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Dermatology > Review > Flashcards

Review Flashcards

1
Q

Poison ivy, oak, sumac: presentation

A

linear pattern, erythematous, scaly, itching, burning, and stinging

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2
Q

Arms - Rule of 9s

A

9% each

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3
Q

Impetigo: cause

A

Staph

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4
Q

KOH spaghetti and meatballs

A

Tinea versicolor

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5
Q

Sore throat takes amox - gets a rash- drug eruption

A

Morbilliform rash

-bright red macule and papule that coalesce for form plaques

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6
Q

Wart: common

A

vulgaris

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7
Q

Molluscum contagiosum - MCC

A

poxvirus

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8
Q

Pressure Ulcer: Stage 1

A

non-blanchable redness in localized are over bony prominence (skin is intact)

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9
Q

Natal cleft

A

Pilonidal cyst

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10
Q

Paronychia: treatment

A

when there is an abscess

  • I and D or use 18 gauge needle and lift the cuticle
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11
Q

Hiradenitis suppurative: MC site

A

axillary, primary occurs on intertriginous skin

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12
Q

Flexor creases-AC popliteal

A

eczema (atopic dermatitis)

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13
Q

Invasive: SCC

A

deeper layers

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14
Q

Exlamation point hairs

A

alopecia areata

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15
Q

What is the dose of topical cream/ointment for the body BID x 4 week?

A

454 gm

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16
Q

Harold Patch + Christmas tree

A

pityriasis rosea

-spares the face, usually trunk and proximal regions

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17
Q

Pressure Ulcer: Stage 2

A

partial thickness dermal loss, shiny, shallow open ulcer with red-pink wound bed without sloughing or bruising

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18
Q

SJS/TEN - a positive sign

A

Nikolsky sign

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19
Q

Christmas tree

A

cleavage line

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20
Q

In-situ/Bowen: SCC

A

confined to outer layer of skin

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21
Q

Lady with dark velvety rash around neck

A

acanthosis nigrcans

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22
Q

Vitiligo: cause

A

autoimmune

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23
Q

Tinea corporis

A

erythematous plaques, clear center, defined borders, scaling, cracking, vesicles scales are present

  • ring worm
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24
Q

Tinea versicolor: tx

A

clotrimazole

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25
Q

AK: treatment

A

cryotherapy

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26
Q

Tinea versicolor: dx

A

fungus - wood lamp

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27
Q

SCC

A
  • open sore that does not heal
  • AK: precursor
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28
Q

Coin shaped lesion

A

nummular eczema

  • 2 or more lesions in the same location
  • pruritis
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29
Q

Native American female, exposed to sunlight, on birth control

A

melasma

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30
Q

Lichen Plans: 6 P’s

A

purple papules, polygonal, planar, pruritic, plaques

-high incident of hep C

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31
Q

Androgenetic alopecia

A

MC non scarring in men

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32
Q

Psoriasis - treatment

A

topical, UV light therapy or systemic agents

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33
Q

What is the dose of topical cream/ointment for face and neck, one arm, and hands and feet TID x 2 week?

A

45 gm

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34
Q

Asthma, allergies, atopic dermatitis

A

atopic dermatitis

  • eczema
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35
Q

Wart: treatment

A

cryo and salicylic acid

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36
Q

Seborrheic keratosis

A
  • waxy, scaly, slighting elevated appearance greasy/stuck on appearance
  • small papule warty lesion
  • brown, black, light tan, lesion on chest, face, shoulders or back
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37
Q

Hidradenitis suppurative

A

MC in women

  • apocrine glands
  • recurrent, painful, inflamed nodules
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38
Q

Benign skin lesion

A

Seborrheic keratosis

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39
Q

Legs - Rule of 9s

A

18% each

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40
Q

Seborrheic keratosis: treatment

A

nothing

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41
Q

Pemphigus Vulgaris

A
  • autoimmune dz
  • MC pemphigoid lesions
  • blisters, rupture easily
    • Nikolsky sign
  • MC young pts
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42
Q

What is the dose of topical cream/ointment for one leg TID x 2 week?

