2-uWorld

Question 1

scabies with significant burden, tx?

Answer 1

PO ivermectin + permethrin

Question 2

dermal manifestations of HIV

Answer 2

severe psoriasis
Seborrheic dermatitis
Recurrent Shingles, Molluscum contagiosum

Question 3

triggers for rosacea

Answer 3

alcohol, spicy foods

sun

Question 4

IBD skin manifestations

Answer 4

erythema nodosum
pyoderma gangrenosum

Question 5

itchy seborrheic keratosis think this dz

Answer 5

GI malignancy, lesser trelat sign?

Question 6

IgG against desmosome

Answer 6

pemphigus vulgaris

Question 7

neutrophilic infiltrate seen on micoscopic slide of fluid collection of rash

Answer 7

sweet syndrome

Question 8

HSV can cause ____ rash
targetoid with central bulla/blister

Answer 8

erythema multiforme

Question 9

chronic urticaria medication tx

Answer 9

2nd gen antihistamine-bcs non sedating

Question 10

to treat calciphylaxis, maintain calcium phosphorus product ___ and ___

Answer 10

<55mg2/dL2

and: parathyroidectomy, SodiumThiosulfate, increase HD sessions

Question 11

IgG agains ___ in bullous pemphigoid

Answer 11

hemidesmosomes

Question 12

cholesterol emboli can cause

Answer 12

livedo reticularis

Question 13

salicylic acid for ___ dermal issue

Answer 13

HPV verruca!!

Question 14

how do you get verruca vulgaris

Answer 14

direct skin contact, fomites

Question 15

frist line for verruca wart

Answer 15

salicyclic acid or cryotherapy liq nitrog (PICK SALICYLIC ACID!!)

Question 16

facial flush with telengiectasia ___

tx

Answer 16

rosacea

sun protection-SUNSCREEN
topical flagyl
avoid trigger: ie spicy food or booze

Question 17

oral leukoplakia seen in mouth can progress to ___

Answer 17

squamous cell cancer

Question 18

pyoderma gangrenosum med

Answer 18

IV steroid

Question 19

for bite wound, patient has penicillin allergy, next choice abx?

Answer 19

bactrim or doxy

PLUS

clinda or flagyl
(anaerobic)

Question 20

painful vs itchy? <60yo vus >60

pemphigous vs bullous

Answer 20

painful pemphigous
younger <60

itchy bullous
older >60

Question 21

intraepidermal vs subepidermal pemphibous vs bullous?

Answer 21

intraepidermal is pemphigous

subepidermal is bullous

Question 22

how to diagnose pemphigous vs bullous

and what lab test

Answer 22

SKIN BIOPSYYYYY

serology: desmoglein

Question 23

pityraiasis rosacea tx

Answer 23

reassurance

Question 24

herald patch aka ___

Answer 24

pityraiasis rosacea

Question 25

patient had strep throat infection, its been almost a half month now has rash everywhere on trunk, arms dx? tx?

Answer 25

guttate psoriasis phototherapy

Question 26

when you see molluscum in a patient, immediately test for

Answer 26

HIV

Question 27

squamous cell skin cancer risk factor ___ (not including sun exposure)

Answer 27

immunosuppressed/transplant ptnt

Question 28

you suspect nail bed has fungal infection, next step?

Answer 28

get scrapings and KOH prep, DONT TREAT WITH ANTIFUNGAL RIGHT AWAY...bcs could be psoriasis, eczema too!

Question 29

TEN SJS tx

Answer 29

systemic steroids

Question 30

stage 3 pressure ulcer dressing type

Answer 30

hydrocolloid dressing-moist wound environment is goal

Question 31

which stage pressure ulcer warrants surgical eval

Answer 31

stage 4 where bone tendon muscle visible