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DERMATOLOGY AND VENEREOLOGY Flashcards

1
Q

Vesikel/ulkus dangkal, eritem, berkelompok, nyeri (+), kel sistemik, tzanck (+) multinucleated giant cell pop/sel datia

A

HERPES SIMPLEKS EPISODE PERTAMA

Asiklovir 5x 200mg / 3x 400mg PO / valasiklovir 2x 500mg PO @7d; asiklovir 3x 5mg/kg IV 7d (ranap)

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2
Q

Herpes simpleks, lokal/unilateral, <5 hari

A

HERPES SIMPLEKS EPISODE BERULANG

Asiklovir 5x 200mg / 3x 400mg PO / valasiklovir 2x 500mg PO @5d

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3
Q

Makula-vesikel dewdrop on rose petal (+) berbagai stadium, sentrifugal, eritem, kel prodromal, tzank (+) MGC/sel datia

A

VARISELA ZOSTER

Simtomatis, pecah (Ab), asiklovir 5x 800mg 7d / 4x 10-20 mg/kg / valasiklovir 3x 1g 7d

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4
Q

Diawali nyeri dan parestesi DERMATOMAL, vesikel berkelompok eritem gatal/pedih
1. Mata dan kulit daerah n. trigeminus
2. Paralisis CN VII dan VIII

A

HERPES ZOSTER
1. HERPES ZOSTER OFTALMIKUS
2. RAMSAY HUNT SYNDROME

Asiklovir 5x 800mg 7d / valasiklovir 3x 1g 7d / famsiklovir 3x 500mg 7d

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5
Q

Papul sewarna kulit, permukaan verukosa keratotik kasar, HPV
1. Bentuk tanduk
2. Meninggi bagian atas datar
3. Pada palmar/plantar
4. Meluas membentuk plak
5. Multipel pada dorsal dan periungual, tukang potong daging

A

VERUKA VULGARIS
1. VERUKA FILIFORMIS
2. VERUKA PLANA
3. VERUKA PALMAR/PLANTAR
4. VERUKA MOSAIK
5. BUTCHER’S WART

As salisilat 25-50%, TCA 25%; cryoterapi / kauter

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6
Q

Papul sewarna kulit, permukaan delle/central umbilication (+), isi seperti nasi, henderson-patterson body (+)

A

MOLUSKUM KONTAGIOSUM

BEDAH KURET/ENUKLEASI + Ab topikal, kantaridin 0.7-0.9%, podofilin krim 0.3-0.5%

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7
Q

Tatalaksana pioderma

A

3x kompres PK 1/5000, as salisilat 0.1%, rivanol 1% (pus/krusta), 3x as fusidat 2%, mupirosin 2% 10d, kloksasilin 4x 250-500mg / amoksiklav 3x 250-500mg PO (ringan-sedang), TMP-SMX 2x 960mg / doksisiklin 2x 100mg (MRSA ringan-sedang), nafcillin 4x 1-2g / cefazolin 3x 1g IV (berat), vankomisin 2-3x 1-2g / linezolid 2x 600mg IV (MRSA berat)

Jika abses: insisi drainase

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8
Q

Papul-vesikel-pustul pecah menjadi krusta honey colored-crust, predileksi nares/mulut, etiologi GAS

A

IMPETIGO KRUSTOSA

Tatalaksana pioderma

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9
Q

Vesikel/bula bernanah, nikolsky (-), predileksi intertriginosa

A

IMPETIGO BULOSA

Tatalaksana pioderma

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10
Q

Ulkus dangkal, berkrusta, bila diangkat = punched out lesion

A

IMPETIGO ULSERATIF/EKTIMA

Tatalaksana pioderma

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11
Q

Radang folikel rambut superfisial, papul/pustul, s. aureus

A

FOLIKULITIS

Tatalaksana pioderma

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12
Q

Radang folikel rambut dalam dan sekitarnya, abses (+), s. aureus, 1-3 cm

A

FURUNKEL

Tatalaksana pioderma

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13
Q

Furunkel yang berkonfluens, s. aureus, 3-10 cm

A

KARBUNKEL

Tatalaksana pioderma

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14
Q

Nodul inflamatif-abses-fistula, predileksi aksila dan perineum, gejala konstitusional, s. aureus

