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MSK Exam 1 Spring 2015 > Dermatology in the Office > Flashcards

Dermatology in the Office Flashcards

1
Q

types of eczematoid dermatitis

A

atopic
contact
stasis

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2
Q

shingles across dermatome

A

herpes zoster

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3
Q

IgA bullous dermatitis

A

drugs

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4
Q

marker for malignancy

A

seborrheic keratosis

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5
Q

lesions stuck on - signs of leser trelat

A

multiple seborrheic keratosis

underlying GI malignancy

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6
Q

multiple melanoma mets

A

to liver

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7
Q

staphylococcus

A

forms biofilm blocks sweat glands

TLR2 - activated in areas where blocked sweat duct

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8
Q

tx of eczema

A

steroids and oil based moisturizer

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9
Q

job syndrome

A

hyper IgE
eczema plus a neutrophil problem

decreased IL8**

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10
Q

child hx staphylococcal abscess, pneumonia, high IgE, high eosinophils, rash

primary problem?

A

phagocytic dysfunction

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11
Q

thrombocytopenia and eczema

A

wiskott aldrich

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12
Q

nervous scratching

A

lichen simplex chronicus

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13
Q

dry itching lesion in winter

A

nummular eczema

coin shaped - from washing too much

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14
Q

silver sheen lesion

A

psoriasis

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15
Q

flare up of psoriasis

A

stop steroid use

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16
Q

flare up of psoriasis

A

may be marker for HIV

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17
Q

breakout with contact

A

koebner phenomenon

ex/ poison ivy

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18
Q

associated with MI, athersclerosis, metabolic syndrome, NAFLD, IBD, depression

A

psoriasis

suppressed Treg cells and hyperactive Th1 and Th17 cells

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19
Q

nail pits and oil spots

A

psoriasis

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20
Q

ring worm diagnosis

A

KOH prep

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21
Q

proximal superficial onychomycosis

A

suggest of AIDS

should normally see fungal infection of distal nail, not proximal

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22
Q

woods yellow fluorescence

A

malassezia fur fur - tinea versicolor

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23
Q

worsening of tinea versicolor

A

cushings, malnutrition, and immunosuppression

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24
Q

steroid acne

A

same condition of malassezia folliculitis

proliferation of malassexia yeast - pitysporum

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25
Q

pink fluorescence under woods

A

corynbacterium

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26
Q

green under woods

A

cat ringworm

-microsporum canis

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27
Q

exfoliative dermatitis tx

A

need fluids - due to dehydration

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28
Q

women BCP, hep C, elevated ALT, increased temporal hair growth, polychlorinated aromatic hydrocarbon exposure

A

HUD deficiency

porphyria pathway defect

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29
Q

red on woods

A

urine with porphyria

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30
Q

caterpillar bodies

A

uroporphyrinogen deposition

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31
Q

b/l pneumonia and bullous myringitis

A

mycoplasma infection

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32
Q

target lesion

A

erythema multiforme

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33
Q

due to drugs

A

SNS and TEN

steven johnson syndrome
toxic epidermial mecrolysis

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34
Q

cytotoxic T cells to 2x oral membranes

A

SNS and TEN

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35
Q

causes of SJS/TEN

A

west - oxicam NSAIDs, sulfas

east - carbamazepine, allopurinol

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36
Q

carbamazepine

A

cause of SJS/TEN in east

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37
Q

HLA B1502 and HLA B5801

A

susceptible to SJS/TEN

B1502 - carbamazepine
B5801 - allopurinol

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38
Q

30% of body involved with fever, conjunctivitis, pharyngitis, GI ulcers, tracheal erosions, pancytopeni, and sepsis

