papulosquamous

Question 1

Extensor surface scaly rash is

Answer 1

Psoriasis

Question 2

Psoriasis tx?

Answer 2

ICS (beta/Clob) STRONG steroids

UV light, (retinoid), MXT

Question 3

DIP polyarthritis, pitting nails, and has HLA B27, with Psoriasis is?

Answer 3

Psoriatic arthritis

Question 4

Psoriatic arthritis tx?

Answer 4

ICS, MXT

Question 5

Pencil in cup XRAY, DIP is?

Answer 5

Psoriatic arthritis - need MXT

Question 6

HHV7, herald patch, xmas tree, viral prodrome is?

Answer 6

Pityriasis rosea - no tx

Question 7

Immune related, ankle wrist Mouth papules.

white line in mouth

Answer 7

lichen planus

Question 8

Pruritic, planar, purple, polygonal, papule

Answer 8

lichen planus

Question 9

lichen planus tx?

Answer 9

ICS (triamcinolone - weakest)

Question 10

same itchy raised scaly plaque - NSAID, ABX, antiepileptics

Answer 10

Fixed drug reactions

Question 11

fever, headache, and myalgias ten days after hiking in the woods in South Carolina. right upper quadrant abdominal tenderness and scleral icterus

Answer 11

ehrlichiosis

Question 12

What electrolyte abnormality can be seen in advanced cases of RMSF

Answer 12

Hyponatremia

Question 13

SIRS criteria

Answer 13

T >38° or <36°
HR > 90 bpm
RR > 20 bpm or 
PCO2 < 32 mmHg
WBC > 12,000 or < 4000

Question 14

If you have an anaphylatic rxn to amox what do you give a syphilis tx?

Answer 14

Oral doxy