Dermatology Flashcards
1
Q
Pruritic skin-colored papules appearing within hours of sun exposure
A
Polymorphous light eruption
MKSAP 20
2
Q
Part of the body where adverse effects of high-potency topical glucocorticoids are most commonly seen
A
Face and intertriginous areas (e.g., skin folds)
MKSAP 20
3
Q
Diagnosis of pink papules and pustules on central face in middle-aged to older patients
A
Rosacea
MKSAP 20
4
Q
Typical rash of DIHS
A
Morbilliform exanthem starting on face/upper trunk and spreading distally
MKSAP 20
5
Q
Topical acne treatments safe in pregnancy
A
Clindamycin, azelaic acid, erythromycin
MKSAP 20
6
Q
Increased skin fragility of hands and hypertrichosis in sun-exposed areas
A
Porphyria cutanea tarda
MKSAP 20
7
Q
Risk associated with multiple dysplastic nevi
A
Melanoma
MKSAP 20
8
Q
Treatment for severe nodulocystic or recalcitrant acne
A
Oral isotretinoin
MKSAP 20
9
Q
Alopecia secondary to hair twisting/pulling
A
Traumatic alopecia
MKSAP 20
10
Q
Diagnosis of infection-related skin erosions with honey-colored crust
A
Impetigo
MKSAP 20
11
Q
Nail findings of psoriasis
A
Pitting, onycholysis, “oil spots,” nail plate thickening
MKSAP 20
12
Q
Treatment of scabies
A
Permethrin or ivermectin
MKSAP 20
13
Q
Diagnosis of facial pustules within several days of starting antibiotics
A
Acute generalized exanthematous pustulosis
MKSAP 20
14
Q
Diagnosis of blistering disease associated with urticarial plaques progressing to tense bullae
A
Bullous pemphigoid
MKSAP 20
15
Q
Diagnosis for circinate plaques occurring at same location with repeat exposure
A
Fixed drug reaction
MKSAP 20
16
Q
Poxvirus causing umbilicated, flesh-colored papules anywhere on the skin but typically in the genital areas
A
Molluscum contagiosum
MKSAP 20
17
Q
Primary treatment of comedonal and inflammatory acne
A
Topical retinoids
MKSAP 20
18
Q
Well-circumscribed round patches of nonscarring acute hair loss
A
Alopecia areata
MKSAP 20
19
Q
Tan papule on leg that “dimples” when squeezed
A
Dermatofibroma
MKSAP 20
20
Q
DIHS treatment
A
Discontinue causative drug, glucocorticoids
MKSAP 20
21
Q
Diagnosis of dermatitis involving skin folds
A
Intertrigo
MKSAP 20
22
Q
Systemic manifestations of SJS/TEN vs. erythema multiforme minor
A
Systemic manifestations are common in SJS/TEN; systemic manifestations do not occur in erythema multiforme minor
MKSAP 20
23
Q
Diagnosis of edema, erythema, pruritus on the lower legs
A
Stasis dermatitis
MKSAP 20
24
Q
Diagnosis for asymptomatic hyperpigmented oval macules on trunk that can coalesce into patches
A
Pityriasis versicolor
MKSAP 20
25
Blue-black nodular skin cancer
Nodular melanoma
| MKSAP 20
26
Common metal found in everyday items causing contact dermatitis
Nickel
| MKSAP 20
## Footnote
Nickel is a common allergen in jewelry and household items, leading to allergic reactions in sensitive individuals.
27
Indications for treatment of onychomycosis
Discomfort, recurrent associated cellulitis, risk factors for cellulitis
| MKSAP 20
## Footnote
Onychomycosis is a fungal infection of the nails that can lead to significant discomfort and complications.
28
Primary atopic dermatitis treatment
Topical glucocorticoids, non–soap-based cleansers and moisturizers
| MKSAP 20
## Footnote
Atopic dermatitis is a chronic inflammatory skin condition often treated with corticosteroids.
29
Vitamin deficiency most associated with erythema in sun-exposed areas resembling a sunburn and evolving into a scaling hyperpigmented rash
Niacin deficiency
| MKSAP 20
## Footnote
Niacin deficiency can lead to Pellagra, characterized by the three D's: dermatitis, diarrhea, and dementia.
