Seb Derm, Lichen P, Pit rose Etc

Question 1

Tapioca vesicles

Answer 1

Pompholyx/dishydrotic eczema

Question 2

What are associated disorders with psoriasis

Answer 2

Psoriatic arthritis
IBD, heart disease, DM, infections, autoimmune disorder,
EYE stuff

~it’s not just a skin disorder~

Question 3

What skin condition is associated with Hepatitis C

Answer 3

Lichen planus

Question 4

What is guttate psoriasis

Answer 4

Psoriasis that looks like droplets often preceded by strep infection

Question 5

What is the treatment for psoriasis?

Answer 5

Sunshine
Baths (moisten thick plaques)
Emollients (reduce itching)
Occlusive dressings,
Rest
Topical steroids
Topical vitamin D
Coal Tar
Retinoids
Topical Calcineruin inhibitors

Question 6

What is a topical retinoid for psoriasis

Answer 6

Tazarortene (Tazorac)

Question 7

What does the herald patch of pityriasis rosea look like

Answer 7

Oval slightly raised lesion with collarette scale

Question 8

How do you treat seborrheic derm on scalp

Answer 8

Antifungal agents
Topical steroids
Ketoconazole shampoo/cream
Selenium shampoo

Question 9

What is dactylitis and what disease is it associated with

Answer 9

Sausage fingers, associated with psoriatic arthritis

Question 10

when does seborrheic derm get worse

Answer 10

Emotional stress and during cold/dry weather

Question 11

What is the Koebner phenomenon

Answer 11

Development of lichen planus in sites of trauma

Question 12

What are the 4 P’s of Lichen Planus

Answer 12

Pruritic
Purple
Polygonal
Papules (or Plaques)

Question 13

How prevalent is Psoraitic arthritis

Answer 13

30% of pts with psoriasis

Question 14

Wickhams Striae

Answer 14

Lichen planus

Question 15

1st line treatment for lichen planus

Answer 15

high or super high potency topical or intralesional steroids (for trunk and extremities)

Question 16

What does psoriasis do to the fingernails

Answer 16

“Oil spots” PATHOGNOMIC
Pitting
Onycholysis

Question 17

Who gets pityriasis rosea most commonly

Answer 17

Teens and young adults

Question 18

How does pityriasis rosea first present

Answer 18

Prodrome, then Herald patch followed by secondary rash 1-2 weeks later

Question 19

What is “cradle cap”

Answer 19

Seborrheic derm on infants

Yellow greasy scales on vertex of scalp

Question 20

What does psoriasis look like?

Answer 20

Thickened dry raised patches covered with a SILVERY WHITE SCALE

Question 21

How do you treat seborrheic blepharitis or cradle cap?

Answer 21

Olive oil
Baby shampoo
Warm water to loosen crusts

Question 22

Micaceous Silvery Scale

Answer 22

Psoriasis

Question 23

What body parts are usually affected by psoriatic arthritis?

Answer 23

Smaller joints
DIP joints
Spine
In an asymmetric distribution

Question 24

Neurodermatitis other name

Answer 24

Lichen simplex chronicus

Question 25

What is the most common type of psoriasis

Answer 25

Chronic plaque (vulgaris)

Question 26

What causes Pityriasis rosea

Answer 26

Skin expression of viral disease (herpes HHV6/7)

Question 27

What is the treatment for pityriasis rosea

Answer 27

REASSURANCE Oral antihistamines Medium strength topical steroids Sunlight

Question 28

What are wickham’s striae associated with

Answer 28

Lichen planus | Tiny white lines running through papules

Question 29

What rash has a “cigarette paper” like appearance to the plaques

Answer 29

Pityriasis rosea

Question 30

How does seborrheic derm present on adults

Answer 30

Red macules, patches or plaques with YELLOW GREASY-LOOKING SCALES

Question 31

How do YOU treat Psoriatic Arthritis

Answer 31

Should be coordinated between a rheumatologist, dermatologist, and PA-C

Question 32

What is seborrheic blepharitis

Answer 32

Seborrheic derm on eyelashes

Question 33

Can you use oral steroids for psoriasis?

Answer 33

NO NO NO NO NO NO NO | It gets worse after you stop them and the pt can wind up in hospital

Question 34

What rash presents in a CHRISTMAS TREE PATTERN

Answer 34

Pityriasis rosea

Question 35

Moderate to severe psoriasis requires what

Answer 35

Phototherapy Systemic therapies CARE BY DERMATOLOGIST

Question 36

What are the most common places to get lichen planus

Answer 36

``` WRISTS Back Shins Ankles Penis MOUTH (50%) ```

Question 37

What causes seborrheic derm

Answer 37

Sebaceous glands create a favorable environment for M. Furfur, which is normally found on skin

Question 38

What are the names of synthetic Vitamin D topical

Answer 38

Calcitriol | Calcipotriol/calcipotriene (Dovonex)

Question 39

What topical steroids are appropriate for psoriasis

Answer 39

Group I or II (High or super high potency to get through the thick plaque) Clobetasol Betamethasone Fluocinonide

Question 40

What is Auspitz sign?

Answer 40

Removal of psoriasis plaque reveals shiny skin with tiny blood spots

Question 41

Christmas Tree

Answer 41

Pityriasis Rosea

Question 42

How do you treat seborrheic derm on face

Answer 42

Low potency topical steroid | Topical antifungal

Question 43

Atopic triad

Answer 43

Atopic eczema Allergic rhinitis Asthma

Question 44

What causes psoriasis

Answer 44

Overactive T Cells cause body to make new skin cells super fast, skin can’t be sloughed off fast enough=INCREASED THICKNESS (PLAQUE)

Question 45

What are some steroid sparing agents you can add to a patient treatment for psoriasis

Answer 45

Synthetic Vitamin D Coal Tar Topical Retinoids Topical Calcineruin inhibitors

Question 46

What causes lichen planus

Answer 46

Immune mediated response, but other than that we don’t react know what causes it

Question 47

What conditions is the Koebner phenomenon associated with?

Answer 47

Psoriasis vulgaris Lichen Planus (Getting lesions in areas of skin injury)

Question 48

Who is more likely to get seborrheic dermatitis

Answer 48

M>F | 20’s-30’s peak prevalence

Question 49

What are topical Calcineruin inhibitors for psoriasis

Answer 49

Tacrolimus Pimecrolimus

Question 50

What is a good steroid for lichen planus

Answer 50

Triamcinolone

Question 51

What lab findings are common with psoriatic arthritis?

Answer 51

Elevated Sedimentation rate | Leukocytosis (elevated WBC)

Question 52

Who gets lichen planus most commonly

Answer 52

30-60 year olds

Question 53

How long does it take for pityriasis rosea to fo away

Answer 53

6-8 wks

Question 54

What gene identifies patients who are DESTINED to develop psoriatic arthritis in addition to their psoriasis?

Answer 54

HLA-B27

Question 55

4 P’s

Answer 55

Lichen Planus

Question 56

What are some of the main things on the Ddx of pityriasis rosea

Answer 56

Tinea corporis-herald patch OFTEN mistaken. Do KOH prep SECONDARY SYPHILIS-do serologic test, RPR (rapid plasma reagent)