Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CIMS > Psoriasis > Flashcards

Psoriasis Flashcards

1
Q

Psoriasis is characterized by which of the following?

A. Silvery scale
B. Papules
C. Plaques
D. All of the options

A

D. All of the options

Psoriasis is an immune-mediated disease clinically characterized by erythematous, sharply demarcated papules and rounded plaques covered by silvery micaceous scale.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Psoriasis is exacerbated by which of the following?

A. Infections
B. Antimalarial drugs
C. Beta blockers
D. Two of the options
E. All of the options
A

E. All of the options

Other external factors may exacerbate psoriasis, including infections, stress, and medications (lithium, beta blockers, and antimalarial drugs).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Most common variety of psoriasis

A

Plaque-type psoriasis / psoriasis vulgaris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The most commonly affected areas involved in plaque-type psoriasis are all of the following EXCEPT:

A. Elbows
B. Knees
C. Scalp
D. Two of the options
E. None of the options
A

E. None of the options

The most commonly involved areas are the ELBOWS, KNEES, GLUTEAL CLEFT, and SCALP.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which of the following is TRUE about plaque-type psoriasis?

A. Asymmetric
B. Develops fast
C. Stable plaques
D. Runs an indolent course
E. Two of the options
A

E. Two of the options

Patients with plaque-type psoriasis have STABLE, slowly ENLARGING PLAQUES. Involvement tends to be SYMMETRIC. Generally develops slowly and RUNS AN INDOLENT COURSE.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What type of psoriasis is most common in CHILDREN?

A

Guttate/Eruptive psoriasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What type of psoriasis is most common in YOUNG ADULTS?

A

Guttate/Eruptive psoriasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

This type of psoriasis affects the axilla, groin, submammary region, and navel

A

Inverse psoriasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

All of the following is TRUE about inverse psoriasis EXCEPT:

A. Affects the scalp
B. Affects the palms and soles
C. May be moist
D. Presence of scale
E. None of the options
A

D. Presence of scale

Inverse psoriasis tends to affect the SCALP, PALMS, and SOLES. The individual lesions are sharply demarcated plaques, but they may be MOIST and WITHOUT SCALE due to their locations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which of the following has the differential diagnosis of pityriasis rosea and secondary syphilis?

A. Inverse psoriasis
B. Guttate psoriasis
C. Pustular psoriasis
D. Plaque-type psoriasis

A

B. Guttate psoriasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which of the following is easily confused with eczema?

A. Inverse psoriasis
B. Guttate psoriasis
C. Pustular psoriasis
D. Plaque-type psoriasis

A

C. Pustular psoriasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Treatment/s of choice for pustular psoriasis

A. Glucocorticoids
B. Oral retinoids
C. IV retinoids
D. Two of the options
E. All of the options
A

B. Oral retinoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which of the following is TRUE about psoriatic arthritis?

A. 30% of the patients with psoriasis have PsA
B. There are five subtypes of PsA
C. Symmetric PsA may present as “sausage digits”
D. Two of the options
E. All of the options

A

D. Two of the options

30% of the patients with psoriasis have PsA

Five subtypes of PsA: symmetric, asymmetric, distal, spondylitis, and arthritis mutilans

Symmetric - 50%; resembles RA
Asymmetric - Sausage digits
Distal - classic form; dystrophic, including nail pitting
Spondylitis - 5%
Arthritis mutilans - severe and deforming; affect small joins of hands and feet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which if the following presents acanthosis and vascular proliferation?

A. Psoriasis
B. Lichen planus
C. Pityriasis rosea
D. Dermatophytosis

A

A. Psoriasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which if the following presents interface dermatitis

A. Psoriasis
B. Lichen planus
C. Pityriasis rosea
D. Dermatophytosis
E. Any of the options
A

B. Lichen planus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which if the following presents hyphae and neutrophils in stratum corneum?

A. Psoriasis
B. Lichen planus
C. Pityriasis rosea
D. Dermatophytosis
E. Any of the options
A

D. Dermatophytosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which if the following presents purple polygonal papules marked by severe pruritus and has lacy white markings?

A. Psoriasis
B. Lichen planus
C. Pityriasis rosea
D. Dermatophytosis
E. Any of the options
A

B. Lichen planus

18
Q

Which if the following presents a rash often preceded by a patch with a “fir tree-like” appearance?

A. Psoriasis
B. Lichen planus
C. Pityriasis rosea
D. Dermatophytosis
E. Any of the options
A

C. Pityriasis rosea

19
Q

Which if the following presents a mica-like scale?