30
Primary treatment of localized psoriasis
Topical glucocorticoids
| MKSAP 20
## Footnote
Topical glucocorticoids are commonly used to reduce inflammation and scaling in localized psoriasis.
31
Malignant diseases most commonly associated with pruritus
Hodgkin lymphoma, polycythemia vera
| MKSAP 20
## Footnote
Pruritus can be a significant symptom in hematological malignancies such as Hodgkin lymphoma.
32
Treatment of dermatophytosis on non–hair-bearing skin
Topical terbinafine or imidazole cream
| MKSAP 20
## Footnote
Dermatophytosis, or ringworm, can be effectively treated with antifungal creams.
33
Disease most commonly associated with dermatitis herpetiformis
Celiac disease
| MKSAP 20
## Footnote
Dermatitis herpetiformis is a cutaneous manifestation of gluten sensitivity associated with celiac disease.
34
Hematologic conditions associated with Sweet syndrome
Myelodysplastic syndrome, AML
| MKSAP 20
## Footnote
Sweet syndrome is characterized by fever and painful skin lesions, often linked to hematologic conditions.
35
Pearly or translucent nodule or papule with arborizing telangiectasias, often with central depression with rolled waxy border
Nodular basal cell carcinoma
| MKSAP 20
## Footnote
Nodular basal cell carcinoma is the most common skin cancer, often found on sun-exposed areas.
36
Over-the-counter treatment of seborrheic dermatitis
Selenium sulfide or zinc pyrithione shampoos
| MKSAP 20
## Footnote
These treatments are effective in managing seborrheic dermatitis on the scalp.
37
Cause of linearly arranged pruritic papules found in the morning
Bed bug bites
| MKSAP 20
## Footnote
Bed bug bites typically present as pruritic papules in a linear arrangement due to their feeding pattern.
38
Topical treatment for impetigo
Mupirocin or retapamulin
| MKSAP 20
## Footnote
Impetigo is a bacterial skin infection primarily treated with topical antibiotics.
39
Rapidly growing volcaniform skin tumor
Keratoacanthoma
| MKSAP 20
## Footnote
Keratoacanthoma is a type of skin tumor that often resembles squamous cell carcinoma.
40
Typical areas of involvement for SJS/TEN vs. erythema multiforme
SJS/TEN: trunk and face; erythema multiforme: extremities
| MKSAP 20
## Footnote
Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) have more severe systemic involvement compared to erythema multiforme.
41
Characteristics of candidal intertrigo
Erythematous patches with satellite macerated pustules
| MKSAP 20
## Footnote
Candidal intertrigo is a fungal infection commonly found in skin folds.
42
Class of topical immunomodulators used to treat atopic dermatitis on the face and skin folds
Topical calcineurin inhibitors (e.g., tacrolimus, pimecrolimus)
| MKSAP 20
## Footnote
These medications are used for sensitive areas to avoid the side effects of long-term steroid use.
43
Hand dermatitis accompanied by foot involvement
Tinea (two feet–one hand syndrome)
| MKSAP 20
## Footnote
This condition is often associated with a fungal infection affecting both feet and one hand.
44
Longitudinal brown pigmentation of nail plate
Melanonychia
| MKSAP 20
## Footnote
Melanonychia can be benign or a sign of underlying pathology, including melanoma.
45
Skin cancer presenting with pink, scaly indurated plaque
Squamous cell carcinoma
| MKSAP 20
## Footnote
Squamous cell carcinoma is a common skin cancer that can arise from actinic keratosis.
46
Patchy hyperpigmentation of the face occurring during pregnancy
Melasma (chloasma, mask of pregnancy)
| MKSAP 20
## Footnote
Melasma is often exacerbated by sun exposure and hormonal changes during pregnancy.
47
Typical time of onset of exanthematous drug eruption
First or second week after drug exposure
| MKSAP 20
## Footnote
Drug eruptions typically occur after the patient has been exposed to the offending agent for a few days.
48
Topical treatments for papulopustular rosacea
Metronidazole, azelaic acid, ivermectin
| MKSAP 20
## Footnote
These topical agents are commonly used to manage the inflammatory lesions of rosacea.
49
Pregnancy-related panniculitis of anterior legs
Erythema nodosum
| MKSAP 20
## Footnote
Erythema nodosum is characterized by painful, erythematous nodules, often triggered by pregnancy or infections.
