Pham-Derm Dzs

Question 1

Class 1 steroid cream

Answer 1

Clobetasol proprionate 0.5%

Question 2

Which class is medium potency steroid cream?

Answer 2

Class 4

Question 3

Which is the lowest potency steroid cream class?

Answer 3

Class 7

Question 4

Only steroid cream available OTC

Answer 4

Hydrocortisone 1% or less

Question 5

Class 2 steroid cream AKA “Lidex”

Answer 5

Fluocinonide 0.05%

Question 6

This cream is Class 4, 5, and 6

Answer 6

Triamcinolone 0.1%

*TMC 0.1%

Question 7

Class 6 steroid cream

Answer 7

Desonide 0.05%

Question 8

medication not working well because of long use

Answer 8

Tachyphylaxis

Question 9

Chronic relapsing disorder, can start in infancy. Most outgrow. Hallmark is pruritis. Pruritis before rash. Areas are face, extensor surfaces, face, neck, flexural areas. May develop asthma later. Filaggrin mutation allows infx

Answer 9

Atopic dermatitis

Question 10

Crusts on excoriations

Answer 10

Atopic dermatitis

Question 11

Tx for atopic dermatitis flare-ups

Answer 11

Corticosteroid creams

Question 12

Tx for atopic dermatitis maintenance

Answer 12

Calcineurin inhibitors

• Tacrolimus ointment
• Pimecrolimus cream

Question 13

What does nummular mean?

Answer 13

Coin like

Question 14

Atopy means?

Answer 14

Allergic reaction

Question 15

Why do you wait 96 hrs for the contact dermatitis patch test?

Answer 15

It is a Type 4 Hypersensitivity test

Question 16

Well-demarcated “coin-shaped” scaly patches & plaques

Answer 16

Nummular eczema

Question 17

Elongated rete ridges

Answer 17

Psoriasis

Question 18

Secondary location for psoriasis

Answer 18

Joints - Arthritic psoriasis

Question 19

Smooth depressions in nails due to loss of parakeratotic cells of the nail plate

Answer 19

Nail pitting

*Psoriasis

Question 20

Serous fluid accumulation beneath the nail bed

Answer 20

Oil spots

*psoriasis

Question 21

Don’t give pts systemic steroids for

Answer 21

psoriasis

*causes rebound rash

Question 22

First patch of pityriasis rosea

Answer 22

Herald patch

Question 23

• Christmas tree pattern
• Follow lines of cleavage on trunk and neck
• Collarette scale

Answer 23

Pityriasis Rosea

Question 24

Caused by HHV 6 & 7

Answer 24

Pityriasis Rosea

Question 25

Red, pink or brown scaly patches and plaques

• Scalp
• Central face
• Eyebrows/eyelids
• Ears inside and retroauricular

Answer 25

Seborrheic Dermatitis

*fungal

Question 26

Tx is:

• Antihistamines
• Acyclovir
• Valcyclovir
• Corticosteroid creams
• Phototherapy

Answer 26

Pityriasis Rosea

Question 27

Scales on eyebrows, central face, mustache area, beard, eyelashes, sternum where hair is. Also newborn babies.

Answer 27

Seborrheic dermatitis

*fungal

Question 28

Has a strong association with Hep C

Answer 28

Lichen planus

Question 29

Hard to find in early stages and may need multiple biopsies for Dx

Answer 29

Mycosis Fungoides

*skin cancer

Question 30

Cradle cap

Answer 30

Seborrheic dermatitis

Question 31

This is a dangerous neoplastic T cell condition which has a plaque stage

Answer 31

Mycoses fungoides

*No scaling,

Question 32

Leonides appearance

Answer 32

Mycoses fungoides

Question 33

Polymorphic manifestation of Mycoses fungoides

Answer 33

• Patches
• Plaques
• Nodules

*May all occur at the same time