Dermatology

Question 1

Skin Cancers

Answer 1

actinic keratosis
squamous cell carcinoma
basal cell carcinoma

Question 2

Basal Cell Carcinoma

Answer 2

scaly
thickened,
poorly defined,
occasionally hard
on an erythematous base

Question 3

Squamous cell carcinoma appearance

Answer 3

waxy or translucent appearance with a raised edge and central erosion

Question 4

Actinic Keratosis appearance

Answer 4

waxy or translucent appearance with a raised edge and central erosion

Question 5

Eczema (atopic dermatitis) appearance

Answer 5

confluent erythema, microvesiculation, papules, curst, and scale on face of an infant.

Hyperpigmented, slightly scaly patches and lichenified plaques

reticular pigmentation

Question 6

Management of atopic dermatitis (eczema)

Answer 6

emollient creams
moderate-strength topical corticosteroids
topical calcineurin inhibitors
tacrolimus (Protopic)
pimecrolimus (Elidel)
for secondary bacterial infections that can occur:
topical antibiotic- short term

referral to derm for long-term plan of care

Question 7

Psoriasis

Answer 7

produces thick pruritic, scaly plaques on the skin
–plaque psoriasis:
–well defined areas of thickened, erythematous skin
—-with silvery, scaly patches,
usually with symmetric distribution

Question 8

management of psoriasis

Answer 8

refer to derm for eval and plan of care (POC)

for people with plaques covering less than 5%of the body surface
-topical therapy may be sufficient
-treatment is rarely associated with ——–complete remission
—corticosteroids
—salicyclic acid
—moisturizers

for more severe cases:
UV light therapy
retinoids
methotrexate (Trexall)
cyclosporine-A (Neoral, Sandimmune)
biologic agents
Ongoing assessment of depression status and stressors

Counseling:
reduce stress
oatmeal baths

Question 9

Urticaria

Answer 9

Urticaria is an immediate hypersensitivity reaction that occurs after exposure to an allergen or antigen.