50
Key features of SJS and TEN
Full-thickness epidermal necrosis with mucous membrane involvement
| MKSAP 20
## Footnote
SJS and TEN are severe skin reactions that can lead to significant morbidity and mortality.
51
Treatment of dermatophytosis on hair-bearing skin
Oral antifungal agents (terbinafine or itraconazole)
| MKSAP 20
## Footnote
Dermatophytosis refers to fungal infections affecting the skin, hair, and nails
52
Depigmented, symmetric, well-demarcated macules without scale
Vitiligo
| MKSAP 20
## Footnote
Vitiligo is an autoimmune condition resulting in the loss of skin pigmentation
53
Diagnosis of rash associated with single annular plaque with fine scaling, typically on the trunk
Pityriasis rosea (herald patch)
| MKSAP 20
## Footnote
Pityriasis rosea is often characterized by a herald patch followed by a rash
54
Highest-potency formulation among dermatologic ointments, solutions, and suspensions
Ointments
| MKSAP 20
## Footnote
Ointments are thicker and provide better occlusion than other formulations
55
Pigmented macule with a surrounding hypopigmentation
Halo nevus
| MKSAP 20
## Footnote
A halo nevus is a benign mole that may be surrounded by a lighter skin area
56
Cutaneous squamous cell carcinoma precursor
Actinic keratosis
| MKSAP 20
## Footnote
Actinic keratosis is caused by sun damage and can progress to squamous cell carcinoma
57
“Stuck on” brown or black papules/plaques
Seborrheic keratosis
| MKSAP 20
## Footnote
Seborrheic keratosis is a common benign skin tumor that appears as a raised lesion
58
Three-color targetoid lesions on face and acral sites
Erythema multiforme
| MKSAP 20
## Footnote
Erythema multiforme is often a hypersensitivity reaction to infections or medications
59
Primary prognostic feature for melanoma
Depth of invasion (Breslow depth)
| MKSAP 20
## Footnote
Breslow depth measures the thickness of the melanoma and is critical for prognosis
60
ABCDEs of melanoma
Asymmetry, irregular Border, multiple Colors, Diameter >6 mm, Evolution
| MKSAP 20
## Footnote
These criteria help in identifying potential melanomas during skin examinations
61
Diagnosis for pruritic papules and burrows in interdigital spaces
Scabies
| MKSAP 20
## Footnote
Scabies is caused by a mite infestation, leading to intense itching and rash
62
Diagnosis of flaccid oral/mucosal bullae leaving erosions upon rupture
Pemphigus vulgaris
| MKSAP 20
## Footnote
Pemphigus vulgaris is an autoimmune blistering disorder affecting the skin and mucous membranes
63
Treatment of pruritus from inflammatory skin conditions
Topical glucocorticoids and emollients
| MKSAP 20
## Footnote
These treatments help reduce inflammation and soothe the skin
64
Eczema characterized by vesicles on sides of fingers
Dyshidrotic (pompholyx)
| MKSAP 20
## Footnote
Dyshidrotic eczema presents as small blisters on the palms and soles
65
Diagnosis of annular scaly patch with central clearing
Tinea infection
| MKSAP 20
## Footnote
Tinea infections are fungal infections that can present with ring-like lesions
66
Systemic glucocorticoid treatment duration for severe contact dermatitis
2-3 weeks
| MKSAP 20
## Footnote
Systemic glucocorticoids are used to manage severe inflammation in contact dermatitis
67
Diagnostic procedure for tinea
KOH examination of scale
| MKSAP 20
## Footnote
This test helps visualize fungal elements under a microscope
68
Treatment of acute paronychia
Warm compresses; incision and drainage; oral antibiotics in severe cases
| MKSAP 20
## Footnote
Acute paronychia is an infection of the nail fold that may require drainage
69
Vitamin deficiency most associated with “corkscrew” hairs, perifollicular hemorrhage, and follicular hyperkeratotic papules
Vitamin C
| MKSAP 20
## Footnote
This deficiency leads to scurvy, which affects collagen synthesis
70
Topical drug combination to avoid in fungal treatment
Glucocorticoid-antifungal combination
| MKSAP 20
## Footnote
This combination can inhibit the antifungal's effectiveness
