Review Flashcards
1
Q
Poison ivy, oak, sumac: presentation
A
linear pattern, erythematous, scaly, itching, burning, and stinging
2
Q
Arms - Rule of 9s
A
9% each
3
Q
Impetigo: cause
A
Staph
4
Q
KOH spaghetti and meatballs
A
Tinea versicolor
5
Q
Sore throat takes amox - gets a rash- drug eruption
A
Morbilliform rash
-bright red macule and papule that coalesce for form plaques
6
Q
Wart: common
A
vulgaris
7
Q
Molluscum contagiosum - MCC
A
poxvirus
8
Q
Pressure Ulcer: Stage 1
A
non-blanchable redness in localized are over bony prominence (skin is intact)
9
Q
Natal cleft
A
Pilonidal cyst
10
Q
Paronychia: treatment
A
when there is an abscess
- I and D or use 18 gauge needle and lift the cuticle
11
Q
Hiradenitis suppurative: MC site
A
axillary, primary occurs on intertriginous skin
12
Q
Flexor creases-AC popliteal
A
eczema (atopic dermatitis)
13
Q
Invasive: SCC
A
deeper layers
14
Q
Exlamation point hairs
A
alopecia areata
15
Q
What is the dose of topical cream/ointment for the body BID x 4 week?
A
454 gm
16
Q
Harold Patch + Christmas tree
A
pityriasis rosea
-spares the face, usually trunk and proximal regions
17
Q
Pressure Ulcer: Stage 2
A
partial thickness dermal loss, shiny, shallow open ulcer with red-pink wound bed without sloughing or bruising
18
Q
SJS/TEN - a positive sign
A
Nikolsky sign
19
Q
Christmas tree
A
cleavage line
20
Q
In-situ/Bowen: SCC
A
confined to outer layer of skin
21
Q
Lady with dark velvety rash around neck
A
acanthosis nigrcans
22
Q
Vitiligo: cause
A
autoimmune
23
Q
Tinea corporis
A
erythematous plaques, clear center, defined borders, scaling, cracking, vesicles scales are present
- ring worm
24
Q
Tinea versicolor: tx
A
clotrimazole
25
AK: treatment
cryotherapy
26
Tinea versicolor: dx
fungus - wood lamp
27
SCC
- open sore that does not heal
- AK: precursor
28
Coin shaped lesion
nummular eczema
- 2 or more lesions in the same location
- pruritis
29
Native American female, exposed to sunlight, on birth control
melasma
30
Lichen Plans: 6 P's
purple papules, polygonal, planar, pruritic, plaques
-high incident of hep C
31
Androgenetic alopecia
MC non scarring in men
32
Psoriasis - treatment
topical, UV light therapy or systemic agents
33
What is the dose of topical cream/ointment for face and neck, one arm, and hands and feet TID x 2 week?
45 gm
34
Asthma, allergies, atopic dermatitis
atopic dermatitis
- eczema
35
Wart: treatment
cryo and salicylic acid
36
Seborrheic keratosis
- waxy, scaly, slighting elevated appearance greasy/stuck on appearance
- small papule warty lesion
- brown, black, light tan, lesion on chest, face, shoulders or back
37
Hidradenitis suppurative
MC in women
- apocrine glands
- recurrent, painful, inflamed nodules
38
Benign skin lesion
Seborrheic keratosis
39
Legs - Rule of 9s
18% each
40
Seborrheic keratosis: treatment
nothing
41
Pemphigus Vulgaris
- autoimmune dz
- MC pemphigoid lesions
- blisters, rupture easily
- + Nikolsky sign
- MC young pts
42
What is the dose of topical cream/ointment for one leg TID x 2 week?
90 gm
43
Lice
- nits/eggs
- scalp infected: acute
- nits: had for a while
- Intense itching, papular, urticaria near the lice bites
44
Poison ivy, oak, sumac: treatment
burrows solution (aka aluminum acetate solution) -1st line treatment oral = prednisone
45
Cradle cap: Dandruff
seborrheic dermatitis
-erythematous plaques with fine white scales
46
Acne: mild treatment
topical retinoids, benzoyl peroxide, topical antibiotics, OCPs
47
Posterior Trunk - Rule of 9s
18%
48
Alopecia areata
- autoimmune, thyroid
- tapering near the proximal hair shaft
49
What is SJS/TEN?
emergency
- sheet-like skin and mucosal loss
- treat like a burn
50
"Tapioca" lesions is seen in what eczema
Dyshidrotic/Dyshidrosis Eczema
51
Anterior Trunk - Rule of 9s
18%
52
SJS/TEN - complications
hypothermia dehydration infection
53
Pressure Ulcer: Stage 3
full thickness dermal loss
54
Tinea pedis: tx
terbinafine
55
Dyshidrotic/Dyshidrosis Eczema location and cause
- tense vesicles soles of feet, palm, fingers
- stress, weather, metal, sweating
- feet: w \> m, hands: w = m
56
KOH - what do you see
hyphae, stems, spores
57
Electrical burns
don't underestimate degree of injury
- Cardiac: V fib
- Renal: Rhabdomyolysis
- Muscle contracts = cause fractures
58
Water park, malar rash, sparing nasal folds, across cheek, ANA positive with titer
systemic lupus erythematosus
59
BCC
most common
- sunlight/UV rays
- shiny, pearly, or translucent nodules
60
Melanoma
- ABCDEs
- tumor thickness is the most important prognostic factor
- sentinel lymph node excision is diagnostic and therapeutic
61
Tinea capitus
annular, scaling, lesion, broken hair shafts, inflamed plaques with pustules, with scaring and alopecia
62
Hiradenitis suppurative: Tx
lifelong attention, behavioral intervention, topical/systemic antibiotics, surgery
63
Tx for fungal
azole topicals
64
Nikolsky sign
SJS/TEN = positive
65
Painful erythema nodules on shins
erythema nodosum
- bruise-like lesions
- fever
- OBC is cause
66
What is the dose of topical cream/ointment for one leg BID x 1 week?
