Even more pics

Question 1

Answer 1

left to right

1. closed comedones
2. open comedones
3. papules/pustules
4. nodules

acne

Question 2

Answer 2

left to right

acne

1. mild: papules/pustules
   2: moderate: papules/pustules/nodules
2. severe: papules/pustules/nodules

Question 3

Answer 3

mild to moderate comedonal acne

Tx: topical retinoid

Question 4

Answer 4

mild mixed acne

topical retinoid and topical antibiotic

Question 5

Answer 5

moderate mixed acne

Tx: topical retinoid and topical antimicrobial and oral antibiotic

Question 6

Answer 6

severe mixed/inflammatory acne

Tx: isotretinoin

Question 7

Answer 7

severe mixed acne

minimal scarring: topical retinoid and topical antimicrobial and oral antibiotic

more severe scarring: isotretinoin

Question 8

Answer 8

chest/back acne

Tx: isotretinoin

Question 9

Answer 9

rosacea

Question 10

Answer 10

perioral dermatitis

Question 11

Answer 11

folliculitis

Question 12

Answer 12

scars from hidradenitis suppurativa

Question 13

Answer 13

Herpes simplex

Question 14

Answer 14

Tzanck smear

multinucleated giant cells

herpes

Question 15

Answer 15

VZV

shingles

Question 16

Answer 16

molluscum contagiosum

Question 17

Answer 17

inflamed molluscum

Question 18

Answer 18

common warts

Question 19

Answer 19

filiform warts

Question 20

Answer 20

flat warts

Question 21

Answer 21

plantar warts

Question 22

Answer 22

plantar warts

Question 23

Answer 23

left: callus

right top: corn

right bottom: talon noir (black heel)

Question 24

Answer 24

anogenital warts

Question 25

Answer 25

scaling, seb derm like vs. localized plaques

tenia capitis

Question 26

Answer 26

pathcy alopecia

tenia capitis

Question 27

Answer 27

black dot pattern, broken hair shafts

tenia capitis

Question 28

Answer 28

pustules

tenia capitis

Question 29

Answer 29

kerion: may cause permanent scarring alopecia

tenia capitis

Question 30

Answer 30

KOH of scale and/or broken hair

tenia capitis

Question 31

Answer 31

seborrheic dermatitis

cradle cap: waxy yellow scale

teens and adults with dandruff

Question 32

Answer 32

psoriasis

erythematous plaques with silvery scale: favore postquricular and posterior hairline

Question 33

Answer 33

well-circumscribed smooth bald patches

alopecia areata

Question 34

Answer 34

tinea corpus

Question 35

Answer 35

tinea corporis: tinea incognito (steroids altered the appearance)

Question 36

Answer 36

Majocchi’s granuloma: granulomatous folliculitis

Question 37

Answer 37

nummular atopic dermatitis

Question 38

Answer 38

granuloma annulare

raised rubbery rim, no scale

dorsal hands, wrists, feet, ankles

Question 39

Answer 39

tinea manuum

palmar: fine scale, may be unilateral
dorsal: annular, red, scaly

Question 40

Answer 40

tinea cruris

Question 41

Answer 41

top: candidiasis

middle/bottom: erythrasma: no scale, coral red fluorescence

Question 42

Answer 42

tinea pedis

Question 43

Answer 43

contact dermatitis

dorsal feet affected

Question 44

Answer 44

dyshidrotic eczema

tapioca vesicles

Question 45

Answer 45

tinea unguium: distal subungual

MOST COMMON

invasion of distal nail plate, onycholysis with thickening and discoloration

Question 46

Answer 46

tinea unguium: proximal subungual

uncommon, HIV positive

Question 47

Answer 47

tinea unguium: white superficial

white plaques on dorasl nail plate

Question 48

Answer 48

tinea unguium: candida

Question 49

Answer 49

chronic paronychia

nail dystrophy: candida albicans

Question 50

Answer 50

trachyonychia: 20 nail dystrophy

ridging, grooves, pitting, discoloration, fragility

Question 51

Answer 51

Beau’s lines

transverse grooves or furrows

stress causes temporary arrest of nail matrix

nail may shed

Question 52

Answer 52

physical trauma

usually symmetrical: often both great toes, second toes, or fifth

pressure from ill fitting shoes

Question 53

Answer 53

Habit Tic deformity

habitual picking at cuticle

Question 54

Answer 54

tinea versicolor

Question 55

Answer 55

pityriasis alba

atopic background, common on face

Question 56

Answer 56

KOH prep

spaghetti and meatballs (hyphae and spores)

Question 57

Answer 57

candidiasis

angular chelitis: oral commissures due to increased moisture (elderly, denutres, lip lickers)