Dermatology Flashcards

1
Q

stem cell site?

A

Stratum Basale

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2
Q

desmosomes?

A

Stratum Spinosum

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3
Q

keratin?

A

Stratum Corneum

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4
Q

Freckle, labial macule are due to increased?

A

of melanosomes

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5
Q

Psoriasis is due to increased?

A

Hyperkeratosis and Parakeratosis

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6
Q

Hyperkeratosis?

A

Increased thickness of stratum corneum

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7
Q

Parakeratosis

A

Hyperkeratosis with retention of nuclei in

stratum corneum

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8
Q

Eczematous dermatitis that has skin erythema, vesicles and oozing over the upper eye lids?

A

Spongiosis

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9
Q

Spongiosis?

A

Epidermal accumulation of edematous fluid in intercellular spaces

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10
Q

Pemphigus vulgaris?

A

Acantholysis

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11
Q

Acantholysis?

A

Separation of epidermal cells

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12
Q

Acanthosis nigricans?

A

Epidermal Hyperplasia (increased spinosum)

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13
Q

Normal melanocyte number with decreased 􏰂melanin production?

A

Albinism

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14
Q

Albinism MOA?

A

defective tyrosine transport OR failure of neural crest cell migration

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15
Q

Albinism leads to increased risk of?

A

Skin Cancer

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16
Q

Hyperpigmentation associated with pregnancy ?

A

Melasma (chloasma)

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17
Q

Patchy areas of complete depigmentation?

A

Vitiligo

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18
Q

Vitiligo MOA?

A

Autoimmune destruction of melanocytes

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19
Q

P.Acnes MOA?

A

P. Acnes=>lipases=>inflammation

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20
Q

Allergic contact dermatitis HSR?

A

Type IV hypersensitivity reaction that follows exposure to allergen

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21
Q

Papules and plaques with silvery scaling H , especially on knees and elbows?

A

Psoriasis

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22
Q

pin point bleeding spots from exposure of dermalpapillae when scales are scraped off

A

Auspitz sign

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23
Q

nail pitting?

A

Psoriasis

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24
Q

Psoriasis with parakeratotic scaling is with?

A

Increased 􏰀stratum spinosum,􏰂 decreased stratum granulosum

25
Epithelial proliferation with keratin-filled cysts that looks it can peeled off
Seborrheic keratosis
26
Leser-Trélat sign?
sudden appearance of multiple seborrheic keratoses, indicating an underlying malignancy (e.g., GI, lymphoid).
27
HPV. Soft, tan-colored, cauliflower-like papules ?
Verrucae
28
Pruritic eruption, commonly on skin flexures like antecubital fossae; Commonly associated with eating certain foods
Atopic dermatitis (eczema)
29
Atopic dermatitis (eczema) HSR?
Type 1 HSR
30
Highly contagious. Honey- colored crusting? MC?
Impetigo; S. aureus.
31
Acute, painful, spreading infection of deeper dermis and subcutaneous tissues? MC?
Cellulitis=>S. pyogenes or S. aureus
32
Deeper tissue injury, usually from anaerobic bacteria?
Necrotizing fasciitis
33
Staphylococcal scalded skin syndrome is due S. Aureus toxins?
Exfoliative toxin A and B
34
Umbilicated papules caused by a poxvirus in children, it may be sexually transmitted in adults?
Molluscum contagiosum
35
white, painless plaques on tongue that cannot be scraped off?
Hairy leukoplakia
36
Hairy leukoplakia is due to?
EBV
37
Hairy leukoplakia is usually on what side of the tongue?
Lateral
38
IgG antibody against desmoglein (component of desmosomes) in Stratum spinosum?
Pemphigus vulgaris
39
IF in Pemphigus Vulgaris?
antibodies around epidermal cells in a reticular (net-like) pattern
40
Separation of epidermis upon manual stroking of skin is seen in?
Pemphigus vulgaris | Nikolsky sign ⊕
41
IgG antibody against hemidesmosomes (epidermal basement membrane)?
Bullous pemphigoid
42
In Bullous Pemphigoid, Tense blisters containing eosinophils affect skin but spare
oral mucosa
43
IF in Bullous Pemphigoid?
linear pattern at epidermal-dermal junction | Negative Nikolsky sign
44
Dermatitis herpetiformis?
Associated with celiac disease.
45
Erythema multiforme MC seen in?
HSV
46
Epidermal hyperplasia causing symmetric, hyperpigmented thickening of skin
Acanthosis nigricans
47
Acanthosis nigricans is associated with?
hyperinsulinemia (e.g., diabetes*, obesity, Cushing syndrome), visceral malignancy (e.g., gastric adenocarcinoma*)
48
Premalignant lesions caused by sun exposure?
Actinic keratosis
49
Actinic keratosis increases risk for?
squamous cell carcinoma
50
Lichen Planus 6 P'S
Pruritic, Purple, Polygonal Planar Papules and Plaques are the 6 P’s of lichen Planus
51
Lichen planus manifests as?
Mucosal involvement manifests as Wickham striae (reticular white lines)
52
Lichen planus has what kind of appearance?
Sawtooth
53
Lichen planus is associated with?
HCV
54
atypical kertinocytes with hyperkeratosis and parakeratosis?
Actinic Keratosis
55
HLA-C is seen in?
Psoriasis
56
Psoriasis treatment?
UVA
57
Why is vit. A a good treatment in Acne?
Decreases keratin products
58
In Hives, you will see increased?
Dermal edema