Adnexal DISEASE

Question 1

Pt education should include that acne keloidalis is:

Answer 1

An inflammatory process

Question 2

Early histopathology in acne kelodalis will include:

Answer 2

Dense inflammatory infiltrate in and around follicles and dermal fibrosis

Question 3

Tetracycline antibiotics are expected to improve acne keloidalis because

Answer 3

They decrease inflammation

Question 4

Clinical features of acne keloidalis include

Answer 4

Variable scarring occurs in papules and nodules, reports of pain and tufted doll hairs

Question 5

Acne keloidalis falls into the category of

Answer 5

Primary scarring alopecia

Question 6

What FDA approved topical acne medication is category x?

Answer 6

Tazarotene (contraindicated in pregnancy)

Question 7

Adverse effects of systemic retinoids include:

Answer 7

Tetratogenicity, dryness and muscle aches

Question 8

The differential diagnosis of acne includes the following

Answer 8

Folliculitis and rosacea

Question 9

In acne, history taking should include

Answer 9

Menstrual hx in females, use of sunscreens and OTC topical use

Question 10

The abscesses formed with hidradenitis suppurativa when cultured contain

Answer 10

Normal skin flora

Question 11

Which statement about obesity and hidradenitis suppurativa is true

Answer 11

Obesity is a predictor of disease severity

Question 12

Hidradenitis suppurativa is caused by rupture of

Answer 12

The hair follicle

Question 13

Which biologic therapies are FDA approved to treat hidradentitis suppurativa?

Answer 13

Adalimumab

Question 14

Primary hyperhidrosis is what

Answer 14

Excessive action of normal thermoregulation and sweating

Question 15

Topical aluminum chloride for hyperhidrosis is

Answer 15

Available OTC and by RX

Question 16

Possible side effects of oral glycopyrrolate include

Answer 16

Dry mouth, blurred vision and increased intraocular pressure

Question 17

Diagnosis of primary focal hyperhidrosis includes

Answer 17

Duration of at least 6 months, at least weekly episodes and onset before age 25

Question 18

On clinical exam, the absence of what would confirm perioral dermatitis

Answer 18

Comedones

Question 19

Topical treatment of perioral dermatitis includes

Answer 19

Clindamycin lotion, metronidazole cream and Klaron

Question 20

The central umbilication of a sebaceous hyperplasia lesion is caused by

Answer 20

Central follicular infundibular opening

Question 21

Which type of lesion is most critical in ruling out as a possible differential diagnosis of a sebaceous hyperplasia

Answer 21

Basal cell carcinoma