Walden

Question 1

Prevalent Cancer males

Answer 1

prostate

Question 2

Prevalent cancer in females

Answer 2

breast

Question 3

Highest mortality from cancer

Answer 3

Lung

Question 4

Highest mortality of skin cancer

Answer 4

Melanoma

Question 5

Gynecological cancer most common

Answer 5

Uterine/endometrial

Question 6

Gynecological cancer second most common

Answer 6

ovarian

Question 7

are a prodromic viral enanthem of measles manifesting two to three days before the measles rash itself. They are characterized as clustered, white lesions on the buccal mucosa (opposite the lower 1st & 2nd molars) and are pathognomonic for measles/rubeola.

Answer 7

Kolpik spots

Question 8

sandpaper textured pink rash with sore throat strawberry tongue

Answer 8

Scarlet fever (scaralatina)

Question 9

Parvovirus B19, stages of rash, slap cheek syndrome, erythema infection, A common and highly contagious childhood ailment causing a distinctive face rash, blanches

Answer 9

Fifth disease

Question 10

Sixth disease, viral infection, young children, high fever rash, rash, Tx - bedrest, fluids, Tylenol

Answer 10

Roseola infantum

Question 11

high fever enlarged lymph nodes red rash in groin are, conjunctivitis, dry cracked lips, strawberry tongue, swollen hands/feet, skin peels form hands/feet, Tx - high dose aspirin, gamma globulin

Answer 11

Kawasaki disease

Question 12

Coxsackie virus, direct contact, with nasal discharge, saliva, blister fluid, or stool, most contagious for first week, fever, severe sore throat, headache anorexia, blisters on the hands and feet, diaper area, ulcers mouth throat tonsils and tongue, pain with acidic foods, Tx - symptomatic treatment ibuprofen or Tylenol saltwater gargle, cold fluids

Answer 12

Hand foot mouth disease

Question 13

poxvirus, smooth wax like, round, (dome shaped) papules 5 mm size, central umbilication with white plug, viral skin infection results in round firm painless bumps, contagious, Tx - resolve on own, wart medication (if near genitals in kids, suspects sexual abuse

Answer 13

Molluscum contagiosum

Question 14

thickening of the skin, skin pigmentation disorder (darkening) related to diabetes, colon cancer and obesity

Answer 14

Acanthosis nigricans

Question 15

candidiasis, burning malodorous odor, maceration, located in folds, under breasts, scrotum, inner thigh, between toes Tx - nystatin

Answer 15

Intertrigo

Question 16

Tx with Benadryl or Zyrtec

Answer 16

Urticaria (hives)

Question 17

rough flat, dry, erythematous papules or plaques, scaly patch of red or brown skin caused by years of sun exposure, evolving carcinoma, precursor to squamous cell carcinoma, Dx - biopsy, refer to dermatology, Tx - topical 5 fluoracil 5-FU, cryotherapy,

Answer 17

Actinic keratosis

Question 18

most prevalent skin cancer, pearly domed nodule with overlying telangiectatic vessels, maybe plaque, may see central ulceration and crusting, deepest layer of the epidermis, Dx - gold standard biopsy, Tx - chemo or immunotherapy

Answer 18

Basal cell

Question 19

asymmetry, border is irregular, color variegation, diameter 6mm size greater than pencil eraser, elevation above skin level

Answer 19

ABCDE

Question 20

skin cancer develops in the outer layer of the skin, lower lip common location, nodule, indistinct margins, surface is firm, scaly, irregular, and may bleed easily, may metastasize

Answer 20

Squamous cell

Question 21

itchy inflammation of the skin TX topical steroids, emollients linear formation

Answer 21

Atopic dermatitis (eczema)

Question 22

allergy to something

Answer 22

Contact dermatitis

Question 23

chronic, superficial disorder, scaly patches and red skin mainly on scalp

Answer 23

Seborrheic dermatitis

Question 24

TX rotation of prescription/nonprescription (scalp- ketoconazole/metronidazole(antifungal) shampoo, capitrol shampoo, selenium sulfide Selsun blue(adults/children) shampoo ciclopirox shampoo, topical steroid gel hydrocortisone) face hydrocortisone, ears-hydrocortisone cream, eyelids- baby shampoo.

