NAIL DISORDER PART II HIGH YIELD

Question 1

this type of nail condition is due to a iron deficiency anemia association and the nail is spoon shaped

Answer 1

koilionychia

Question 2

what is not indicated with nail bed seroma?

Answer 2

systemic antibiotics

Question 3

obliteration of the distal nail groove is indicated with this nail condition

Answer 3

ventral pterygium

Question 4

tuberous sclerosis complex (TSC) with manifestations of Cafe au lait spots is associated with what kind of tumor?

Answer 4

periungual tumors

Question 5

what is the CHATS severity scoring?

Answer 5

for clinical nail severity

COLOR
HYPERKERATOSIS
AREA
THICKNESS
SEPARATION

Question 6

for Onychomycosis management what type of oral treatment is indicated?

Answer 6

Terbinafine is keratophilic and persists in the nail unit until shed

duration of action is 3 times longer than the dosing duration

Question 7

this is the most characteristic nail change in Lichen Planus ?

Answer 7

dorsal pterygium

Question 8

what is the most important characteristic of yellow nail syndrome?

Answer 8

absent lunulas and cuticles

Question 9

with half and half nails, we know that this type of organ failure is found in patients?

Answer 9

renal failure

Question 10

hutchinson’s sign is often indicative of what type of melanoma?

Answer 10

subungual melanoma

Question 11

the periungual fibrokeratoma indicates what kind of fibroma? is this benign or malignant?

Answer 11

periungual fibroma

benign

Question 12

glomus tumor is often characterized by this type of pain?

Answer 12

intense pulsating migrainous pain which is temperature change sensitive and worsens at night

Question 13

the nail case guide contains what?

Answer 13

subjective
-chief complaint

objective

assessment
-clinical diagnosis and differential diagnoses

plan

• order
• oral terbinafine
• any adverse drug reactions

Question 14

disruption of the stratum corneum by occlusion or chemical or physical irritants is called?

Answer 14

irritant contact dermatitis

Question 15

allergic contact dermatitis is B or T cell mediated and is what type of reaction?

Answer 15

T cell mediated

delayed type IV reaction

Question 16

atopic dermatitis is attributed to?

Answer 16

history of eczema, asthma, allergic rhinitis in patient or family

Question 17

what type of long term prevention is used to treat juvenile plantar dermatosis?

Answer 17

frequent topical applications of emolients

Question 18

T/F, acute palmoplantar eczema is a sweat disorder?

Answer 18

F, nope

Question 19

what are the tinea pedis types?

Answer 19

hyperkeratotic type
vesicular type
interdigital type
ulcerative type

Question 20

the types of treatment for tinea pedis?

Answer 20

prescription

• econazole 1% cream
• oral terbinafine
• -most efficacious and economical

OTC
-terbinafine

Question 21

corynebacteria minutissimum

treatment with topical erythromycin

fluoresces coral red upon woods UV light examination

these conditions often indicate what type of condition?

Answer 21

erythrasma

Question 22

how are pedal melanomas classified?

Answer 22

NASS-ty

nodular melanoma
aural lentiginous melanoma
superficial spreading melanoma
subungual melanoma

Question 23

how are pedal melanomas removed?

Answer 23

2 cm margins for melanoma that is 2 mm deep

Question 24

what types of furrows indicate normal aural nevi?

Answer 24

pigmented furrows

Question 25

this type of pattern predicts acral melanoma?

Answer 25

parallel ridge pattern

Question 26

what type of HPV infects the soles?

Answer 26

type I

Question 27

plantar verrucae has spontaneous remission that occurs where?

Answer 27

2/3s of children within two years

-noted petechial hemorrhages

Question 28

HPV type 2 or 4 serotypes indicates what kind of skin condition?

Answer 28

mosaic plantar verrucae

Question 29

what are the types of Verrucae?

Answer 29

common warts
periungual warts
flat warts
filiform warts

Question 30

condyloma accuminata is an example of what skin condition?

do these regress?

what can prevent this?

Answer 30

genital warts

1/3 regress without treatment

Gardasil vaccine

Question 31

over 60 percent oof patients develop cutaneous squamous cell carcinoma at an early age which is part of this condition?

Answer 31

epidermodysplasia verruciformis