Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Elaina: PANCE review > Dermatology > Flashcards

Dermatology Flashcards

1
Q

psoriasis usually presents on _____ surfaces

A

extensor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what other body part should you be sure to observe in a patient with psoriasis?

A

nails

commonly have nail pitting, oil spots, onycholysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is auspitz sign? what is it associated with?

A

bleeding when you peel the scales of psoriasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is koebner phenomenon? what is it associated with?

A

patients prone to psoriasis will often develop a plaque at the site of trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

tiers of treatment for psoriasis, from mild to moderate?

A

1) mild = calcipotriene then topical steroids
2) moderate = UV light, methotrexate
3) severe = biologics like etanercept/enbrel, adalimumab/humiera, infliximab/remicade, ustekinumab/stelara

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

most common bacteria associated with acne vulgaris?

A

propionibacterium acnes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what psychiatric drug is associated with a lot of skin problems (like psoriasis, acne, etc.)?

A

lithium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what endocrine drug is associated with a lot of skin problems (psoriasis, acne, etc.)?

A

steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

common topical antibiotics for acne?

A

clindamycin, erythromycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

common oral antibiotics for acne?

A

doxycycline, minocycline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

oral medication for acne that carries black box warning for suicide and deformed babies?

A

isotretinoin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

flushing and telangiectatias of the face in response to stressors?

A

rosacea

stressors = heat, ETOH, spicy foods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

treatment of rosacea?

A

topical metronidazole OR oral tetracyclines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

treatment of perioral dermatitis?

A

topical metronidazole OR oral tetracyclines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

difference between contact dermatitis and atopic dermatitis?

A

contact = delayed type 4 hypersensitivity reaction

allergic = true type 1 hypersensitivity reaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

poison ivy, sumac, nickel are common triggers for contact dermatitis or atopic dermatitis?

A

contact dermatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

treatment of both contact and atopic dermatitis?

A

topical steroids, antihistamines for itching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

atopic triad?

A

eczema, allergic rhinitis, asthma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what condition often results from long-term atopic dermatitis?

A

lichen simplex chronicus w/ lichenification from scratching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

treatment of lichen simplex chronicus?

A

STOP itch-scratch cycle, topical steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

eruptions of small, fluid-filled vesicles on the hands that follow stress or hot, humid weather?

A

dyshidrotic eczema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

“tapioca pudding” in a derm question should make you think what?

A

dyshidrotic eczema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

treatment of dyshidrotic eczema?

A

burrow’s solution (domedoro astringent) or HIGH dose topical steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

greasy, yellow scaly macules, papules, plaques on scalp and ears

A

seborrheic dermatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

YEAST that causes seborrheic dermatitis?

A

pityrosporon ovale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

treatment of of seborrheic dermatitis?

A

ketoconazole shampoo or tar/zinc containing shampoos

27
Q

salmon herald patch followed by eruption in christmas tree distribution? what usually precedes?

A

pityriasis rosea

usually preceded by viral infection

28
Q

treatment of pityriasis rosea?

A

self limited over 8-12 weeks; lotions, anti-pruritics

29
Q

what are the four p’s of lichen planus?

A

purple, polygonal, pruritic, papule

30
Q

lichen planus is often associated with what?

A

hepatitis C

31
Q

treatment of lichen planus?

A

topical steroids lalala

32
Q

“stuck on” warty plaque; dx and treatment?

A

seborrheic keratosis

cryotherapy or leave alone

33
Q

autoimmune disorder in elderly with large, tense bullae? treatment?

A

bullous pemphigoid

TX with systemic prednisone +/- azithioprine (med given in organ transplant to prevent rejection)

34
Q

red annular patch with distinct borders, central clearing, and fine scale usually meansssss what

A

tinea corporis (superficial fungal infection)

35
Q

diagnosis and treatment of ringworm (tinea corporis)

A

DX with KOH – branching hyphae

TX is antifungals (topical clotrimazole)

36
Q

another word for tinea infections are _____ infections

A

dermatophyte infections

37
Q

hives are a type ___ hypersensitivity reaction involving which type of antibodies?

A

type 1 hypersensitivity involving IgE

38
Q

erythema multiforme is often preceded by what?

A

oral herpes infection (think in question of child with cold sore, then bullseye rash on legs)

PCN or sulfa drugs

39
Q

treatment of erythema multiforme?

A

systemic steroids

40
Q

SJS is ____ or less percentage of body surfaces and involves ____ surfaces

A

SJS is less than 10 percent of BSA

involves mucosal surfaces!

41
Q

TEN is over ____ percent of body surface areas

what drugs are commonly associated with SJS and TEN?

A

over 30 percent

PCN, sulfas, allopurinol, phentytoin

42
Q

the autoimmune destruction of melanocytes is called what?

A

vitiligo

43
Q

acanthosis nigricans should make you worry about what?

A

underlying diabetes, endocrine disorders

44
Q

pregnancy and oral contraceptive use put you at risk for what skin condition?

A

melasma

45
Q

treatment of melasma?

A

hydroquinone lightening cream, sunscreen

46
Q

pruritic burrows, vesicles, excoriations in web spaces of hands

A

scabies

47
Q

diagnosis and treatment of scabies?

A

DX = scraping, look under microscope

TX = lindane or permethrin cream over entire body and pretty much BURN EVERYTHING

48
Q

thick, gold “honey crusted” lesions – DX and etiology?

A

DX = impetigo

etiology = staph more often than strep

49
Q

treatment of impetigo?

A

topical mupirocin

50
Q

two most common etiologies of folliculitis?

A

staph MC; pseudomonas if associated with hottub

51
Q

well-demarcated, shiny, abrupt onset, superficial spreading cellulitis? diagnosis and etiology?

A

erysipelas

cause = group A strep

52
Q

treatment of both erysipelas AND cellulitis?

A

penicillin, cephalosporin, or macrolide

53
Q

acute fever, hypotension, diarrhea, generalized skin erythema with multiple organ failure is what?

A

toxic shock syndrome

54
Q

what causes toxic shock syndrome? how do we treat?

A

staph aureus making toxin

TX = ICU admission, IV anti-staph ABX

55
Q

6 month old presents with acute fever, hypotension, discrete macules, papules, petechiae, and purpura. what should you be worried about?

A

meningococcemia (caused by neisseria meningitides)

56
Q

treatment of meningococcemia in an infant?

A

ICU, vancomycin and rocephin

complication is meningitis

57
Q

hutchinson sign in regards to herpes simplex?

A

involvement of nasal tip suggests trigeminal involvement (also innervates cornea so we worry about blindness)

EMERGENT optho referral

58
Q

herpetic whitlow most common in which populations?

A

boxers, nurses

59
Q

most common type of skin cancer?

A

basal cell carcinoma

60
Q

pearly, nodular papule with raised rolled borders and central depression and telangiectasias

A

basal cell carcinoma

61
Q

actinic keratoses are precursors to what?

A

squamous cell carcinoma

62
Q

erythematous scaling plaque with ulcerations and crust

A

squamous cell carcinoma

63
Q

margins when excising melanomas should be at least how big?

A

1 cm

10 mm

Elaina: PANCE review (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions