Dermatology Flashcards

1
Q

what population is acanthosis nigricans commonly seen in

A

obese
insulin resistance
PCOS
DM

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2
Q

define actinic keratosis

A

flesh-colored, pink or yellow-brown lesions with a rough sandpaper feel

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3
Q

what is the treatment for actinic keratosis

A

remove as precaution
observation
cryosurgery
5FU cream
electodesiccation
imiquimod

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4
Q

what condition presents with oval-shaped, well-demarcated hair loss typically caused by autoimmune condition

A

alopecia areata

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5
Q

what condition presents wtih loss of hair due to pulling force being applied to hair

A

traction alopecia

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6
Q

what is telogen effluvium

A

scalp disorder characterized by the thinning or shedding of hair reesutling from early entry of hair in the telogen phase

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7
Q

what is the term for typical male pattern baldness

A

androgenic alopecia

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8
Q

what type of skin cancer presents as a white waxy lump or brown scaly patch that is raised, pearly and rolled borders wtih telangiectasias and a central ulcer

A

BCC

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9
Q

what is treatment options for BCC

A

FU cream and imiquimod cream
photodynamic therapy (PDT) and surgical excision with clear margins

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10
Q

what condition presents as a rare, chronic acquired autoimmune subepidermal blistering skin disocrder due to autoantibodies against hemidesmosomes in the epidermal-dermal junction

A

bullous pemphigoid

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11
Q

what is the treatment of bullous pemphigoid

A

corticosteroids

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12
Q

what condition is an acute bacterial skin/skin structure infection of the dermis and subcutaneous tissue characterized by pain, erythema, warmth, and swelling.

A

cellulitis

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13
Q

what is the treatment of cellulitis

A

cephalexin of dcloxacillin
if MRSA - bactrim, clinda, doxy or IV vanco/linezolid

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14
Q

what is condyloma acuminatum

A

anogentical warts

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15
Q

what causes condyloma acuminatum

A

HPV 6 and 11 are MC but also 16,18,31,33,and 35

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16
Q

what is treatment of condyloma acuminatum

A

imiquimod
podofilox
cryotherapy
surgery or TCA

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17
Q

what is another name for seborrheic dermatitis

A

cradle cap

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18
Q

what is the treatment of seborrheic dermatitis

A

ketoconazole shampoo

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19
Q

what is the treatment of perioral dermatitis

A

topical metronidazole and avoid steroids

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20
Q

what id dyshidrosis

A

pruritic vesicular eruption comprised of clear, deep-seated vescicles without erythema erupting on the lateral aspects of finger, central palm and plantar surfaces

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21
Q

what is the treatment of dyshidrosis

A

petroleum jelly
moisturizer
cold compresses and topical steroids

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22
Q

define erysipelas

A

distinct form of cellulitis notable for acute, well-demarcated, raised superficial bacterial skin infection with lymphatic involvement

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23
Q

what pathogen causes erysipelas

A

S. pyogenes

24
Q

what is the treatment of erysipelas

A

Pen G

25
Q

what is erythema multiforme

A

acute, self-limiting and sometimes reocurring skin condition that is considered to be a type IV hypersensitivity reaction associated MC with HSC, meds (sulfa) and other triggers

26
Q

what condition is caused by parvovirus B19 and caused a “slapped cheek” rash on the face

A

erythema infectiousum (fifths disease)

27
Q

what is the treatment of erythema infectiousum

A

supportive and anti-inflammatory

28
Q
A
29
Q

what pathogen causes hand-food and mouth disease

A

coxackievirus type A virus

30
Q

what is the presentation of measles (rubeola)

A

4Cs: cough, coryza, conjunctivitis and cephalocaudal spread

31
Q

what is the presentation of rubella (german measles)

A

“3-day rash” that first appears on face and spreads to trunk/extremities

32
Q

what is the pathogen associated wtih roseola (sixths disease)

A

HSV 6 or 7

33
Q

what childhood exanthem starts on the trunk and spreads to the face

A

roseola (sixths disease)

34
Q

what condition presents with chronic follicular occlusive disease wtih recurrent inflammatory nodules, abscess, sinus tracts and complex scar formation

A

hidradenitis suppurativa

35
Q

what is the first line treatment for hidradenitis suppeurativa

A

intralesional triamcinolone

36
Q

what is a highly contageous skin infection that cuases red sores on the face

A

impetigo

37
Q

what is the treatment of impetigo

A

topical mupirocin, dcloxacillin, and cephalexin for more severe illness

38
Q

what are complications of impetigo

A

poststreptococcal glomerulonephritis

39
Q

what condition causes lesions to grow in skin, lymph nodes, interal organs and mucous membranes that is associated with HPV 8

A

Kaposi Sarcoma

40
Q

what is the tx of Kaposi sarcoma

A

radiation or chemo
and rarely surgery may be needed

41
Q

what is the treatmet of choice for lice

A

permetherin topical

42
Q

what condition presents as a chronic papulosquamous inflammatory dermatosis with purplish, itchy, flat-topped bumps forming lacy white patches

A

lichen planus

43
Q

how is lichen planus characterized

A

5Ps: purple, papule, plygonal, pruritus, planar

44
Q

what are whickham striae

A

whitish lines visible in the papules of lichen planus and other dermatoses

45
Q

what is the treatment of lichen plaus

A

topical steroids

46
Q

what presents as a pigemented lesion wtih irregular border, irregular surface or irregular coloration

A

melenoma

47
Q

define melsama

A

hyperpigementation of sun-exposed areas of the face
dark, irregular, well-demarcated macules/patches

48
Q

what is the treatment for nummular eczema

A

high or ultra-high potency topical corticosteroids

49
Q

what is the tx of onychomycosis

A

terbinafine x 6 weeks for fingernails and 12 weeks for toenails

50
Q

what is auspitz sign

A

bleeding when scale of psoriasis is picked

51
Q

what is koebners phenomenon

A

minor trauma causes new lesion (psoriasis)

52
Q

what is seborrheic keratosis

A

mc benign skin tumor seen in fair-skinned elderly patients with prolonged sun exposure
- brown, black or tan frowth with waxy, “stuck on” appearance

53
Q

what BSA does SJS affect

A

3-10%

54
Q

what BSA does TEN affect

A

> 30%

55
Q

what are verrucae

A

warts