A

HIDRADENITIS SUPURATIVA

Tatalaksana pioderma

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15
Q

Patch merah cerah, batas tegas, pinggir meninggi, konstitusional (+), GAS

A

ERISIPELAS

Tatalaksana pioderma

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16
Q

Patch merah, batas tidak tegas, pinggir meninggi, konstitusional (+), s. aureus

A

SELULITIS

Tatalaksana pioderma

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17
Q

Makula eritem/cokelat, batas tegas, skuama (+), predileksi lipatan, wood lamp coral red (+), batang gram positif st. korneum (c. minutissisimum)

A

ERITRASMA

Gel benzoil peroksida 5% / salep tetrasiklin 3%, eritromisin 4x 250mg PO 3wk / klaritromisin 1g PO SD (sistemik)

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18
Q

Kuku: eritem, edema, pus, pasca trauma, terlokalisasi, nyeri (+)

A

PARONIKIA AKUT

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19
Q

Kuku: menetap >6 wk, indurasi, menebal kuning-cokelat, tidak supuratif

A

PARONIKIA KRONIK

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20
Q

TB (+), pembesaran KGB tanpa radang akut berbagai bentuk (abses dingin, periadenitis, fistel, ulkus)

A

SKROFULODERMA

KDT kategori I + povidone iodine 1%

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21
Q

Plak/makula eritem/hipopigmentasi mati rasa (+), penebalan saraf tepi (+), m. leprae (+). 1-5 lesi, tidak simetris, satu cabang saraf, hilang sensasi JELAS

A

LEPRA PB

R 600 mg/mo + D 100 mg/mo lalu 1x 100mg

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22
Q

Plak/makula eritem/hipopigmentasi mati rasa (+), penebalan saraf tepi (+), m. leprae (+). >5 lesi, simetris, cabang saraf banyak, hilang sensasi TIDAK JELAS

A

LEPRA MB

R 600 mg/mo + D 100 mg/mo lalu 1x 100mg + lampren/klofazimin 300mg/mo lalu 1x 50mg

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23
Q

Klasifikasi RIdley-Jopling Lepra

A

TT-BT-BB-BL-LL

Dari ringan ke berat: T-B-L
Lesi/bakteri semakin banyak, sensasi/jumlah rambut semakin normal, respon imun: lepromin semakin (-)

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24
Q

Interpretasi mikroskopis BTA

A

(-): (-)/100 lp
+1: ≤10/100 lp
+2: ≤10/10 lp
+3: ≤10/lp
+4: >10/lp
+5: >100/lp
+6: >1000/lp

Ingat +3 = ≤10/lp / +4 = >10/lp, nilai berkurang = lp naik, nilai bertambah = jumlah BTA naik

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25
Q

PB/MB, segera setelah obat, bercak semakin merah/berkilat/bengkak, edema ekstremitas (+), gangguan saraf memberat

A

REAKSI LEPRA TIPE I/REVERSAL REACTION

Prednisone 40mg/d PO 2wk, taper off setiap 2 wk: 30mg/d, 20mg/d, 15mg/d, 10mg/d

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26
Q

MB, pengobatan >6mo, muncul nodus merah lunak nyeri, edema ekstremitas (-)

A

REAKSI LEPRA TIPE II/ERYTHEMA NODOSUM LEPROSUM (ENL)

prednisone 40mg/d taper off, NSAID

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27
Q

Rw infeksi, makula eksantema-bula kendur-krusta yang menyebar generalisata, sandpaper skin (+), epidermolisis, nikolsky (+), usia <6y

A

SSSS

Suportif, Ab (kloksasilin, nafsilin, vankomisin jika resisten)

