geriatric derm

Question 1

UV light causes which changes to skin (4)

Answer 1

1. DNA damage
2. decr DNA repair
3. oxidative and lysosomal damage
4. altered collagen structure

Question 2

wat is the only agent shown to be effective against treating photodamage

Answer 2

tretinoin

Question 3

erythema and greasy looking scales on hairline, nasolabial fold, midline chest

Answer 3

seborrheic dermatitis

Question 4

seborrheic dermatitis is more common in who?

Answer 4

PD

Question 5

diffuse erythema and erythematous papules and papulopustules seen on cheeks, forehead, chin

Answer 5

rosacea

Question 6

early rhinophyma

Answer 6

rosacea

Question 7

what is xerosis

Answer 7

dryness

Question 8

what should moisterizing agents used for xerosis contain?

Answer 8

lactic acid or alpha-hydroxy acids to reduce roughness

Question 9

chronic, pruritic condition d/t anxiety

Answer 9

neurodermatitis

Question 10

moist erythema, maceration, superficial erosion in web space b/w 4th-5th toes

Answer 10

intertrigo

Question 11

intertrigo is most commonly caused by

Answer 11

candida

Question 12

tense fluid filled and hemorrhagic bullae on normal or erythematous base; on trunk and extremities; autoimmune

Answer 12

bullous pemphigoid

Question 13

proliferation of keratinocytes, usu benign

Answer 13

cutaneous horns

Question 14

decr venous return triggered by chronic venous HTN and incompetent valves; on medial supramalleolar areas with pruritis and potential for ulceration

Answer 14

stasis dermatitis

Question 15

yellow, thickened and friable nails with yellow brown debris under nail plate

Answer 15

onychomycosis

Question 16

what causes a majority of onychomycosis infxns

Answer 16

dermatophytes

Question 17

tx of onychomycosis

Answer 17

oral terbinafine, fluconazole, itraconazole

Question 18

vesicles on the tip of the nose; affecting the nasociliary branch of trigeminal nerve

Answer 18

hutchinson’s sign

Question 19

similar to intertrigo, but also has peripheral satellite pustules; assc’d wtih incr skin moisture or friction, poor hygiene, DM

Answer 19

candidiasis

Question 20

benign. Age >40; tan gray black waxy or warty papules and plaques with stuck on appearance; confused with melanoma

Answer 20

seborrheic keratoses

Question 21

most common acquired cutaneous vascular proliferations

Answer 21

cherry angiomas

Question 22

round, bright red, dome shaped papules; benign; dilated congested capillaries

Answer 22

cherry angiomas

Question 23

rough, scaly, red brown macules on sun exposed areas; considered pre-malignant

Answer 23

actinic keratoses

Question 24

2nd most common form of skin cancer

Answer 24

SCC

Question 25

pearly papule that is ulcerated in center with characteristic rolled border

Answer 25

BCC

Question 26

most common cancer in US

Answer 26

BCC