DERMATOLOGY Flashcards
A WOMAN IS AT THE DERMATOLOGIST FOR EVALUATION OF A SUSPICIOUS MOLE. WHICH OF THE FOLLOWING CHARACTERISTICS IS INCORRECT?
APPEARANCE
BORDER
COLOR
DIAMETER
APPEARANCE
WHAT TYPE OF PATHOGEN IS RINGWORM (TINEA) ?
FUNGUS
WHICH OF THE FOLLOWING IS A CONTAGIOUS SKIN CONDITION?
PSORIASIS
IMPETIGO
CELLULITIS
BASAL CELL CARCINOMA
IMPETIGO
CHLAMYDIA IS MOST PREVALENT IN INDIVIDUALS
YOUNGER THAN 20 YEARS OLD
COMMUNICABLE DISEASES
HAVE TO BE REPORTED TO THE HEALTH DEPARTMENT
ANTIHISTAMINES MAY CAUSE A PERSON TO ?
BECOME DROWSY AND FALL ASLEEP EASILY
A 37 YEAR OLD MALE HAS HERPES ZOSTER. THE DOCTOR PRESCRIBED AN ANTI VIRAL. WHAT IS THE DRUG PRESCRIPTION?
VALACYCLOVIR
A 32 YEAR OLD FEMALE HAS A VAGINAL YEAST INFECTION. THE DOCTOR PRESCRIBES AN ANTIFUNGAL ANTIBIOTIC, WHAT IS THE DRUG RX?
FLUCONAZOLE
A 55 YEAR OLD FEMALE IS TAKING LAMISIL (LAMOTRIGINE) WHAT IS THE PROBLEM?
FUNGAL INFECTION
THE ALLERGIC REACTION IS MEDIATED PRIMARILY BY
HISTAMINES
THE TUBERCULIN TEST (PPD SKIN TEST, Mantoux test) IS ROUTINELY USED IN ALL OF THE FOLLOWING EXCEPT?
RECURRENT SEASONAL ALLERGIES
A POTENTIAL MAJOR COMPLICATION OF SKIN ALLERGY TESTING IS
ANAPHYLAXIS
WHICH OF THE FOLLOWING IS NOT USED TO ASSESS IMMUNE FUNCTIONS IN A SKIN TEST?
HBV
HERPES VIRUS TESTING IS PERFORMED ON
A. PREG WOMEN WHO WILL DELIVER VAGINALLY IN NEXT 6-8 WEEKS
B. PATIENTS WITH SUSPECTED INITIAL GENITAL INFECTION
C. IMMUNOCOMPROMISED PATIENTS WITH FEVER OF UNKNOWN ORIGIN
D. ALL OF THE ABOVE
ALL OF THE ABOVE
STD CULTURE IS INDICATED IN ALL EXCEPT
A. VAGINAL OR PENILE DISCHARGE
B. URETHRITIS
C. BACTEREMIA
D. PELVIC PAIN
BACTEREMIA
WHICH HERPES SIMPLEX VIRUS IS TRANSMITTED SEXUALLY?
TYPE 2
WHAT ARE THE 3 LAYERS OF THE SKIN?
HYPODERMIS OR SUBQ TISSUE
DERMIS
EPIDERMIS
ALL OF THE ABOVE
WHAT DOES THE DERMIS CONTAIN?
ALL OF THE ABOVE
- CONTAINS BLOOD VESSELS
- CONTAINS HAIR FOLLICLES
- ALSO CONTAINS PILOSEBACEOUS, APOCRINE AND ECCRINE STRUCTURES
WHAT IS THE FUNCTION OF THE SEBUM?
SEBUM RETAINS MOISTURE EVAPORTAION FROM SKIN IS PROBABLY IMPORTANT IN SKYN HYDRATION AND LUBRICATION
IMPORTANT TO THE PATHOGENESIS OF ACNE
“BOTH OF THEM”
WHAT ARE THE CHARACTERISTICS OF THE HYPODERMIS?
