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DERM 2 Flashcards

(61 cards)

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1
Q

Tx for seborrheic keratosis?

A
  • Scissor biopsy

- Electrosurgery/Freezing

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2
Q

“I have warts or moles that are growing”

A

Seborrheic keratosis

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3
Q

What skin condition is characterized by the following: small, rough, pink or brown macules, papules, or plaques on sun-exposed areas?

A

Actinic keratosis

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4
Q

Tx for lice?

A
  • Permethrin, malathion, lindane, benzyl alcohol
  • Innoculate close contacts
  • Wash bedding/clothes in hot water
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5
Q

Tx for scabies?

A
  • Permethrin

- Treat close contacts

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6
Q

What skin condition is characterized by inflammatory, erythematous, itchy papules found on flexor surfaces of wrists, elbows, genitalia, feet, and finger webs?

A

Scabies

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7
Q

What spider bite is characterized by the following: burning pain 1-24 hours after bite, fever, chills, malaise, nausea, possible necrosis, and a wound that may be asymptomatic for up to 3 days?

A

Brown recluse spider

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8
Q

What spider bite is characterized by the following: burning within minutes of bite that resolves within hours, systemic onset within 30 minutes: cramps, dyspnea, sweating, N/V, restlessness, or sense of impending death?

A

Black widow spider

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9
Q

Test for brown recluse?

A

UA for hemolysis

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10
Q

Which spider bite requires cool compresses?

A

Brown recluse

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11
Q

What skin condition is characterized by the following: pink pearly papules, sometimes with telangiectasias, rolled margins, possibly ulcerated center, on face and neck?

A

Basal cell carcinoma

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12
Q

Where is the superficial form of BCC found?

A

Trunk or extremities

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13
Q

What kind of biopsy would you use for BCC?

A

Shave, but punch can assess depth

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14
Q

Tx for BCC?

A
  • Meds: 5-flurouracil, imiquimod
  • Radiation, phototherapy
  • Surgical excision preferred if tolerable (Mohs, excision)
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15
Q

What is the acral form of malignant melanoma?

A

Nails

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16
Q

How big of an excision is necessary for a malignant lesion 1-2 mm thick?

A

1-2 cm

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17
Q

How big of an excision is necessary for a malignant lesion around 1 mm thick?

A

1 cm

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18
Q

What skin condition is characterized by the following: slow-growing, hyperkeratotic lesions, possible ulceration, crusting in sun-exposed areas?

A

SCC

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19
Q

Where does SCC most commonly metastasize to?

A

The lungs

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20
Q

From where does SCC most commonly metastasize?

A

Ears and vermilion border (lips)

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21
Q

Tx for SCC?

A
  • Total excision
  • Electrosurgery
  • Mohs
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22
Q

What is alopecia totalis?

A

Hair loss of the entire scalp

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23
Q

What is alopecia universalis?

A

Hair loss of entire body

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24
Q

What two conditions are associated with hair loss?

A
  • Lupus

- Thyroid issues

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25
Tx for alopecia areata?
- Intralesional steroids | - Oral corticosteroids
26
Which type of hair loss is characterized by miniaturization of follicles and pattern baldness?
Androgenetic alopecia
27
Tx for androgenetic alopecia?
Minoxidil or Finasteride
28
Tx for onycomycosis?
- Oral anti-fungals first line (side effects) - Cicloporox nail solution better tolerated - Nail debridement
29
What nail condition is characterized by inflammation of skin folds surrounding nails?
Paronychia
30
What organism causes green changes in nails?
Pseudomonas
31
Tx for paronychia?
- Tetanus if indicated - ABX, antifungals - Incision and drainage
32
Tx for condylomata acuminata?
- Imiquimod - Podophyllin - TCA acid - Cryosurgery
33
What lesions can be detected using acetowhitening test?
Condylomata acuminata
34
What viral skin infection can also manifest as encephalitis or pneumonia?
HSV - Fever - Lymphadenopathy
35
Tx for molluscum contagiosum?
- Cantharidin (harsh med) - Podophyllin - Cryosurgery
36
What skin condition is characterized by the following: non-umbilicated center, black dots, raised, rough?
Verrucae
37
What infection has dermatomal pattern?
Varicella-Zoster
38
Tx for varicella-zoster infection?
- Antivirals within 72 hours | - Gabapentin for pain
39
Tx for cellulitis?
- Oral dicloxacillin - Cephalexin - Clindamycin or IV cefazolin - Nafcillin
40
Tx for severe cellulitis?
Hospital admission
41
What diagnosis should be considered whenever a pt. has a prolonged, unexplained systemic illness?
Vasculitis
42
What condition is characterized by the following: palpable purpura, livedo reticularis, nodules, ulcers, gangrene, nail changes, malaise, fatigue, weight loss and sweating?
Vasculitis
43
Tx for vasculitis?
- GLUCOCORTICOIDS | - Then stronger immunosuppressives
44
What skin condition is characterized by the following: sharply demarcated erythema, raised borders, shiny plaques, HA, vomiting, and a possible prodromal phase?
Erysipelas
45
What organism causes erysipelas?
S. pyogenes
46
Tx for Erysipelas?
- Mild: Penicillin - Moderate-severe: Cefazolin - MRSA: Vancomycin
47
What skin condition is characterized by the following: honey-colored crusts, bullae, common around mouth, and satellite lesions?
Impetigo
48
What organism usually causes impetigo?
S. aureus
49
Tx for impetigo?
Mild: topical ABX | Moderate-Severe: oral ABX
50
What skin condition is characterized by perifollicular swelling with a pus plug?
Furuncle/carbuncle/abscess
51
Tx for abscesses?
Oral ABX | -Vancomycin if MRSA
52
What skin condition is characterized by brown, velvety patches of skin?
Acanthosis nigricans
53
What condition is associated with acanthosis nigricans?
Diabetes
54
Tx for acanthosis nigricans?
Treat underlying disorders
55
Based on rule of 9s, how much BSA does each part of body contribute?
- Upper extremities: Both 9% (adult and child) - Lower extremities: adult 18%, child 14% - Anterior trunk: both 18%; Posterior: 18% - Head and neck: adult 9%, child 18% - 1% genitals
56
Tx of pressure ulcers?
- ABX for cellulitis or osteomyelitis - Zinc and vit. C if deficiency - High protein diet - Silver dressings/ sealed padding
57
What skin condition consists of acute, tender, cyst-like abscesses in apocrine gland tissue, sinus tracts, and hyperhidrosis?
Hidradenitis suppurativa
58
Tx for hidradenitis suppurativa?
Oral ABX
59
What skin condition is characterized by the following: rapidly erupting rash that blanches and often disappears within 24 hours?
Urticaria (hives)
60
First-line tx for urticaria?
- 1st gen. antihistamines | - 2nd gen. H1 blockers
61
Tests for vitiligo?
-TSH

DERM (2 decks)

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