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PANCE Exam Review > Dermatology > Flashcards

Dermatology Flashcards

1
Q

Smooth, flat or raised lesion, velvety “stuck on” look.

Found: face, shoulders, chest and back.

A

Seborrheic Keratosis

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2
Q

What reaction is a delayed (cell mediated), morbiliform rash like Erythema Multiforme?

A

Type IV

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3
Q

Rough, dry, scaly, erythematous PAPULES/PLAQUES on sun exposed areas.

A

Actinic Keratosis

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4
Q

Tx for Actinic Keratosis

A

1st- Observe
Then- cryosurgery, dermabrasion.
Medical- Top. 5-Fluorouracil, Imiquimod

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5
Q

VERY itchy PAPULES that grow, tense blisters/bullae. DO NOT extend with pressure.

A

Bullous Pemphigold

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6
Q

Bullous Pemphigold Tx

A

Steroids and immunosuppressants

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7
Q

PAINFUL flaccid skin bullae that rupture and bleed easily. (+) oral mucosa and ulcers
(+) Nik

A

Pemphigus Vulgaris

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8
Q

Pemphigus Vulgaris Tx

A

1st: ADMIT, Systemic HIGH steroid
Then- Methotrexate.
Wound care. 2ry infxn- Abx.

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9
Q

Non-healing red, scaly papule/plaque that does NOT itch. Ulcerates.
MC sun exposed areas.

A

Squamous Cell Carcinoma

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10
Q

Paronychia Tx

A

1st- I and D

If cellulitis present- Abx, warm soaks.

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11
Q

What would we see on a Varicella Zoster (Shingles) Tzanch Smear?

A

Multinucleated GIANT cells

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12
Q

Frostbite Tx

A

Rapid rewarming in warm H2O

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13
Q

Erythema, papules, pustules on newborn (2-5 days old).

A

Erythema Toxicum Neonatorum

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14
Q

Psoriasis Tx

A

1st- Top. steroids

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15
Q

Which tinea infections require systemic treatment?

A

Capitis and Unguium (Onychomycosis)

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16
Q

What is Tinea Corporis?

A

Ringworm

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17
Q

Tinea Cruris

A

Jock itch

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18
Q

Tinea Unguium (Onychomycosis) Tx

A

1st- Terbinafine or Griseofulvin

Terbinafine: monitor liver before and during.

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19
Q

Genital Herpes Simplex Dx

A

1st- clinical

GOLD- tissue (viral) culture with PCR

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20
Q

Melanoma Dx

A

Full-thick wide (elliptical) EXCISIONAL bx + lymph node

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21
Q

Community-Acquired MRSA Tx

A

Doxy (Tetracyline)

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22
Q

Fever of at least 5 days + 4 of the following:

1) peripheral extremity changes (erythema of palms and soles or desquamation of digits)
2) polymorphous rash
3) oropharyngeal changes (erythema, fissures, strawberry tongue)
4) Bilateral conjunctival injection
5) Cervical adenopathy

A

Kawasaki Disease Dx

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23
Q

Kawasaki Disease Tx

A

IVIG + ASA

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24
Q

Scabies Tx

A

Permethrin 5% Cream.

Itching can last up to 2 wks after Tx.

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25
Q

What skin condition is associated with Myasthenia Gravis?

A

Pemphigus Vulgaris

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26
Q

What is the Tx for Vitiligo with <20% body affected?

A

Top. Tacrolimus 0.1%;

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27
Q

What is the Tx for Vitiligo with 20-25% body affected?

A

Narrowband UVB or PO PUVA therapy

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28
Q

Molluscum Contagiosum cause

A

PoxVIRUS

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29
Q

Tx for Molluscum Contagiosum

A

-Observe, reassure.
~Imiquimod
-Severe: Top. Retinoids

30
Q

When do we give Antivenin for a Black Widow Spider bite?

A

Only if severe sx or unresponsive to opioids/benzos (1st line).

31
Q

What is the MC viral infection associated with Erythema Multiforme?

A

Herpes Simplex Virus (HSV)

32
Q

What is the MC bacterial infection associated with Erythema Multiforme?

A

Mycoplasma

33
Q

Blistering at the tip of the nose associated with Herpes Zoster infection. Usually with a post ophthalmic involvement.

