skin 1.2

Question 1

purpura

Answer 1

nonblanching redness

Question 2

exanthem

Answer 2

widespread rash

Question 3

Ichthyosis-

Answer 3

generalized scaling “fish skin”

Question 4

looks thicker than notmal

Answer 4

lichenidication

Question 5

feels thicker

Answer 5

induration

Question 6

petechiae

Answer 6

nonblanching

Question 7

diascopy

Answer 7

Press lesion with glass
Blanching means capillaries intact
Non blanching means extravasated blood

Question 8

Tzanck smear

Answer 8

Dx HSV and VZV

Multinucleated giant cells= diagnostic for HSV and VZV

Question 9

use dark field microscopy to dx

Answer 9

syphilis

Question 10

Woods light exam

Answer 10

Uv light makes certain organisms appear coral red

Question 11

Darier’s sign

Answer 11

Rubbing lesion causes urticarial flare

Question 12

Auspitz sign

Answer 12

Pinpoint bleeding after scale is removed

Question 13

Nikolsky’s sign

Answer 13

Pushing a blister and it causes further destruction of dermis

Question 14

Koebner’s phenomenon

Answer 14

Minor trauma causes new lesions at site of trauma

Question 15

Shagreen plaque

Answer 15

Oval Shaped leathery plaque associated with tuberous sclerosis

Question 16

Thickening of epidermis and upward extension of dermal papillae

Answer 16

warts

Question 17

Mosaic warts-

Answer 17

cluster of smaller warts

Question 18

Gardasil-

Answer 18

vaccine against HPV 6, 11, 16, 18

Question 19

“Stick on” or “pasted” plaque or papule

Answer 19

Seborrheic Keratosis

Question 20

acrochordans aka

Answer 20

skin tags

Question 21

Melasma trmt

Answer 21

Hydroquinone cream
Sunscreen
Tretinoin cream

Question 22

Melasma pe

Answer 22

Patchy hyperpigmented macules on face

Question 23

Nevi types

Answer 23

Junctional nevi
Macular with nevus cells in epidermis
Compound nevi
Papular with nevus cells in epidermis
Intradermal nevi
Papular with nevus cells in dermis

Question 24

Nevi pe

Answer 24

Symmetric and uniform pigmentation

Question 25

spitz nevi benign juvenule melanoma PE

Answer 25

1 dome shaped red papule or nodule | Grow fast

Question 26

trmt Spitz nevus/benign juvenile melanoma

Answer 26

excision

Question 27

Dysplastic nevus syndrome aka familial atypical mole melanoma syndrome (FAMMM)

Answer 27

Familial skin condition with multiple nevi multiple atypical nevi and inc risk of melanoma Linked to CDKN2A gene mutation

Question 28

Dysplastic nevus syndrome aka familial atypical mole melanoma syndrome (FAMMM) trmt

Answer 28

Self skin exams regularly | Protect skin from sun

Question 29

nevi trmt

Answer 29

Shave or punch Biopsy All removed must be examined by pathologist Don't transect depth of melanoma- punch or shave wont transect

Question 30

Cases are inc faster than any other cancer in US

Answer 30

mm

Question 31

MC type MM

Answer 31

superficial spreading

Question 32

MM with delayed vertical growth

Answer 32

superficial spreading and lentigo maligna

Question 33

MM with immediate vertical growth

Answer 33

nodular and acral lentiginous

Question 34

MC form of cancer for young adults 25-29

Answer 34

mm

Question 35

prognosis of MM

Answer 35

Directly Related to tumor thickness (test)

Question 36

Breslow is preferred prognostic indicator in this condition

Answer 36

MM

Question 37

mm best prognosis

Answer 37

in situ

Question 38

what should you do if MM lesions are over 0.75mm

Answer 38

LN biopsy

Question 39

MM trmt

Answer 39

``` Surgical excision In situ: 5 mm 1-2 mm: 1 cm margin Over 2 mm: 2 cm margin Chemo, radiation ```

Question 40

mm course

Answer 40

curable in horiz phase

Question 41

follow up MM

Answer 41

3-6 mo for at least 2 yrs then annually Must examine skin, LN, liver, and spleen Annual CXR if over 1mm

Question 42

Epidermal inclusion cyst?

Answer 42

Growth of epithelial lining of hair follicle | Diff from lipoma bc it has central pore

Question 43

Epidermal inclusion cyst | pe

Answer 43

Asymptomatic Skin colored nodule with central core Grow slow and reach stable size 1-3 Drains foul smelling material

Question 44

Epidermal inclusion cyst | trmt

Answer 44

Remove entire cyst/lining to prevent it from coming back (if you want)

Question 45

Pyogenic granuloma/eruptive hemangioma/tumor of pregnancy | pe

Answer 45

Red or purple papule or nodule few cm or mm On oral mucosa, hands/finger Bleed with little trauma

Question 46

Pyogenic granuloma/eruptive hemangioma/tumor of pregnancy | trmt

Answer 46

Heal if in pregnancy | Cauterization , excision

Question 47

Pyogenic granuloma/eruptive hemangioma/tumor of pregnancy | are common in

Answer 47

In pregnant women and young kids

Question 48

Cherry angiomas?

Answer 48

Vasc proliferation

Question 49

Cherry angiomas PE

Answer 49

Small red or purple macule/ papule

Question 50

Cherry angiomas dx

Answer 50

Clinical | Biopsy if ABCDE

Question 51

Cherry angiomas trmt

Answer 51

none

Question 52

Spider angiomas aka nevus araneus or spider telangiectasia?

Answer 52

Sphincter muscle doesn't surround arteriole well Wosen with inc estrogen Benign

Question 53

5+ Spider angiomas aka nevus araneus or spider telangiectasia check for

Answer 53

liver cirrhosis

Question 54

Spider angiomas aka nevus araneus or spider telangiectasia | pe

Answer 54

Central red spot with radiating extensions

Question 55

Spider angiomas aka nevus araneus or spider telangiectasia | trmt

Answer 55

None | Stop contraceptives if that inc in estrogen caused it

Question 56

Dermatofibroma?

Answer 56

Focal dermal fibrosis

Question 57

Dermatofibroma pe

Answer 57

3-9 mm wide, firm dermal papule or nodule Vary in color Dimple sign

Question 58

Dermatofibroma is MC here on the body

Answer 58

MC on legs

Question 59

Dimple sign

Answer 59

Dermatofibroma

Question 60

Dermatofibroma dx

Answer 60

Biopsy if concerned

Question 61

Dermatofibroma trmt

Answer 61

None | Punch or simple excision