Smarty pance questions

Question 1

Seborrheic dermatitis occurs where most commonly and what is its apperance

Answer 1

Appears on scalp, eyebrows, eyelids, ears
Yellow, greasy scale, pink patch around mouth, or can appear as Loose white flakes with no erythema on scalp

Question 2

A patient presents with a symmetrical red papular rash with many target lesions. This best describes which of the following?

Answer 2

Erythema multiforme

Question 3

A 26 year-old male complains of intense itching, especially at night and after hot showers, for the past 4 days. On physical examination he has a few red papules and areas of excoriation on his volar wrists, between his fingers, and around his waist. Proper diagnosis should include which of the following tests?

Answer 3

Skin scraping- assess for scabies

Question 4

Red papules and areas of excoriation on volar wrists, between fingers, around waist, are consistant with which diagnosis

Answer 4

Scabies (ewwie)

Question 5

A 35 year-old female who recently returned from a backpacking trip complains of fatigue, malaise, fever, chills, and arthralgias. Physical examination reveals a 6 cm annular lesion with a red border and a clear center on her mid-back. Which of the following laboratory tests would support your diagnosis?

Answer 5

Serologic antibody testing- lyme disease shows positive serology tests after infection

Question 6

If you suspect lyme disease in a patient, which test do you use to confirm your diagnosis?

Answer 6

Serologic antibody testing

Question 7

What kind of melanoma occurs under the nails

Answer 7

Acral lentiginous
Occurs on palm, sole, nail bed, or mucous membrane

Question 8

A mother brings in her 2 year-old child stating that the child has had a 3-day history of a nonproductive cough, thick copious rhinorrhea, conjunctivitis, and a fever to 103 degrees. Physical examination reveals a well-hydrated child, with numerous 1-2 mm white papules on both buccal mucosa, normal heart and breath sounds. This presentation is most consistent with early

Answer 8

Rubeola– Measles

Question 9

Shingles presents in which characteristic way/morphology of lesions

Answer 9

Vesicles on an erythmatous base and some lesions with crusts aside the other vesicles indicates which disease

Shingles infection, along a dermatome

Question 10

What percent of body surface area impacted by a burn indicates transfer to a burn center?

Answer 10

10%
or preexisting conditions

Question 11

Pharmacologic treatment of a cat bite in the person with no allergies consists of which medication?

Answer 11

Amoxicillin-Clauvulanate (Augmentin)

Question 12

mother brings a 3 month-old infant to the office because she is concerned about a red, vascular, nodular growth on the child’s back. It appears to be enlarging slightly and the vessels are slightly dilated. It seems to cause the child no discomfort. The most likely diagnosis is

Answer 12

A hemangioma
Bright red to deep purple vascular nodule or plaque, develops at birth, enlarges, regresses and disappears with aging

Question 13

subcutaneous, erythematous red tender nodules, especially on the shins, is characteristic of which disease

Answer 13

Erythema nodosum

Question 14

What is the mediator responsible for initiating the urticaric response?

Answer 14

IgE
Type 1 Hypersensitivity
Anaphylaxis

Question 15

Which drugs are most likely the cause of Epidermal necrolysis

Answer 15

Ampicillin (antibiotic)
NSAIDS
Anticonvulsants (Carbamezapine)

Question 16

Which skin rashe is pathognomonic of rheumatic fever?

Answer 16

Erythema marginatum

Question 17

Erythema marginatum is pathomnumonic of which disease

Answer 17

rheumatic fever

Question 18

Examination reveals a slowly developing, one centimeter, firm nodule on a patient’s right temple with heavy keratinization. There is no fluctuance or skin discoloration. What is the diagnosis?

Answer 18

Squamous cell cancer
Slow development, heavy keratinization

Question 19

A 26 year-old presents with two days of a generalized, non-pruritic rash with concurrent low grade fever and sore throat. He is otherwise in good health with no history of dermatologic problems other than acne and a non-painful ulceration at the base of his penis seven months ago that resolved spontaneously. Examination reveals a macular- papular rash spread diffusely over the body including the palms and soles of the feet. Shallow ulcers are noted on the buccal mucosa while the pharynx is moderately erythematous. Which of the following is the most appropriate initial diagnostic study?

Answer 19

Serum FTA absorption test (Syphillis is diagnosis)

Question 20

What is the apperance of kopliks spots

Answer 20

1-2 mm white papules in the mouth