POM Flashcards

1
Q

What question should you ask regarding skin?

A

Is there anything new or different? (shampoo/detergent/chemical/clothes and what not)

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2
Q

We exam the skin by ___ and ___?

A

Palpation (turgor/temp/texture/mobility) and inspection (shape/color/characteristics/distribution)

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3
Q

Difference between macule, papule and nodule/tumor?

A

Macule is flat/papule is slightly raised/nodule is more raised (wart)

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4
Q

Difference between vesicle and pustule?

A

Vesicle (blister) is serous filled/pustule (acne) is pus filled

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5
Q

Common example of wheal?

A

Mosquito bite (hives)

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6
Q

Example of primary lesions?

A

Plaques/cyst/telangiectasia (dilated superficial vessels—>go away when pressed, come back when released)/bullae (large vesicles)

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7
Q

Examples of secondary lesions (evolved from primary lesion)?

A

Excoriation (skin erosion caused by scratching)/lichenification (skin thickening due to chronic inflammation and scratching)/edema/crust/scale/fissure (crack)/erosion (skin your knee)/ulceration/atrophy/scar/hypo/hyper/depigmentation

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8
Q

What is ABCDE for skin lesion?

A

Asymmetry/border/color/diameter/evolution

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9
Q

What is the most common skin cancer?

A

Basal cell carcinoma (almost never metastasize) (dent in the middle)

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10
Q

What is the second most common skin cancer?

A

Squamous cell cancer: ulcerated/scabbed/bleed/usually at sun exposed area

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11
Q

Feature of melanoma?

A

Metastasize early and wide/at non-sun exposed area/lethal

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12
Q

Features of eczematous dermatitis?

A

Thick crusting skin/cause by allergic contact or offending agent

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13
Q

Rosacea?

A

Inflamed skin (rosy)/treat with sun protection and moisturizing

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14
Q

Folliculitis?

A

Inflamed hair follicle by bacteria (staph)

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15
Q

Cellulitis?

A

Infection forming bullae

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16
Q

Psoriasis?

A

Slivery patch on extensor surface (elbow/knee)/nail pitting

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17
Q

Acanthosis nigricans?

A

Leathery thickening of the skin at skin fold/obesity and diabetics

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18
Q

Herpes zosters?

A

Group vesicles on a erythematous base/unilateral

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19
Q

Vitiligo?

A

Autoimmune/depigmentation (think MJ)

20
Q

Alopecia areata?

A

Sudden lost of hair/patchy

21
Q

Cherry hemangiomas?

A

Capillary proliferation/older adult

22
Q

Seborrheic keratoses?

A

Benign proliferation of immature keratinocyte

23
Q

Plantar wart?

A

Callus looking patch with small black dots (blood vessel)

24
Q

Paronychia?

A

Infection in nail bed (nail biter)

25
Q

Onychomycosis?

A

Fungal infection of the nail

26
Q

Tinea cruris?

A

Rash fungal infection around the groin

27
Q

Tinea veriscolor?

A

Fungal infection causing hypopigmentation

28
Q

We use ___ to see who is in risk of pressure ulcer

A

Braden scale (the lower the score, the higher the risk)

29
Q

What are included in the Braden scale?

A

Sensory perception/moisture/activity and mobility/nutrition/friction and shear

30
Q

Why is specialty mattress good for preventing ulcer and why pillow is bad?

A

SM alternate pressure on the skin/pillow does not alternate pressure

31
Q

What abnormal vital sign can cause pressure ulcer?

A

FEVER

32
Q

What is skin maceration?

A

Exposed to moisture too long—>wrinkled

33
Q

Feature of venous ulcer?

A

Usually in limbs/color never really go away/irregular border

34
Q

Feature of arterial ulcer?

A

Necrotic/usually in toes and tips/punched out border

35
Q

What is the defining feature of a pressure ulcer?

A

Over a bone/hard object

36
Q

What is eschar?

A

Hard, dry, black. leather like—>expose to moisture—>become soft and slough

37
Q

What is a Me Too drug?

A

Take the existing drug—>change a little bit—>market it as a new drug
or put two existing drugs together—>call it a new drug

38
Q

What is non-inferiority study?

A

Try to prove the drug is not inferior to the existing drug

39
Q

What is ghostwriting?

A

The ghost writer writes an article—>ask a PhD or important doc to put their name on it—>the article then is not what this PhD or important doc’s work—>aim to sell drugs

40
Q

What is off label usage for doctors?

A

Doc can use whatever drugs they see fit

41
Q

What is case-control study?

A

Look for ppl with certain outcome and look backward to see any intervention

42
Q

What is allocation concealment?

A

Protection of the randomization process—>usually done by a 3rd party organization

43
Q

Is delirium often acute or chronic?

A

Acute

44
Q

Is dementia often acute or chronic?

A

Chronic

45
Q

Aging cause decrease function of __ and ___?

A

Immune system and organs