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28
Q

Makula hipopigmentasi, gatal jika berkeringat, predileksi daerah seboroik, wood lamp emas, KOH spaghetti and meatball (+), hifa + blastospora (+)

A

PITYRIASIS VERSIKOLOR

Sampo ketokonazol 1x 2% 5m sebelum mandi 3d / sampo selenium sulfida 1x 2.5% 15m sebelum mandi 3d

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29
Q

Kepala, patch abu skuama tidak berkilat, rambut (-), wood lamp hijau, m. audoini/CANIS, hifa sejati dan arthospora (+)

A

TINEA KAPITIS TIPE GREY PATCH

GRISEOFULVIN 20-25MG/KG 8WK / itrakonazol 50-100mg/d 6wk / terbinafin 250mg/d 4wk @PO (utama sistemik) + sampo ketokonazol 1x 2% 5m sebelum mandi 3d / sampo selenium sulfida 1x 2.5% 15m sebelum mandi 3d

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30
Q

Kepala, folikulitis-furunkel, alopesia sikatrikal, m. canis/gypseum, hifa sejati dan arthospora (+)

A

TINEA KAPITIS TIPE KERION

GRISEOFULVIN 20-25MG/KG 8WK / itrakonazol 50-100mg/d 6wk / terbinafin 250mg/d 4wk @PO (utama sistemik) + sampo ketokonazol 1x 2% 5m sebelum mandi 3d / sampo selenium sulfida 1x 2.5% 15m sebelum mandi 3d

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31
Q

Kepala, rambut patah membentuk alopesia titik hitam, sisa rambut pada alopesia (+), t. rubrum/TONSURANS/violaceum, hifa sejati dan arthospora (+)

A

TINEA KAPITIS TIPE BLACK DOT

GRISEOFULVIN 20-25MG/KG 8WK / itrakonazol 50-100mg/d 6wk / terbinafin 250mg/d 4wk @PO (utama sistemik) + sampo ketokonazol 1x 2% 5m sebelum mandi 3d / sampo selenium sulfida 1x 2.5% 15m sebelum mandi 3d

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32
Q

Kepala, krusta tebal kekuningan (scutula), mousy odor (+), t. SCHOENLEINII, hifa sejati dan arthospora (+)

A

TINEA KAPITIS TIPE FAVUS

GRISEOFULVIN 20-25MG/KG 8WK / itrakonazol 50-100mg/d 6wk / terbinafin 250mg/d 4wk @PO (utama sistemik) + sampo ketokonazol 1x 2% 5m sebelum mandi 3d / sampo selenium sulfida 1x 2.5% 15m sebelum mandi 3d

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33
Q

Kuku kuning, hifa sejati dan arthospora (+)

A

TINEA UNGUIUM

TERBINAFIN 250MG/D PO 6WK (TANGAN) 16WK (KAKI) / itrakonazol 2x 200mg PO 1wk

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34
Q
  1. Tangan/kaki, eritema, skuama, maserasi interdigital yang menyebar ke telapak berdekatan
  2. Tangan/kaki, skuama/vesikel pada telapak kaki, two feet one hand syndrome
  3. Tangan/kaki, vesikel-bulla-pustul kulit tipis
A
  1. TINEA MANUS/PEDIS TIPE INTERDIGITAL (ATHLETE’S FOOT)
  2. TINEA MANUS/PEDIS TIPE HIPERKERATOTIK KRONIK (MOCCASIN)
  3. TINEA MANUS/PEDIS TIPE PERIPLANTAR

TERBINAFIN KRIM 1X 1% 2WK / -azol krim 2x 6wk ; TERBINAFIN 250MG/D PO 2WK (sistemik) / itrakonazol 2x 100mg PO 2wk

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35
Q

Patch eritema, lesi satelit (+), predileksi lipatan, c. albicans, pseudohifa + blastospora (+)

