Dermatology Flashcards

1
Q

a volcano-like lesion with a thick keratotic center

A

keratoacanthoma

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2
Q

what kind of lesions does contact dermatitis cause

A

erythematous papules and vesicles

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3
Q

seborrheic dermatitis is associated with what two conditions

A

HIV and Parkinson’s

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4
Q

blanching erythematous papules and pustules on a newborn is likely

A

erythema toxicum neonaturum (completely benign and self-limited)

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5
Q

what is herpetic whitlow

A

a common infection of the hand caused by direct innoculation of HSV-1 or 2 causing pustules to form on the hand; often seen in health care workers due to direct contact with saliva, bodily secretions

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6
Q

lentigo vs. melanocytic nevus vs. blue nevus

A

lentigo= flat and round; due to melanocyte hyperplasia epidermis
melanocytic nevus= dome shaped raised hyperpigmentation
blue nevus= dome shaped, looks blue due to dermal location of melanocytic hyperplasia

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7
Q

what are the different treatment options for basal cell carcinoma and when do you use them

A

electrocautery and dessication: used for low-risk lesions on trunk or extremities
surgical excision: used for nodular lesions on trunk or extremities (margin of 3-5mm)
Mohs surgery: used for facial lesions to minimize cosmetic disruption

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8
Q

superficial infantile hemangioma is also known as

A

STRAWBERRY hemangioma

not cherry, which is seen in old people

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9
Q

equinus (limited dorsiflexion), varus deformity and adduction (turned in medially) of the foot suggests what condition and how is it treated

A

clubfoot (aka talipes equinovarus)

tx= immediate stretching and manipulation, followed by serial casting

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10
Q

pneumothorax, pneumomediastinum and subcutaneous emphysema in a patient who experienced blunt chest trauma suggests

A

bronchial rupture (often the right main bronchus)

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11
Q

for suspected malignant melanoma biopsy with what kind of margins is suggested

A

exision biopsy with narrow margins (if margins are positive then do additional margin excision to avoid unnecessarily taking tissue)

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12
Q

after viewing pathology on a melanoma biopsy how do you determine the next step

A

if depth is 1mm do sentinel node biopsy

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13
Q

plantar warts in the sole of the foot that are painful when walking is commonly due to what infection

A

HPV (cutaneous verrucae)

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14
Q

what condition is cradle cap

A

seborrheic dermatitis in infants (begins on the scalp and eventually involves the eyebrows, nose and paranasal areas)

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15
Q

what does permethrin cream treat

A

scabies

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16
Q

what is the treatment for dermatitis herpetiformis

A

dapsone

17
Q

what is the main difference between straph cellulitits and strep cellulitis

A

staph cellulitis=purulent (furuncles, boils, fluid collections)
strep cellulitis=non-purulent

18
Q

what causes vitiligo

A

autoimmune DESTRUCTION of melanocytes

19
Q

how is tinea versicolor diagnosed and treated

A

diagnosis: with KOH prep showing hyphae
treatment: ketoconazole or selenium sulfide

20
Q

scabies vs. bed bugs

A

scabies can cause a type 4 hypersensitivity reaction with vesicles and pustules
bed bugs form linear trails of erythematous macules and papules

21
Q

is pemphigus vulgaris or bullous pemphigoid associated with positive Nikolsky sign?

A

pemphigus vulgaris is associated with positive Nikolsky sign

bullous pemphigoid has negative Nikolsky sign

22
Q

what infectious disease is associated with porphyria cutanea tarda

A

HCV