MKSAP DERM II

Question 1

What is actinic purpura

Answer 1

Age and sun damage related capillary fragility and bleeding under strophic skin

Flat, noninflammed and ecchymosis in sun damaged skin on forearms and dorsal hand

Question 2

Elderly smokers with long-standing rheumatoid arthritis and high rheumatoid factor titers are at risk for _____.

Answer 2

Rheumatoid vasculitis

Question 3

Illicit drug use can result in what kind of vasculitis?

Answer 3

Leukocytoclastic vasculitis (most notably from cocaine adulterated wtih levasmisole).

Have palpable purpura often with involvement of ears.

Question 4

What is the leading cause of subacute cutaneous lupus erthematosus?

Answer 4

Tumor necrosis factor inhibitors (like adalimumab)

Question 5

Drug-induced photosensitive rash characterized by erythematous annular (ring-shaped) scaly patches.

Answer 5

Subacute cutaneous lupus erythematosus

Question 6

How often do you need to have cellulitis per year to be considered for abx ppx?

Answer 6

3 to 4 times yearly

Question 7

Asymptomatic translucent telangiectatic papule on sun-exposed areas in fair-skinned person

Answer 7

Basal cell carcinoma

Question 8

Variant of sarcoidosis that involves granulomatous inflammation of the skin around the nares.

Answer 8

Lupus pernio

Question 9

Targetoid lesions accompanied by mucous membrane involvement

Answer 9

Erythema multiforme major (triggered by drug or infection mainly HSV or Mycoplasma)

Question 10

Firm, flesh-colored lesion (few mm to few cm) with central punctum on trunk that can express foul-smelling material

Answer 10

Epidermal inclusion cyst

Treated with excision (need to remove the epithelial lining)

Question 11

What is telogen effluvium

Answer 11

Generalized nonscarring alopecia triggered by a physically traumatic event about 3-5 months after the event (surgery, birth, fever), spontaneously resolves 6-12 months

Question 12

What is melasma?

Answer 12

Acquired hypermelanotic condition usually affected women of childbearing age; characterized by tan-brown reticulated patches on the face

Question 13

New or explosive onset of seborrheic dermatitis is associated with…

Answer 13

HIV

Question 14

Red (varying) pruritic papules on chest, flanks and back associated with dry skin, heat and sweating in middle-aged to elderly men

Answer 14

Transient acantholytic dermatosis

Treated with topical steroids or moisterizers

Question 15

Pruritic, purple, polygonal papules that can coalesce into plaques on the ankles and flexor surfaces of the wrist

Answer 15

Lichen planus