Skin Flashcards

1
Q

4 layers of epidermis?

A

Stratum corneum
S. Granulosum
S. Spinosum
S. Basale

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2
Q

Cells linked by desmosomes in?

A

Stratum spinosum

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3
Q

Mitosis occurs in?

A

S. Basale

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4
Q

Epidermis separated from dermis by?

A

Basement membrane in Rete ridges

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5
Q

Vasculature and nerves run in?

A

Dermis

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6
Q

Increased keratin in the stratum corneum?

A

Hyperkeratosis

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7
Q

Nuclei in the stratum corneum (usually none)

A

Paraketosis

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8
Q

Acanthosis affects which layer?

A

Stratum spinosum

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9
Q

Acantholysis is?

A

Disruption of cohesion between keratinocytes

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10
Q

C3 and IgG attack hemidesmosomes?

A

PemphigoiD

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11
Q

Nikolsky sign negative?

A

PemphigoiD

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12
Q

IgG attack E cadherin causing acantholysis in?

A

PemphiguS

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13
Q

Antibodies to desmoglein 1?

A

Pemphigus foliaceus

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14
Q

Intercellular oedema?

A

Spongiosis

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15
Q

Auspitz sign?

A

Pinpoint bleeding due to loss of granular layer in psoriasis

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16
Q

Most common form of psoriasis?

A

Chronic plaque psoriasis

17
Q

Nail changes in psoriasis?

A

POSH

Pitting
Onycholysis
Subungal hyperkeratosis

18
Q

Mother of pearl sheen and pruritic purple polygonal plaques?

A

Lichen planus

  • assoc wickham’s striae in mouth
  • inflam of dermal-epidermal junction
19
Q

Targetoid annular lesions caused commonly by drugs reaction?

A

Erythema multiforme

20
Q

Percentage of skin detachment in:

Stevens Johnson syndrome?

Toxic Epidermal Necrolysis?

A

SJS <10%

TEN >30%

21
Q

Salmon pink rash starting with herald patch and then spreading out in fir tree pattern on trunk?

A

Pityriasis rosea

22
Q

Warty cauliflower lesion looks stuck on and waxy. Found in elderly

A

Seborrhoeic dermatitis

23
Q

Rodent ulcer
Grows SLOWLY
RARELY metastatic

Pearly surface with telamgiectasia

A

Basal cell carcinoma

24
Q

Squamous cell carcinoma?

A

Bowen’s disease has spread through BM into dermis

25
Flat red scaly patches on sun exposed areas Basement membrane INTACT
Bowen's disease (SCC in situ)
26
Most important prognostic factor for malignant melanoma?
Breslow thickness
27
Most aggressive melanoma?
Nodular
28
Outermost layer of skin?
Stratum Corneum of epidermis