Urticarias, Erythemas, Photosensitivities & Purpuras

Question 1

The most common form of panniculitis is

Answer 1

Erythema nodosum

Question 2

Erythema induratum is most commonly associated with

Answer 2

Tuberculosis

Question 3

The appropriate starting adult dose of SSKI when used to treat erythema nodosum is

Answer 3

150 mg TID

Question 4

The development of erythema nodosum in young females may be associated with which medication

Answer 4

Estrogen

Question 5

Lipodermatosclerosis more commonly occurs in which age group?

Answer 5

Middle aged females

Question 6

Which diagnostic criterion is KEY histological finding in lipodermatosclerosis?

Answer 6

Hyaline sclerosis

Question 7

Although the lesions of Sweet’s Sybdrome may occur anywhere on the body - a very common location includes

Answer 7

Dorsal hands

Question 8

True or False: Fever may precede and accompany development of lesions related to Sweet’s Syndrome

Answer 8

True

Question 9

Pathology of a lesion with Sweet’s Sybdrome should demonstrate which cells?

Answer 9

Neutrophils

Question 10

The first line medication of choice of widespread lesions of Sweet’s syndrome is

Answer 10

Oral prednisone

Question 11

A significant amount of pyoderma gangrenosum cases can be associated with which condition?

Answer 11

Inflammatory bowel disease

Question 12

A pyoderma gangerenosum lesion developing after minor trauma describes

Answer 12

Pathergy

Question 13

The histology findings of a lesion suspected to be a pyoderma gangrenosum should include

Answer 13

Neutrophils

Question 14

The onset of polymorphic light eruption generally occurs during which time of the year?

Answer 14

Spring

Question 15

Onset of polymorphic light eruption generally starts

Answer 15

Between 2nd and 3rd decade of life

Question 16

The most common type of lesion notes in polymorphic light eruption is

Answer 16

Papule

Question 17

Polymorphic light eruption may be treated with

Answer 17

Oral corticosteroids, cyclosporine and azathioprine

Question 18

Prescription drug reaction rates are highest with

Answer 18

Aromatic amines

Question 19

An example of a nonimmunologic drug reaction includes

Answer 19

Toxicity

Question 20

Which medications are likely to be associated with an urticaria type drug reaction?

Answer 20

NsAIDs

Question 21

The most common drug eruption pattern seen is

Answer 21

Maculopapular (exanthematous eruption, morbilliform)

Question 22

The most important diagnostic tool in a suspected drug eruption is

Answer 22

History

Question 23

In treating a drug reaction it is key to

Answer 23

Identify and discontinue suspected drug

Question 24

In differentiating acute generalized exanthematous pustulosis from pustular psoriasis, the patient is more likely to present with

Answer 24

Fever

Question 25

A fixed drug eruption is most likely to occur on the

Answer 25

Genitalia

Question 26

Drug reaction with eosinophilia and systemic symptoms (DRESS) occurs most commonly with which medications

Answer 26

Sulfasalazine

Question 27

TEN and SJS are the same skin condition with the exception of

Answer 27

Amount of BSA involved

Question 28

Laboratory testing that can differentiate between drug related or viral exanthem include what

Answer 28

NA

Question 29

Erythem multiforme is associated with an infection in what percentage of cases

Answer 29

90%

Question 30

The most associated infection in erythema multiforme is

Answer 30

HSV-1

Question 31

A treatment option for mild asymptomatic erythema multiforme is

Answer 31

Oral antihistamines

Question 32

The first treatment consideration of recurrent erythema multiforme would be

Answer 32

Anti-viral suppression with acyclovir

Question 33

The majority of cases of urticaria involves what

Answer 33

IgE

Question 34

Chronic urticaria is defined as urticaria occurring for at least

Answer 34

6 weeks

Question 35

Which type of urticaria is stress provoked?

Answer 35

Adrenergic

Question 36

The etiology of most cases of chronic urticaria is determined by

Answer 36

History and physical exam

Question 37

What is a chronic disease linked to development of vasculitis?

Answer 37

Cryoglonulinemia

Question 38

Kawasaki disease affects infants to children aged 8, with peak onset occurring at which age?

Answer 38

1 year of age

Question 39

Thirty percent of all polyarteritis nodosa is associated with

Answer 39

Hepatitis C or B infection