Dermatology

Question 1

Eczema
epidermis contains fluid w ____ pattern
Tx:

Answer 1

sponge like fluid pattern

restore barrier, topical steroids (2wk), elidel inhibits Tcell activation, keflex or erythromycin for staph

Question 2

seborrhea secondary to

tx

Answer 2

yeast growth=greasy scales

olive oil, dawn, nizoral shampoo

Question 3

Diaper rash tx

Answer 3

nystatin cream (yeast), exposed to air, barrier creams w zinc

Question 4

acne abx

Answer 4

zithromax, cleocin

Question 5

rosacea tx

Answer 5

metronidazole

Question 6

Tinea capitus s/s
kerion
mgmt
tx/se

Answer 6

scaling black dots from broken hairs
terbinifine, griseofulvin, nizoral, prednisone, abx
kerion-inflammation rxn to fungus, hair wont grow back

Question 7

Tinea cruris/corporis
s/s
tx

Answer 7

annular lesions w central clearing
nizoral, lotrimin for fungus-use 1 wk after clears
doesnt grow on scrotum

Question 8

tinea versicolor tx

Answer 8

pityrosorum PO
oral antifunfals-need to sweat to transfer to skin
selsun 2.5% over night

Question 9

scabies tx

Answer 9

elimite overnight 2mo, 6%sulfur in petrolatum <2mo

steroid cream/atarax for comfort`

Question 10

lice tx

Answer 10

lindane, ovide, ulsefia, sklice; treat again in 1wk if live lice seen

Question 11

pityriasis rosea
s/s
tx

Answer 11

itchy herald (mother patch)pine tree pattern-6wks
r/o syphillis if on palms/soles
tx: sun, cortisone, atarax, hydroxyzine,

Question 12

Erythema multiforme causes

Answer 12

sulfa, pcn, salicylates, anticonvulsants, barbituates

tx:remove stimulus, maintain hydration, prevent infection, releive pain, steroids controversial (minor help)

Question 13

molluscum contagiosum

s/s, tx

Answer 13

benign viral pox, few in number , firm pink/flesh colored papules
1-5 yrs to resolve, can cut/freeze off, aldara/tretinoin/cimetidine

Question 14

verruca vulgaris mgmt

Answer 14

keratolytic, duct tape, podophyllum, laser/cut/freeze

cimetidine, imiquimod

Question 15

actinic keratosis s/s

mgmt

Answer 15

associated w age/sun, rough/redenned, refer

Question 16

skin CA, basal/squamous cell/melanoma

organic sunscreen

Answer 16

organic-chemical sunscreen absorb and scatter,

basal-red, squamous-scabbed, malanoma-dark

Question 17

psoriasis s/s mgmt

Answer 17

welt circumscribed erythematou macular papular, silver scale

tx: topical steroids, oral retinoid, methotrexate, cyclosprine, biologic agent

Question 18

hidranenitis suppurativa

s/s, mgmt

Answer 18

nodule/pustule w malordorous drainage, scarring/pain

tx: tretinoin, abx, OC, referr for biologic agents

Question 19

burns mgmt

Answer 19

silvadene (sulfa), gel, hydrocolloid, nonadherent dressing, aloe