Derm

Question 1

A raised dermatosis that is of large diameter is called a ________.

Answer 1

plaque

Question 2

a ___ is a flat, generally < 1 cm area of skin or mucous membranes with different color from surrounding tissue. . May have fine, non-palpable scale

Answer 2

macule

Question 3

flat lesions are called _______ (< 1 cm) or _____ (> 1cm)

Answer 3

macules; patches

Question 4

A__ is a flat, generally > 1 cm area of skin or mucous membranes with different color than surrounding tissues. . May have fine, non-palpable scale

Answer 4

patch

Question 5

A ____ is a closed cavity or sac containing fluid or semisolid material. It can have an epithelial, endothelial, or membranous lining. It is raised and smooth.

Answer 5

cyst

Question 6

A ____ is a dermal or subcutaneous, firm, well-defined lesion usually greater than 1.0 cm in diameter. It is raised and smooth.

Answer 6

nodule

Question 7

4 raised and smooth lesions:

Answer 7

cyst, nodule, papule, plaque

Question 8

A discrete, solid, elevated body usually less than 0.5cm in diameter. It is raised and smooth.

Answer 8

papule

Question 9

A discrete, solid elevated body usually broader than it is thick, measuring more than 0.5 cm in diameter.

Answer 9

plaque

Question 10

a hardened layer that results when serum, blood, or purulent exudate dries on the skin surface. can be thin or thick and have varying color.

Answer 10

crust

Question 11

_____ is a type of surface change. It results from excess stratum corneum that accumulates in flakes or plates. usually has a white or gray color

Answer 11

scale

Question 12

a fluid filled blister > 0.5cm in diameter. fluid can be clear, serous, hemmorhagic, or pus filled

Answer 12

bulla

Question 13

3 fluid filled lesions include:

Answer 13

1. bulla
2. pustule
3. vesicle

Question 14

circumscribed elevation that contains pus. usually < 0.5cm in diameter

Answer 14

pustule

Question 15

a fluid filled cavity or elevation less than 0.5cm in diameter. fluid may be clear, serous, hemorrhagic, or pus filled.

Answer 15

vesicle

Question 16

3 red blanchable lesions:

Answer 16

1. erythema
2. erythroderma
3. telangiectasia

Question 17

localized, blanchable redness of the skin or mucous membranes. The color changes due to increased blood flow, not leakage of blood into the skin as purpura.

Answer 17

erythema

Question 18

generalized, blanchable redness of the skin that may be a associated with desquamation. The color changes due to increased blood flow, not leakage of blood into the skin as purpura.

Answer 18

erythroderma

Question 19

a visible, persistent dilation of small, superficial cutaneous blood vessels. this will blanch.

Answer 19

telangiectasis

Question 20

3 Purpuric lesions are: 
1.
2.
3. 
These do not blanch because blood has leaked outside of the vessels and into the surrounding skin.

Answer 20

1. ecchymosis
2. petechiae
3. palpable purpura

Question 21

extravasation of blood into the skin or mucous membranes. an area of flat color change may progress over time from blue-black to brown-yellow or green.

Answer 21

ecchymosis

Question 22

Tiny 1-2mm, initially purpuric, non-blanchable macules resulting form tiny hemorrhages.

Answer 22

petechiae

Question 23

raised, palpable discoloration of the skin or mucous membranes d/t vascular inflammation of the skin and extravasation of blood.

Answer 23

palpable purpura

Question 24

the thinning of tissue; can be epidermal, dermal, or subcutaneous

Answer 24

atrophy

Question 25

localized loss of epidermal or mucosal epithelium

Answer 25

erosion

Question 26

a circumscribed loss of the epidermis and at least the upper dermis.

Answer 26

ulcer

Question 27

necrotic, usually black tissue due to obstruction, diminution, or loss of blood supply. can be wet or dry.

Answer 27

gangrene

Question 28

_____ gangrene often follows a crushing injury. It has an offensive odor and spreads rapidly.

Answer 28

wet gangrene

Question 29

_____ gangrene areas become cold, dry, and shriveled and eventually turn black.

Answer 29

dry gangrene

Question 30

a scab or dry crust that results from trauma, infxn, or skin dz

Answer 30

eschar

Question 31

This pattern of skin lesions involves the distal aspects of the head (ears and nose) and the extremities (hands, feet, fingers, toes)

Answer 31

acral

Question 32

_____ distribution includes the area of skin following the sensory skin innervation of a particular nerve root. This distribution does not cross the midline of the body.

Answer 32

dermatomal

Question 33

This distribution involves skin creases and folds, such as the axilla, crural fold, gluteal crease, and possibly the inframammary fold.

Answer 33

intertriginous

Question 34

A ____ pattern of skin lesions or subcutaneous lesions appears along the path of the lymph channels of the leg or arm.

Answer 34

lymphangititc

Question 35

A _____ pattern typically follows sun exposed skin

Answer 35

photodistributed

Question 36

Skin lesions occurring across many body locations can appear to be distributed randomly or haphazardly. This is a ____ distribution.

Answer 36

scattered

Question 37

A ______ distribution involves the entire (or almost the entire) body

Answer 37

widespread

Question 38

You should be closer than ____cm to evaluate a term lesion

Answer 38

20 cm

Question 39

What is the ABCDE of melanoma?

Answer 39

A: Asymmetry B: Border irregularity C: Color variegation (different colors in same area D: Diameter > 6 mm (tip of pencil eraser) E: Evolution

Question 40

Clubbing can be associated with many diseases including three pulmonary diseases (_______, ______, ____, and _______), one heart disease (________) and two GI diseases ________)

Answer 40

Pulm: Intersitial lung disease, lung cancer (large cell especially), mesothelioma Heart: subacute bacterial endocarditis GI: Chron's, primary biliary cirrhosis