Dermatology Flashcards

1
Q

Where do the majority of infants have atopic dermatitis?

A

Infants will usually have it present over the extensor surfaces. Once in childhood it is commonly seen on flexor surfaces.

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2
Q

What do the lesions of dyshidrosis look like?

A

Patients present with pruritic vesicles over the fingers.

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3
Q

What is the treatment of choice for lichen simplex chronicus?

A

Stop scratching and apply topical steroids.

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4
Q

Lichen planus is associated with what infection?

A

Hepatitis C, however, routine screening is not recommended.

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5
Q

What are the four Ps of lichen planus?

A
  1. Pruritic

  2. Purple

  3. Polygonal

  4. Plaque like
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6
Q

What is the classic presentation of pityriasis rosea?

A

Patients will present with a herald patch (large single round lesion). Then, the patient will have lesions appearing over the back in a christmas tree pattern.

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7
Q

Psoriasis tends to improve during what season?

A

Improves during the summer and worsens in the winter.

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8
Q

Differentiate erythema multiforme minor from major.

A

The difference here is mucosal involvement.
 Minor = no mucosa

Major = mucosa

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9
Q

What is the most common etiology responsible for erythema multiforme?

A

Herpes Simplex Virus

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10
Q

How does body surface area play apart in SJS vs TEN?

A

They are the same disease characterized by how much body surface is involved.

SJS = 30%

SJS/TEN overlap = 10%-30%

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11
Q

What is nikolski sign?

A

Seen in SJS or TEN. Gentle pressure to the patients skin will cause sloughing.

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12
Q

Patients with bullous pemphigoid are usually what age?

A

Patients are usually >60 years of age.

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13
Q

Clinical activity of bullous pemphigoid correlate with what lab?

A

It will correlate with BP180 levels.

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14
Q

What is the last step in management for acne vulgaris?

A

Oral isotretinoin.

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15
Q

What is the most common cause of androgen production in women?

A

PCOS

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16
Q

What type of birth control should be avoided in patients with acne?

A

Progestin only birth control will worsen acne.

17
Q

Describe rhinophyma?

A

Seen in patients with phymatous rosacea. Most commonly seen in males and will present with tissue hypertrophy of the nose.

18
Q

A patient is described to have a warty, hyperpigmented lesion, that appears stuck on. What is the most likely diagnosis?

A

This is classic for seborrheic keratosis.

19
Q

What is first line treatment for scabies?

A

Permethrin 5% cream. Permethrin 1% is used for lice.

20
Q

What is the major risk factor for developing basal cell carcinoma?

A

UV light is the major risk factor. Its also the major risk factor in squamous cell carcinoma and melanoma.

21
Q

When evaluating the possibility of melanoma, what rule should you use?

A
Remember the ABCDE rule!
Assymetry
Border
Color
Diameter
Evolution
22
Q

What is the treatment of choice for onychomycosis of the toes?

A

Patients are treated with 12 weeks of terbinafine. If the hands are involved, treatment is for 6 weeks.

23
Q

What is the etiology in acute and chronic paronychia?

A
Acute = staphylococcus areus and streptococcus pyogenes. 
Chronic = eczematous process/candida
24
Q

Differentiate cellulitis vs erysipelas.

A

Cellulitis involves the deep dermis and subcutaneous fat and is caused by strep and staph. Erysipelas involves the upper dermis and caused by streptococcus.

25
Q

A 5 year old patient was brought in to the clinic for painful vesicles and honey crusted lesions over his lip. What is the initial choice of therapy?

A

This is classic for impetigo. First line therapy includes mupirocin.

26
Q

What disease process should patients with acanthosis nigricans be screened for?

A

This is usually a result of insulin resistance and all patients should be screened for diabetes.

27
Q

What are the rule of 9s?

A

Each leg is 18% BSA
 Each arm is 9% BSA
 Anterior trunk is 18% BSA
Posterior trunk is 18% BSA

Head is 9% BSA

28
Q

What is the most common site affected in patients with hydradenitis suppurativa?

A

The axilla is most commonly affected.

29
Q

What are risk factors for the development of melasma?

A
  1. UV exposure

  2. Hormonal change

  3. Genetics
30
Q

A patient is presenting with a pressure ulcer. There is full thickness tissue loss without involvement of the bone. What stage is this?

A

This is a stage 3 ulcer. Once bone, tendon, or joint involvement occurs, it becomes stage 4.

31
Q

Chronic urticaria is diagnosed after what time frame?

A

After 6 months of symptoms chronic urticaria is diagnosed.

32
Q

What is the first line treatment for vitiligo?

A

Patients are treated with topical steroids if