“ALL OF THEM”
A. DEEPEST LAYER OF SKIN; GIVES SKIN ITS PLIABILITY
B. INVOLVED IN THERMAL INSULATION, NUTRITIONAL RESERVES AND CUSHIONING
C. CONTAINS NERVES ASSOCIATED WITH LIGHT AND HEAVY PRESSURE
WHAT KINDS OF LESIONS ARE ASSOCIATED WITH SEVERE INFLAMMATORY ACNE?
MANY PAPULES
PUSTULES
CYCTS
“ALL OF THEM”
WHAT ARE THE CHARACTERISTICS OF CHRONIC ECZEMA?
“ALL OF THEM”
A. LICHENIFICATION; THICKENED SKIN CAUSED BY CHRONIC RUBBING
B. EXAGGERATION OF NORMAL SKIN MARKINGS; CHANGE IN PIGMENTATION
C. ITCHING IS INTENSE
WHAT IS THE DIFFERENCE IN MARGINATION BETWEEN PAPULOSQUAMOUS LESIONS AND ECZEMATOUS LESIONS?
PAPULOSQUAMOUS LESIONS ARE SHARPLY MARGINATED
ECZEMATOUS LESIONS ARE DIFFUSELY MARGINATED
“BOTH OF THEM”
WHAT TYPES OF CELLS ARE CONTAINED IN THE EPIDERMIS?
A. KERATINOCYTES OR KERATIN FORMING CELLS
B. MELANOCYTES
C. LANGERHANS CELLS
D. ALL OF THEM
“ALL OF THEM”
WHAT IS THE THICKNESS OF THE EPIDERMIS?
ABOUT 1MM
WHAT ARE THE FUNCTIONS OF THE SKIN?
PROTECTION OF THE BODY
SENSORY FUNCTION
TEMPERATURE REGULATION
PRODUCTION OF VITAMIN D
EPIDERMIS LAYER HAS WHAT TYPE OF CELLS?
KERATINIZED STRATIFIED SQUAMOUS EPITHELIUM
_____ CONTAINS NO BLOOD VESSELS OR LYMPHATICS
EPIDERMIS
WHAT SKIN LAYER HAS VERY FEW NERVE TERMINALS?
EPIDERMIS
WHAT LAYER IS THIS?
DENSE LAYER OF A NETWORK OF COLLAGEN, & ELASTIC FIBERS AND FIBROBLASTS & MACROPHAGES AND FAT CELLS
DERMIS
IN WHAT LAYER DO FIBERS PROVIDE SKIN TONE, STRENGTH AND TOUGHNESS OF THE SKIN?
DERMIS
WHAT IS LOCATED IN THE DERMIS ?
BLOOD VESSELS, HAIR FOLLICLES AND APOCRINE/ECCRINE
ALTERNATE NAMES FOR SUPERFICIAL FASCIA?
HYPODERMIS, SUBCUTANEOUS TISSUE
HYPODERMIS?
SUBQ TISSUE
WHAT DOES THE SUPERFICIAL FASCIA LAYER CONTAIN?
DEEP PART OF SWEAT GLANDS, BLOOD AND LYMPHATIC VESSELS, CUTANEOUS NERVES
WHAT SKIN LAYER CONTAINS A DELTA NERVE FIBER INNERVATIONS?
SUPERFICIAL FASCIA
WHAT DOES THE DEEP FASCIA LAYER CONTAIN?
DENSE CONNECTIVE TISSUE, NO FAT
WHAT ARE THE NONCONTAGIOUS SKIN CONDITIONS
CELLULITIS SHINGLES ACNE ECZEMA PSORIASIS ALOPECIA
CELLULITIS INVOLVES WHAT LAYER OF THE SKIN?
DERMIS AND THE SUBCUTANEOUS FAT LAYERS
SYMPTOMS OF CELLULITIS?
