Trigger - Misc Derm

Question 1

gastric carcinoma is associated with which misc derm condition

Answer 1

acanthosis nigricans

Question 2

Niacin can cause which misc derm disorder

Answer 2

acanthosis nigricans

Question 3

this derm condition is rarely a benign result of an autosomal dominant inheritance

Answer 3

acanthosis nigricans

Question 4

when would you order plasma testosterone and dehydroepiandrosterone sulfate test?

Answer 4

to r/o PCOS in women w acanthosis nigricans who also have hyperandrogenism

Question 5

what are causes for Type A syndromic acanthosis nigricans

Answer 5

hyperandrogensim
insulin resistance
acanthosis
acromegaly

Question 6

what are causes of Type B syndromic acanthosis nigricans

Answer 6

autoimmune
DM

Question 7

what is acral acanthosis nigricans

Answer 7

elbows, knees, knuckles

Question 8

what are more rare sites for acanthosis nigricans that may indicate malignancy

Answer 8

knuckles, palms, soles, eyelids, perioral

generalized and near mucosal surfaces too!

Question 9

what is the treatment of acanthosis nigricans

Answer 9

• treat underlying condition
• topical retinoids, vitamin D analogs
• refer to GI if suspect malignancy

Question 10

skin is intact w redness that does NOT blanch

Answer 10

stage 1 pressure ulcer

Question 11

pressure ulcer with disruption of the dermis. No visible SC tissue or eschar

Answer 11

stage 2

Question 12

Pt w pressure ulcer that shows a rolled wound edge and exposed SC tissue

Answer 12

Stage 3

Question 13

Pt w pressure ulcer that disrupts the dermis and has a central eschar. no fascia, tendon, muscle or bone visible.

Answer 13

Stage 3

Question 14

Pt w pressure ulcer that has exposed fascia, muslce tendon ligament cartilage and/or bone

Answer 14

stage 4

Question 15

when do you use transparent or hydrocolloid dressings

Answer 15

Stage 2 pressure ulcers

Question 16

what are the abx used in acute lesions of hidradenitis supprative

Answer 16

• B-lactamase PCN
• Cephs
• augmentin
• clinda

also do PO steroids and IL steroids and I&D abscesses

Question 17

when do we use clinda + isotretinoin?

Answer 17

recurrent lesions of hidradenitis suppuritiva

Question 18

when do we use adalimumab(humera) or infliximab(remicade)?

Answer 18

treatment resistant moderate-severe hidradenitis suppuritiva

Question 19

what are the lifestyle modifications that can be made to help hidradenitis suppuritva

Answer 19

• local hygiene
• weight reduction in obese
• antiseptic agents
• apply warm compress w burow solution
• loose fitting clothing
• laser hair removal
• smoking cessation

Question 20

what is the presentation of a photosensitivity rash

Answer 20

response to sun w macules, papules, plaques similar to eczematous dermatitis

Question 21

what is dermatoheliosis

Answer 21

term used to describe chronic photosensitivity changes to skin

also called photoaging

Question 22

what are the six groups of drugs that MC cause systemic phototoxic reactions

Answer 22

antimicrobials
furocoumarins
NSAIDS
antipsychotics
photodynamic therapy agents
cardiac meds/diuretics

Question 22

extreme dryness of the skin presenting as a fine, fish-like scale

Answer 22

ichthyosis

Question 23

low lipid levels in the stratum corneum and deficiency in water binding capacity is the patho for what diagnosis

Answer 23

xerosis

Question 24

presents with accentuated palmar creases and scaly palms

Answer 24

ichthyosis