Study

Question 1

Medical term for small papule, less than 1 cm, containing clear serous or hemorrhagic fluid

Answer 1

Vesicles

Question 2

Medical term for large papule, more than 1 cm in diameter

Answer 2

Bullae

Question 3

Medical term for irregularly shaped, elevated, edematous skin areas that may be erythematous or paler than surrounding skin

Answer 3

Wheals

The borders of a wheal are well demarcated but not stable; they may move to adjacent, uninvolved areas over periods of hours.

Question 4

Medical term for superficial, often linear skin erosion caused by scratching

Answer 4

Excoriation

Question 5

Medical term for dry, leathery thickening of the skin with exaggerated skin markings secondary to chronic inflammation caused by scratching or other irritation

Answer 5

Lichenification

Question 6

Petechiae

Purpura

Ecchymoses

Answer 6

Petechiae are pinpoint, purpuric lesions 1 to 2 mm in diameter.

Purpura are red-purple lesions that do not blanch under pressure, resulting from the extravasation of blood from cutaneous vessels into the skin. Purpuric lesions can be macular or raised (palpable purpura).

Ecchymoses (bruises) are larger extravasations of blood

Question 7

Vesicles vs Pustules

Answer 7

Vesicles: small papule, less than 1 cm, containing clear serous or hemorrhagic fluid

Pustules: small, circumscribed skin papules containing purulent material.

Question 8

Oncologic emergencies

Answer 8

Superior Vena Cava Syndrome
- Most commonly caused by Lung CA or lymphoma
- Tx: Radiation, corticosteroids, chemotherapy, occasionally intravascular stenting.

Hyperviscosity syndrome
- Assoc with leukemia, MM, Waldenstrom macroglobulinemia
- Tx: Chemotherapy and plasmapheresis

Question 9

Superior Vena Cava Syndrome

Answer 9

Compression by external source (malignancy) or within the vessel lumen.
- Assoc with lung CA or lymphoma
- Also assoc with indwelling catheters, lymph nodes, or metastatic tumors.

Signs and Symptoms:
- Swelling in the neck, face, and upper limbs. Shortness of breath and distension of the veins of the face and upper limb.

SVC obstruction can be assessed clinically by performing Pemberton’s test. The patient is asked to raise both arms above their head – a positive test is indicated if facial oedema or cyanosis occurs after approximately 1 minute.

Question 10

What to order if pt present with dyspnea?

Answer 10

ABG
BNP
CXR
12 lead EKG

Question 11

ASCVD

Answer 11

We define the following risk categories based on a person’s estimated 10-year risk of CVD:

●Low – <5 percent
●Intermediate – 5 to 7.4 percent
●High – 7.5 to 19.9 percent
●Very High – ≥20 percent

Question 12

How many ribs?

Question 13

Protonix

Answer 13

Pantoprazole

Question 14

Fosamax

Answer 14

Alendronate

Question 15

Remeron

Answer 15

Mirtazapine

Question 16

Xanax

Answer 16

Alprazolam

Question 17

Sepsis criteria

Question 18

Can you combine morphine and zofran?

Answer 18

No, risk of serotonin syndrome