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Internal Med > OME - Derm > Flashcards

OME - Derm Flashcards

1
Q

Dermatitis herpetiformis has what Path?

Presents how?

A

IgA antibodies in the Dermis

Extensor, buttocks, celiac

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2
Q

Alopecia areata is what?

Pt looks like what?

Treat how?

A

Autoimmune disorder against hair follicles

Well-defined circular bald spot, exclamation point sign

Steroids

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4
Q

Pt w/herald patch and trailing scale is what?

Spares what?

Tx?

A

Pityriasis rosea

Palms and soles

None

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5
Q

What causes erythema-multiforme?

A

Chronic HSCV

Drug reaction - Sulfa, anticonvulsants, NSAIDs, PCN

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6
Q

What is a fleshy erythematous, crusted or ulcerated lesion?

A

SCC

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7
Q

Pt w/tinea capitis is treated with what?

Pt w/onchomycosis?

A

Griseofulvin

Terbinafine or itraconazole

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8
Q

Pt w/inadequate melanocytes migration and white forloch has what?

A

Piebaldism

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13
Q

Lesion that sounds SCC but went away on its own most likely had what?

A

Keratoacanthoma

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14
Q

What involves the basal layer and has dusky appearance w/+ Nikolsky’s sign?

A

SJS

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15
Q

What is the hair cycle in order (4)?

A

Anagen - growth
Catagen - regression
Teolgen - resting
Exogen - shedding

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16
Q

Vitiligo is diagnosed how?

Treat how?

Associated with what else?

A

Wood’s lamp

High potency topical steroids or UV Light

Hypothyroidism or Lupus

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17
Q

Infection that starts dismally and then ascends the limb in adults is what?

Treat how?

A

Erysipelas

Amoxicillin

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18
Q

Pt that has edema, erythema, brown discoloration and scaling of their lower extremities has what?

Treatment?

A

Stasis dermatitis

Diuretics and compression stockings w/leg elevation

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19
Q

Biopsy of Staphylococcus scalded skin syndrome shows what?

A

NO mucosal involvement

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20
Q

Woman with patchy alopecia in multiple areas and all hair is the same length has what?

A

Fungal infection

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21
Q

Tinea capitis is diagnosed how?

Treat how?

A

KOH prep

Oral griseofulvin

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25
Q

Mycoplasma PNA is associated w/what skin condition?

A

Erythema multiforme

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27
Q

Pt that has a pink, morbilliform rash occurring 7-14 days after exposure is having what?

Treat how?

A

Drug reaction

Diphenhydramine for mild

Corticosteroids for severe sx

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28
Q

Albinism d/t what?

melanocytes Increased or decreased?

A

Tyrosinase

NORMAL

29
Q

Pt w/pustular or nodulocystic acne needs what treatment?

A

PO Abx - Doxy, Erythromycin

31
Q

Pt inflamed comedones or pustules acne needs what treatment?

A

Topical retinoids + benzoyl peroxide

33
Q

What presents as ruptured bullae on mucosal surfaces w/dusky, irregular appearing macules that involves the oral mucosa?

A

SJS

34
Q

Child w/1 single hypopigmented spot that is + on Wood’s lamp has what?

Dx how?

What else will they have?

A

Ash leaf - Tuberous sclerosis

CT scan brain

Shagreen patches and adenoma sebaceum

36
Q

What is a large, brown, greasy looking and crusted mole on the skin?

Common in whom?

What else about it?

A

Seborrheic keratosis

Old people

“Stuck on”

38
Q

Pt w/erythematous, sandpaper-like yellow to brown scale lesion has what?

Malignant or not?

Dx how?

Treat?

A

Actinic keratosis

PRE-malignant

Biopsy

Cryoablation or 5-FU

39
Q

Tinea corporis is treated with what?

A

Topical ketoconazole

40
Q

Pt that braids their hair and pony tails has what?

Treat how?

A

Traction Alopecia

None

41
Q

Milian’s ear sign and butterfly involvement of the face is what?

A

Erysipelas

45
Q

What is the ladder for acne?

A 
Retionoids 
\+ Benzoyl peroxide
Topical Abx
PO Abx - Doxy
Isoretinoin
46
Q

Pt w/purple papule w/lacy network of white lines is what?

Treat?

May be caused by what?

A

Lichen planus

Topical steroids

New onset after NEW medication (ACE-i, THZ, Loop, BBs)

49
Q

Woman pt that pulls out her hair 1 strand at a time has what?

Diagnose how?

Treat?

A

Trichotillomania

Clinical - different length of hair strands

OCD

53
Q

What is an invasive malignancy of keratinocytes?

Located where?

What can it do?

A

SCC

Lower lip

Can metastasize

54
Q

Seborrheic Dermatits presents how?

Treat how?

A

Rash on face around the hair areas (eyebrows and scalp)

Selenium shampoo

55
Q

What causes tinea versicolor?

Dx how?

Treat how?

A

Malassezia globosa - fungus

KOH prep - see spaghetti and meatballs

Selenium sulfide or ketoconazole

58
Q

Porphyria cutanea tarda can be brought on by what?

A 
OAHH
OCPs
Alcohol
HepC
Hemochromatosis
60
Q

What presents w/neutrophilic abscesses in the dermal papillae?

A

Dermatitis herpetiformis

62
Q

Psoriasis has what 2 classic sx?

Treat how?

If joint symptoms look for what?

A

Nail pitting, onycholysis (detachment of nailbed)

1st - UV light
2nd - Topical steroids

Seronegative - psoriatic arthritis

65
Q

What does ABCDE stand for?

A 
Asymmetry
borders - irregular
Color - black
D - diameter > 5mm
Evolving (changing over time)
67
Q

Treatment for pemphigus vulgaris?

Pt age?

A

Steroids, or mycophenolate, Rituximab

30-50, life threatening

68
Q

When do drug reactions typically occur?

Present how?

A

Days 4-14

Morbiliform eruptions

72
Q

Pemphigus vulgaris is an autoimmune disorder against what?

Presents with what?

Treatment?

A

Desmosomes - desmoglein

oral mucosa, + Nikolsky’s sign

74
Q

Porphyria Cutanea tarda has what enzyme deficiency?

Presents how?

Dx how?

A

Uroporphyrinogen

Blisters in sun-exposed areas - dorsum of hand
LOTS of hair

Wood lamp in URINE - coral red

75
Q

Bullous pemphigoid is autoimmune disorder against what?

Presents how?

A

Hemidesmosomes

Tense rigid bullae, with Negative Nikolsky’s

80
Q

Psoriasis presents how?

A

Erythematous patch w/silver scale that bleeds when picked

Extensors or gluteal fold

85
Q

Bullous pemphigoid treatment?

Common pt?

A

Steroids for acute attacks

70-80, non-life threatening

Internal Med (7 decks)

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