Integumentary 1

Question 1

subtype of melanoma that is most common in darker pigmented individuals; lesions are located on the nail beds, palmar and plantar surfaces, rarely on mucous membranes

Answer 1

acral lentiginous melanoma

Question 2

actinic keratosis

Answer 2

dry, roung, red colored lesions with rough texture on sun exposed areas

Question 3

precanerous lesion of SCS

Answer 3

actinic keratosis

Question 4

anaphylaxis immediate tx

Answer 4

epi 0.3-0.5 mg IM on mid outer thigh, repeat q5-15 minutes if response is poor to treatment

Question 5

most common risk factor for BCC is

Answer 5

exposure to UV radiation in sunlight

Question 6

BCC nodular form

Answer 6

occurs on face pink or flesh colored papule with pearly or translucent quality

Question 7

BCC superficial form

Answer 7

occurs on trunk as slightly scale, non firm macules, patches, or thin plaques light red to pink with atrophic or ulcerated center that does not heal

Question 8

erythema migrans rash appears when

Answer 8

7-14 days after deer tick bite

Question 9

meningococcemia (Meningitis)

Answer 9

systemic bloodstream infection caused by Neisseria meningitidis that can progress very rapidly without treatment

Question 10

meningococcemia (Meningitis) symptoms include
7

Answer 10

sudden onset of sore throat
cough
fever
HA
stiff neck
photophobia
changes in LOC

Question 11

what is usually elevated in bacterial meningitis

Answer 11

procalcitonin

Question 12

meningitis - recommended initial therapy

Answer 12

ceftriaxone

Question 13

prophylaxis for meningococcemia (Meningitis) exposure

Answer 13

rifampin

Question 14

RMSF presents with
8

Answer 14

abrupt onset of high fever
chills
severe HA
NV
photophobia
myalgia
arthralgia
rash 2-5 days after onset of fever (wrist, forearms, ankles and then to trunk)

Question 15

first line tx for RMSF

Answer 15

docycyline

Question 16

tx for adults with recluse spider bite is
3

Answer 16

abx on wound
cold packs
NSAIDs

Question 17

subungual hematoma can be drained by

Answer 17

trephination

Question 18

sandpaper rash with sore throat

Answer 18

scarlet fever

Question 19

hypopigmented round to oval macular rashes, most lesions on upper shoulder/back, no pruritis

Answer 19

tinea versicolor

Question 20

herald patch, progresses to collarette of scale with lesion clearing centrally, develops into a christmas tree pattern rash

Answer 20

pityriasis rosea

Question 21

smooth papules 2-5 mm in size that are dome shaped with central umbilication with a white plug

Answer 21

molluscum contagiosum

Question 22

meningococcemia (Meningitis) skin description

Answer 22

purple to dark-red painful skin lesions all over body

Question 23

3 layers of the skin

Answer 23

epidermis
dermis
subcutaneous

Question 24

xerosis

Answer 24

dry skin

Question 25

melanoma size

Answer 25

diameter >6mm

Question 26

most common cancer in the US

Answer 26

skin cancer

Question 27

2 most common types of skin cancer

Answer 27

BBC
SCC

Question 28

flat nonpalpable lesions < 1 cm in diameter

Answer 28

macule

Question 29

palpable solid lesions 1 cm or more in diameter

Answer 29

papule

Question 30

lichenification

Answer 30

thickening of the epidermis with exaggeration of normal skin lines due to chronic itching like eczema