A. Psoriasis
B. Lichen planus
C. Pityriasis rosea
D. Dermatophytosis
E. Any of the options
A

A. Psoriasis

20
Q

Which of the following topical agents are vitamin D analogue?

A. Tazarotene
B. Calcipotriene
C. Anthralin
D. Coal tar
E. Any of the options
A

B. Calcipotriene

Tazarotene - Retinoid

21
Q

Which of the following can be used as effective therapy for patients with widespread psoriasis?

A. UVB
B. narrowband UVB
C. UVA + psoralens
D. Two of the options
E. All of the options
A

E. All of the options

22
Q

UV light therapy is contraindicated in patients receiving what drug?

A. Salicylic acid
B. Anthralin
C. Cyclosporine
D. Any of the options

A

C. Cyclosporine

23
Q

Which of the following psoriasis medication is a retinoid?

A. Methotrexate
B. Acitretin
C. Cyclosporine
D. Apremilast

A

B. Acitretin

Methotrexate - Antimetabolite
Cyclosporine - Calcineurin inhibitor
Apremilast - Phosphodiesterase type 4 inhibitor

24
Q

This is an inflammatory autoimmune-related disease characterized by inflammation and keratinocyte proliferation.

A

Psoriasis

25
Q

What type of psoriasis is affected by streptococcal infection such as pharyngitis?

A. Inverse psoriasis
B. Guttate psoriasis
C. Pustular psoriasis
D. Plaque-type psoriasis

A

B. Guttate psoriasis

26
Q

Diagnostic FEATURE of plaque type psoriasis in which new lesions appear at sites of trauma

A

Koebner phenomenon

27
Q

Removal of scales in plaque type psoriasis may result in _________

A

Pinpoint bleeding (Auspitz sign)

28
Q

Nail involvement, a valuable diagnostic SIGN, is characterized by pitting of the nail plate, called __________

A

Oncholysis

29
Q

What is the first tier treatment for psoriasis?

A

Topical therapy

30
Q

What is the first-line topical option for psoriasis?

A

Emollients, vitamin D analogs (calcipotriene or calcitriol), and mid to high potency corticosteroids

31
Q

What is the second-line topical option for psoriasis?

A

Retinoids (tazarotene) tar, anthralin, salicylic acid

32
Q

What is the second tier treatment for psoriasis?

A

phototherapy;

33
Q

Which of the ff is the most effective phototherapy?

A. UVB
B. Narrowband UVB
C. UVA
D. PUVA
E. Any of the options
A

D. PUVA = UVA + psoralens

34
Q

What is the first-line systemic agent for children with psoriasis?

A

Methotrexate (0.2-0.7 mg/kg/wk)

35
Q

Which of the following TNF inhibitors has/have FDA approval and can be used for pediatric psoriasis?

A. Etanercept
B. Infliximab
C. Adalimumab
D. Two of the options
E. All of the options
A

A. Etanercept

36
Q

Which of the following associated metabolic syndrome correlates with psoriasis severity?

A. Hyperglycemia
B. Hyperlipidemia
C. Hypertension
D. Two of the options
E. All of the options
A

E. All of the options

37
Q

Which of the following is considered as the safest long-term topical antipsoriatic treament?

A. Glucocorticoids
B. Vitamin D derivatives
C. Calcineurin inhibitors
D. UV exposure

A

B. Vitamin D derivatives

38
Q

Which of the following is most widely used biological response modifier as antipsoriatic therapy?

A. Etanercept
B. Adalimumab
C. Infliximab
D. Ustekinumab
E. Secukinumab
A

B. Adalimumab

39
Q

Which of the following can be a treatment for impetigo?

A. Antistaphylococcal antibiotics
B. Topical azoles
C. Topical selenium sulfide lotion
D. Any of the options

A

A. Antistaphylococcal antibiotics

Impetigo - Group A strep and S. aureus

40
Q

Which of the following is TRUE about psoriasis?

A. Affects up to 2% of the world's population
B. Immune-mediated disease
C. Characterized by erythematous papules
D. Two of the options
E. All of the options
A

E. All of the options

41
Q

Pathology of fully developed psoriasis lesions is characterized by which of the following?

A. uniform elongation of rete ridges
B. thinning of suprapapillary plate
C. intermittent parakeratosis
D. two of the options
E. all of the options
A

E. All of the options

42
Q

This form of psoriasis has the strongest association to HLA-Cw6

A

Guttate/eruptive psoriasis

CIMS (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions