Integumentary 6

Question 1

do not ___ infected wounds

Answer 1

suture; leave open for >24 hours

Question 2

absolute contraindication to wound closure is presence of

Answer 2

cellulitis or abscess - redness, warmth, swelling, pain with or without pus

Question 3

sometimes ___ is used to view foreign bodies that do not show up on x rays

Answer 3

US

Question 4

do not suture what wounds
7

Answer 4

puncture wounds
human bites
animal bites
heavily contaminated wounds
lacerations > 12 hours old
infected wounds
wound open > 24 hours

Question 5

suture removal time frame - face, beck

Answer 5

5 days

Question 6

suture removal time frame - scalp

Answer 6

7-10 days

Question 7

suture removal time frame - trunk and upper extremities

Answer 7

7 days

Question 8

suture removal time frame - lower extremities

Answer 8

8-10 days

Question 9

suture removal time frame - digits, palm, and sole

Answer 9

10-14 days

Question 10

patients with INR of what should not be biopsied

Answer 10

INR >2.5

Question 11

koebner phenomenon

Answer 11

the appearance of new skin lesions on previously unaffected skin secondary to trauma

Question 12

can you get Shingrix vaccine if you’ve had organ transplant

Answer 12

yes - for solid organ transplant recipients, adminster the vaccine at least 6-12 months after transplantation when there is evidence of stable graft function and the patient is on maintenance immunosuppresion

Question 13

can you give Shingrix with other adult vaccines at same time

Answer 13

yes - at different anatomic sites

Question 14

hidradenitis suppurativa - stage that involves abscess formation without sinus tracts or scarring

Answer 14

stage I

Question 15

hidradenitis suppurativa - stage that involves recurrent abscesses with skin tunnels and scarring

Answer 15

stage II

Question 16

hidradenitis suppurativa - stage that involves multiple interconnected tracts, abscesses, and scarring, with diffuse involvement across an entire area

Answer 16

stage III

Question 17

hidradenitis suppurativa - stage I treatment

Answer 17

topical clindamycin

Question 18

hidradenitis suppurativa - failed stage I treatment of topical clindamycin, next step is

Answer 18

oral tetracycline (e.g. doxy)

Question 19

wound healing - fibroblast accumulate and build upon fibrin matrix to produce wound contraction and scar formation, produces collagen

Answer 19

remodeling

Question 20

wound healing - constriction of local blood vessels, plt aggregation, fibrin/clot formation

Answer 20

wound healing - macrophages and lymphocytes proliferate, inflammatory mediators are present

Question 21

wound healing - proliferation of basal and epithelial cells

Answer 21

proliferation

Question 22

sunburn initial treatment

Answer 22

cooling with room temp water, mild soap, or ice packs to provide some pain relief, direct application of ice should be avoided as this can increase pain and burn depth

Question 23

topical antimicrobial agents are required for what burns

Answer 23

partial or full thickness burns

Question 24

daily application of zinc oxide may be desirable for what burns

Answer 24

partial thickness burns

Question 25

RMSF - reportable?

Answer 25

yes

Question 26

verruca vulgaris aka

Answer 26

common wart

Question 27

basal cell carcinoma appears as

Answer 27

pearly edges
telangiecstasia
papule
central ulceration

Question 28

pearly edges, telangiectasia, papule, or central ulceration - think

Answer 28

BCC

Question 29

molluscum contagiosum - caused by and spread how

Answer 29

caused by poxvirus; highly contagious and spreads by autoinoculation, skin to skin contact such as wrestling, sexual contact, and sharing towels

Question 30

trephination

Answer 30

procedure in which a small hole is drilled on top of the nail so that blood can drain

Question 31

some methods to treat psoriasis
3

Answer 31

topical corticosteroids
vitamin D analogs (calcipotriene ointment)
UV light therapy

Question 32

looks like soft warts pasted on skin, most often on back

Answer 32

seborrheic keratosis