Dermatology Physical Exam

Question 1

Atopy – What is it

Answer 1

Exaggerated IgE-mediated immune response triggering a histamine response (asthma, atopic dermatitis)

Question 2

blades for scraping and incising lesions

Answer 2

10, #11, and #15

Question 3

measurement of lesion is done in

Answer 3

mm or cm

Question 4

Ring shape with central clearing

Answer 4

Annular

Question 5

Often a result of incomplete formation of an annular lesion

Answer 5

Arcuate (arc-shaped)

Question 6

Formed from coalescing circles, rings, or incomplete rings

Answer 6

Polycyclic

Question 7

Target-like, with a center darker than the periphery

Answer 7

Targetoid

Question 8

Dot-like, typically around 1 mm

Answer 8

Punctate

Question 9

With a central depression of the surface

Answer 9

Umbilicated

Question 10

Resembling a straight line

Answer 10

Linear

Question 11

Serpentine or snake-like

Answer 11

Serpiginous

Question 12

Thin, pink-colored discharge associated with normal
wound healing.

Answer 12

Serosanguinous

Question 13

Seborrheic

Answer 13

Favoring the hair-bearing locations of the skin

Question 14

Elevated, circumscribed, superficial fluid-filled

Answer 14

Vesicle

Question 15

Elevated, superficial lesion. Similar to a vesicle but filled with purulent fluid

Answer 15

Pustule

Question 16

Clear serous fluid

Answer 16

Exudates

Question 17

An elevated firm, rough, lesion

Answer 17

Plaque

Question 18

An elevated, firm, circumscribed area less than 1 cm in diameter.

Answer 18

Papule

Question 19

Vesicle greater than 1 cm

Answer 19

Bulla

Question 20

An elevated, irregularly-shaped area of cutaneous edema. Solid, transient and variable diameter.

Answer 20

Wheal (Hive)

Question 21

Elevated, firm, circumscribed lesion; deeper in the dermis than a papule. 1-2
cm in diameter.

Answer 21

Nodule

Question 22

Elevated and solid lesion; may or may not be clearly demarcated;
deep in dermis. Greater than 2 cm.

Answer 22

Tumor (Mass)

Question 23

Encapsulated lesion in the dermis or hypodermis; filled with liquid or semi-solid
material.

Answer 23

Cyst

Question 24

Rough & thickened epidermis secondary to persistent rubbing,
itching, or irritation. Accentuation of skin markings is often seen.

Answer 24

Lichenification

Question 25

Irregularly shaped, elevated scar that grows beyond the boundaries of the
initial injury or wound.

Answer 25

Keloid

Question 26

Dermatoglyphics

Answer 26

fingerprint lines (helps tell the difference with warts)