A

KANDIDIASIS KUTIS

mikonazol krim 2% / klotrimazol krim 1% 2wk / bedak nistatin; flukonazol 50mg/d PO / itrakonzaol 2x 100mg (sistemik)

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36
Q

Gatal, erosi/ekskoriasi, kutu/telur (+)

Black dot (+) celana, makula serulae/sky blue dot (+)

A

PEDIKULOSIS

KHAS PEDIKULOSIS PUBIS/PTHIRUS PUBIS

permetrin krim 1% @1wk / malathion losio/spray 0.5% tutup 12h / gameksan 1% tutup 4m / benzyl benzoat 25% tutup 24h / krotamiton 10% tutup 24h

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37
Q

Gatal malam hari, sela jari, kunikulus/terowongan (+), menyerang kelompok, skin scrape test tungau mikroskopis (+), burrow ink (+), uji tetrasiklin (+) emas

A

SKABIES

PERMETRIN 5% DIAMKAN 8H @WK / sulfur presipitatum 5-10% diamkan 8h 3d (bayi <2mo) / benzyl benzoat 20% diamkan 24h / gameksan 1% diamkan 8h @wk

38
Q

Plak eritema vesikular bentuk linier/serpiginosa, predileksi kaki tidak pakai alas, a. braziliense/caninum

A

CLM

ALBENDAZOL 1x 400MG PO 3-7D / ivermektin 1x 200mcg PO 2d, salep albendazol/tiabendazol 10% 7-10d

39
Q

Paparan iritan (zat iritatif), non imunologis, nyeri > gatal, patch test dekresendo

A

DKI

kompres NS (lesi basah), CS sedang (lesi kering), CS kuat (lesi kronis)

40
Q

Paparan alergen (zat non iritatif), imunologis, gatal > nyeri, patch test kresendo

A

DKA

kompres NS (lesi basah), CS sedang (lesi kering), CS kuat (lesi kronis)

41
Q

Plak-skuama predileksi ekstensor (bayi) fleksor (dewasa), gatal, riwayat atopi, kronis residif

A

DERMATITIS ATOPI

CS paling lemah (bayi), CS sedang-kuat (dewasa)

42
Q

Plak 1-3 cm bentuk koin, bisa ada eksudasi/krusta/skuama (kronis), central healing

A

DERMATITIS NUMULARIS

CS kuat

43
Q

Makula hipopigmentasi batas tidak tegas dengan skuama, predileksi wajah/ekstremitas, pajanan matahari (+)

A

PITYRIASIS ALBA

CS lemah / takrolimus salep 0.1% / salep pimekrolimus 1% / kalsitriol salep 0.0003%

44
Q

Likenifikasi sangat gatal, memberat dengan stres

A

NEURODERMATITIS SIRKUMSKRIPTA/LIKEN SIMPLEKS KRONIKUS

CS kuat, takrolimus salep 0.1% / pimekrolimus salep 1%

45
Q

Plak eritema skuama, gatal, auspitz (+), koebner (+), kaarsvlek (+)

A

PSORIASIS VULGARIS

CS sedang-kuat, emolien, fototerapi (ringan/sedang); + MTX / secukinumab (berat)

46
Q

Plak eritema skuama berwarna kuning dan berminyak, diperburuk cuaca/stres, pada bayi cradle cap (+) kepala

A

DERMATITIS SEBOROIK

Siklopirox krim 1% / ketokonazol krim 2% + hidrokortison salep 1% @2x 4wk (non scalp dewasa), siklopirox sampo 1% / ketokonazol sampo 1% + selenium sulfida sampo 2.5% @2x/wk (scalp dewasa), ketokonazol krim 2% 2x 7d (non scalp bayi), ketokonazol sampo 2% 2x/2wk (scalp bayi)

47
Q

Makula/plak eritema batas tegas 2-4 cm (herald patch), diikuti makula/plak eritema multipel membentuk christmas tree pattern (+), reaktivasi HHV7/6

