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The Final Step > Dermatology > Flashcards

Dermatology Flashcards

1
Q

Why should actinic keratosis be treated?

A

It may progress to squamous cell carcinoma

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2
Q

What is the first line treatment for rosacea?

A

Metronidazole (tetracycline is a close second)

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3
Q

Where are 90% of basal cell lesions found on the body?

A

Head and neck

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4
Q

Purple, pruritic, polygonal papule on PE should make you think of what diagnosis?

A

Lichen planus (4 P’s!)

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5
Q

What are the ABC’s of melanoma?

A

Asymmetry, border, color, diameter/depth, evolving

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6
Q

A positive auspitz sign should make you think of what diagnosis?

A

Psoriasis

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7
Q

What is the key indicator for the prognosis of melanoma?

A

Thickness of the lesion

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8
Q

What is the treatment for melanoma?

A

Wide local excision

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9
Q

A waxy, stuck on appearance should make you think of what diagnosis?

A

Seborrheic keratosis

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10
Q

A 5 y.o. presents in January with a red itchy rash behind his knees and on the flexor surfaces of the elbow, what diagnosis should you be thinking of?

A

Atopic dermatitis

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11
Q

The term satellite lesion should make you think of what diagnosis?

A

Candida diaper rash

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12
Q

Coin shaped plaques should make you think of what diagnosis?

A

Nummular eczema

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13
Q

A patient presents with yellow, flaky skin in the nasolabial folds and in her heai (? typo?). What diagnosis should you be thinking of?

A

Seborrheic dermatitis

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14
Q

How do you treat stasis dermatitis?

A

Compression stockings

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15
Q

Tapioca blisters should make you think of what diagnosis?

A

Dishydrosis (usually on hands and feet)

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16
Q

How do you treat dishydrosis?

A

Topical steroids

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17
Q

Giant cells on a Tzanck smear should make you think of what diagnosis?

A

HSV

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18
Q

How do you treat lichen simplex chronicus

A

Stop itch scratch cycle

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19
Q

A herald patch should make you think of what diagnosis?

A

Pityriasis rosea

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20
Q

How do you treat pityriasis rosea?

A

Reassurance that it will clear up on its own

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21
Q

A patient with a history of herpes presents with a target lesion. What diagnosis should you be thinking of?

A

Erythema multiforme

22
Q

Rhinophyma (prominent pores and a fibrous thickening of the nose) should make you think of what diagnosis?

A

Acne rosacea

23
Q

Silvery scales should make you think of what diagnosis?

A

Psoriasis

24
Q

Tear drop lesion after a course of strep throat should make you think of what diagnosis?

A

Guttate psoriasis

25
Q

Are lesions from psoriasis typically found on flexor or extensor surfaces?

A

Extensor

26
Q

What is the first line treatment for tinea corporis?

A

Topical azoles

27
Q

What are the two most common organisms responsible for cellulitis?

A

Strep and staph

28
Q

Pitting nails is associated with what dermatologic disorder?

A

Psoriasis

29
Q

Nummular eczema is most like what other dermatological disorder?

A

Atopic dermatitis

30
Q

Honey colored crusts should make you think of what diagnosis?

A

Impetigo

31
Q

What two herpes viruses are most responsible for condyloma accuminata?

A

HSV 6 and 11

32
Q

A double comedone is indicative of what diagnosis?

A

Hidradenitis suppurativa

33
Q

What is the best treatment for molluscum contagiosum?

A

It is self limiting, but can be removed if patient really wants it

34
Q

What is the treatment for seborrheic keratosis?

A

It is benign so there is no need to treat it, cryotherapy reserved for cosmetic purposes

35
Q

Hyperpigmented velvety plaques should make you think of what diagnosis?

A

Acanthosis nigricans

36
Q

Melasma is most often found in what patient population?

A

Women of child bearing age

37
Q

Extremely pruritic lesions with burros in runs should make you think of what diagnosis?

A

Scabies

38
Q

What is the first step in treating atopic dermatitis?

A

Behavioral modifications: Reduce bathing, use soap only on face and genitals, use natural breathable fabrics

39
Q

What is the treatment for a bad brown recluse spider bide

A

Debridement, the venom causes tissue necrosis

40
Q

Salmon colored scales should make you think of what diagnosis?

A

Psoriasis

41
Q

Depigmented patches of skin should make you think of what diagnosis?

A

Vitiligo

42
Q

Spaghetti and meatballs on KOH prep should make you think of what diagnosis?

A

Tinea versicolor

43
Q

What dermatologic finding is associated with insulin sensitivity?

A

Acanthosis nigricans

44
Q

A slowly growing nodule with a central depression and a pearly border should make you think of what diagnosis?

A

Basal cell carcinoma

45
Q

What dermatologic finding is associated with asthma?

A

Atopic dermatitis

46
Q

A christmas tree pattern should make you think of what diagnosis?

A

Pityriasis rosea

47
Q

Oval patches of hair loss should make you think of what diagnosis?

A

Alopecia areata

48
Q

What is the DOC for genital warts?

A

Imiquimod

49
Q

Pearly dome shaped lesion with a central umbilication should make you think of what diagnosis?

A

Mulluscum contagiosum

50
Q

What is the best lab test for scabies?

A

Microscopic examination under oil immersion

The Final Step (9 decks)

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