30 gm
67
Acne: moderate
topical retinoids, benzoyl peroxide, topical antibiotics, OCPs, oral antibiotics
68
KOH - what does it do
destroys normal epithelial cells and leaves the fungal cells untouched
69
Brown recluse
surgical emergency
- hemotoxin, necrosis
70
Target lesions, caused by HSV or medication
erythema multiform
-mucosal involvement = erythema multiform major
71
Hand and Neck - Rule of 9s
9%
72
Warts: cause
HPV
73
Cushing's disease or hypercortisolism
- moon facies
- dorsocervical fat pads
- striae
- tunica obesity
74
Tinea veriscolor: cause
fungal
75
Psoriasis - moderate to severe: phototherapy and systemic agents
- acitretin
- calcitriol
- entanercept
76
Farmer comes in with rough spots on ear
AK leads to SCC
77
Vitiligo: cause
autoimmune destruction of melanocytes
78
Swimming, rash (small pustular lesions) where swimsuit was what is the dx, bug, and tx?
Folliculitis
- psudomonas aeruginosa
- TX: cipro
79
Tzanck smear
Varicella
80
What is the dose of topical cream/ointment for trunk BID x 4 week ?
240
81
Acne: severe
Isotretinoin
- pregnancy test every month
- 2 forms of BC
82
Bullous Pemphigoid
- Subepidermal blistering
- Urticarial plaques, tense bullae do not rupture easily
- negative Nikolsky sign
83
Psoriasis - mild to moderate: Topical agents
- topical corticosteroids
- emollients
- salicylic acid
- calcipotriene (Synthetic Vitamin D derivative)
- Tazarotene
- Coal tar
84
What is the dose of topical cream/ointment for trunk BID x 1 week?
60
85
TBSA includes
partial thickness, full thickness, and 4th degree
-superficial not included
86
Before SJS/TEN rash appears what sxs does the pt state they had?
URI/Flu-like before rash presents
87
What is Keratosis Pilaris and where is it located?
Keratotic follicular papules with perifollicular erythema base
-arms, thighs, and cheeks
88
Paronychia: cause
Staph Areus
89
Tine Barbae
papules, pustules, and hair follicles around beard location
90
Wart: flat
plana
91
Genital and peritoneum - Rule of 9s
1%
92
What is the dose of topical cream/ointment for one leg BID x 4 week?
120 gm
93
Metastatic:SCC
other parts of the body
94
Tinea pedis
athlete foot, pruritic scaly eruption between toes
95
Genital warts: treatment
podophyllum
-done in office by clinician
96
Wood lamps
pediculosis (lice) - nit fluoresce
Ring worm
97
What is the dose of topical cream/ointment for trunk TID x 2 week?
180
98
Harold Patch
salmon color annular
99
Diaper rash: tx
Nystatin
100
Black widow
medical emergency
- neurotoxin
101
Honey crusted around mouth
Non-bullous impetigo
102
Paronychia
Infection of nail margin
- occurs after skin trauma (bitting nails)
- if left untreated can progress to felon
103
Melanoma: MC type
superficial spreading melanoma
104
Impetigo: treatment
Mupirocin
105
What is the dose of topical cream/ointment for the body BID x 1 week?
180
106
Exposed to poison ivy, oak, sumac etc.
oleoresin-oil: allergic contact dermatitis
107
Pressure Ulcer: Stage 4
full thickness skin loss with exposed bone, tendon or muscle
108
What is the dose of topical cream/ointment for the body TID x 2 week?
454 gm
109
SJS/TEN - associated with
- HIV
- Antibiotics - sulfa
110
What is the dose of topical cream/ointment for face and neck, one arm, and hands and feet BID x 1 week?
15 gm
111
Thermal burns are classified by?
- classified according to depth of tissue injury
- TBSA
112
Dome shape umbilication
molluscum contagiosum
113
Tine Cruris
Jock itch
-diffusely red rash on the groin or on scrotum
114
Erythema multiform: treatment
supportive, antihistamine check urine for AKI (type 4 response)
115
What is the dose of topical cream/ointment for face and neck, one arm, and hands and feet BID x 4 week?
60 gm
116
Scabies
- 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
Silver plaques on extensor and pitting of nails
psoriasis
118
Wart: plantar
plantaris
119
Onychomycosis
nail fungal infection, thickened, discolored, cracked nails