A

PITYRIASIS ROSEA

Self limiting; calamine lotion, antihistamin oral

48
Q

Eritema generalisata (90-100%) dengan skuama

A

ERITRODERMA

Prednison

49
Q
  1. Erupsi vesikel jernih mudah pecah, inflamasi (-), predileksi badan dan neonatus <4 minggu
  2. Erupsi makula-papula eritema di sekitar lubang keringat, inflamasi (+), pedih/gatal
  3. Erupsi papul/pustul 2-4 mm, kelanjutan miliaria rubra
A
  1. MILARIA KRISTALINA
  2. MILIARIA RUBRA
  3. MILIARIA PROFUNDA

Self limiting/simtomatis (kristalina), CS (rubra berat), lanolin (profunda)

50
Q

Keringat berlebih ≥6mo, ≥2 (bilateral, mengganggu, ≥1/wk, <25th, rw keluarga, keringat malam (-)), gravimetri ≥50 mg/5 menit/axilla, tes iodin minor (+) biru tua

A

HIPERHIDROSIS

Aluminium klorida topikal

51
Q

Erupsi komedo/papul/pustul/nodul, pada muka/bahu/dada/punggung, p. acnes

A

ACNE VULGARIS

Retinoid topikal [tretinoin/adapalene/tazarotene] 0.01-0.1% (ringan), + benzoil peroksida 5% + doksisiklin 2x 100mg PO (sedang), isotretinoin 0.5mg/kg/d PO + doksisiklin 2x 100mg PO ± CS PO (berat/konglobata), retinoid topikal + benzoil peroksida 5% (maintenance)

52
Q

Klasifikasi Acne Vulgaris

A

Ringan: komedo<20, papul/pustul<15, nodul/kista (-), total lesi <30
Sedang: komedo ≤100, papul/pustul ≤50, nodul/kista≤5, total lesi ≤125
Berat: komedo >100, papul/pustul >50, nodul/kista >5, total lesi >125

Hafalkan sedang, dibawah = ringan, diatas = berat

53
Q

Kulit kasar/kering skuama menyerupai sisik ikan, retakan kulit, terasa kering seperti tertarik, erythema craquele (+), crazy paving appearance (+)

A

XEROSIS KUTIS

Minum air cukup, pelembab (e.g petrolatum)

54
Q

Bulla dinding tipis mudah pecah-erosi-krusta, jernih-mukopurulen, nikolsky (+), asboe-hansen (+), histo = st. basalis epidermis lepas, anti-desmoglein-1 (+)

A

PEMFIGUS VULGARIS

Prednison 1mg/kg/d 2-3mo lalu 40mg/d taper off hingga 5mg

55
Q

Bulla dinding tegang, nikolsky (-), histo = celah dermal-epidermal, endapan IgG dan C3 di basement membrane zone

A

PEMFIGOID BULOSA

Prednison 1mg/kg/d 2-3mo lalu 40mg/d taper off hingga 5mg

56
Q

Erupsi papula/vesikel/bula berkelompok, gatal, simetris, predileksi ekstensor siku/lutut/bokong, nikolsky (-), deposit IgA dermis, enteropati/celiac ds (+)

A

DERMATITIS HERPETIFORMIS

Diet bebas gluten, dapsone 200mg/d

57
Q

Erupsi eritema/vesikel/papul/erosi/krusta, epidermolisis, nikolsky (+), keterlibatan mukosa ≥2, rw obat
1. Luas <10%
2. Luas ≤30%
3. Luas >30%

A
  1. SJS
  2. SJS OVERLAP TEN
  3. TEN/LYELL SYNDROME

Pelembap paraffin 50% dengan petroleum 50% + prednison 1-4mg/kg/d (SJS), 3-4mg/kg/d (SJS-TEN), 4-6mg/kg/d (TEN)

58
Q

Plak eritem (urtika)/edema sentral eritem gatal kadang panas batas tegas, muncul cepat setelah paparan alergen, hilang 1-24 jam setelah paparan
1. <6 minggu
2. ≥6 minggu
3. Edema kulit mendadak, airway compromise (+), predileksi wajah/perioral/bibir/genitalia/lidah

