Mohs Boards Flashcards
Biological to treat DFSP
Imatinib
Immunostain used in Mohs to identify SCC
AE1/AE3
Also called pan cytokeratin
Ber-EP4
BCC
AE1/AE3
Pancytokeratin stains
BCC and SCC
MN116
BCC and SCC
CD34
DFSP
Immunostain for DFSP
CD34
CK7
Extramamary Paget’s disease
Immunostain stain for Extramammary Pagets
CK7
HMB-45
Immunostain for Melanoma
SOX10
Immunostain stain for melanoma
Name the common immunostain a for melanoma
MART1/Melan A
HMB45
SOX10
S100
Immunostain for Merkel Cell Carxinoma
CK20
CK20
Immunostain for Merkel Cell Carcinoma
Cam5.2(low molecular weight cytokeratin)
Mutinous Carcinoma
Immunostain for Mucinous Carcinoma
Cam5.2 (low molecular weight cytokeratin)
Exposure to mineral oil weirdly causes what cancer
bcc
Exposure to soot weirdly causes what type of cancer
BCC
Most common cancer to arise within bcc
Trichiblastoma
Name some MOA of retinoids
Inhibits ornithine decarboxylase Inhibits collagenase Downregs proliferative keratins K6/K16 Increases fillagrin Increases keratin filaments Antagonizes function of AP-1 and IL-6 Downregulates TLR 2
anesthetic shortest duration
procaine
anesthetic risk of fetal bradycardia
mepivacain
anesthetic risk of methemoglobinemia
prilocaine
anesthestic longest duration with epi
bupivacaine
anesthetic with cardiac toxicity
bupivacaine
anesthetic with most rapid onset
chloroprocaine
anesthetic with longest overall duraction
ropivacaine
surgical prep w most rapid onset
alcohol
what is the only organism alcohol Surg prep doesn’t cover for?
spores
what is the antiseptic with the longest duration of action?
chlorhexadine
what does chlorhexidine not cover for?
pseudomonas
which Surg prep is effective against spores?
iodine
which Surg prep must wait to dry to be effective?
iodine
what is iodine inactivated by?
blood, serum
what Surg prep is neurotoxic to infants?
hexochlorophene
what is the worst antiseptic of all?
triclosan
minocycline hyper pig type I
in scars
minocycline hyperpigmentation type ii
arms and legs
minocycline hyperpigmentation type III
sun exposed areas like head
what does minocycline stain with on path
melanin (Fontana Mason) and iron (Perls)
5-FU MOA
inhibits thymidyline synthetase
what inhibits thymidyline synthetase
5 - FU
what drug to add to drabafinib (BRAF inhibitor) to stop the occurrence of SCCs as a side effect?
Trametinib ( a MEK inhibitor)
Mel marker calcium binding protein
S100
Melanoma marker is part of a gp100 complex
HMB-45
Melanoma marker is a transcription regulated of the tyrosinase gene
MITF-1
Melanoma marker is a transcription factor/SRY related HMG box protein
SOX-10
Melanoma marker is a melanocytes differentiation antigen (transmembrane protein)
MART-1
Ferguson Smith
TBG-B
Large KA syndrome
Rothmund Thompson
REQL4
Dystrophic EB
Collagen type VII
SCC gene mutations
p53
NOTCH
Rad
EDV
HPV 5,8,47
Bowenoid papulosis
HPV 16
Verrucous carcinoma
HPV 6,11,16,18
Familial Melanoma
CDKN2a
What are the protein products in CDKN2a melanoma?
P53 (chromosome p14) and Rb (p16)
Ocular melanoma
BAP
Gene for pigmentation and melanoma
MITF
60% of melanoma cases are what gene
BRAF
Melanoma gene for INTERMITTANT sun exposure
BRAF
Melanoma gene for CHRONIC sun exposure
NRAS
Uveal melanoma
GNAQ
Blue nevi
GNAQ
NRAS
Melanoma of CHRONIC exposed skin
BAPoma for ocular melanoma and what other kind of cancer
Mesothelioma and renal cell carcinoma
TGB-1 gene
Ferguson Smith
PDGF-B and Col-1 fusion gene
DFSP
On chromosome 7,11
What is the specific gene mutation for BRAF
Mutation of glutamine (E) for valine (V) at V600
Familial melanoma CDKN2A risk of what other type of cancer
Pancreatic