REDNESS, PAIN, TENDERNESS, SWELLING, WARM AFFECTED AREA
CAUSE OF CELLULITIS?
STREPTOCOCCUS AND STAPHYL AUREUS
SHINGLES IS …
HERPES ZOSTER VIRUS INFECTION AFFECTING THE SKIN
PREVENTION OF SHINGLES/ HERPES ZOSTER
LIVE VACCINE (ZOSTAVAX) CONTRA IN IMMUNE COMPROMISED PERSON
T/F
SHINGLES AFFECTS ONE SIDE OF THE BODY
TRUE
GENETICS ACCOUNT FOR WHAT % OF ACNE?
80%
ECZEMA IS CAUSED BY WHAT?
UNKNOWN BUT COULD RUN IN THE FAMILY
SYMPTOMS OF ECZEMA?
ITCHY, RED, VESICULAR WEEPY RASHES
ECZEMA AGGRAVATED BY WHAT?
HOT WATER, STRONG DETERGENTS, EXTREME COLD, PET DANDER, SMOKING AND STRESS
IS PSORIASIS AN AUTOIMMUNE DISEASE
YES
PSORIASIS PATCHES ARE NORMALLY?
RED IN COLOR, SCALY, THICK AND ITCHY
WHERE ARE PSORIASIS PATCHES LOCATED
ON THE EXTENSOR SURFACES OF LIMBS
PEOPLE WITH PSORIASIS ARE AT AN INCREASED RISK OF DEVELOPING?
ARTHRITIS, LYMPHOMA, CROHNS, CARDIOVASC DISEASE AND DEPRESSION
CAUSE OF ALOPECIA?
FUNGAL INFECTIONS, TRAUMA, IRON XU
WHAT ARE SOME CONTAGIOUS SKIN CONDITIONS?
IMPETIGO
LICE
FUNGAL INFECTIONS
WHICH CONDITION IS HIGHLY CONTAGIOUS TO INFANTS AND CHILDREN?
IMPETIGO
WHICH CONDITION DEVELOPS HONEY COLORED CRUSTS?
IMPETIGO
TX FOR IMPETIGO?
ANTIBIOTICS, NOT CONTAGIOUS AFTER 24 HOURS
T/F
LICE ARE PARASITES THAT DEED ON SKIN, OIL OR BLOOD
TRUE
WHAT ARE SOME FUNGAL INFECTIONS?
YEAST INFECTIONS, TINEA (RINGWORM) AND SCABIES
SCABIES DUE TO ..
AN INSECT PARASITE, TYPE OF MITE
YEAST INFECTION DUE TO ?
INFLAMMATORY CONDITION BY CANDIDA ALBICANS
TX FOR FUNGAL INFECTIONS?
ANTI FUNGAL MEDICATIONS
ANTIFUNGAL MEDICATIONS FOR WHICH CONDITIONS?
SCABIES, TINEA AND YEAST INFECTIONS
APPEARANCE OF BASAL CELL CARCINOMA?
SHINY AND PEARLY APPEARANCE
SQUAMOUS CELL CARCINOMA APPEARANCE
NODULE APPEARANCE IN THE BEGINNING BUT TURNS TO ULCERATED AND BLEEDING
T/F
SQUAMOUS CELL CARCINOMA IS EASILY METASTASIZED?
TRUE
WHICH IS THE DEADLIEST CANCER?
MELANOMA
MELANOMA IS MOST COMMON IN THE SKIN BUT CAN HAPPEN WHERE ELSE?
INTESTINES, MOUTH AND EYE
MELANOMA START AS A MOLE AND CHANGES ____?
IRREGULARLY
WHAT ARE THE ABCDE’S OF MELANOMA?
ASYMMETRY BORDER COLOR DIAMETER EVOLVING
WHAT DOESNT MATTER IN MELANOMA CRITERIA?
APPEARANCE
