Dermatology

Question 1

Components of complete DERMATOLOGY exam (5)

Answer 1

(S)kin (M)ucosa (N)ails (H)air (L)ymph nodes Skin Might Not Have Lesions

Question 2

Particularly important in derm hx

Answer 2

Assess for new meds

Question 3

Descriptors every derm report must include (5)

Answer 3

1. Color 2. Primary lesion 3. Secondary characteristics 4. Distribution 5. Grouping

Question 4

Violaceous erythema

Answer 4

Erythema migrans

Question 5

Beefy red erythema

Answer 5

Candidiasis

Question 6

Bright red erythema

Answer 6

drug eruption

Question 7

Dusky erythema

Answer 7

SJS-TEN

Question 8

Macule (def.) (primary lesion)

Answer 8

Flat, non-palpable <1cm diameter

Question 9

Patch (def.) (primary lesion)

Answer 9

Flat, non-palpable lesion >1cm

Question 10

Papule (def.) (primary lesion)

Answer 10

Palpable, solid lesion <1cm

Question 11

Plaque (def.) (primary lesion)

Answer 11

Elevated or depressed, often flat, palpable lesion >1cm

Question 12

Nodule (def.) (primary lesion)

Answer 12

Palpable round lesion, usually deep dermal or SC process >1cm

Question 13

Tumor (def.) (primary lesion)

Answer 13

Palpable solid lesion above or beneath skin surface >2cm

Question 14

Vesicle (def.) (primary lesion)

Answer 14

Elevated lesion containing clear fluid <0.5cm

Question 15

Pustule (def.) (primary lesion)

Answer 15

Elevated lesion, purulent content <1cm

Question 16

Bulls (def.) (primary lesion)

Answer 16

Raised lesion containing non-purulent fluid >0.5cm

Question 17

Scale (def.) (secondary lesion)

Answer 17

Quality (silvery, greasy, psoriatic)

Question 18

Lichenification (def.) (secondary lesion)

Answer 18

Thickening of epidermis 2/2 persistent mechanical friction, hyperpigmented, hyperlinearity, implies chronicity

Question 19

Erosion (def.) (secondary lesion)

Answer 19

Loss of epidermis +/- superficial dermis — despigmentación

Question 20

Ulcer (def.) (secondary lesion)

Answer 20

Loss of significant dermis or SC tissue — scar

Question 21

Other secondary lesion types

Answer 21

Excoriation, fissure, exudate/crust, desquamation/peeling

Question 22

Derm distribution

Answer 22

Location of lesion

Question 23

Flexural distribution

Answer 23

Atopic dermatitis

Question 24

Extensor surface distribution

Answer 24

psoriasis

Question 25

Upper back distribution

Answer 25

tinea versicolor

Question 26

Acral distribution

Answer 26

2o syphilis, RMSF, erythema migrans

Question 27

Dermatomal distribution

Answer 27

VZV

Question 28

Follicular distribution

Answer 28

Folliculitis

Question 29

Bilateral LE distribution

Answer 29

Stasis dermatitis

Question 30

Unilateral LE distribution

Answer 30

Cellulitis

Question 31

Seborrheic keratosis