Derm

Question 1

2 classifications of acne

Answer 1

inflammatory vs noninflammatory

Question 2

tx for comedonal acne

Answer 2

retinoids

Question 3

backbone of acne tx

Answer 3

retinoids

Question 4

tx for inflammatory acne (5)

Answer 4

retinoids plus
1. topical abx: clindamycin
2. oral abx:
Doxycycline
Minocycline
3. Spironolactone
4. Isotretinoin

Question 5

which acne tx is a high risk med

Answer 5

Isotretinoin - oral retinoid

Question 6

s.e of clindamycin

Answer 6

C. diff complications

Question 7

s.e of minocycline

Answer 7

hyperpigmentation

Question 8

major s.e of minocycline and doxycycline

Answer 8

pseudomotor cerebri

Question 9

what bacteria causes acne

Answer 9

cutibacterium acnes

Question 10

hidradenitis supporative acne

Answer 10

terrible life altering acne in interiginous zones
smokers, obesity

tx:

1. minimize contributing lifestyle factors
2. treat like acne:

oral doxy/mino

antiseptic washes

Question 11

rosacea tx (4)

Answer 11

1. avoid triggers
2. oral doxycycline and minocycline
3. topical clindamycin
   * *4. v beam and pulse dye laser**

Question 12

rosacea rhinophyma/phymatous rosacea tx

Answer 12

oral doxycycline, minocycline

do not use steroids

Question 13

pitting and oil spots and adherent silvery white scaly plaques

Answer 13

psoriasis

Question 14

psoriasis is ___ inflammation

Answer 14

systemic

Question 15

Auspitz sign

Answer 15

psoriasis

pinpoint bleeding when scale is removed

Question 16

tx for psoriasis

Answer 16

1. topical steroids + vitamin D
2. biologics → methotrexate (DMARDS)
3. phytotherapy
4. always order labs

Question 17

guttate psoriasis is preceded by

Answer 17

classic streptococcal pharyngitis or URI

Question 18

inverse psoriasis is easily confused with

Answer 18

fungal infection

Question 19

pruritic patch or plaque w. scaling excoriations

Answer 19

eczema

Question 20

atopic dermatitis is a type of

Answer 20

eczema

Question 21

atopic dermatitis triad

Answer 21

allergies

asthma

eczema

Question 22

tx for atopic dermatitis

Answer 22

moisturizer!

Dupixent (Dupilumab) → biologic

Question 23

allergic contract dermatitis is a __ rxn

Answer 23

type IV delayed rxn

Question 24

tx for allergic contact dermatitis

Answer 24

remove offending agent

moisturizer

topica/oral steroids

allergy testing referral

Question 25

Asteatotic Eczema is

Answer 25

regular dry skin

Question 26

most common human malignancy

Answer 26

basal cell carcinoma

Question 27

basal cell carcinoma is characterized by

Answer 27

**pink, pearly, telangiectatic papules** non healing pimple or bleeding mole

Question 28

tx for basal cell carcinoma

Answer 28

Mohs micrographic surgery

Question 29

second most common type of cutaneous non melanoma skin cancer

Answer 29

squamous cell

Question 30

what cancer are AKs associated with

Answer 30

squamous cell

Question 31

tx for squamous cell carcinoma

Answer 31

mohs micrographic surgery topical chemo (5 fluorouracil)

Question 32

5th most common cancer in men; 6th most common cancer in women

Answer 32

melanoma

Question 33

melanoma is characterized by

Answer 33

ABCDEs

Question 34

according to Breslow's depth of _ or greater signifies aggressive \_

Answer 34

0.8; melanoma

Question 35

pearly pink dome shaped papule w. central umbilication

Answer 35

molluscum contagiosum

Question 36

where is herpes simplex virus 1 found in the body

Answer 36

dormant in **dorsal root ganglion**

Question 37

painful, grouped uniform appearing vesicles on an erythematous base

Answer 37

herpes simplex 1

Question 38

honey colored crusting is associated w

Answer 38

herpes gladitorum (mat herpes)

Question 39

shingles is caused by

Answer 39

herpes zoster

Question 40

herpes zoster is dormant in

Answer 40

dorsal root ganglion

Question 41

tx for herpes zoster (shingles)

Answer 41

Acyclovair or Valacyclovair ASAP

Question 42

tinea and ringworm are what type of inxn

Answer 42

cutaneous fungal

Question 43

tinea and ringworm are

Answer 43

dermatophytes

Question 44

most common dz affecting feet and toes

Answer 44

tinea pedis (athlete's foot)

Question 45

gold standard to dx tinea pedis

Answer 45

fungal foot culture *but KOH is easier*

Question 46

treatment for most tinea fungal infections

Answer 46

**topical:** Ketoncazole **systemic:** Terbinafine/Fluconazole **exception:** tinea capitis

Question 47

s.e of Terbinafine/Fluconazole

Answer 47

liver damage

Question 48

gold standard for diagnosing cutaneous fungal infections

Answer 48

fungal culture *but KOH is easier*

Question 49

tinea cruris is commonly called

Answer 49

jock itch

Question 50

scaly macule/patches w. serpiginous and scaly borders and central clearing

Answer 50

tinea corporis

Question 51

tinea corporis pt's often think they have

Answer 51

eczema

Question 52

two feet, one hand syndrome

Answer 52

tinea manuum

Question 53

tinea capitis is associated w.

Answer 53

kerions: tender, boggy, soft plaques and pustules

Question 54

gold standard tx for tinea capitis

Answer 54

Griseofulvin

Question 55

candidiasis infxns are associated with

Answer 55

satellite pustules

Question 56

tinea versicolor is characterized by

Answer 56

hypopigmented patches with a fine scale

Question 57

spaghetti and meatballs

Answer 57

microscope/KOH appearance of tinea versicolor