first flex case

Question 1

infection of hair follicule, purulent material extends thru dermis into SubQ where a small abscess forms

Answer 1

Furuncle (aka Boil)

Question 2

coalescence of several inflamed follicules into a single inflammatory mass with purulent drainage from multiple follicles

Answer 2

carbuncle

Question 3

hair follicle infection; perifollicular papules and/or pustules with surround erythema on hair bearing skin; often itchy

Answer 3

folliculitis

Question 4

two main bacterial causes of etiologies

Answer 4

s. aureus (r/o MRSA)
pseudomonas

Question 5

folliculitis tx if not MRSA

Answer 5

• watchful waiting
• Muciprocin or clinda
• PO- dicloxacillin or cephalexin

Question 6

folliculitis tx if MRSA (4)

Answer 6

• PO- TMP/sulfa, clinda, doxy or linezolid

Question 7

hot tub folliculitis tx (2)

Answer 7

1) watchful waitiing
2) if over 1-2 wks, PO TMP/SMX or cipro

Question 8

small, raised, friable papule on the skin. Have a smooth surface and may be moist. They bleed easily because of the high number of capillaries at the site. A benign growth

Answer 8

pyogenic granulomas

Question 9

benign, small, raised, friable papule/nodule with smooth surface and may be moist; high number of capillaries at the site; solitary glistening and rapid growth

Answer 9

pyogenic granulomas

this is a misnomer bc its not pyogenic or a granuloma

Question 9

benign, small, raised, friable papule/nodule with smooth surface and may be moist; high number of capillaries at the site; solitary glistening and rapid growth

Answer 9

pyogenic granulomas

this is a misnomer bc its not pyogenic or a granuloma

Question 10

5 tx options for pyogenic granulomas

Answer 10

• surgical excision
• curette & cauterize
• laser
• cryotherapy
• imiquimod

Question 11

Large, painful, inflamed nodules, sterile abscesses and sinus tracts in the axillae, groin, and other parts of the body that contain apocrine glands

Answer 11

Hidradentitis Suppurativa

Question 12

Hidradentitis Suppurativa tx

Answer 12

topical or systemic abx for anti-inflammatory effects
complete excision and grafting

Question 13

3 tx for RHUS dermatitis/poison ivy rash

Answer 13

• oatmeal baths, wet compress, burrows soluntion or calcium acetate
• high potency steroids for itching
• PO predinsone taper for overly symptomatics (will be flare of the skin rxn)

Question 14

intensely pruritic eruption w/in 48 hours of exposure.The eruption may appear as early as 5 hours or as late as 14 days after exposure

Answer 14

clinical manifestations of poison ivy dermatitis

Question 15

closed comedomes & blackheads are part of stage ____ acne vulgaris

Answer 15

stage 1

Question 16

papules & white heads are part of what stage of acne vulgaris?

Answer 16

stage 2

Question 17

Following the acute phase of varicella, the virus enters the sensory nervous system

Answer 17

postherpetic neuralgia

Question 18

amitriptyline, gabapentin, PO steroids & antivirals can be used for?

Answer 18

tx for postherpetic neuralgia