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Derm Exam 1 > Morphology and Therapeutic Basics > Flashcards

Morphology and Therapeutic Basics Flashcards

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Dermatology Board Prep flashcards
1
Q

what is the name of the initial lesion that occurs

A
  • primary lesion
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2
Q

what is the name of the changes that occur due to time or manipulation

A
  • secondary lesions
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3
Q

which lesion defines a disease (primary or secondary)

A
  • primary
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4
Q

what is the name for small (<1cm) flat lesions

A
  • macules
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5
Q

macule are caused by

A
  • color changes in epidermis or upper dermis
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6
Q

presence of a macule indicates that the process is confined to the ______

A
  • epidermis
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7
Q

do macules contain fluid and/or are raised?

A
  • no
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8
Q

macules can have secondary changes such as _____ or ______

A
  • scale - crust
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9
Q

if a flat lesion is over 1 cm it is called a _______

A
  • patch
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10
Q

what is the description of color for a lesion the same color as the patient’s skin tone

A
  • skin-colored
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11
Q

what is the name for raised lesions larger than 1 cm

A
  • plaques
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12
Q

what lesions cast a shadow with side lighting

A
  • plaques
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13
Q

plaques are a proliferation of cells in the ______ or _______

A
  • epidermis - superficial dermis
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14
Q

what is the name for raised lesions less than 1 cm

A
  • papule
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15
Q

papules are a proliferation of cells located in the _____ or ______

A
  • epidermis - superficial dermis
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16
Q

a larger, deep papule is called a

A
  • nodule
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17
Q

nodules are proliferations of cells down to the _______

A
  • mid dermis
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18
Q

what is a raised area in the skin where the overlying epidermis looks and feels normal but there is a proliferation of cells in deeper tissues-

A
  • nodule
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19
Q

what means location on the body

A
  • distribution
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20
Q

what means how the lesions are arranged or relate to each other

A
  • configuration
21
Q

what is the name of lesions that are fluid-filled

A
  • vesicles
22
Q

a vesicle filled with pus is called a ________-

A
  • pustule
23
Q

pus is made up of _______ and a thin fluid called

A
  • leukocytes - liquor puris
24
Q

a superficial loss of the epidermis is called an

A
  • erosion
25
Q

erosions are an example of primary or secondary change?

A
  • secondary change
26
Q

If an erosion involves the dermis, it is called an

A
  • ulcer
27
Q

______ often heal with scarring _______ do not heal with scarring

A
  • ulcers heal with scarring - erosions do not
28
Q

ulcers are primary or secondary lesions

A
  • secondary lesions
29
Q

what is the name for a larger version of a vesicle

A
  • bulla
30
Q

the efficacy of any topical medication is related to

A
  • active ingredient (strength) - anatomic location - mode of transport (vehicle) - concentration of medication
31
Q

what vehicle is greasy but works best on non-hairy skin, away from intertriginous sites, or on areas with erosions does it sting

A
  • ointments - does not sting
32
Q

which vehicle is less greasy but can sting open skin. Can also use for intertrigenous areas, minimal scale, or patients who dislike thick ointment

A
  • creams
33
Q

what vehicle is less greasy than creams and can be used on face or hairy areas

A
  • lotion
34
Q

what vehicle can be used for the scalp

A
  • oils/solutions
35
Q

what vehicle is non-greasy, quick drying, and can be used for acne but may sting

A
  • gel
36
Q

what vehicle spreads readily and may sting open areas. use for hairy areas and inflammation

A
  • foams
37
Q

which vehicle is rarely used but good for scalps and may sting

A
  • sprays
38
Q

in topical steroid strength, which class of steroid is the strongest which is the lowest

A
  • class I - class VI-VII
39
Q

ointments are inherently stronger than _____ or ______

A
  • lotions or creams
40
Q

remember to look at the _____ not the percentage

A
  • class
41
Q

which class of steroids do you use for severe dermatoses over nonfacial and nonintertriginous areas like scalp, palms, soles, and extensor surfaces

A
  • class I
42
Q

which class of steroids do you use for milder conditions on trunk/extremities or for short periods on the face and intertriginous sites

A
  • Classes II-V
43
Q

which steroids to do use for face, eyelid, genital, and intertrigenous areas

A
  • classes VI-VII
44
Q

what are some local side effects of topical steroids

A
  • skin atrophy - telangiecgtasias - striae - acne - steroid rosacea - hypopigmentation
45
Q

example of super high potency steroid

A
  • clobetasol
46
Q

example of low potency steroid

A
  • hydrocortisone
47
Q

example of high potency steroid

A
  • fluocinonide
48
Q

example of medium potency steroid

A
  • triamcinolone

Derm Exam 1 (23 decks)

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