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Simmons NURP 532 Exam 2 > 3: Skin, Acne, and Neoplasms > Flashcards

3: Skin, Acne, and Neoplasms Flashcards

1
Q

What type of nevi?
Reddish pink, dome-shaped, smooth papule often occurring on the scalp, face, or legs of preadolescents with architectural features that would be worrisome for melanoma in adults. Most dermatologists favor complete excision.

A

Spitz (Spindle Cell) Nevi

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2
Q

What is the treatment for rosacea (3)?

A
  1. Metronidazole
  2. Azelaic acid 15% gel
  3. Doxy (40 mg modified release to address inflammation)
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3
Q

What exacerbates rosacea (6)?

A
  1. Hot foods/drinks
  2. Red wine
  3. Heat
  4. Sun
  5. Topical retinoids
  6. Chemical peels
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4
Q

Inflammation of the hair follicle resulting in erythematous halo on scalp, axillae, extremities, and trunk.

A

Folliculitis

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5
Q

What type of nevi?
Markedly raised, smooth to papillomatous, pigmented, dermoepidermal to dermal papules. Increase in thickness and pigmentation during adolescence.

A

Compound Nevi

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6
Q

When are nevi acquired?

A

As a child, esp in teenage years.

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7
Q

List characteristics of a benign nevi (6).

A
  1. Asymptomatic
  2. Symmetric
  3. Well-defined
  4. Borders are regular
  5. Color is uniform
  6. Less than 6 mm
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8
Q

What type of nevi?

Elevated, fleshy, skin-colored to dark brown, dermal to subcutaneous papules seen mainly after adolescence.

A

Intradermal

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9
Q

Facial eruption of papules and pustules, with flushing, redness, and telangiectasias (vascular). Can also be ocular or rhinophyma.

A

Rosacea

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10
Q

What is the peak age range for warts?

A

12-16 yo

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11
Q

What type of nevi?
Rim of hypopigmentation, which develops around a preexisting nevus heralding its gradual disappearance from a host response directed against the nevus cells. Focal atypia may be present but most are benign. They occur in the setting of vitiligo and may develop in patients with melanoma.

A

Halo Nevi

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12
Q

T/F Molluscum is considered an STD.

A

True. In adults and teenagers.

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13
Q

Which type of nevi is worrisome for melanoma and likely needs complete excision?

A

Spitz (Spindle Cell) Nevi

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14
Q

Localized, self-limited, viral skin infection which presents as firm, 1- to 2-mm, shiny or skin-colored papules with central umbilication.

A

Molluscum Contagiosm

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15
Q

How is bacterial folliculitis treated?

A

With topical ABX.

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16
Q

What type of nevi?
Flat, slightly raised, tan to brown dermoepidermal papules. Seen most commonly in children. Often nevi at palms, soles, genitalia, and mucosa are this type.

A

Junctional Nevi

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17
Q

Benign skin growths composed of melanocyte-derived cells classified by age of onset and arrangement of the cells.

A

Nevi (mole)

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18
Q

Benign HPV infection of the skin and mucosa with 150 subtypes that is transmitted by contact.

A

Warts (verruca vulgaris)

19
Q

T/F Seborrheic keratoses increase with age.

A

True

20
Q

Seborrheic keratoses may require biopsy. If many erupt at once, what might you suspect?

A

GI malignancy

21
Q

What type of nevi?
Solitary tinted papules found at the head, neck, and buttocks located in the mid to lower dermis, which present at birth or early childhood.

A

Blue Nevi

22
Q

Horny, scaly, hyperkeratotic lesions containing small black dots.

A

Warts (verruca vulgaris)

23
Q

Seborrheic keratoses may occur as a postinflammatory response. Name 2 examples.

A
  1. Sunburn

2. Eczema outbreak

24
Q

Yellow to deep red exophytic, dome-shaped, 3- to 10-mm papules comprised of proliferating capillaries separated by thick fibrous brands and surrounded by an epithelial collarette.

A

Pyogenic Granuloma

25
Q

Most common population for rosacea?

A

Females over 30 years of age

26
Q

Flat or raised, smooth, velvety, verrucous, and present as “pseudohorn” cysts.

A

Seborrheic Keratoses

27
Q

How is molluscum spread?

A

Skin to skin contact.

28
Q

Benign lesion that can be present in the hundreds. Dome-shaped polypoid papules ranging from 0.5-5 mm in size.

A

Cherry Hemangiomas

29
Q

Which type of folliculitis is common in athletes, what causes it, and how is it treated?

A

Pityrosporum is caused by Mallassezia furfur and is treated with antifungals.

30
Q

What can cause pyogenic granulomas?

A

May result from trauma.

31
Q

What are age range peak occurrances for molluscum?

A

3-9 yo

16-24 yo

32
Q

If there is an explosive eruption of cherry hemangiomas, what might be the problem?

A

Respiratory, pancreas, or small bowel tumor

33
Q

What type of nevi?

Sharply defined tan to brown macule containing small benign nevi, which develops before adulthood.

A

Nevus Spilus

34
Q

Benign, common, epidermal growths with multiple presentations that can present anywhere except the lips, palms, and soles.

A

Seborrheic Keratoses

35
Q

T/F Molluscum can be the result of HIV or other form of immunosuppression.

A

True

36
Q

T/F Seborrheic keratoses are asymptomatic.

A

False. They can be, but they can also become itchy, inflamed, or irritated.

37
Q

Nevi usually do not number more than _____.

A

20

38
Q

What is an easy, effective treatment for warts?

A

Tape

39
Q

Inflammatory skin disorder with neurovascular dysregulation and augmented immune detection and response.

A

Rosacea

40
Q

What is the causative agent for hot tub folliculitis and how is it treated?

A

Pseudomonas. Treated with 5% acetic acid compresses.

41
Q

T/F Because pyogenic granulomas are benign neoplasms, nothing needs to be done.

A

False. They require biopsy or excision.

42
Q

T/F Folliculitis is a bacterial infection.

A

False. It can be both bacterial or fungal.

43
Q

T/F Warts often resolve spontaneously within a few years but can be difficult to clear in immunocompromised patients.

A

True

Simmons NURP 532 Exam 2 (25 decks)

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