Dermatology Surgery

Question 1

Most common type of skin cancer

Answer 1

Basal cell carcinoma

Question 2

Nodular BCC

Answer 2

Typical translucent, pearly papule
Telangiectasias
Well-defined borders

Question 3

Ulcerating BCC

Answer 3

Pearly, smooth, and firm
Telangiectasias
Central ulcer

Question 4

Sclerosing BCC

Answer 4

Plaque, scar-like lesion
White or pink

Question 5

Superficial multicentric BCC

Answer 5

Thin plaque or patch
Pink or red
May have scaling

Question 6

Pigmented BCC

Answer 6

Globules of dark pigment
Smooth surface

Question 7

Diagnosis of BCC

Answer 7

Biopsy

Question 8

Treatment of BCC

Answer 8

Mohs or surgical excision
Erivedge (vismodegib) for patients who are not surgical candidates

Question 9

How to describe burns

Answer 9

Rule of 9s

Question 10

Burn degrees

Answer 10

1st: epidermis only
2nd: epidermis and superficial dermis
3rd: entire dermis and epidermis
4th: entire dermis and epidermis as well as bone, muscle, or fat

Question 11

Management of large burns

Answer 11

IV opiates for pain
Fluids (LR)
Catheter to monitor Is and Os

Question 12

How to calculate fluid dose for burn patients

Answer 12

Parkland formula

Question 13

Management of minor burns

Answer 13

Clean wound and apply topical Silvadene

Question 14

Acidic vs. alkalotic burns

Answer 14

Acid: coagulation necrosis leading to eschar formation
Alkali: liquefaction necrosis

Question 15

Etiology of cellulitis

Answer 15

MC staph aureus

Question 16

S/S of cellulitis

Answer 16

Fever, chills
Erythema
Pain, hot, tender
Indistinct borders

Question 17

Diagnosis of cellulitis

Answer 17

Clinical

Question 18

Treatment of cellulitis

Answer 18

MRSA: clinda, vanc, bactrim
Non-MRSA: keflex
Dog bite: augmentin

Question 19

Immediate vs. delayed drug reactions

Answer 19

Immediate: < 1 hour after last dose
Delayed: after 1 hour

Question 20

S/S of exanthematous drug reactions

Answer 20

Bright red, maculopapular rash
Starts on trunk and spreads to extremities

Question 21

Drugs common for exanthematous drug reactions

Answer 21

PCN
Carbamazepine
Allopurinol
Sulfonamides
Gold salts

Question 22

Treatment of exanthematous drug reaction

Answer 22

D/c offending agent
Topical steroids and antihistamines

Question 23

Fixed drug reaction

Answer 23

Patch or plaque that will recur at the same site if re-exposure of offending agent occurs

Question 24

Treatment of fixed drug reaction

Answer 24

Eroded: antibiotic ointment
Non-eroded: topical steroid ointment

Question 25

MC drugs resulting in drug-induced hypersensitivity syndrome

Answer 25

Antiepileptic drug
Sulfonamides

Question 26

S/S of drug-induced hypersensitivity syndrome

Answer 26

Onset 2-6 weeks after drug initiation
Fever, malaise
Facial edema
Maculopapular eruption
Organomegaly
Lymphadenopathy
Abnormal labs

Question 27

Treatment of drug-induced hypersensitivity syndrome

Answer 27

Mild: topical steroids
Severe: oral steroids

Question 28

S/S of melanoma

Answer 28

Asymmetry
Irregular borders
Dark color
Large size
Changing over time

Question 29

Diagnosis of melanoma

Answer 29

Full thickness/punch biopsy

Question 30

Treatment of melanoma

Answer 30

Excision with wide-margins

Question 31

Margins for melanoma

Answer 31

In situ: 0.5 cm
Less than 1-2 mm: 1-2 cm
2-4 mm: 2 cm
> 4 mm: 2 cm

Question 32

MC location of pressure ulcers

Answer 32

Sacrum/hip

Question 33

Rating of pressure ulcers

Answer 33

1: intact skin
2: loss of epidermis with exposed dermis
3: full-thickness skin loss
4: exposed muscle, tendon, or bone

Question 34

Precursor to SCC

Answer 34

Actinic keratosis

Question 35

S/S of SCC

Answer 35

Hard, firm papule or plaque
Keratotic scale

Question 36

Diagnosis of SCC

Answer 36

Biopsy

Question 37

Treatment of SCC

Answer 37

Mohs or excision with narrow margins
Topical Imiquimod or 5-FU

Question 38

Keratocanthoma

Answer 38

Volcano-like, rapid growing, SCC