MTB(3) 1

Question 1

Positive Nikolsky sign seen in

Answer 1

1. Pemphigus Vulgaris
2. SSSS
3. TEN

Question 2

Presentation of Erythema Nodosum

Answer 2

Painful
Red, raised nodules
Anterior surface of LE
Nodules - tender, do not ulcerate, last 6 weeks

Question 3

Erythema Nodosum seen in

Answer 3

Pregnancy
Recent strep Infxn
Coccidio
Histo
Sarcoidosis
IBD
Syphilis
Hepatitis
Enteric Ifnx

Question 4

TX for Erythema NOdosum

Answer 4

Analgesics

NSAIDs

Question 5

Presentation of Necrotizing Fasciitis

Answer 5

Very high fever
Portal entry into skin
Pain out of proportion to appearance
Bullae
Palpable crepitus

Question 6

DX test for Necrotizing Fasciitis

Answer 6

High CPK

Xray, CT, MRI = air in tissue/necrosis

Question 7

TX for Necrotizing Fasciitis

Answer 7

Surgical Debridement

Question 8

ABX for Necrotizing Fasciitis

Answer 8

Amp/sulbactam
Ticarcillin/clavulante
Pipercillin/tazobactam

Question 9

Labs seen in TSS

Answer 9

High Creatinine, CPK, LFTs

Low Platelet count

Question 10

DX and TX for Anthrax

Answer 10

DX: Gram stain and culture of lesion
TX: Doxycycline or Cipro

Question 11

What is stasis dermatitis

Answer 11

Venous incompetence of LE
Hyperpigmentation
TX: Elevate legs, LE support hose

Question 12

Presentation of Pityriasis Rosea

Answer 12

Pruritic eruption begins w herald patch
Erythematous and salmon colored
Spares palms and soless