A
  1. URTIKARIA AKUT
  2. URTIKARIA KRONIS
  3. ANGIOEDEMA

AH1 non sedatif/gen 2 [setirizin 10mg/d, levosetirizin 5mg/d, loratadin 10mg/d, desloratadin 5mg/d, fexofenadin 180mg/d @PO]; tingkatkan dosis hingga 4x (refrakter setelah 2wk); tambah montelukast 10mg/d PO (refrakter setelah 2wk); tambah AH2, omalizumab (refrakter setelah 2wk). Epinefrin 1:1000 0.3mg IM (airway compromise), prednison 20mg PO (eksaserbasi)

59
Q

Sisik/scale skuama, hiperlinearitas palmoplantar, predileksi ekstensor paha/tungkai bawah/lengan bawah/lengan atas, keratosis pilaris (+), mutasi filaggrin/1q21

A

IKTIOSIS VULGARIS

60
Q

Hiperkeratosis batas tegas, seperti kerucut terbalik, gesekan/tekanan berulang, predileksi sendi MTP/plantar pedis

A

KLAVUS (MATA IKAN/HELOMA)

modifikasi alas kaki, as salisilat 40%

61
Q

5P (papul/plak, poligonal, purple, pruritic), wickham’s striae (+) garis putih halus diatas lesi, histo sawtooth (+)

A

LIKEN PLANUS

Triamsinolon asetonid 5-10mg/mL intralesi @4wk, prednison 30-80mg/d 6wk

62
Q

Erupsi makula/papula eritema, berasal dari trunk lalu menyebar generalisata dan simetris, gatal, riwayat obat

A

ERUPSI OBAT MAKULOPAPULAR/MORBILIFORMIS/EKSANTEMATOSA

Hentikan obat, simtomatis

63
Q

Makula eritema bulat/numular/target, berulang pada tempat sama, riwayat obat

A

ERUPSI OBAT FIXED

Hentikan obat, simtomatis

64
Q

Makula/patch hipopigmentasi kulit putih susu/kapur batas tegas, menyebar
1. Fokal/segmental/mukosal
2. Akrofasial/vulgaris
3. Depigmentasi >80%

A

VITILIGO
1. VITILIGO LOKALISATA
2. VITILIGO GENERALISATA
3. VITILIGO UNIVERSALIS

CS KUAT, takrolimus 0.1% / pimekrolimus 1%, fototerapi NB-UVB

65
Q

Hipopigmentasi kulit, rambut, mata, fotofobia, sex-linked resesif

A

ALBINO

Sunblock, beta karoten 3x 30mg

66
Q

Makula/patch hiperpigmentasi pasca inflamasi (acne, dermatitis, luka)

A

HIPERPIGMENTASI PASKA INFLAMASI

Hidrokuinon 4%

67
Q

Makula/patch hiperpigmentasi, paparan hormon (KB/hamil)/matahari, predileksi wajah/leher
1. Wood lamp cokelat muda
2. Wood lamp abu biru
3. Wood lamp cokelat tua

A

MELASMA
1. MELASMA TIPE EPIDERMAL
2. MELASMA TIPE DERMAL
3. MELASMA TIPE CAMPURAN

hidrokuinon 2-5% / formula kligman (hidrokuinon + retinoid + CS); TCA 10-30%

68
Q

Makula hiperpigmentasi multipel dan kecil, usia tua, paparan matahari, predileksi wajah/tangan

A

LENTIGO SOLARIS/SENILIS

Sunblock, hidrokuinon 2-4%

69
Q

Makula hiperpigmentasi multipel mukosa bukal/gusi/palatum/bibir, polip usus, melena

A

PEUTZ-JEGHER SYNDROME

70
Q

Makula hiperpigmentasi, usia muda-dewasa, tidak ada predileksi, menonjol (±), ABCDE aman

