Exam 4 Flashcards

1
Q

Contagious rash that blisters and leaves honey-colored crusting typically in the face of children.

Associated with scratching insect bites, atopic dermatitis (strep & staph), and scabies.

Do Not return to school until 48-72 hours after initiation of treatment.

A

Impetigo

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2
Q

Comodones, papules, pustules, and cyst often seen in adolescents causing low-self esteem.

Distribution follows sebaceous glands (face, neck, chest, back, and upper arms).

A

Acne Vulgaris

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3
Q

Characterized by white patches on red mucosa - Koplik spots.

Fine, erythematous, morbilliform eruption on the face that spreads to trunk within 4-7 days.

Cough, purulent coryza, photophobia, and fever precede rash.

A

Rubeola Measles (NOT Rubella)

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4
Q

Starts as fine macules and papules on the face and spreads within 24 hours.

Characterized by postauricular lymphadenopathy

A

Rubella

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5
Q

Intense itching especially to abdomen, web of fingers & toes, arms/axillae, and intragluteal area.

Hallmark is a linear/borrow/serpiginous rash with excoriation d/t itching

Contagious: treat whole family with Permethrin 5% and repeat in 7 days.

A

Scabies

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6
Q

Presents with salmon-colored spots on the neck, chest, and back causing mild itching.

Characterized by Herald’s patch- 1st and largest oval lesion to appear.

Follows skin lines of trunk in a Christmas tree pattern.

A

Pityriasis Rosea

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7
Q

Systemic illness associated with group A b-hemolytic strep throat.

Characterized by sandpaper rash (macular erythema of face, except around the mouth, followed by fine papular erythema.

SS- sore throat, malaise, fever, and white or strawberry tongue.

A

Scarlet Fever

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8
Q

Rough/soft, wart-like, fleshy growth in the trunk that are typically located on the back.

Appear in middle age, become more numerous, and range in color from light tan-brown

A

Seborrheic Keratosis

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9
Q

Well-demarcated, ham-colored (erythematous), plaques with silvery scales.

Favors elbows, knees, and scalp.

A

Psoriasis

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10
Q

Systemic illness typically in children <10 y.o caused by Coxsackievirus A16.

Produces low-grade fever, painful mouth sores, and white vesicles on the palms, hands, and feet.

A

Hand, Foot, Mouth Disease

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11
Q

Red maculopapular rash on the face caused by parvovirus B19 that is common in children.

Mild s/s of sore throat, low-grade fever, and red-slapped cheeks.

A

Fifth Disease

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12
Q

Contagious, pruritic, discrete vesicular lesions in different stages of healing that begin on the trunk and spread to face and extremities.

Characterized by itching, blisters, and dew drops on a rose petal appearance.

Present with fever and fatigue.

A

Varicella Zoster - Chickenpox

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13
Q

Secondary skin infection of the deep dermis and tissues due to viruses and skin breaks

Characterized by erythema, edema, tenderness, and heat.

Acute onset of poorly demarcated, pink-red colored skin with advancing margins.

A

Cellulitis

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14
Q

Neoplastic skin lesion that is papular with raised boarders.

Spread slowly and take a while to even reach a small diameter of 1/2 inch

A

Basal Cell Carcinoma

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15
Q

Painless, indurated nodule with a thick scaly appearance that does NOT itch found on sun-exposed areas, radiodermatitis areas, and old burn scars.

Carcinoma of lip, mouth, or ear may be associated with lymphadenopathy and metastasis.

A

Squamous Cell Carcinoma

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16
Q

Dry, round, red-colored lesions with a rough texture that do not heal.

Lesions that may be pre-cancerous (squamous cell carcinoma).

High risk in older adults with light colored skin, hair, eyes, and history of sun-exposure.

A

Actinic Keratosis

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17
Q

It is NOT uncommon for patients to receive reports of skin biopsies that can be precancerous.

A

True

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18
Q

Aggressive tendency to spread and metastasize rapidly and characterized by asymmetry.

Diameter >6 mm.

3 risk factors: hx of melanoma in 1st degree relative, large number of moles, and atypical moles.

A

Melanoma

19
Q

Severely painful groups of papules on a red base that rupture and crust, typically on the side of the body (dermatomal).

A

Shingles

20
Q

Shingles Vaccine Adult Schedule

A

Administer Shingrix, a 2 dose series to adults > 50 y.o at 0 and 2-6 month.

21
Q

Genetic tendency to develop allergic conditions, particularly asthma, and others (allergic rhinitis, eczema, and allergies).

A

Atopy

22
Q

Located below the cricoid cartilage and above the suprasternal notch.

Assess by having patient swallow and watching for upward movement.

A

Thyroid Gland

23
Q

Used to produce T3 and T4.

Deficiency can lead to hypothyroidism and a goiter.

A

Iodine

24
Q

High TSH; Low T3/T4

S/S- weight gain, fatigue, constipation

A

Hypothyroidism

25
Q

Associated with stunned skeletal growth

A

Congenital Hypothyroidism

26
Q

Low/undetectable TSH; High T3/T4

S/S- rapid weight loss, anxiety, insomnia.

A

Hyperthyroidism

27
Q

Treating hypothyroidism with Levothyroxine

A

Can induce Acquired Hyperthyroidism - monitor TSH 6-8 weeks after initiation of treatment and then q12 months after stabilized.

28
Q

Enlarged thyroid seen in hypo and hyper thyroids

A

Goiter

29
Q

60% rate of cancer.

Refer immediately for work up (thyroid function test, biopsy, and imaging)

A

Pediatric thyroid nodule

30
Q

Chronic autoimmune disorder of the thyroid causing painless goiter d/t destructive Ab (TPO) that gradually destroy the thyroid.

S/S- more common in women, fatigue, weight gain, menstrual abnormalities, and cold intolerance.

A

Hashimoto’s Thyroiditis

31
Q

Massive destruction of beta cells in the islets of Langerhans resulting in abrupt cessation of insulin production

A

Type 1 DM

32
Q

Progressive decrease of insulin secretion causing chronic hyperglycemia and hyperinsulinemia

A

Type 2 DM

33
Q

DM screening guidelines for asymptomatic, undiagnosed adults > 45 y.o.

A

Screen for DM every 3 years

34
Q

Diagnosing asymptomatic DM

A

2 fasting BG > 126 on two separate occasions.

35
Q

Enzyme produced by beta cells that indicates how much insulin your body is making and can helps distinguish Type1 & Type2 DM

A

C-peptide

36
Q

Hyperpigmentation and velvety thickening of skin behind the neck and axilla that is associated with DM

A

Acanthosis Nigricans

37
Q

Fundoscopic eye exam that reveals micro aneurysms.

A

Diabetic Retinopathy

38
Q

Type 1 DM eye exam

A

5 years after diagnosis or 10 years of age

39
Q

Type 2 DM eye exam

A

Immediately upon diagnosis and every 6-12 months after.

40
Q

Diabetic foot exam

A

Every office visit

41
Q

Abdominal obesity, Dyslipidemia (elevated TG >150 & decreased HDL <60), HTN, and Hyperglycemia

A

Metabolic Syndrome

42
Q

Diabetic with BMI > 25

A

Screen for HTN

43
Q

DM screen

A

Urinalysis for microalbumin & Lipid panel - 12 months

A1c - every 3 months until controlled, then every 6 months when stabilized.