Answer 24

Seborrheic dermatitis Tx

Question 25

soft wart like lesion appears pasted on, seen on back and trunk, (elderly) benign

Answer 25

Sebhorric keratoses

Question 26

liver spots tan to brown colored macules on dorsum of the hands/forearms, caused by sundamage benign

Answer 26

Lentigines (liverspots)

Question 27

affects lower legs and ankles due to chronic edema PVD

Answer 27

Stasis dermatitis

Question 28

rash on ankles/wrists, spreads to trunk, high fever, headache, myalgia, nausea, Tx - doxycycline refer ED

Answer 28

Rocky spotted mountain fever

Question 29

chapped lips, lip fissures

Answer 29

Cheilitis

Question 30

Tx - oral abx + topical retinoid +/- benzoyl peroxide (tetracycline + tazarotene +/- Benz Pero ....Retin topical, oral tetracycline then Accutane (isotretinoin)

Answer 30

Moderate acne

Question 31

acne inversa, the skin lesions develop as a result of inflammation and infection of sweat glands. This condition features pea- to marble-sized lumps under the skin that can be painful and tend to enlarge and drain pus. They usually occur where skin rubs together, such as in the armpits, groin, and buttocks. Tx doxycycline, topical abx

Answer 31

Hidradenitis suppurativa

Question 32

prophylaxis is TCA-Elavil

Answer 32

Postherpetic neuralgia PHN

Question 33

collection of blood underneath toenail or fingernail, TX make hole and drain the blood (trephination)

Answer 33

Subungual hematoma

Question 34

Tiny round brown/purple spots due to bleeding under skin

Answer 34

Petechia

Question 35

deep tissue, gram positive, gradual course over days, Tx - PCN, macrolide

Answer 35

Cellulitis

Question 36

acute onset, well demarcated and above the skin, Tx - PCN or macrolide

Answer 36

Erysipelas - (strept. infection)

Question 37

Tx - Bactrim or tetracyclines

Answer 37

MRSA

Question 38

solid elevated mass up to 1 cm

Answer 38

Papule

Question 39

Flat small like a freckle

Answer 39

Macule

Question 40

Filled with serous fluid and less than 1 cm

Answer 40

Vesicle

Question 41

fluid filled and larger than 1 cm

Answer 41

Bullae

Question 42

Dry skin, use petroleum-based product, not lotions

Answer 42

Xerosis

Question 43

pruritic erythematous plaque covered with fine silvery white scales, scalp and elbows Tx - topical steroids

Answer 43

Psoriasis

Question 44

appearance of bleeding spots when scales are scraped off from psoriasis plaque

Answer 44

Auspitz sign

Question 45

Chicken pox, reactivation of varicella zoster virus involves single dermatome, less likely several dermatomes

Answer 45

Shingles

Question 46

itching burning photophobia fever headache malaise

Answer 46

Shingles - finding prodrome

Question 47

dermatomal rash 3-4 days, unilateral, pain, possible severe, macupapular rash progresses to vesicles then pustules 3-4 days, may appear for a week,

Answer 47

Shingles - acute phase

Question 48

2-3 week rash resolves, pain

Answer 48

Shingles - convalescent phase

Question 49

viral culture, polymerase chain reaction PCR, Tx - acyclovir, zostrix cream, gabapentin amitriptyline

Answer 49

Shingles Dx

Question 50

TX abx on wound, cold packs nsaids

Answer 50

Spider bite

Question 51

Tx - with analgesia (Tylenol, nsaids, Demerol), Augmentin/doxycycline/Bactrim - Wound cleaning with soap and water, betadine, local anesthesia (lidocaine), - Irrigated with 2000 ml normal saline, betadine, - Wound debridement, facial bites should be closed with sutures only, pack wound, tetanus immunization, antibiotic therapy,

Answer 51

Dog bite

Question 52

erythema migrans, bulls eye rash, start within 72 hours of exposure Tx - with doxycycline or amoxicillin Dx - two step test EIA and then western blot.

Answer 52

Lyme disease

Question 53

multisystem autoimmune disease, characterized by remission and exacerbations, affects organs, skin kidney, heart, and blood vessels, face butterfly rash, avoid sunlight exposure, photosensitivity Tx - refer to rheumatologist, topical and oral steroids, avoid sun and cover skin Less seen in Caucasians

Answer 53

Lupus

Question 54

Christmas tree pattern rash, herald patch, normally on trunk

Answer 54

Pityriasis rosea

Question 55

Tx - doxycycline/ fluoroquinolones (Cipro)

Answer 55

Anthrax

Question 56

trunk and extremities sun spots

Answer 56

Tinea versicolor

Question 57

arms/legs or body

Answer 57

Tinea corporis (ringworm)

Question 58

jock itch

Answer 58

Tinea cruris

Question 59

skin or scalp

Answer 59

Tinea capitas

Question 60

athletes foot

Answer 60

Tinea pedis

Question 61

cause pitting in finger nails

Answer 61

Psoriasis