A

TEN - after >30% of body covered

39
Q

sharp demarcation

A

strep infection

St. anthonys fire if on face

40
Q

associated with colon, gyn, lymphoreticular malignancy

A

clostridium septicum

41
Q

rash after spa

A

pseudomonas

42
Q

eosinophilic folliculitis

A

HIV

43
Q

staph folliculitis

A

itches

44
Q

tattoo artist, complains of spider bite

A

MRSA infection

45
Q

comedones

A

acne vulgaris - clogged hair follicles

46
Q

impetigo concern

A

post strep GN

47
Q

acne bug

A

propionibacterium acnes

48
Q

tenalgiectasia and erythema

A

rosascea

49
Q

rhinophyma

A

rosascea enlarges nose

50
Q

complication of rosascea

A

can go blind - corneal melting

also associated with parkinsons

51
Q

parkinsons association

A

rosascea and seborrheic dermatitis

52
Q

demodex mite

A

rosascea

53
Q

parkinsons

A

TRAMP2S3

S - swallowing, seborrheic dermatitis, slow speech

54
Q

tremor asked to smile

A

get seborrheic dermatitis

-with parkinsons

55
Q

bug in seborrheic dermatitis

A

malassezia furfur

-yeast

56
Q

condyloma acumanatum

A

HPV

57
Q

condyloma latum

A

syphilis

58
Q

lyme disease

A

ioxides scapularis - deer tick

59
Q

herpes zoster complication

A

involve eye

-refer to ophthalmology

60
Q

stages of lymes

A

1 - targetoid lesion - flu symptoms
2 - dissemination - heart block bells palsy**, migratory arthralgias
3 - late joints and CNS/PNS - oligoarthritis, encephalitis

61
Q

pox virus

A

molluscum contagiosum

umbilicated lesions

62
Q

long incubation, in HS wrestlers, umbilicated lesion

A

molluscum contagiosum - pox virus

63
Q

HHV8

A

kaposi sarcoma

with HIV - CD4<500

64
Q

christmas tree distribution

A

pityriasis rosea

-herald patch where started

65
Q

complication with pityriasis rosea

A

spontaneous abortion in pregnant

and looks like syphilis

66
Q

physician intubated without gloves

A

herpes

-herpetic whitlow

67
Q

parvovirus B19

A

fifths disease

mother with iron defiency anemia - may develop aplastic anemia

ssDNA virus

68
Q

petechia on soft palate

A

forschheimer sign

associated with rubella

69
Q

blueberry muffin baby

A

rubella
-togairus - ssRNA

-rash, headache, polyarthritis, malaise, lymphadenopathy, dermal hematopoiesis, deafblindness

70
Q

rash and bluish white spots in mouth, fever, conjunctivitis, coryza, cough

A

rubeola

measles
koplik spots

71
Q

measles

A

paramyxovirus

-ssRNA

72
Q

seven year itch

A

scabies - mites

73
Q

vagabonds disease

A

crabs - louse

74
Q

cocaine and cutaneous necrosis

A

levamisole

75
Q

elevations on nails

A

beaus line

marker for acute illness

76
Q

clubbing of fingers

A

periosteal new bone formation

lung cancer, cardiac issues

PDF, VEGF, and PGE2

osteoblast proliferation
subperiosteal new bone formation

77
Q

DRESS

A

drug rash with eosinophilia and systemic disorder

2-6 weeks after start new med

progression to acral edema and pinpoint pustules and desquamation

IL5 disease**

78
Q

tuberculin rxn

A

macrophage activation

type IVa gell combs

79
Q

poison ivy

A

contact dermatitis

macrophage activation

type IVa gell combs

80
Q

B cell lymphoma with angioedema

A

Abs against C1 esterase - leads to deficiency

81
Q

cause of angioedema

A

bradykinin

screen with C4

82
Q

bee sting rxn

A

IgE type 1

83
Q

anaphylaxis

A

IgE mast cell degranulation

84
Q

CRH

A

stress released

-can cause hives

85
Q

wheals that lead to ecchymosis

A

urticarial vasculitis

if urticaria >24 hours - chronic

86
Q

T cell lymphoma

A

mycosis fungoides

87
Q

stages of mycosis fungoides

A

patch
plaque
tumor

problem - invades organs

88
Q

vitiligo

A

HLA B27 association

autoimmune - check adrenal and thyroid

89
Q

subacute cutaneous lupus erythematous

A

photosensitive
-RO/SSA Abs

daughter with heart block

90
Q

RO/SSA Abs

A

SCLE

91
Q

erythema nodosum

A

streptococcus

92
Q

celiac association

A

dermatitis herpetiformis

vesicular lesions - IgA deposits in skin

93
Q

nikolskys sign

A

rub off skin

seen with pemphigus

94
Q

granuloma annulare expect what

A

hyperlipidemia

reddish bumps on skin in circle or ring shape

MSK Exam 1 Spring 2015 (21 decks)

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