A

NEVUS MELANOSITIK JINAK

Shave eksisi, elektrodesikasi (kosmetik)

71
Q

Plak hiperpigmentasi verukosa, usia dewasa-tua, paparan matahari, menonjol (+), horn cyst (+), ABCDE aman

A

KERATOSIS SEBOROIK

Krioterapi, kuretase, elektrodesikasi (kosmetik)

72
Q

Paparan matahari, ulkus hitam dasar kotor (ulkus rodent), pearly papul, telangiektasis (+), mengkilat (+), histo sel palisade (+), ABCDE bahaya, str basalis

A

BCC

73
Q

Paparan matahari/keratosis aktinik, nodul hiperkeratotik mudah berdarah (ulkus bowen), histo keratin/horn pearl + intracellular bridge (+), ABCDE bahaya, keratinosit

A

SCC

74
Q

Paparan matahari, hiperpigmentasi, ABCDE bahaya, melanosit

A

MELANOMA MALIGNA

75
Q

Plak kuning, simetris bilateral, predileksi kelopak mata atas, sel busa/histiosit (+)

A

XANTHOMA/XANTHELASMA

bedah eksisi, TCA

76
Q

Nodul/plak merah/merah muda, keras, permukaan halus mengkilat, pasca trauma

A

KELOID

Triamsinolon asetonid intralesi

77
Q

Lesi botak patchy, bulat, batas tegas permukaan halus, exclamation hair (+)
1. Tunggal, rambut tanda seru di tepi lesi, mudah dicabut
2. Meluas/multipel
3. Perluasan ke seluruh kepala
4. Perluasan ke seluruh rambut tubuh

A

ALOPESIA AREATA
1. ALOPESIA AREATA SOLITER
2. ALOPESIA AREATA MULTIPEL
3. ALOPESIA AREATA TOTALIS
4. ALOPESIA AREATA UNIVERSALIS

CS: triamsinolon asetonid 5-10mg/mL (kulit kepala) 3-5mg/mL (alis) intralesi, flusinolon asetonid krim 2x 0.2%; prednison 30-60mg/d PO

78
Q

Lesi botak bentuk M / christmas tree pattern, predileksi pria, hormon DHT tinggi, miniaturisasi folikel (+), wash test (+) >10% velus, pull test (-) ≤6 helai/<10%, HDD >20%, rasio rambut terminal/velus <4/1

A

ALOPESIA ANDROGENIK

Minoksidil 2x 2%/5% topikal, finasterid 1x 1mg PO

79
Q

Kerontokan rambut telogen berlebihan, hair pull test (+) >6 helai, hair pluck test (+), rasio rambut terminal/velus: >8:1, rambut rontok >100 helai/d
1. Defisiensi besi
2. Stres fisik
3. Post partum
4. Inisiasi terapi minoksidil
5. Low to high daylight

A

TELOGEN EFFLUVIUM
1. SHORT ANAGEN CYCLE
2. IMMEDIATE ANAGEN RELEASE
3. DELAYED ANAGEN RELEASE
4. IMMEDIATE TELOGEN RELEASE
5. DELAYED TELOGEN RELEASE

Minoksidil 2x 2%/5% topikal

80
Q

Kerontokan rambut, hair pull test (+) >6 helai, rw kemoterapi

A

ANAGEN EFFLUVIUM

Minoksidil 2x 2%/5% topikal

81
Q

Duh tubuh putih susu cottage cheese (+), bau (-), gatal, pH ≤4.5, ragi dan pseudohifa (+), c. albicans

A

VULVOVAGINITIS KANDIDA

Klotrimazol 1x 200mg 3d / 500mg SD intravagina / flukonazol 150 mg PO SD / itrakonazol 200 mg PO SD / nistatin 100,000IU intravaginal 7d

82
Q

Duh tubuh putih-abu, bau (+) seperti ikan, KOH whiff/amine test (+), pH >4.5, clue cells (+), g. vaginalis

