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IM > Dermatology > Flashcards

Dermatology Flashcards

1
Q

ADOLESCENT, erythematous papules, open and closed COMEDONE of the face

A

Acne Vulgaris

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2
Q

Clinical Hallmark of acne vulgaris

A

Comedone
Closed - Whitehead
Open - Blackhead

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3
Q

DOC for mild non inflammatory acne

A

Topical Retinoids

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4
Q

DOC Severe Nodulocystic acne that is unresponsive

A

Synthetic retinoid isoretinoin

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5
Q

DOC Severe Acne

A

Tetracycline/ Doxycycline

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6
Q

Causative agent Ance

A

Propionibacterium acnes

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7
Q

Rash on Extensor Surface, plaques with adherent silvery scale, + pitting edema

A

Psoriasis

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8
Q

Pathogenesis of Psoriasis

A

T Cell mediated -> Epidermal hyperproliferation

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9
Q

Most common variety of Psoriasis

A

Plaque type

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10
Q

DOC for localzed Psoriasis

A

Mid potency TOPICAL corticosteroids - avoid ORAL CS

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11
Q

Tx for widespread lesions

A

Ultraviolet light

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12
Q

Trauma -> Psoriasis

A

Koebner phenomenon

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13
Q

Removal of Scale -> PINPOINT BLEDDING

A

Auspitz Sign

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14
Q

Many small scaling papules -> After URTI with Group B hemolytic streptococcus

A

Guttate or Eruptive Psoriasis

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15
Q

Pustule + Fever

A

Pustular psoriasis

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16
Q

Distal interphalangeal
Asymmetric arthritis
Sausage Digits

A

Psoriatic Arthritis

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17
Q

Resorption of bones in hand and wrists; telescoping fingers

A

Arthritis Mutilans in Psoriasis

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18
Q

DOC Psoriasis

A

Topical Corticosteroid - don not give ORAL CS

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19
Q

DOC Psoriatic Arthritis

A

Methotrexate

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20
Q

+ Asthma, Pruritic rashes in Antecubital Fossa and back of Knee, LICHENIFICATION

A

Atopic Dermatitis

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21
Q

Pathogenesis of atopic dermatitis

A

Impaired epidermal barrier

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22
Q

Most prominent characteristic of atopic dermatitis

A

Prutitus

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23
Q

Typical secondary skin lesion in Atopic Dermatitits

A

LICHENIFICATION

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24
Q

DOC Atopic Dermatitits

A

Low to Mid Potency GLUCOCORTICOIDS

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25
Q

Rule of 80%

A

80% - Both parents
80% - 5 y/o
80% - Rhinitis and Asthma

Both parents of 5 year old Rhino has Asthma

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26
Q

Cutaneous expression of atopic state

A

Atopic Dermatitis

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27
Q

M/C Areas for Atopic Dermatitis

A

Antecubital Fossa, Popliteal Fossa

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28
Q

Topical immunosuppresants for AD

A

Tacrolimus and Pimecrolimus

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29
Q

AD unresponsive to Tx

A

Patch testing - to r/o allergic contact dermatitis

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30
Q

INTENSELEY PRURITIC rash, vesicles and erythematous papules arranged LINEARLY with slight crusting

A

Allergic contact dermatitis

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31
Q

Type of Hypersensitivity of Allergic contact

A

Tyoe IV Hypersensitivity

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32
Q

Linear Streak Vesicles

A

Poison Ivy

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33
Q

Contact dermatitis caused by INHERENT characteristic of compound

A

Irritant CD

34
Q

Contact dermatitis induce an antigen specific immune respone

A

Allergic CD

35
Q

M/C Cause of Allergic CD

A

Exposure to plants

36
Q

BURNING pruritus
Dry fissured Skin
Less Distinct borders
mins - hours

A

Irritant CD

37
Q

Vesicles and Bullae
DISTINCT ANGLES AND LINES
12-72 Hours

A

Allergic CD

38
Q

Dx for Atopic dermatitis

A

Patch Testing

39
Q

DISHWASHER
Fluid Filled rash - painful
Vesicles on palms and fingers ()Thenar/ Hypotehanar eminence)

