Adult Dermatology Flashcards

(72 cards)

1
Q

Rectangular/polygonal lichenfied patches

A

Lichen simplex chronicus

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2
Q

Velvety, warty surface with “stuck on” appearance

A

Seborrheic keratosis

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3
Q

Silvery scales on bright red, well-demarcated plaques

A

Psoriasis

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4
Q

Satellite pustules

A

Tinea intertrigo

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5
Q

“Herald” patch, with “Christmas tree” rash eruption on trunk

A

Pityriasis rosea

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6
Q

white, curd-like plaques on the oral mucosa and tongue

A

oral moniliasis (thrush)

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7
Q

Beefy red, well-circumscribed patches

A

Tinea intertrigo

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8
Q

Cracking/maceration between toes

A

Tinea pedis

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9
Q

Scaling on lateral edges of feet

A

Tinea pedis

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10
Q

Circular patches of fine scale, hair loss, “black dot”

A

Tinea capitis

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11
Q

Fine “powdery” scales

A

Tinea versicolor

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12
Q

KOH –> “spaghetti & meatballs”

A

Tinea versicolor

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13
Q

Resistant to griseofulvin

A

Tinea versicolor

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14
Q

Honey colored crusts

A

Impetigo

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15
Q

Slightly elevated, hardened red lesion that is well circumscribed
Legs are the most common site

A

Erysipelas

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16
Q

Changing mole

A

Malignant melanoma

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17
Q

Red man syndrome

A

CTCL, psoriasis, atopic dermatitis, contact dermatitis

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18
Q

Flexural surfaces, not well demarcated

A

Atopic dermatitis

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19
Q

round, oval plaques with a red,scaly leading edge

A

tinea corporis

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20
Q

treatment is oral griseofulvin (with dairy)

A

tinea capitis

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21
Q

dome shaped papule with central umbilication

A

viral cause - molluscum contagiosum

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22
Q

grouped vesicles on an erythematous base

A

herpes simplex (I or II)

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23
Q

vesicular eruption in a unilateral, dermatomal pattern

A

varicella zoster

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24
Q

Metastasis is rare in this form of skin cancer.

A

Basal Cell Carcinoma

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25
pearly/waxy border with arborizing vessels
BCC
26
cigarette paper scale
CTCL
27
Sezary cells
CTCL
28
erysipelas can be treated with what antibiotic?
penicillin
29
Cellulitis associated with a wound - what is the most likely causative organism?
Staph aureas
30
Cellulitis that is diffuse and fiery red - what is the likely causative organism?
Strep
31
Treatment for mild and severe cellulitis
Mild - oral therapy (purulent and non-purulent) antibiotics. Severe - IV therapy - consider MRSA - give a beta-lactam for non-purulent cellulitis
32
painful, tender, fluctuant nodules - skin abscess - causative organism?
S. aureus - community associated MRSA
33
presence of pus within muscle groups
pyomyositis - usually S. aureus
34
Causative organism of Monomicrobial Necrotizing Fasciitis
GAS, or S. aureus
35
Necrotizing fasciitis - saltwater exposure
Vibrio vulnificus
36
Necrotizing fasciitis - freshwater exposure
Aeromonas hydrophila
37
Most likely causative organism of gas gangrene (myonecrosis)?
Clostridium sp.
38
Causative agent of Fournier Gangrene? Describe the disease, and underlying aspects.
Mixed flora. Gangrenous necrosis of scrotum, penis, or vulva. Usually patients have underlying disease (diabetes). Treat with aggressive surgical debridement and antibiotics.
39
Classic causative organism of infection from a cat bite?
Pasteurella
40
Classic causative organism of infection from a dog bite?
Capnocytophaga
41
Ulceroglandular form with eschar
Tularemia "rabbit fever" - Francisella tularensis
42
Bubo with erythema of overlying skin
Bubonic plague - Yersinia pestis
43
Painless necrotic ulcer with central eschar, surrounding edema.
Anthrax, Bacillus anthracis
44
"Fish tank granuloma"
Mycobacterium marinum.
45
Plugged pores --> papules --> pustules --> cysts --> scars
Acne vulgaris
46
open comedone
blackhead
47
What is the role of Retinoic acid in the treatment of acne?
Comedolytic, and anti inflammatory role. Treating mild-moderate acne.
48
What is the role of antiseptics in acne treatment?
Effective antibacterial agent, and comedolytic. Used in inflammatory and comedonal acne.
49
Treatment for Grade 1 acne.
Superficial, noninflammatory, comedones. Tx - Benzoyl peroxide and topical retinoids.
50
Tx for Grade 2 Acne.
Superficial - inflammatory papules, pustules. Tx - topical antibiotics, topical retinoids, salicyclic acid, benzoyl peroxide
51
Tx for Grade 3 acne.
Palpable deep inflammatory lesions (nodules & cysts). Tx - intralesional corticosteroid injections, hormonal therapy for women, severe - Isotretinoin (Accutane)
52
Tx for Grade 4 acne
Nodular, cystic acne. High risk for scarring. Tx - Accutaine, androgen blockers for women, intralesional corticosteroids, possible incision and drainage.
53
History of flushing, presence of telangiectansias, affecting the central face. Adults 30-50+ years.
Rosacea
54
Papular, erythematous eruptions around the mouth.
Perioral dermatitis
55
Neutropenia or colonic lesions - gas gangrene that takes place in the absence of trauma. Causative organism and treatment.
Clostridium septicum. Penicillin + clindamycin
56
When examining a patient who has "fight bite", what organism do you need to have special considerations for treatment?
Eikenella - human mouth flora. Also keep HIV, Hepatitis B & C in mind.
57
A patient has a new kitten and got bit. What is the causative organism of the rash they've developed?
Cat-scratch. Bartonella henselae
58
Exscoraiation so with small pruritic vesicles, pustules, and short irregular marks. First presented in between the digits then spread to the extremities, umbilicus, axilla...
Scabies. DDx - Pedculosis and other pruritic rashes.
59
Glove and stocking appearance, symmetric anthralgias, anemia.
Fifth Disease in an adult. Parvovirus B19.
60
"Valley Fever" - Causative organism?
Coccidoidomycosis - fungal
61
Central face flushing (without emotional stimuli). Telangiectasias.
Rosacea
62
Rhinophyma - a progression of this disease, typically occurs in men
Rosacea
63
DDx of Rosacea
Check for other ssx. Carcinoid syndrome, seborrheic dermatitis, perioral dermatitis, lupus erythematosis.
64
Rosacea tx
anti-mite treatment, oral antibiotics depending on severity. Anti-redness creams.
65
Pink, scaly plaques, poorly circumscribed. Mostly on hair-bearing areas. Scalp and face dandruff.
Seborrheic dermatitis
66
Flesh colored, soft, rubbery, sometimes lobulated, mobile when palpated
Lipoma
67
Highly vascularized papule red or purple in color, grows rapidly and bleeds easily, often occurs at sites of trauma or infection
Pyogenic granuloma
68
Sign of Lesser Trelat
Acute onset of many seborrheic keratoses
69
Skin tags
Acrochordon
70
Soft, red, compressible papules that blanche
Hemangioma
71
Causative agent of molluscum contagiosum.
Pox virus
72
Oil glands seen typically royally areas of face, yellow papules with central dell
Sebaceous hyperplasia