Integumentary

Question 1

Rocky mountain spotted fever

Answer 1

From dog/deer tick infected with Rickettsia
Fever, chills, headache, n/v, arthralgia
Rash 2 to 5 days after fever
Rash: petechiae starting on that start on the hands/palms and feet/soles, then wrists/arms/ankles that spreads to trunk
Treat with doxy
Prevent with deet and permetherin

Question 2

Impetigo rash description

Answer 2

Honey colored crusts

Pruritic

Question 3

Measles rash

Answer 3

Koplik spots

Rash in cheeks by molars

Question 4

Scabies rash

Answer 4

Very itchy, especially at night
In between fingers and toes, waist, axilla, penis
Snakelike or linear Burroughs

Question 5

Scarlet fever rash

Answer 5

Sore throat and sandpaper rash

Question 6

Tinea versicolor rash

Answer 6

Hypopigmented round/oval rash

NOT itchy

Question 7

Pityriasis rosea rash

Answer 7

Christmas tree rash

Question 8

Molluscum contagiosum rash

Answer 8

Dome shaped bumps with central umbilication and white plug

Question 9

Erythema migrans

Answer 9

Target like lesions

Lyme dz

Question 10

Meningococcemia rash

Answer 10

Purple to red painful lesions
Associated with fever, ha, change in loc
Tx with rifampin

Question 11

Actinic keratosis

Answer 11

Precancerous precursor for squamous cell carcinoma

Question 12

Melasma

Answer 12

Mask of pregnancy
Brown to tan stains on cheeks, nose, malar, forehead, chin.
Pt will be pregnant or on estrogen

Question 13

Hidradenitis Suppurativa

Answer 13

abscess/boils in armpits and groin

Question 14

Impetigo

Answer 14

superficial skin infection caused by gram-positive bacteria

tx with keflex

Question 15

Meningococcemia

Answer 15

life-threatening infection 
spread by respiratory droplets
tx close contacts rifampin
prevent with meningococcal vaccination
tx with rocephin

Question 16

early lyme dz tx

Answer 16

doxy

Question 17

Scabies tx

Answer 17

Permethrin cream

Question 18

Rosacea

Answer 18

small acne-like papules

tx: Metronidazole, Azelaic acid (Azelex) topical gel

Question 19

Molluscum Contagiosum

Answer 19

Dome-shaped papules with central umbilication (white plug). Caused by skin infection with the poxvirus.
lasts 6-12 months
No cure, tx symptoms

Question 20

Adult rule of nines

Answer 20

Body surface: 9% (each arm, head)

Body surface: 18% (each leg, anterior trunk, or posterior trunk)

Question 21

Antibiotic for bites

Answer 21

amoxicillin– clavulanate (Augmentin)

Question 22

MRSA tx

Answer 22

MRSA-BCD
Bactrim
Clinda
doxy

Question 23

Subungual hematoma tx

Answer 23

trephination