A

90 gm

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43
Q

Lice

A
  • nits/eggs
  • scalp infected: acute
  • nits: had for a while
  • Intense itching, papular, urticaria near the lice bites
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44
Q

Poison ivy, oak, sumac: treatment

A

burrows solution (aka aluminum acetate solution) -1st line treatment oral = prednisone

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45
Q

Cradle cap: Dandruff

A

seborrheic dermatitis

-erythematous plaques with fine white scales

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46
Q

Acne: mild treatment

A

topical retinoids, benzoyl peroxide, topical antibiotics, OCPs

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47
Q

Posterior Trunk - Rule of 9s

A

18%

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48
Q

Alopecia areata

A
  • autoimmune, thyroid
  • tapering near the proximal hair shaft
49
Q

What is SJS/TEN?

A

emergency

  • sheet-like skin and mucosal loss
  • treat like a burn
50
Q

“Tapioca” lesions is seen in what eczema

A

Dyshidrotic/Dyshidrosis Eczema

51
Q

Anterior Trunk - Rule of 9s

52
Q

SJS/TEN - complications

A

hypothermia dehydration infection

53
Q

Pressure Ulcer: Stage 3

A

full thickness dermal loss

54
Q

Tinea pedis: tx

A

terbinafine

55
Q

Dyshidrotic/Dyshidrosis Eczema location and cause

A
  • tense vesicles soles of feet, palm, fingers
  • stress, weather, metal, sweating
  • feet: w > m, hands: w = m
56
Q

KOH - what do you see

A

hyphae, stems, spores

57
Q

Electrical burns

A

don’t underestimate degree of injury

  • Cardiac: V fib
  • Renal: Rhabdomyolysis
  • Muscle contracts = cause fractures
58
Q

Water park, malar rash, sparing nasal folds, across cheek, ANA positive with titer

A

systemic lupus erythematosus

59
Q

BCC

A

most common

  • sunlight/UV rays
  • shiny, pearly, or translucent nodules
60
Q

Melanoma

A
  • ABCDEs
  • tumor thickness is the most important prognostic factor
  • sentinel lymph node excision is diagnostic and therapeutic
61
Q

Tinea capitus

A

annular, scaling, lesion, broken hair shafts, inflamed plaques with pustules, with scaring and alopecia

62
Q

Hiradenitis suppurative: Tx

A

lifelong attention, behavioral intervention, topical/systemic antibiotics, surgery

63
Q

Tx for fungal

A

azole topicals

64
Q

Nikolsky sign

A

SJS/TEN = positive

65
Q

Painful erythema nodules on shins

A

erythema nodosum

  • bruise-like lesions
  • fever
  • OBC is cause
66
Q

What is the dose of topical cream/ointment for one leg BID x 1 week?

67
Q

Acne: moderate

A

topical retinoids, benzoyl peroxide, topical antibiotics, OCPs, oral antibiotics

68
Q

KOH - what does it do

A

destroys normal epithelial cells and leaves the fungal cells untouched

69
Q

Brown recluse

A

surgical emergency

  • hemotoxin, necrosis
70
Q

Target lesions, caused by HSV or medication

A

erythema multiform

-mucosal involvement = erythema multiform major

71
Q

Hand and Neck - Rule of 9s

72
Q

Warts: cause

73
Q

Cushing’s disease or hypercortisolism

A
  • moon facies
  • dorsocervical fat pads
  • striae
  • tunica obesity
74
Q

Tinea veriscolor: cause

75
Q

Psoriasis - moderate to severe: phototherapy and systemic agents

A
  • acitretin
  • calcitriol
  • entanercept
76
Q

Farmer comes in with rough spots on ear

A

AK leads to SCC

77
Q

Vitiligo: cause

A

autoimmune destruction of melanocytes

78
Q

Swimming, rash (small pustular lesions) where swimsuit was what is the dx, bug, and tx?

