Exam 1 derm Tx

Question 2

Tx: dermatitis herpetiformes

Answer 2

dapsone

Question 3

Tx: porphyria cutanea tard

Answer 3

referral, stop meds, phlebotomy, prevention

Question 4

Tx: erythema migrans

Answer 4

doxycycline, amoxicillin

Question 5

Tx: cellulitis

Answer 5

IV antibiotics, oral if mild

Question 6

Tx: folliculitis

Answer 6

topical antibiotics, incise & drain if necessary

Question 7

Tx: erisipelas

Answer 7

IV antibiotics. rapid Tx to avoid rapid spread

Question 8

Tx: discoid lupus

Answer 8

high potency steroids except on the face (causes atrophy)

Question 9

Tx: herpes simplex

Answer 9

valacyclovir, famciclovir

Question 10

Tx: herpes zoster

Answer 10

valacyclovir, famiciclovir, acyclovir, prednisone, pain management

Question 11

Tx: varicella

Answer 11

Sx Tx: antihistamine, fluids. oral antibiotics if infection, varivax (vaccine).

Question 12

Tx: scabies

Answer 12

lindane, permethrin

Question 13

Tx: insect bites

Answer 13

epi pen if hypersensitive

Question 14

Tx: molluscum contagiosum

Answer 14

self limiting. can cut and expel curdlike material. curettage, cryotherapy etc.

Question 15

Tx: hand, foot & mouth

Answer 15

Sx Tx: lidocaine gel for oral discomfort

Question 16

Tx: roseola infantum

Answer 16

self limiting, Sx Tx

Question 17

Tx: rubella (german measles)

Answer 17

Sx Tx, avoid pregnant contacts

Question 18

Tx: erythema infectiosum (fifth’s disease)

Answer 18

Sx Tx, if anemic, transfusion may be necessary

Question 19

Tx: rubeola

Answer 19

Sx Tx, prevention, MMR vax

Question 20

Tx: rosacea

Answer 20

topical metronidazole, systemic antibiotic if refractory

Question 21

Tx: acne

Answer 21

remove plugging, highly customized Tx. Topical antibiotics, benzoyl peroxide, topical retinoids

Question 22

Tx: tinea versicolor

Answer 22

selenium sulfide lotion

Question 23

Tx: tinea corporis

Answer 23

topical tx with -zoles

Question 24

Tx: tinea cruris

Answer 24

terbinafine cream/antifungal -zoles

Question 25

Tx: tinea pedis

Answer 25

antifungal -zoles, prevention: shower shoes, washing, etc.

Question 26

Tx: impetigo

Answer 26

daily bathing, topical antibiotic: mupirocin, oral antibiotics if severe

Question 27

Tx: psoriasis

Answer 27

topical keratolytic agents and steroids. phototherapy.

Question 28

Tx: pityriasis rosea

Answer 28

self limiting. medium strength topical steroid, antihistamine for itching

Question 29

Tx: seborrheic dermatitis

Answer 29

anti dandruff shampoo. anti staph antibiotics if heavy crusts. ketoconazole

Question 30

Tx: contact derm

Answer 30

discontinue exposure, decrease hand wash frequency, use mild soaps

Question 31

Tx: atopic eczema

Answer 31

avoid triggers, scented lotions etc. antihistamines for pruritus. petroleum moisturizers.

Question 32

Tx: mycosis fungoides

Answer 32

referral to oncology, derm

Question 33

Tx: malignant melanoma

Answer 33

wide excision, full thickness biopsy, lymph node biopsy, chemo

Question 34

Tx: squamous cell carcinoma

Answer 34

surgical resection, moh’s surgery

Question 35

Tx: basal cell carcinoma

Answer 35

biopsy, curettage/dessication, excisional biopsy, moh’s surgery

Question 36

Tx: actinic keratosis

Answer 36

5-FU cream, imiquimod, cryotherapy

Question 37

Tx: keratoacanthoma

Answer 37

self resolving

Question 38

Tx: seborrheic keratosis

Answer 38

when in doubt cut it out. reassurance, cryotherapy, curettage, biopsy