Dermatology Flashcards

1
Q

mild non-inflammatory comedonal acne tx

A

topical retinoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

mild inflammatory acne tx

A

topical retinoid + BPO
if no response, add topical abx (clindamycin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

moderate inflammatory acne tx

A

topical retinoid + BPO w/ topical abx
add oral abx (doxycycline)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

severe acne tx

A

isotretinoin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

rosacea tx

A

avoid triggers, mineral based sunscreen
topical metronidazole, azelaic acid and ivermectin
mod-severe- oral tetracyclines
refractory cases- isotretinoin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Tx of perioral dermatitis

A

discontinue steroids or other irritants
topical calcineurin inhibitors, metronidazole, or erythromycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

tx of erythema multiforme

A

acyclovir if HSV and steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

SJS/ TEN managment

A

admit to ICU, discontinue offending meds
steroids
cyclosporine
IVIG or etanercept

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

tx for androgenic alopecia

A

topical minoxidil or oral finasteride

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

tx of telogen effluvium

A

reassurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

tx of alopecia areata

A

intralesional corticosteroids- triamcinolone acetonide
extensive- JAK inhibitors and oral steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

tx of trichotillomania

A

NAC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

tx of onychomycosis

A

systemic antifungals- griseofulvin
terbinafine for toenails

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

paronychia tx

A

warm water and antiseptic soaks
oral abx- cephalexin or dicloxacillin
MRSA- trimethoprim-sulfamethoxazole
abscess- I&D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

felon tx

A

early abx- cephalexin or penicillin, I&D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

tx of digital myxoid cyst

A

puncture and drainage
surgical removal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

tx of herpetic whitlow

A

antivirals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

tx of scabies

A

permethrin cream
ivermectin
diphenhydramine or hydroxyzine- pruritus
lidocaine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

head lice tx

A

permethrin 1% cream or malathion lotion
ivermectin, benzyl alcohol, petroleum jelly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

body lice tx

A

dispose/ wash infected clothing
hygiene measures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

tx of pubic lice

A

permethrin rinse 1% for 10 min
permethrin cream 5% for 8 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

lyme disease tx

A

doxycycline BID 21 days
or amox or ceftin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

tx of rocky mountain spotted fever

A

doxycycline or chloramphenicol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

tx of black widow bite

A

usually self-limited
moderate- wound care, pain control, NSAIDs, analgesia, tetanus prophylaxis
severe- muscle relaxants
antivenom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
tx of brown recluse spider bite
supportive- wound care and pain control immobilization, ice, elevation, antihistamines, tetanus prophylaxis
26
tx of mild cellulitis
oral abx- dicloxacillin, cephalexin, cefadroxil
27
tx of mod-severe cellulitis
IV abx- nafcillin, cefazolin, clindamycin
28
tx of cellulitis if PCN allergy
trimethoprim-sulfamethoxazole clindamycin
29
tx of erysipelas
oral penicillin V potassium, amox, or cephalexin IV cefazolin or ceftriaxone
30
tx of erythrasma
clindamycin or erythromycin (localized- topical; extensive- oral)
31
tx of impetigo
mild- topical abx: mupirocin extensive- oral abx: cephalexin MRSA- trimeth-sulfa, doxy or clinda
32
tx of leprosy
dapsone and rifampicin add clofazimine for lepromatous type
33
tx of cutaneous TB
isoniazid and rifampin for 9 mo
34
tx of tinea pedis in the macerated stage
aluminum subacetate solution soaks antifungal cream- imidazoles or ciclopirox if fails... terbinafine
35
tx of tinea pedis in dry and scaly stage
topical antifungal with urea lotion
36
tx of tinea pedis in refractory cases
oral itraconazole or terbinafine
37
tx of tinea corporis
topical antifungals- terbinafine, burenafine, azoles extensive- oral antifungals
38
tx of tinea capitis
oral griseofulvin or terbinafine (take with fatty foods) antifungal shampoo and topical antifungals
39
tx of tinea versicolor
topical- selenium sulfide systemic- oral fluconazole or itraconazole
40
tx of intertrigo/ candidiasis
topical antifungals- azole creams topical steroids- hydrocortisone 1%
41
tx of molluscum
none required- self limitied curettage, cryotherapy, cantharidin
42
tx of condyloma
none required
43
tx of cutaneous warts
none required common/plantar- topical salicylic acid, cryotherapy flat- cryotherapy or topical agents (tretinoin, imiquimod)
44
tx of erythema infectiosum
supportive- NSAIDs
45
tx of hand foot and mouth disease
supportive- antipyretics, hydration, topical lidocaine
46
tx of rubeola
supportive- antipyretics, hydration, tx of complications vitamin A in children prevention- MMR vaccine
47
tx of rubella
supportive- antipyretics and hydration *has less complications than rubeola
48
tx of roseola
supportive- antipyretics, rest, hydration prevent febrile seizures
49
tx of varicella zoster (chicken pox)
healthy child: supportive- antihistamines, topical dressings >12: acyclovir or valacyclovir
50
tx of shingles
antivirals within 72 hrs of onset (without crusting) analgesics
51
tx of HSV-1 and HSV-2
oral valacyclovir or acyclovir docosanol cream- HSV-1
52
tx of SKs
none required liquid nitrogen
53
tx of actinic keratoses
liquid nitrogen, photoprotection topical fluorouracil cream or imiquimod
54
tx of lipomas
none required may excise
55
tx of epidermal inclusion cyst
none required excision or I&D
56
tx of BCC
superficial- imiquimod and 5-FU removal- Mohs, curettage, excision
57
tx of SCC
**exision w/ 4-6 mm margins** Mohs, nicotinamide cream, imiquimod or 5-FU, curettage, cryotherapy
58
tx of melanoma
**complete excision** * <1 mm thick --> 1 cm margin * >1 mm thick --> 2 cm margin
59
tx of atopic dermatitis
acute 1. topical steroids w/ emollients and antihistamines 2. wet dressings and abx (if infected) chronic 1. skin hydration with emollients 2. oral antihistamines- cetirizine, fexofenadine 3. trigger avoidance
60
tx of contact dermatitis
1. topical steroids w/ emollients and moisturizers 2. severe- oral steroids 3. topical calcineurin inhibitors- tacrolimus or pimecrolimus
61
tx of dyshidrosis
self limiting topical steroids, antihistamines, avoid allergens, dry hands, botox injections
62
tx of seborrheic dermatitis
topical antifungals and low potency topical steroids
63
mild- moderate psoriasis tx
mild-moderate * topical high potency steroids w/ hydration and emollients * topical vit D analogs- "calc" * tar shampoo * topical calcineurin inhibitors
64
moderate- severe psoriasis tx
phototherapy
65
severe psoriasis tx
systemic cyclosporine and retinoids biologic agents- TNF, IL-17 and IL-23 inhibitors methotrexate and topical tapinarof
66
tx of lichen simplex chronicus
avoid scratching and occlusive dressings topical high potency steriods and antihistamines intralesional steroids for severe cases
67
tx of lichen planus
topical steroids topical tacrolimus oral antihistamines generalized- phototherapy, retinoids, oral steroids
68
tx of piyriasis rosea
**none required** topical steroids or antihistamines, emollients/ lotion and phototherapy are options
69
tx of exanthematous drug eruption
immediately stop medication most self-limited oral antihistamines and topical steroids, H2 blockers
70
tx of melasma
**sun protection** mild * hydroquinone cream, azelaic acid, topical retinoids mod-severe * fluocinolone acetonide + hydroquinone + tretinoin
71
tx of vitiligo
<20%- topical tacrolimus, toipcal steroids, JAK inhibitor >20%- phototherapy, oral steroids
72
tx of stasis dermatitis
increase venous return- compression stockings, elevation, exercise, treat underlying condition itching- topical steroids cellulitis- oral abx
73
tx of bullous pemphigoid
topical steroids and doxycycline severe- systemic steroids
74
tx of pemphigus
hospitalize--> IV abx oral glucocorticoids (prednisone) may add immune agents (rituximab, mycophenolate or azathioprine)
75
acanthosis nigricans tx
treat underlying cause keratolytic agents (tretinoin, topical vit D analog)
76
tx of mild hidradenitis suppurativa
mild (hurley stage 1)- topical abx: clindamycin or doxycycline
77
tx of mod- severe hidradenitis suppurativa
mod-severe (hurley stage 2)- oral tetracycline * TNF inhibitors * IL-17/12/23 inhibitors * JAK inhibitors * retinoids and rifampin
78
tx of pilonidal disease
acute- I&D (no abx unless cellulitis) chronic- surgical excision