A

Folliculitis

  • psudomonas aeruginosa
  • TX: cipro
79
Q

Tzanck smear

80
Q

What is the dose of topical cream/ointment for trunk BID x 4 week ?

81
Q

Acne: severe

A

Isotretinoin

  • pregnancy test every month
  • 2 forms of BC
82
Q

Bullous Pemphigoid

A
  • Subepidermal blistering
  • Urticarial plaques, tense bullae do not rupture easily
  • negative Nikolsky sign
83
Q

Psoriasis - mild to moderate: Topical agents

A
  • topical corticosteroids
  • emollients
  • salicylic acid
  • calcipotriene (Synthetic Vitamin D derivative)
  • Tazarotene
  • Coal tar
84
Q

What is the dose of topical cream/ointment for trunk BID x 1 week?

85
Q

TBSA includes

A

partial thickness, full thickness, and 4th degree

-superficial not included

86
Q

Before SJS/TEN rash appears what sxs does the pt state they had?

A

URI/Flu-like before rash presents

87
Q

What is Keratosis Pilaris and where is it located?

A

Keratotic follicular papules with perifollicular erythema base

-arms, thighs, and cheeks

88
Q

Paronychia: cause

A

Staph Areus

89
Q

Tine Barbae

A

papules, pustules, and hair follicles around beard location

90
Q

Wart: flat

91
Q

Genital and peritoneum - Rule of 9s

92
Q

What is the dose of topical cream/ointment for one leg BID x 4 week?

93
Q

Metastatic:SCC

A

other parts of the body

94
Q

Tinea pedis

A

athlete foot, pruritic scaly eruption between toes

95
Q

Genital warts: treatment

A

podophyllum

-done in office by clinician

96
Q

Wood lamps

A

pediculosis (lice) - nit fluoresce

Ring worm

97
Q

What is the dose of topical cream/ointment for trunk TID x 2 week?

98
Q

Harold Patch

A

salmon color annular

99
Q

Diaper rash: tx

100
Q

Black widow

A

medical emergency

  • neurotoxin
101
Q

Honey crusted around mouth

A

Non-bullous impetigo

102
Q

Paronychia

A

Infection of nail margin

  • occurs after skin trauma (bitting nails)
  • if left untreated can progress to felon
103
Q

Melanoma: MC type

A

superficial spreading melanoma

104
Q

Impetigo: treatment

105
Q

What is the dose of topical cream/ointment for the body BID x 1 week?

106
Q

Exposed to poison ivy, oak, sumac etc.

A

oleoresin-oil: allergic contact dermatitis

107
Q

Pressure Ulcer: Stage 4

A

full thickness skin loss with exposed bone, tendon or muscle

108
Q

What is the dose of topical cream/ointment for the body TID x 2 week?

109
Q

SJS/TEN - associated with

A
  • HIV
  • Antibiotics - sulfa
110
Q

What is the dose of topical cream/ointment for face and neck, one arm, and hands and feet BID x 1 week?

111
Q

Thermal burns are classified by?

A
  • classified according to depth of tissue injury
  • TBSA
112
Q

Dome shape umbilication

A

molluscum contagiosum

113
Q

Tine Cruris

A

Jock itch

-diffusely red rash on the groin or on scrotum

114
Q

Erythema multiform: treatment

A

supportive, antihistamine check urine for AKI (type 4 response)

115
Q

What is the dose of topical cream/ointment for face and neck, one arm, and hands and feet BID x 4 week?

116
Q

Scabies

A
  • Serpinginous: non-defined wavy tract of margin (snake crawling in forward direction)
  • linear burrows
  • web space of fingers and toes
  • consider STI in adults
117
Q

Silver plaques on extensor and pitting of nails

118
Q

Wart: plantar

119
Q

Onychomycosis

A

nail fungal infection, thickened, discolored, cracked nails

Dermatology (6 decks)

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