Skin and Musculoskeletal

Question 1

Most common site of melanoma metastasis

Answer 1

Lung

Question 2

Most common sites of melanomas in males, females

Answer 2

Males: Back
Females: Calves

Question 3

The rare adenocarcinoma of the apocrine gland that often appears as a nonpigmented plaque is:

Answer 3

Extramammary paget disease

Question 4

3 stages of graft take:

Answer 4

1. Plasmatic imbibition (48h)
2. Insoculation (2-3)
3. Revascularization (3-5d)

Question 5

Healing of this type of graft is done via primary closure

Answer 5

Full thickness skin graft

Question 6

Healing in split thickness skin graft is done via:

Answer 6

Re-epithelialization via dermal appendages in graft and wound edges

Question 7

STSG has (greater or less) primary contraction, secondary contraction?

Answer 7

Less primary, greater secondary contraction

Question 8

Pressure Injuries: 1 hour of _____ mmHg pressure can lead to histologically identifiable venous thrombosis, muscle degeneration, and tissue necrosis

Answer 8

60 mmHg

Question 9

Acid burn requires ____ minutes of irrigation while alkali burn requires _____ minutes of irrigation

Answer 9

30 minutes for acid

2 hours for alkali

Question 10

Most common cause of IVF extravasation in adults

Answer 10

Chemotherapeutic drugs

Question 11

A deep tissue infection with sulfur granules seen should be treated with:

Answer 11

Penicillin (Organism: Actinomyces)

Question 12

Rare, giant condyloma acuminatum is called

Answer 12

Buschke-Lowenstein tumor

Question 13

SJS/TEN structural defect is in the layer of:

Answer 13

Dermoepidermal junction

Question 14

Most common location of dermoid cyst

Answer 14

Eyebrow

Question 15

A cutaneous cyst that, when ruptured, produces a characteristic foul odor

On histopath, it has NO granular layer

Answer 15

Trichilemmal (pilar) cyst

Question 16

Most common cutaneous lesion of infancy

Answer 16

Hemangioma

Question 17

Most frequent form of Basal Cell CA

Answer 17

Nodular

Question 18

Treatment of basal cell carcinoma on the cheek, nose, lip

Answer 18

Moh’s surgery

Question 19

Autosomal disorder characterized by the growth of hundreds of BCCs during yound adulthood

Answer 19

Gorlin syndrome (Basal cell nevus syndrome)

Question 20

In situ lesion of SCC is called?

If in the penis?

Answer 20

Bowen’s disease

Penis: Erythroplasia of Queyrat

Question 21

Malignant melanoma with the best prognosis

Answer 21

Lentigo maligna

Question 22

Malignant melanoma with the worst prognosis

Answer 22

Nodular

Question 23

Clark level 1 of melanoma staging implies location of melanoma in:

Answer 23

Superficial to basement membrane (in situ)

Question 24

Surgical treatment of melanoma in situ:

Answer 24

Excision with 0.5 cm margins

Question 25

Surgical treatment of melanoma 1mm thickness or less:

Answer 25

Excision with 1 cm margin

Question 26

Surgical treatment of melanoma 1-4 mm thick:

Answer 26

Excision with 2 cm margin w/ SLNB

Question 27

Surgical treatment of melanoma more than 4 mm thick or (+) satellosis

Answer 27

Excision with 3-5 cm margin with SLNB

Question 28

True or false: Moh's surgery is not appropriate for treatment of any melanoma

Answer 28

True

Question 29

Treatment for the first six months of developmental dysplasia of the hip:

Answer 29

Pavlik Harness

Question 30

Definitive surgical treatment of DDH:

Answer 30

Osteotomy

Question 31

Adolescent hip disorder characterized by displacement of the femoral head on the femoral neck

Answer 31

SCFE

Question 32

Diagnostic sign of SCFE on Pelvic AP X-ray

Answer 32

``` Trethowan sign (Klein’s line does not intersect the lateral part of the superior femoral epiphysis on an AP radiograph of the pelvis) ```

Question 33

Disease characterized by ossification if the distal patellar tendon at the point of tibial insertion:

Answer 33

Osgood Schlatter disease

Question 34

2 tests for bicipital tendinitis

Answer 34

Speed and Yergason test

Question 35

Which test is this: “Patient complains of pain and tenderness over bicipital groove with forearm supination against resistance, with elbow flexed and the shoulder in adduction”

Answer 35

Yergason test

Question 36

Which test is this: “Patient complains of anterior shoulder pain against resistance while the elbow is extended and the forearm is supinated”

Answer 36

Speed test

Question 37

Fixed or flexible deformity of the DIP joint of the toe

Answer 37

Mallet toe

Question 38

Flexion deformity of the PIP with hyperextension of the MTP and DIP

Answer 38

Hammer toe

Question 39

Most common cause of shoulder pain

Answer 39

Supraspinatus tendinitis (subacromial bursitis)

Question 40

Wright’s rest, Adson’s test, Cyriax release, Eleveated Arm Stress/Roos test are used to evaluate:

Answer 40

Thoracic Outlet Syndrome

Question 41

Rest pain seen with occlusive peripheral vascular disease in the lower extremity most commonly occurs in

Answer 41

The MTP Joint

Question 42

ASIA classification: Motor function preserved below he neurological level, most key muscles below the level have a muscle grade of >3

Answer 42

Class D Incomplete

Question 43

Components of Galleazi fracture

Answer 43

Fracture of distal radius with dislocation of DRUJ

Question 44

Fracture of the radial shaft at the junction of the middle and distal thirds without an associated lunar fracture

Answer 44

Piedmont’s

Question 45

2 premalignant conditions to SCC

Answer 45

Seborrheic keratosis | Solar (actinic) keratosis

Question 46

Ocular melanoma exclusively metastasizes to the:

Answer 46

Liver