A

VAGINOSIS BAKTERIALIS

Metronidazol 2g PO SD / 2x 500mg PO 7d / klindamisin 2x 300mg PO 7d

83
Q

Duh tubuh kuning-hijau purulen, bau (+), pH >4.5, strawberry cervix (+), trikomonad motil (+), t. vaginalis

A

TRIKOMONIASIS

Metronidazol 2g PO SD / 2x 500mg PO 7d

84
Q

Duh tubuh purulen kuning-hijau, disuria (+), inkubasi 2-5d, biji kopi diplokokus (+), thayer martin agar (+), n. gonorrhea

A

URETRITIS/SERVISITIS GO

Sefiksim 400mg PO SD / kanamisin 2g IM SD / ceftriaxone 250mg IM SD

85
Q

Duh tubuh mukoid, disuria (+), inkubasi 1-3 wk, badan inklusi (+), c. trachomatis

A

URETRITIS/SERVISITIS NON GO

Azitromisin 1g PO SD / doksisiklin 2x 100mg PO 7d

86
Q

Ulkus genital lunak multipel, nyeri, dasar kotor mudah berdarah, tepi tidak rata/bergaung, h. ducreyi, school of fish (+)

A

CHANCROID/ULKUS MOLE

Siprofloksasin 2x 500mg PO 3d / eritromisin 4x 500mg PO 7d / azitromisin 1g PO SD

87
Q

Ulkus genital keras tunggal, tidak nyeri, dasar bersih, tepi rata/tidak bergaung, indurasi (+), RPR/VDRL (+) skrining/kuantitatif, TPHA/FTA-Abs (+) konfirmasi/diagnostik, dark field microscopy (+) spirochaeta

A

SIFILIS PRIMER/ULKUS DURUM

Benzathine benzylpenicillin 2.4jt IU IM SD, 1x/wk 3wk (laten), benzathine benzylpenicillin 2.4jt IU IM SD (primer-tersier), doksisiklin 2x 100mg PO 1mo, eritromisin 4x 500mg PO 1mo (hamil)

88
Q

Gejala konstitusional, kondiloma lata (+), makula merah tembaga polimorfik generalisata termasuk telapak yang tidak gatal, eritema mulut/tenggorok, moth eaten alopesia, limfadenopati generalisata, RPR/VDRL (+) skrining/kuantitatif, TPHA/FTA-Abs (+) konfirmasi/diagnostik, dark field microscopy (+) spirochaeta

A

SIFILIS SEKUNDER

Benzathine benzylpenicillin 2.4jt IU IM SD, 1x/wk 3wk (laten), benzathine benzylpenicillin 2.4jt IU IM SD (primer-tersier), doksisiklin 2x 100mg PO 1mo, eritromisin 4x 500mg PO 1mo (hamil)

89
Q

Guma (+)

A

SIFILIS TERSIER

Benzathine benzylpenicillin 2.4jt IU IM SD, 1x/wk 3wk (laten), benzathine benzylpenicillin 2.4jt IU IM SD (primer-tersier), doksisiklin 2x 100mg PO 1mo, eritromisin 4x 500mg PO 1mo (hamil)

90
Q

Frei test (+), gamna favre inclusion body (+), NAAT (+) c. trachomatis
1. Papul/pustul/nodul/erosi dangkal genitalia
2. Pembesaran KGB inguinal dan femoral, sign of groove (+)
3. Edema genitalia, saxophone penis (+)

A

LIMFOGRANULOMA VENEREUM (LGV)
1. LGV PRIMER
2. LGV SEKUNDER
3. LGV TERSIER

Doksisiklin 2x 100mg / eritromisin 4x 500mg / tetrasiklin 4x 500mg @14d

91
Q

Kutil genital verukosa seperti kembang kol, tes asetowhite (+) putih, HPV 6/11 low risk, HPV 16/18 high risk

A

KONDILOMA AKUMINATA

Krioterapi, TCA 80-90%, podofilin 25%

GAS (5 decks)

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