treatment for tinea capitis

A

Griseofulvin 20 MG/kg/day
Eat fatty foods helps absorption
Treatment 4 to 6 weeks

54
Q

Treatment for Tinea Curis

A

Micanazole or ketoconazole
turbinafine cream BID x7 days
Griseofluvin —-severe cases

55
Q

Tinea pedis

A

Aluminum subacetate solution ——soak 20 minutes b.i.d.

Stage 2 dry and scaly—-Miconazole or ketoconazole
Identify treat contacts

56
Q

How long should a student stay away from school after treatment of tinea pedis?

A

Exclude from daycare or school until 24 hours of treatment

57
Q

Multiple scaling macule/patches, with pigment changes in a raindrop pattern occurring on back and upper shoulders

A

Tinea versicolor

Superficial fungal infection

58
Q

Small vesicular papular rash with local adenopathy initially started on lower limbs, and now has a itch

A

Vericella

Itches later, adenopathy is common, initially on lower limbs is common—-macular—papules—vesicle erupt

59
Q

Vericella caused by what virus

A

Herpes virus

60
Q

How long our patients with chickenpox contagious for?

A

Infected individuals are contagious for 48 hours before outbreak in until lesions are crusted over

61
Q

What medication can we give her vericella within 24 hours of infection

A

Oral acyclovir /also for immunocompromised; antihistamine;calamine lotion

62
Q

Pearly yellow, 1-3 mm diameter papules On face, chicken, forehead On a newborn baby

A

Milia

63
Q

When will Millia resolve

A

During the first month of life without treatment can persist for several months

64
Q

One week old infant has Erythematous 1 to 2 mm papules and pustules called “prickly heat”; commonly occurs on forehead, upper trunk, flexural or covered surfaces

A

Miliaria rubra

Comes and goes throughout infancy/cool skin and loose and clothes

65
Q

Multiple yellow papules that cluster around the nose after birth

A

Sebaceous gland hyperplasia will resolve within 4 to 6 months

66
Q

Molluscum contagiosum

A

Common benign viral skin infection, itchy @ site

67
Q

Molluscum contagiosum found in Genital area

A

Can be related to sexually active or abuse children

68
Q

Molluscum contagiosum treatment

A

Resolve spontaneously 6-9 months if left alone; mechanical removal;curettage ; Silver nitrate/liquid nitrogen/tretinoin

69
Q

What is the difference between irritant diaper dermatitis and fungal diaper rash (candidiasis)?

A

An irritant diaper dermatitis creases are spared; shiny and erythematous; no satellite lesions

70
Q

Candidasis usually occurs shortly after this___!

A

Fungal infection

Recent anabiotic or diarrhea

71
Q

Treatment for irritant contact dermatitis

A

Air dry, 0.5% to 1% hydrocortisone, frequent diaper change, gentle cleansing, barrier cream

72
Q

Treatment for Candidiasis

A

Same as irritant contact dermatitis and antifungal cream (nystatin)

73
Q

Bacterial dermatitis is treated with

A

Nystatin if yeast is present, mupirocin, Augmentin or Keflex

74
Q

Flaky crust of yellow, greasy scales on scout face and diaper area that are not itchy

A

Saborrheic dermatitis

Cradle cap in infants; dandruff in adolescence

75
Q

Saborrheic dermatitis Management

A

Antifungal agents: Azoles , selenium sulfide

anti-inflammatory : topical steroids

76
Q

In eczema dry skin management what can be used

A

Moisturizing lotion immediately after bathing and anti-histamine

77
Q

Topical steroids used in a topic dermatitis

A

HydroCortisone

78
Q

Systematic steroids and atopic dermatitis are used when?

A

Severe cases

79
Q

In acute weeping of atopic dermatitis what treatment can be used?

A

Saline or aluminum subacetate solution/colloidal oatmeal baths

80
Q

Lesions are red, sharply defined plaques with silvery scales /Soap suds Lesion

A

Psoriasis

81
Q

Pitting of nails is strongly suggestive of

A

Psoriasis

82
Q

Auspitz sign

A

Droplets of blood when you remove a scale from psoriasis

83
Q

Diagnostics for psoriasis

A

Clinical exam

84
Q

Cole tar exposure and UVB light if more than 30% of the body services involved is the indicated management for____

A

Psoriasis

85
Q

Psoriasis treatments

A

UVB light\cole tar

Moisturizers

86
Q

Mild a cute inflammatory disorder lasting 3 to 8 weeks in the self limiting; common females . Patient report uRI typically before

A

Pityriasis rosea

87
Q

Pruritic rash in Christmas tree pattern found on the trunk and proximal extremities

A

Pityriasis rosea

Initially starts with a initial lesion known as a Herald patch

88
Q

Transient benign self-limited skin rash with lesions of varied morphology happening in full term or post term baby within the first 48 hours of life

A

Erythema toxicum neonatorum

Weights stained smear dx tool

89
Q

Erythema toxicum neonatorum Management

A

Self-limited; resolves 5 to 7 days

90
Q

Benign flat light red orange single or multiple vascular birthmark on head or face seen on nape of the neck, eyelid, or occiput

A

Salmon patch/nevus Simplex

91
Q

Red purple vascular lesion covering half the face

A

Port wine stain rule out Sturge-Weber

92
Q

MILD ACNE TX

A

Benzoyl perioxide and retinoid (retinoid acid or tretinoin)

93
Q

Moderate acne TX

A

Cyclones followed by macrolides

Doxycycline — 100 mg BID
Erythromycin — 1 g 2-3 divided doses
Minocycline — 50-100 mg BID daily

94
Q

Insect bite sting how to remove

A

Flicking off DO NOT SQUEEZE

CPNP EXAM PREP (17 decks)

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