Final Exam Beck

Question 1

What 5 things exclusively affect the lower legs?

Answer 1

Asteatotic (cracked porcelain)
Stasis (erythemous, more swollen)
Venous leg ulcers (open wound)
Lichen simplex chronicus (this is not true... it also affects wrists, etc.)
Erythema nodosum

Question 2

What two dermatological conditions are associated with Koebner’s phenomenon? And how do you differentiate them?

Answer 2

Psoriasis and Lichen Planus

DDX: Lichen Planus shows Wickham’s Striae and has 5Ps. Plaque Psoriasis has Auspitz’s sign (pinpoint bleeding)

Question 3

What is the large patch that predates the rest of the patches in Pityriasis Rosea? And what is the treatment?

Answer 3

Herald Patch; Acyclovir (anti-viral)

Question 4

Which type of psoriasis has salmon-pink papules with plaques that are sharply marginated with silvery white scales? And what does the other one look like?

Answer 4

Plaque psoriasis (or just Psoriasis)

Guttate psoriasis: salmon-pink papules — not small, not plaques

Question 5

Pitting/oil spot lesions of the nail? DDX?

Answer 5

Plaque psoriasis

DDX: lichen planus — nail ridges and splitting

Question 6

What condition is associated with dislodging of the epidermis by lateral pressure? and what is it called

Answer 6

Nikolsky sign; Pemphigus Vulgaris

Question 7

Chronic, recurrent, intently pruritic vesicles, papules, and uticarial plaques that are arranged in groups. Associated with gluten-sensitive enteropathy. Treatment?

Answer 7

Dermatitis Herpetiformis

Celiac disease

GF diet, Dawson and sulfapyridine

Question 8

Exclamation point hairs

Answer 8

Alopecia areata

Question 9

Hives. Wheals - transient edematous papules and plaques

Answer 9

Urticaria

Question 10

Tx for fungal disease?

Answer 10

Antiinflammatory diet
Anti-fungal
Honey
Tea tree
Garlic cream

Question 11

Vick’s vaporub & Guinness is a Tx for…?

Answer 11

Tinea unguium

A chronic fungal infection; inflammatory dermatophytes

Question 12

Scaling, redness, itchiness, burning on the groin that can spread around butt and down thighs in a half moon shape but not on genitals

Answer 12

Tinea cruris

Question 13

Erythema, satellite lesions all up in (and on) the genitals. Can be on the mouth and interdigital folds.

Answer 13

Candidiasis (moniliasis)

Question 14

What are the hyper and/or hypo pigmented derm findings?

Answer 14

Tinea versicolor
Vitiligo
Melasma/cholasma

Question 15

Beetle juice (cantharidin)

Answer 15

Molluscum contagiosum

Question 16

What is most common in genital warts?

Answer 16

6,11

Question 17

Condylomata acuminata

Answer 17

Genital warts

Question 18

Condylomata lata

Answer 18

Syphilis

Question 19

Genital wart what is associated with cervical cancer

Answer 19

16,18,31

Question 20

Acetowhitening turns white if

Answer 20

Dysplasia seen in genital warts

Question 21

Small, flesh colored papules and umbilicated

Answer 21

Molluscum contagiosum

Question 22

“Slapped cheek” disease

Answer 22

Erythema infectiosum. (5th disease) And then a lacy, reticulated rash on the arms for 1-3 weeks

Question 23

Post-auricular and cervical lymphadenopathy

Answer 23

Roseola infantum
6th disease
Pseudorubella
Exanthem subitum

Question 24

Roseola infantum is HHV?

Answer 24

HHV6 and 7

Question 25

Erythematous halo, caused by friction, blockage of follicle, shaving

Answer 25

Folliculitis

Question 26

Pseudomonas bacteria in contaminated tube

Answer 26

Hot tub folliculitis

Question 27

Acute, deep-seated, red, hot tender nodule or abscess

Answer 27

Furuncle

Question 28

Clustered, interconnected boils

Answer 28

Carbuncles

Question 29

Pastia’s sign

Answer 29

Its peeling of finger/toe skin associated with Scarlet fever

Question 30

Diffuse brown, scaly plaque that can show up on 3rd and 4th web in teh genita-crural region

Answer 30

Erythrasma

Question 31

Sandpaper-like texture, pastia’s sign, strawberry tongue

Answer 31

Scarlet fever

Question 32

Within the 1st week: elevated, violaceous indicated maculopapule lesion. Typically traumatized skin, butcher handling raw fish, shellfish, poultry, pork

Answer 32

Erysipeloid

Question 33

Tx for syphilis

Answer 33

Antibiotics (penicillin)

Question 34

Associated with hyperhydrosis and occlusive footwear

Answer 34

Pitted keratolysis

Question 35

When might you use a felt pen?

Answer 35

Scabies: to find where mites burrow

Question 36

What tx would you use for pediculosis?

Answer 36

Tea trea and lavender Tree Australia Pomades for 10 minutes to kill lice

Question 37

Acute/inflammatory rx of subcutaneous fat leading to painful, red, swollen nodules. Typically on extensors

Answer 37

``` Erythema nodosum (Usually idiopathic) ```