test 1 deck 3

Question 1

what stage of eczema is assoicated w/ erythema, scaling, fissuring, and a moderate itch, pain, and burn? associated w/contact allergy, irritant, and is treated w/ topical steroids and emollients?

Answer 1

subacute

Question 2

Answer 2

pustular psoriasis

Question 3

MC types of irritant dermatitis?

Answer 3

occupational and diaper

Question 4

Answer 4

chronic plaque psoriasis

Question 5

disorder w/ primary lesion 2-10mm flat topped papule. wickham’s striae, a white lacy pattern of crisscrossed lines are visualized w/ immersion of oil. new lesions are pink-white and progress to violaceous purple hue w/ nail splitting and dystrophy. DX__ associations__

Answer 5

lichen planus, liver dz, hep C, squamous cell carcinoma

Question 6

Answer 6

lichen planus

Question 7

toxic, febrile smoker w/ leukocytosis presents w/ deep seated pustules on the middle of plams and soles. They spread outward to involve the rest of the hand. The patients states that they happened when he was stressed out about his health change and new infection. DX:__ tx:__

Answer 7

pustular psoriasis, NO oral steroids, maybe class I topical (clobetasol) and abx

Question 8

Answer 8

seborrheic dermatitis

Question 9

patient w/ hx of being a dishwasher and automechanic. has damage to stratum corneum, inflamed, cracked, fissured skin. dx__ trx__

Answer 9

irritant dermatitis, complete avoidance, change job, protective clothing, emolient

Question 10

Answer 10

dyshydrotic eczema (pompholyx)

Question 11

middle aged to elderly patient presents w/ complaint of a 1-5 cm round, coin shaped red plaque that returns to the sam spot every winter. The patient says the rash it MC on the back of the hand and they thought it was ring worm. DX__ trx___

Answer 11

nummular eczema

Question 12

Answer 12

nummular eczema

Question 13

Answer 13

atopic dermatitis

Question 14

patient presents w/ hx of moderate itch that preceded vesicles showing up on fingers, hand and feet. the vesicles resolved w/in 3-4 weeks then became itchy and scaley, then became painful. The vesicles were symetrical on the lateral aspects of the feet and fingers. The patient said they had just started working in the hospital and they were washing their hands more frequently. dx__ tx__

Answer 14

dyshidrotic eczema (pompholyx), avoid water, potent steroid then wean, abx

Question 15

Answer 15

prurigo nodularis associated w/ lichen simplex chronicus

Question 16

Answer 16

atopic dermatitis

Question 17

patient comes in with rash on ear after getting new jewelery. dx__ trx__

Answer 17

allergic contact dermatitis, preventino, steroid 2-3 weeks, antihistamines

Question 18

which stage of eczema is assoicated w/ vesicles, bullae, intense erythema, and intense itch? results of rhus, mango, lime, sun, treated w/ steroids, cold wet compress and abx.

Answer 18

acute

Question 19

Answer 19

lichen simplex chronicus

Question 20

Answer 20

chronic plaque psoriasis

Question 21

Answer 21

chronic plaque psoriasis

Question 22

Answer 22

allergic contact dermatitis

Question 23

Answer 23

guttate psoriasis

Question 24

Answer 24

keratosis pilaris (variant of atopic derm.)

Question 25

Answer 25

chronic plaque psoriasis

Question 26

Answer 26

lichen simplex chronicus

Question 27

DX for contact dermatitis?

Answer 27

patch testing

Question 28

chronic, pruritic eczematous disease that usually begins in childhood. Typically associated w/ allergies, atopy, asthma, hot showers, humid environments. This usually begins as an itchy area that turns into a rash as a result of scratching. Commonly found on flexor areas, spares face except eyelids, and wrist and ankles. On an infant shows up at 3 months on cheeks. associated w/ ichthyosis vulgaris and keratosis pilaris. dx__ tre__

Answer 28

atopic dermatitis, emollients and antipuritics (hydroxyzine, diphenhydramine), tepid showers then apply emolient, consider abx. pimecrolimus cream/tacrolimus if >2 yrs old

Question 29

old people present w/ dry skin resembling cracked porcelain on anterolateral legs following cold dry weather and long hot showers. DX__ Trx__

Answer 29

asteatotic eczema (eczema craquele) “winter itch”, emollients after showing, steroids

Question 30

+ fam hx, worse in winter, Koebner phenomenon (trauma), red discrete flat-topped scaling papules that become thick, silvery white scaling plaques. If the scale is removed there is pinpoint bleeding called __ ___. Seen on __ and groin area, and __ surfaces. Treatment is: systemic if >_% of body, and topical if <_% of body. May need to use __ agent to remove scale prior to steroids. associated w/ nail ___. Dx: __

Answer 30

auspitz sign, presacral, extensor, 5, keralytic, pitting chronic plaque psoriasis

Question 31

Answer 31

nummular eczema

Question 32

Rash w/ fine white or yellow greasy flakes seen mostly in the hair line, eyebrows, base of eyelashes, and nasolabial folds. Referred to as __ __ in infants, and is usally brought on by dry winter, stress, and change in hygiene (field). Worse in elder neuro patients and common in AIDs patients. DX__ Trx__

Answer 32

cradle cap, seborrheic dermatitis, shampoos w/ antidandruff (selenium, selsun), if really bad think topical steroids for face, chest and back or ears. ketakonazole if yeast

Question 33

Answer 33

pityriasis rosacea

Question 34

Answer 34

Guttate psoriasis

Question 35

Answer 35

atopic dermatitis

Question 36

young adult w/ recent strep pharyngitis/viral URI. Now has trunk/rash that spares palms and soles. The rash is diffuse and scattered w/ teardrop. Dx:___ trx: ___

Answer 36

Guttate psoriasis, UVB 6-8 weeks

Question 37

Answer 37

pustular psoriasis

Question 38

Answer 38

lichen simplex chronicus

Question 39

what phase of eczema is associated w/ thickened skin, accentuated lines, excoriations and fissuring? treated w/ antihistamine, abx and emollients?

Answer 39

chronic

Question 40

Answer 40

seborrheic dermatitis

Question 41

MC inflammatory skin DZ, associated w/ erthema, scale and vesicles. comes in 3 stages acute, subacute chronic. dx

Answer 41

eczema

Question 42

young adult presents w/ hx of a single patch (2-10 cm) following viral URI. after first rash appeared the lesions began an eruptive phase and reached there max# in 1-2 weeks. The distribution looks like a christmas tree on trunk and proximal extremities and follows the longitudinal axis of the skin lines. DX__ trx__

Answer 42

pityriasis roasea, benign and self limited, acyclovir if HHV-6, and syphilis test

Question 43

patient presents w/ complaint of rash and nodules that have presented as a result of habitual scratching. The patient states they derive great pleasure from scratching. It was precipitated by seborheic derm, atopic derm, nummular eczema, lichenification, or nerve entrapment. The patient has developed hyperpigmentation and nodules (prurigo nodularis) and plaques. You have seen this rash pretty much everywhere including scrotum and vulva. DX__ TX

Answer 43

lichen simplex chronicus, break itch cycle: 1st gen antihistamine, kenalog for nodules, class 1 steroids for thick skin

Question 44

Answer 44

guttate psoriasis

Question 45

this disorder is associated w/ 5 p’s
1. pruritic

2. polygonal
3. planar
4. purple
5. papules/plaques
   (6. persistent)

Answer 45

lichen planus

Question 46

Answer 46

allergic contact dermatitis

Question 47

MC types of allergic contact derm?

Answer 47

1. nickel
2. poison ivy