A

Hutchinson’s Sign

34
Q

What is the MC patho of Erysipelas?

A

STREP pyogenes

35
Q

Pearly papule with rolled borders and telangiectasia

A

Basal Cell Carcinoma

36
Q

This skin condition is common in pregnancy and OCP use.

A

Melasma (Chloasma in pregnancy)

37
Q

Scaly, greasy, yellow-pink-red patches macerated on scalp, ears, face, chest, groin.

A

Seborrheic Dermatitis

38
Q

Seborrheic Dermatitis Tx

A

Conservative:

  • On scalp, remove dry flaky skin with a soft brush after using oil or petrolatum.
  • OTC dandruff shampoo.

Severe: Top. corticosteroids or Ketoconazole cream.

39
Q

What is a complication in Seborrheic Dermatitis?

A

In dark infants, post-inflammatory hypopigmentation.

40
Q

Patient presents with flushing of face and telangiectasia, especially after eating hot, spicy food. What is her dx?

A

Rosacea

41
Q

Rosacea Tx

A

Top. Metronidazole

42
Q

What is the age guideline for varicella zoster vaccine?

A

Healthy adult >50 yo

43
Q

Maculopapular RED rash that starts on HEAD and spreads downwards. Lasts 7 days.

A

Measles (Rubeola).

+) Koplik spots (ALWAYS!

44
Q

Pink, light-red spotted maculopapular rash on face and spreads to extremities (lasts 3 days).

A

Rubella (German)

45
Q

Pediculosis Capitis Tx

A

Top. Permethrin.

Head lice

46
Q

Psoriasis is found on extensor or flexor surfaces?

A

Extensor: front of knee, back of elbow. Stretches skin.

47
Q

What reaction is an immediate IgE mediated, like urticaria and angioedema?

A

Type I

48
Q

Topical Tretinoin SE

A

Skin irritation

49
Q

Topical steroid SE

A

Skin atrophy (long-term use)

50
Q

Topical Tretinoin CI

A

Pregnancy

51
Q

Pityriasis Rosea Tx

A

Self-limiting.

Top. corticosteroids or PO antihistamines for itching.

52
Q

Pityriasis (Tinea) Versicolor Tx

A

Top. Selenium Sulfide

53
Q

Pityriasis (Tinea) Versicolor Prophy

A

Monthly application of:

  • Propylene glycol
  • Selenium shampoo
  • Azole creams
54
Q

What do you call an HSV infection involving the terminal digits of the hand?

A

Herpetic whitlow

55
Q

Where would we find cafe au lait macules?

A

Neurofibromatosis

56
Q

Mgmt for human bite to prevent infection

A

1st: Irrigate
2nd: Augmentin

57
Q

With burns, what is the mgmt?

A

1st: ABCs (consider intubation early)

58
Q

Dry, dark scab or falling away of dead skin, usu. D/T burn. Name?

A

Eschar

59
Q

Tx for Chronic Urticaria

A

Nortriptyline (tricyclic antidepressants)

60
Q

Tx for Seborrheic Keratosis

A

Liquid nitrogen (cryotherapy), curettage, shave removal.

61
Q

What reaction is an immune antibody-antigen complex, like serum sickness or drug-mediated vasculitis?

A

Type III

62
Q

Tx for Contact Dermatitis

A 
Mild- 
-Calamine lotion OR 
-Topical steroid + PO antihistamine. 
---------------------------------
Mod to severe- 
PO steroids x3 wks, taper.
63
Q

What is the mgmt for elemental metal burns, including dry lime, elemental metals (Na+, K, Lith, Phos) or Phenol?

A

Cover affected area in mineral oil, sand, or foam from extinguisher

64
Q

Subcutaneous red tender nodules. Dx?

A

Erythema Nodosum

65
Q

What skin condition is characterized by epidermal hyperplasia and an increase in the epidermal turnover?

A

Psoriasis

66
Q

When should sutures of the face be taken out? What about of the eyelids?

A

Face: 5 days
Eyelids: 3 days

67
Q

Tx for Impetigo

A

Topical Mupirocin

68
Q

Post-op fever on day 5-7 would likely be D/T:

A

Wound infection

69
Q

Dx for Contact Dermatitis

A

Patch test

70
Q

Tx for mod-severe Psoriasis

A

UVB, Methotrexate

PANCE Exam Review (32 decks)

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