2013 A Flashcards
(100 cards)
The causative agent bullous type of impetigo is:
a. ) S. aureus
b. ) S. pyogenes
c. ) Corynebacterium
d. ) Pseudomonas aeruginosa
A
Level of split in bullous impetigo
a. ) Below stratum corneum
b. ) Within the stratum corneum
c. ) Suprabasal
d. ) Subepidermal
A
Ulcers covered by an adherent crust located on the lower extremities should make you think of:
a. ) Impetigo
b. ) Ecthyma
c. ) Ecthyma gangrenosum
d. ) Furuncle
B
Superficial folliculitis..
a. ) Presents as superficial dome-shaped pustules occurring at the level of the follicular infundibulum
b. ) Is typified by sycosis barbae
c. ) Heals with prominent scarring
d. ) Often require systemic antibiotics
A
The following are true about cellulitis except:
a. ) Systemic symptoms are present
b. ) Presents as tender and warm plaque with very distinct palpable borders
c. ) Severe cases may present with bullae and necrotic tissue over the plaque
d. ) It is usually caused by streptococcus or staphylococcus
B
The following are true about erysipelas except:
a. ) Systemic symptoms are present
b. ) Presents as tender and warm plaque with very distinct palpable borders
c. ) Severe cases may present with bullae and necrotic tissue over the plaque
d. ) It is usually caused by streptococcus or staphylococcus
D
True of furuncles except
a. ) Furuncles are often accompanied by fever and chills
b. ) They can be multiple
c. ) They can be preceded by folliculitis
d. ) They are often caused by staphylococcus areus
A
The following are true of carbuncles:
a. ) It may initially present as a tender erythematous induration on the skin that can be studded with multiple pustules on the surface.
b. ) It eventually ruptures with purulent discharge and leaves an ulcer with grayish base.
c. ) It needs to be treated with systemic antibiotics.
d. ) Incision and drainage can be performed anytime
A B C
The following are true of ecthyma gangrenosum except:
a. ) It only occurs in a setting of bacteremia
b. ) It is caused by Pseudomonas aeruginosa
c. ) Typically, the lesion has a black eschar in the center with erythematous rim.
d. ) The lesion is more commonly found in the anogenital area or in the axilla
A
Scabies is
a. ) Disease primarily suffered by children
b. ) Not pruritic
c. ) Usually contracted by exposure to dogs with galis
d. ) Often transmitted to other members of the family
D
True about burrows in scabies except:
a. ) It is a characteristic finding in scabies
b. ) It is a grayish tortuous line with a black speck at the tip/end which represents the mite
c. ) It is the tunnel that the female mite “excavated” on the stratum corneum where she lays her eggs
d. ) The larvae of S. scabiei typically mature and eventually mate within the tunnel
D
Not true of Pediculosis capitis
a. ) Pruritus is not immediately evident upon initial infestation
b. ) Common in children of school age
c. ) Cervical lymphadenopathy is a common finding
d. ) Permethrin shampoo needs to be left on the scalp for two hours before it is rinsed off
D
All of the following about pediculosis corporis are true except:
a. ) It is also called the Vagabond’s disease
b. ) Diagnosis is made by inspecting the seams of clothing of the patient
c. ) If feasible, all clothing should be discarded or at least washed and dried at high heat
d. ) All of the above are true
D
True about pediculosis pubis
a. ) It exclusively affects the pubic area
b. ) It is always sexually transmitted
c. ) The louse can’t live away from its host beyond 12 hours
d. ) Permethrin cream may be used to treat it
D
In treating scabies, the following considerations are important except:
a. ) Household members and close personal contact need to be treated
b. ) These contacts can be treated at different days
c. ) Clothes, beddings, linens and towels have to be washed at high temperature right after treatment
d. ) Topical scabicides are usually left on the skin for 8-14 hours before rinsing them off
B
Which of the following statements is true regarding the pathogenesis of acne?
a. ) Adaptive but not innate immunity plays a role
b. ) Neutrophil chemotaxis is brought about by the IL-8 secretion by keratinocytes
c. ) Eosinophils are early infiltrates perifollicularly
d. ) Without P. acnes, inflammation can still occur
B
Abnormal keratinization in acne
a. ) Occurs in the deepest segment of the follicular duct
b. ) Is not always present
c. ) Is an effect of androgen
d. ) Directly perpetuates inflammation
C
The most important regulating factor for sebum production is
a. ) Estrogen
b. ) Androgen
c. ) Retinoids
d. ) ACTH
B
Acne is part of which of the following diseases
a. ) Cushing’s Syndrome
b. ) Hypothyroidism
c. ) Addison’s Disease
d. ) Lung cancer
A
This type of acne may be superimposed with infection with Streptococcus or Staphylococcus, causing marked scarring and sinus tract infection
a. ) Acne tropicalis
b. ) Acne fulminans
c. ) Occupational acne
d. ) Acne conglobata
D
Which of the following features differentiates acneiform eruptions from acne vulgaris?
a. ) more frequent on the face
b. ) absence of comedones
c. ) absence of pustules
d. ) more common in females
B
Which of these cytokines promotes follicular hyperkeratinization?
a. ) IL-1
b. ) IL-8
c. ) IL-10
d. ) TNF-a
A
The most common acne lesion appearing at adrenarche/monarche
a. ) comedone
b. ) papule
c. ) pustule
d. ) cyst
A
What percentage of newborns may suffer from neonatal acne?
a. ) 5%
b. ) 10%
c. ) 15%
d. ) 20%
D