Goljan facts

Question 1

Poxvirus; umbilicated lesions with viral particles?

Answer 1

Molluscum contagiosum

Question 2

White spots in buccal mucosa?

Answer 2

Measles (Koplik spots)

Question 3

Spread of rash in measles?

Answer 3

Begins @ head-> trunk-> little on extremities

Question 4

Complications: giant cell pneumonia + otitis media + pancreatitis?

Answer 4

Measles (rubeola)

Question 5

Red spots on posterior hard/soft palate?

Answer 5

Rubella

Question 6

3 day rash w/ postaruicular LAD and polyarthritis?

Answer 6

Rubella

Question 7

Teratogenic viruses?

Answer 7

Rubella

Question 8

Slapped face appearance?

Answer 8

Parvovirus B19 (erythema infectious)

Question 9

Virus causing aplastic anemia in SCD or hereditary sperocytosis patients?

Answer 9

Parvo B19

Question 10

Most common cause of Rash in children <2yo?

Answer 10

Roseola (HHV 6)

Question 11

Child w/ high fever, rash on soft palate?

Answer 11

Roseola

Question 12

Tzanck test?

Answer 12

Detects Herpes viruses (VZV)

Question 13

Tx for fever, hypotension, despuamating sun-burn like rsh?

Answer 13

S. aureus (TMP-SMX)

Question 14

Most common cause of impetigo?

Answer 14

S. aureus

2nd -> S pyogenes

Question 15

Granulomas w/ very few acid fast bacilli?

Answer 15

Tuberculoid Leprosy

Question 16

Skin lesion + autoamputation of digits + hypopigmentation?

Answer 16

Tuberculoid leprosy

Question 17

Absence of granulomas+ bacteria present inside Foamy macrophages+ lack of cellular immunity?

Answer 17

Lepromatous leprosy

Question 18

Which type of Leprosy has a positive lepromin skin test?

Answer 18

Tuberculoid due to cellular immunity

Question 19

Chronic Inflammation of pilosebaceous unit?

Answer 19

Acne vulgaris

Question 20

PG of acne vulgarism?

Answer 20

abnormal keratinization of follicle
Increased sebum by androgen receptor agonism
P. acnes lipases producing pro-inflammatory fatty acids

Question 21

Where are dermatophytoses infection located?

Answer 21

Stratum corneum

Question 22

Pruritis limited to Webs btwn fingers?

Answer 22

Scabies (Sarcoptes hominis)

Question 23

Deficiency of Tyrosinase thus absent of melanin?

Answer 23

Albinism

Question 24

Autoimmune destruction of melanocytes?

Answer 24

Vitiligo

Question 25

Most common benign lesion in elderly with “stuck on” appearance?

Answer 25

Seborrheic keratosis

Question 26

Velvety pigmented skin lesion common in Axilla?

Answer 26

acanthosis nigricans (excess Insulin)

Question 27

Which cancer favors Upper Lip and higher?

Answer 27

BCC

Question 28

Skin cancer favoring Lower Lip?

Answer 28

SCC