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ANCC Study > Skin > Flashcards

Skin Flashcards

1
Q

Impetigo is caused by what type of bacteria?

A

Gram positive strep pyrogenes and staph aureus

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2
Q

How do we treat bullous impetigo?

A

Oral antibiotics

Keflex or dicloxacillin

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3
Q

How do we treat non-bullous impetigo?

A

2% Mupirocin

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4
Q

Aphthous stomatitis or canker sores typically heal within?

A

7-10 days

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5
Q

This is a rash that starts as a Herald Patch and then goes to full distribution. “Christmas tree pattern”

A

Pityriasis Rosea

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6
Q

How to treat Pityriasis Rosea?

A

Self-limiting illness (6-8 weeks)

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7
Q

This presents with abrupt onset of fever, chills, severe HA, N/V, photophobia, myalgia, and arthralgia followed by a rash 2-5 days later (small red spots/petechia on wrists, forearms and ankles).

A

Rocky Mountain spotted fever

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8
Q

How do we treat RMSF?

A

Always doxy regardless of the age

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9
Q

Rubeola is?

A

Measles

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10
Q

What are the 3 c’s of measles?

A

Congestion
Conjunctivitis
Cough

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11
Q

When is the MMR vaccine given?

A

12 months and then between 4-6 years

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12
Q

This starts with acute onset of fever, HA, fatigue, myalgia, and anorexia. Within in 48 hours the salivary glands become swollen and tender.

A

Mumps or parotitis

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13
Q

This is salivary glass swelling/stones that occurs with eating but goes away after?

A

Sialolithiasis

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14
Q

S/S of sialolithiasis?

A

Bad breath
Painful
“Salivary stone”

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15
Q

Actinic Keratosis is a precursor to?

A

Squamous cell carcinoma

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16
Q

How is actinic keratosis describes?

A

Dry, pink lesions on sun exposed areas that do not heal.

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17
Q

Treatment for actinic keratosis

A 
Refer to term for biopsy 
Then cryotherapy (small number or lesions) and 5-FU (for large number of lesions)
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18
Q

These are soft, wart-like fleshy growths on the trunk, mainly on the back that are benign.

A

Seborrheic Keratosis

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19
Q

Most common type of skin cancer?

A

Basal cell carcinoma

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20
Q

Describe basal cell carcinoma.

A

Shiny, waxy, pearly lesion commonly with telangiectasis.

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21
Q

Describe squamous cell carcinoma.

A

Red, scaly/yellow lesion that bleeds easily.

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22
Q

This is a pyritic rash located on the flexor surfaces of the body?

A

Eczema

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23
Q

Plaque psoriasis is distinguished from eczema by:

A

Auspitz sign and Koebler’s phenomenon

24
Q

This is the sign that when you scratch a psoriasis plaque it bleeds?

A

Auspitz

25
Q

This is the phenomenon that new psoriasis plaques will form over areas of skin trauma.

A

Koebler’s phenomenon

26
Q

How to treat contact dermatitis?

A

Avoidance of trigger and topical steroids BIC for 1-2 weeks.

27
Q

What shingles vaccine is offered after the age of 50 and is most effective.

A

Shingrix - inactivated

28
Q

What shingles vaccine is offered after 60 and is activated so patient must wait at least 2 months after outbreak?

A

Zostavax

29
Q

What is molluscum contagiosum caused by?

A

poxvirus and is contagious (caused by skin-skin contact)

30
Q

These are ulcerated, black lesions, that are painless?

A

Anthrax

31
Q

What do you treat anthrax with?

A

Cipro * or doxy

32
Q

This is painful/recurring nodules, accesses, and pustules in locations such as the axilla, mammary area, perianal, and groin. It is inflammation of the apocrine glands.

A

Hidradenitis Suppurativa

33
Q

Risk factors for HS?

A

More common in females

Smoking and obesity

34
Q

How to treat HS?

A

Small- warm compresses and topical/po antibiotics (Clindamycin)
Large- I &D and po antibiotics

35
Q

How is rosacea treated?

A

Avoid irritants, sunscreen, metronidazole topical gel, azelaic acid topical gel, low-dose tetracycline or minocycline.

36
Q

This is a superficial form of cellulitis with sharply defined, well demarcated borders.

A

Erysipelas

37
Q

Epysipelas treatment?

A

Kelfex or PCN

38
Q

Purulent cellulitis is caused by?

A

MRSA

39
Q

Treatment of purulent cellulitis?

A

B: Bactrim
C: Clinda
D: Doxy

40
Q

Treatment of non purulent cellulitis?

A

Keflex or PCN

41
Q

Treatment of a carbuncle?

A

I & D, warm compress, and PO antibiotics

42
Q

This is an autoimmune disorder that impacts the salivary gland and eyes and causes dry eye/dry mouth?

A

Sjoren Syndrome

43
Q

Can thrush be scraped off?

A

Yes

44
Q

Treatment of thrush?

A

Nystatin swish and spit

45
Q

These are bright white plaques on the inner checks that cannot be scraped off?

A

Leukoplakia

46
Q

These are elongated papilla on the lateral aspect of the tongue and caused by EBV.

A

Hairy leukoplakia

47
Q

This starts as a fever that leads to a slapped cheek (lacy, net-like) rash.

A

5ths disease

48
Q

How long is 5ths disease contagious?

A

no longer contagious after rash appears

49
Q

What is a concern associated with 5ths disease?

A

Pregnant women exposed should be tested for antibodies bc this can be fatal for fetus.

50
Q

What is 5th disease caused by?

A

Parvovirus

51
Q

Treatment for hand, foot, and mouth?

A

supportive care, self-limiting

52
Q

What is Roseola?

A

6ths disease

53
Q

What is rubella?

A

German measles or 3-day measles

54
Q

Most causes of tinea can be treated topically except for?

A

Tinea capitus and moderate-severe onychomycosis

55
Q

What is another name for pinworms?

A

Enterobiasis

56
Q

How do we treat pinworms?

A

mebenazole or albendazole- 1 dose initially and 1 dose 2 weeks later

ANCC Study (14 decks)

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