Integumentary

Question 1

Fever, chills, HA, N/V
Photophobia
Myalgia, arthralgia
Small red spots (petechiae) that start on wrists, forearms, ankles (sometimes palms and soles) that progresses toward trunk

Answer 1

Rocky Mountain Spotted Fever

Question 2

Rocky Mtn Spotted Fever treatment/prevention

Answer 2

Doxycyline
Use of DEET-containing bug spray, permethrin on clothes

Question 3

Bradycardia or tachycardia
Wheezing, flushing
Hives
Hypotension, hypoxia
Cardiac arrest

Answer 3

Anaphylaxis (angioedema, hives)

Question 4

Treatment of anaphylaxis

Answer 4

Epinephrine at mid-outer thigh every 5 to 15 minutes
Call 911

Question 5

Fever/chills, N/V
Swollen, red, tender blister with the central area becoming necrotic (eschar)

Answer 5

Brown Recluse Spider Bites

Question 6

Expanding rash with central clearing and bulls-eye + flu like symptoms

Answer 6

Lyme disease
Erythema migrans

Question 7

Sore throat, cough, HA, stiff neck, photophobia, changes in LOC, drowsiness, lethargy.
Petechial rash in axillae, flanks, wrists and ankles.

Elevated procalcitonin

Answer 7

Meningococcemia

Question 8

Systemic infection of Neisseria meningitidis (gram negative)

Answer 8

Meningococcemia

Question 9

Sudden eruption of vesicular lesions that rupture into ulcers w/ crusts on one side of the scalp, forehead, sides, and tip of the nose.

Can have eye pain and blurred vision

Answer 9

Shingles infection of trigeminal nerve (Herpes zoster opthalmicus)

Question 10

Dark colored moles w/ uneven texture, variegated colors, irregular borders and > 6 mm diameter

Answer 10

Melanoma

Question 11

Melanoma of the nailbeds

The most common subtype of melanoma in African Americans and Asians

Answer 11

Subungual melanoma

Question 12

Pearly/waxy skin lesion
Atrophic/ulcerated center
Does not heal

Common in fair-skinned individuals

Answer 12

Basal cell carcinoma

Question 13

Dry, round, red lesions
Rough in texture
Not healing
On sun-exposed areas of the body

Answer 13

Actinic keratosis

Question 14

Blood collection under the nailbed from trauma

Answer 14

subungual hematoma

Question 15

Trephination

Answer 15

A method of draining a subungual hematoma

Used when the hematoma involves > 25% of the nailbed

Question 16

Flu-like symptoms
Widespread rash with hives, blisters (bullae), petechiae, necrosis, sloughing

Triggered by medications like allopurinol, anticonvulsants, sulfonamides, NSAIDs

HIV infection, lupus and malignancies put people at greater risk

Answer 16

Steven’s Johnson Syndrome

Question 17

Honey colored crusts
Fragile bullae (blisters)
Pruritic (itchy)

Answer 17

impetigo

Question 18

Koplik spots (white spots on the cheeks and rear molars)

Answer 18

Measles

Question 19

Pruritic, esp at night
Serpiginous rash on interdigital webs, waist, axilla, penis

Answer 19

Scabies

Question 20

Sandpaper rash w/ sore throat

Answer 20

Scarlet fever

Question 21

Christmas-tree pattern
Herald patch initially

Answer 21

pityriasis rosacea

Question 22

smooth papules that are domed with central umbilication and white “plug”

Answer 22

molluscum contagiosum

Question 23

distal portions of the limbs

Answer 23

acral

Question 24

ring-shaped

Answer 24

annular

Question 25

cutaneous rash

Answer 25

exanthem

Question 26

skin area outside of the joint i.e. front of knee back of elbow

Answer 26

extensor

Question 27

skin on top of the joint w/ skin folds

Answer 27

flexor

Question 28

body folds

Answer 28

skin flexures

Question 29

area where two skin surfaces touch or rub each other

Answer 29

intertriginous

Question 30

rash with color and small bumps that are raised above the skin surface

Answer 30

maculopapular

Question 31

rash that resembles measles

Answer 31

morbilliform

Question 32

coin-shaped rash

Answer 32

nummular

Question 33

bleeding into the skin

Answer 33

purpura

Question 34

shaped like a snake

Answer 34

serpiginous

Question 35

wart-like

Answer 35

verrucous

Question 36

dry skin

Answer 36

xerosis

Question 37

Flat, non palpable lesion < 1 cm diameter

Answer 37

macule

Question 38

palpable, solid lesion

Answer 38

papule

Question 39

flattened, elevated lesion > 1cm diameter variable shape

Answer 39

plaque

Question 40

elevated superficial blister filled w/ serous fluid > 1cm in size

Answer 40

bullae

Question 41

elevated superficial skin lesion < 1cm diameter Filled w/ serous fluid

Answer 41

vesicle

Question 42

elevated superficial skin lesion < 1cm diameter Filled w/ purulent fluid

Answer 42

pustule

Question 43

thickening of epidermis w/ exaggeration of normal skin lines

Answer 43

lichenification

Question 44

soft, wartlike, fleshy outgrowths located mostly at back appear pasted on skin Painless appear during middle age or later

Answer 44

seborrheic keratoses

Question 45

Raised, yellow-colored plaques Located under brow or lower lids of eyes on nasal side

Answer 45

Xanthelasma

Question 46

bilateral brown/tan colored stains on upper cheeks, malar area, forehead occurs in women who have been or are pregnant or on COCPs

Answer 46

melasma (mask of pregnancy)

Question 47

white patches on skin w/ irregular shapes chronic, progressive

Answer 47

vitiligo

Question 48

smooth, round papules bright red color blanche w/ pressure d/t malformed arterioles in skin; benign

Answer 48

cherry angiomas

Question 49

soft, fatty, cystic tumors painless

Answer 49

lipoma

Question 50

round macules to papules light tan or dark brown distinct or slightly irregular borders

Answer 50

Nevi (moles)

Question 51

Dry skin Dry mouth (xerostomia) Dry eye (xeropthalmia)

Answer 51

Xerosis

Question 52

Velvety thickening of skin Usually behind neck or axilla Associated w/ diabetes, metabolic syndrome, obesity, and CANCER OF GI TRACT

Answer 52

acanthosis nigricans

Question 53

another word for skin tags

Answer 53

acrochordon

Question 54

Painless, pedunculated outgrowths Same color of person's skin More common in diabetics, obese patients

Answer 54

acrochordon (skin tags)