Dermatology

Question 1

dyshidrotic eczema

What is it and tx

Answer 1

tiny, fluid-filled blisters appear on the palms and fingers

Tx with steroids

Question 2

Impetigo

What is it and tx

Answer 2

red sores that form around the nose and mouth. The sores rupture, ooze for a few days, then form a yellow-brown crust

Tx: pcn cream

Question 3

Tinea capitus

What is it and tx!

Answer 3

superficial fungal infection of the skin of the scalp, eyebrows, and eyelashes, with a propensity for attacking hair shafts and follicles

Give -azole drugs EXCEPT flagyl!
Check liver function tests

Question 4

Rule of 9s

Answer 4

Head: 9%
Thorax: 18% front (upper 9 & lower 9), 18% back (upper 9 & lower 9)
Leg (each): 18% (front 9 & back 9)
Arm (each): 9% (front 4.5 & back 4.5)
Genitals: 1%
Palms: 1%

Question 5

If a child spills boiling water on him/herself… what is this?

Answer 5

Child abuse

Question 6

Pt comes in with cellulitis…what should you test for?

Answer 6

DVT

Question 7

When does scabies itch

Treatment

Answer 7

• mostly at night

- permethrin cream

Question 8

What is Hidradenitis suppurativa

Tx

Answer 8

Boils in armpit and groin

Treat with doxy

Question 9

Hiv test

Answer 9

P24 or blot test

Question 10

CD4 count for AIDS

Answer 10

200 or less

Question 11

Rubeola

• what is it
• symptoms
• type of rashes

Answer 11

-measles – caused by rubeola virus – measles, rubeola, and Koplik all have one L in them

-symptoms include fever, malaise, and the 3 Cs – conjunctivitis, coryza (runny nose, congestion), and cough
• maculopapular “brick red” rash; starts on head and neck; spreads centrifugally to trunk and extremities
• Koplik spots – enanthem (rash on mucus membrane) associated with rubeola; 1-3mm white/blue/gray elevations on the buccal mucosa, hard, and soft palate; resemble grains of sand; precede rash

Question 12

Fifth Disease (erythema infectiosum)

• labs
• diagnosis
• transmission

Answer 12

-Lab: Parvovirus B19
-Diagnosis is usually made based on clinical presentation – “slapped cheek” – instead of lab test
• more common in children
• contagious through respiratory secretions
• symptoms include fever, headache, runny nose, rash

Question 13

MRSA tx

Answer 13

Doxy, bactrim, clinda

Remember MRS…ABCD A

Question 14

rosacea

Answer 14

Azelaic acidgel and flagyl

Question 15

Treatment for mastitis

Answer 15

Keflex or doxy

Question 16

If a patient has a deviated septum or polyps…what should you suspect?

Answer 16

Substance abuse

Question 17

If patient loses smell on one side or bleeding… suspect what?

Answer 17

Foreign body

Question 18

Sialolithiasis

Answer 18

Salivary stones

Very painful

Question 19

Otitis media

Answer 19

Red and bulging TM
Treat with amox, augmentin, levaquin, omnicef
Causes: Streptococcus pneumoniae, Haemophilus influenzae

Question 20

Myopia

Answer 20

Near sighted

Question 21

Presbyopia

Answer 21

farsightedness caused by loss of elasticity of the lens

Question 22

Subconjunctival hemorrhage

Answer 22

Busted blood vessel

No harm

Question 23

Iritis

Answer 23

Red painful eye, light sensitivity, blurred vision, and dark floating spots in the field of vision

Question 24

Herpes zoster ophthalmicus and periorbital cellulitis

Answer 24

Emergency

Threatens sight

Question 25

Arcus senilis

Answer 25

Grey ring around eye for elderly

Question 26

Allergic rhinitis

Answer 26

Pale turbinates, clear drainage

Question 27

Sinusitis

Answer 27

Red turbinates, clear or purulent drainage