MDT

Question 1

If you see a lession us that is benign, well-demarcated, and elevated lesions that have a “stuck-on appearance.” is

Answer 1

Seborrhoeic keratosis

Question 2

Initially presents with a one to two centimeter, scaly, pruritic, erythematous rash with subsequent central clearing and the development of similar smaller lesions in a “Christmas tree”

What skin condition is this?

Answer 2

Pityriasis Rosea

Question 3

Necrotizing Fasciitis S/s

Answer 3

Erythema, edema, celluliti, and high fever
*Unrelenting pain out of proportion to the physical findings even if there is only mild or no fever or erythema, often intense pain with palpation

Question 4

Necrotizing Fasciitis Tx

Answer 4

• Surgical debridement of necrotic tissue
• Broad spectrum antibiotics - Carbapenem
• MEDEVAC ASAP

Question 5

What condition is this?

Answer 5

Foliculitis
S/s are the following;
* Itching, burning pain,
* SUPERFICIAL PUSTULES OR INFLAMMATORY PAPULES
SURROUNDING THE HAIR FOLLICLES
* MAY OCCUR SINGULARLY OR IN GROUPS ON ANY BODY
SURFACE.
* STAPHYLOCOCCAL THE MOST COMMON TYPE.
* GRAM STAIN- GRAM POSITIVE COCCI

Question 6

Cellulitis S/s

Answer 6

• Edematous, expanding, erythematous, warm plaque with or without vesiles or bullae
• Lower leg is frequently involved
• Pain, chills, and fever are commonly present
• Occur when there is a break in the skin and bacteria enters the tissue/barrier

Question 7

What is the difference between furuncles and carbuncles?

Answer 7

• Furuncles only involve one nodule
• Carbuncles is the greater than than 1

Question 8

You have a patient reporting Tender pain near there tailbone, you look at it and see this. What do you suspect the condition is?

Answer 8

Pilonidal Abscess

Question 9

How do you treat Pilonidal abscess?

Answer 9

• I&D of the abscess
• Pack with gauze
• Antibiotics if needed.
• Surgical referral for definitive treatment

Question 10

Actinic Keratosis (AK) can lead to what condition?

Answer 10

Squamous Cell Carcinoma (SCC)
Which is a type of cancerous skin condition

Question 11

Squamous Cell Carcinoma (SCC)

Question 12

You have patient who is complaining of

Question 13

Onychomcosis

Question 14

You have a patient that that reports a lesion that looks like this, they state it is TTP and feel likes sandpaper, What do you suspected it is?

Answer 14

Actinic Keratosis (AK)

Question 15

You have a patient who reports of headache, malaise from the past few days. Has states it has a itchy burning sensation. and show you this, what do you suspected it is?

Answer 15

Herpes Zoster

Question 16

What tx while you prescribe to a patient with suspected Herpes Zoster?

Answer 16

• Apply cool tap water dressings daily
• Prescribe Oral Antivirals such as Acyclovir (Zovirax) 800mg, Valacyclovir (Valtrex), Famciclovir (Famvir)

Question 17

What are some treatment options for Herpes Simplex?

Answer 17

• Topical agents such as
  Tertrcaine Cream 1.8%
  Abreva
  Penciclovir Cream
• Oral medications such as Valacyclovir (Valtrex) 1g PO Famcyclovir (Famvir)
  Acyclovir (Zovirax)

Question 18

Impetigo S/S

Answer 18

“*Bullous Impetigo - inner tube shaped rim with a central thin, flat, honey colored crust that is common on the face
*Non-Bullous Impetigo - tinea like scaling border with a honey-yellow to white-brown crust with a red, moist base

Question 19

What instruction will you refer to for PFB?

Answer 19

BUPERSINST 1000.22

Question 20

What treatment would you provide for carbuncle/furuncles?

Answer 20

• Warm Compress
• I&D
• Systemic Antibiotics

Question 21

What condition deals with the inflammation of the perifungal tissue (Cuticle)?

Answer 21

Paronychia

Question 22

Infection between the fascial planes at the terminal phalanx of the finger refers to what?

Answer 22

Felon

Question 23

What condition is characterized by a “Spaghetti & Meatballs” appearance under KOH Prep?

Answer 23

Tinea Versicolor

Question 24

What condition appears as a golden yellow under a woods lamp?

Answer 24

Tinea Versicolor