Dermatology 5%

Question 1

(RR)

describe stage 4 pressure ulcer

Answer 1

full thickness tissue loss

exposed bone, tendon, muscle
slough or eschar may be present
undermining and tunneling

Question 2

(RR)

describe Stage 2 pressure injury

Answer 2

partial thickness

shallow open ulcer
red/pink wound bed

Question 3

(RR)

indurated and ulcerated papule in an sun-exposed area is likely:

Answer 3

squamous cell carcinoma

Question 4

(RR)

actinic keratosis is a common precursor for ___________

Answer 4

…squamous cell carcinoma

Question 5

(RR)

nonhealing lesion that may bleed w/o trauma…think:

Answer 5

squamous cell carcinoma

Question 6

(RR)

describe the management of squamous cell carcinoma

Answer 6

monotherapy for single low-risk lesion

std excision 4-6 mm margins
Mohs surgery in cosmetically or functionally sensitive areas
curettage and electrodesiccation
cryotherapy

Question 7

(RR)

what skin cells do squamous cell carcinomas arise from?

Answer 7

keratinocytes

Question 8

(RR)

treatment for mild post op drug eruption

Answer 8

topical triamcinolone and hydroxyzine 25 mg PO tid x 7 days

Question 9

(RR)

when do post op drug eruptions typically occur?

Answer 9

5-14 days after initial exposure

Question 10

(RR)

majority of drug eruptions are what type of reaction?

Answer 10

type IV hypersensitivity reactions

(which are T cell mediated immune reactions involving macrophages, eosinophils, neutrophils)

Question 11

(RR)

symptomatic relief for post op drug reactions can include

Answer 11

oral antihistamines and topical corticosteroids

maybe 5 to 7-day course of oral prednisone for drug reactions with systemic or severe cutaneous symptoms

Question 12

(RR)

Stevens-Johnson syndrome

Answer 12

<10 % body surface

Question 13

(RR)

TEN (toxic epidermal necrolysis)

Answer 13

> 30% body surface