A

Dyshidrotic Eczema

40
Q

DOC Dyshidrotic eczema

A

Topical glucocortocoids

41
Q

Prurtic rash at scalp and back, erythema is yellowish, scale in the nasolabial folds and eyebrows

A

Seborrheic dermatitis

42
Q

M/C location of seborrheic dermatitis

A

Scalp

43
Q

Scaly, FLAKY, greasy

A

Seborrheic dermatitis

44
Q

SOC Seborrheic dermatitis

A

Low potency topical glucocorticoids
Ketoconazole
Anti Dandruff Shampoo (Zinc pyrithione)

45
Q

History of DVT, oozing patches, non tender ulcers on the ANKLE

A

Stasis Dermatitis

46
Q

M/C location of Stasis dermatitis

A

Medial ankle

47
Q

Causes hyperpigmentation in chronic state of Stasis Dermatitis

A

Hemosiderin

48
Q

Most indicated therapy in Stasis Dermatitits

A

Compression stockings and leg raises

49
Q

Stasis Dermatitis

A

HAL

Hemosiderin
Ankle

Leg Compression

50
Q

Symmetric eruption of targetoid patches

A

Stevens Johnsons

51
Q

Type of Hypersensitivity of Stevens Johnson

A

Immune complex mediated

52
Q

Most appropriate dx test for Stevens Johnson

A

Skin Biopsy

53
Q

Target Lesion - more acrally distributed

A

Erythrma Multiforme

54
Q

Blisters, Mucosal involvement

A

SJS

55
Q

Positive Nikolsky

A

TEN

56
Q

Most Severe form of Erythrma Multiforme

A

SJS

57
Q

Most severe form of SJS

A

TEN

58
Q

Drugs that causes SJS

A 
Tulfo Said All Antics never Lamot
Sulfonamide
NSAIDs
Allopurinol
Anticonvulsants
Neverapine
Lamotrigine
59
Q

DOC SJS

A

Systemic Glucocorticoids

60
Q

Symmetric and Confluent Macules and Papules

A

Morbilliform rash

61
Q

Wheals of Varying size

A

Urticaria

62
Q

Sharply demarcated that leaves hyperpigmented spot when they resolve

A

Fixed drug rx

63
Q

Most common drug induced reaction

A

Morbilliform rash

Urticaria - second

64
Q

DOC Morbilliform rash & Urticaria

A

Antihistamine

65
Q

DOC Fixed drug rx

A

Topical corticosteroids

66
Q

DOC for Acyclovir resistant herpes

A

Foscarnet

67
Q

Pathophysiology of SHingles

A

Reactivation of latent VZV at Dorsal root ganglia

68
Q

Pain comes before rash

A

Shingles

69
Q

Ramsay Hunt

A

Shingles

70
Q

Most debilitating complication of Shingles

A

Pain secondary to Acute Neuritis and Postherpetic neuralgia

71
Q

Confirmation dx for Shingle

A

PCR

Tissue Culture

72
Q

DOC Shingles

A

Acyclovir + Steroids

73
Q

DOC for immunocompromised Shingles

A

IV Acylovir

74
Q

M/C Complication of Varicella

A

Secondary bacterial superinfection

75
Q

Most serious complication of Varicella

A

Varicella pneumonia

76
Q

Herald Patch
Cigarette Paper
Christmas tree pattern

A

Pityriasis rosea

77
Q

DOC Pityriasis rosea

A

Antihistamines and Topical Steroids

UVB Phototherapy for refractory cases

78
Q

Scaling Papules + Linear Burrows, Pruritic especially at night

A

Scabies - Spares the Head

79
Q

Dx for Scabies

A

Scraping of organism after mineral oil

80
Q

DOC Scabies

A

Permethrin

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