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HK Last - Cardio > Derm > Flashcards

Derm Flashcards

1
Q

first line treatment for acne rosacea

A

oral tetracycline
topical metronidazole
oral retinoids

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2
Q

tx acne vulgaris

A

Clindamycin
Doxycycline
Isotretinoin
OCP

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3
Q

abscess larger than boil with multiple openings

A

carbuncle

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4
Q

most common cause of carbuncle

A

staph A

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5
Q

inflammation of dermis and subcutaneous fat caused by bacterial infection (commonly GAS, Staph A.) often after damage to skin
borders are not elevated, vessicles are poorly demarcated

A

cellulities

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6
Q

tx cellulitis

A

cephalexin 1st line

* if DM, use Trimethoprim-sulfamethoxazole

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7
Q

deep folliculitis, infection of hair follicle with accumulation of pus and dead tissue

A

furuncle

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8
Q

tx furuncle

A

topical ab (Mupirocin)

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9
Q

Tzank smear looks for ____, but this test has been replaced by the preferred _____. Can also use.

A

HSV-1
HSV-PCR
viral culture of lesion

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10
Q

acute, purulent infection, with vessicles on face, arms, legs, buttocks.

A

impetigo vulgaris (non-bullous)

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11
Q

Common cause of impetigo

A

Staph A or GAS

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12
Q

tx impetigo

A

topical mupirocin

systemic Cephalexin

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13
Q

acute, chronic inflammation of mucus membranes on wrists, ankles, nails, scalp. Very pruritic, scaly, polygonal, light purple papules

A

lichen planus

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14
Q

lichen planus has an increased risk of developing

A

SCC

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15
Q

tx lichen planus

A

topical corticosteroids
immunosuppressnat (methotrexate, cyclosporine)
retinoids

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16
Q

poxvirus
can be transmitted sexually
dome shaped lesions with central crater containing white papule

A

molluscum contagiosum

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17
Q

workup suspected necrotizing fasciitis

A

clinical dx
blood and tissue culture
plain film x-ray
extreme elevation in CK seen as late sign

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18
Q

tx necrotizing fasciitis

A

IV penicillin or clindamycin

surgical debridement

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19
Q

most commmon cause of onychomycosis

A

trichophyton rubrum (90%)

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20
Q

infection around soft tissue of fingernail

A

paronychia

antifungal for chronich

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21
Q

tx pediculosis

A

permethrin cream

shave area

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22
Q

HSV7
single, large oval, scaly plaque called ____
then spreads into papular rash parallel to the ribs called _____

A

Pityriasis rosea
Herald Patch
christmas tree lesion

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23
Q

tx pityriasis rosea

A

clears within 6-12 weeks
UV light can speed recovery
topical corticosteroids

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24
Q

yellow to white flakes associated with Malassezia spp yeast

A

seborrheic derm

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25
tx seborrheic derm
``` selenium sulfide shampoo zinc pyrithione (head and shoulders) ```
26
brown white scaling superficial scaling macules caused by pityrosporum ovale (Malassezia furfur) and tx
tinea versicolor topical terbinafine ketoconazole antifungal cream
27
describe sebaceous cyst
round, yellow colored, mobile, slow growing, fluctuant nodule
28
most common benign tumor in older people stuck on appearance light brown flat macule that evolves into a n unevan warty waxy papule
seborrheic keratosis
29
describe wart
hyperkeratotic flesh colored hard papules
30
cell mediated delayed type IV hypersensitivity reaction | erythema with papulovesicular eruption, swelling, pruruits
Contact dermatitis
31
type I IgE mediated hypersensitivity reaction with epidermal barrier dysfunction
eczema
32
infection with mycoplasma pneumonia, HSV | vesicles and bullae that have classic bulls eye pattern
erythema multiforme
33
autoimmune disease IgG aginst epidermal desmoglein 1 and 3 leads to loss of intercellular adhesion type II hypersensitivity reaction
pemphigus vulgaris
34
workup pemphigus vulgaris
Nikolsky sign IgG and C3 deposition serum anti-desmogloein IgG ab
35
tx pemphigus vulgaris
corticosteriods (prednisone) | Immunosuppressives (methotrexate) - may be fatal without
36
IgG ab against dermal-epidermal basement membrane proteins which leads to subepidermal bullae Type II hypersensitivity reaction
bullous pemphigoid
37
well-demarcated flat elevated erythematous papules | plaques with silvery white scales
psoriasis
38
tx psoriasis
sunlight topical corticosteroids retinoids systemic methotrexate
39
precursor to scc | small rough spots that turn into hyperkaratotic, pearly grey lesions due to long term sun exposure
actinic keratosis
40
tx for actinic keratosis
liquid nitrogen 5-fluororuacil excision
41
most common malignancy skin colored papule/nodule with rolled, translucent border telangiectatic vessels
BCC
42
tx BCC
shave excision cryotherapy topical 5 fu radiation (elderly)
43
spindle cell tumor from endothelial cell raised round oval papules that are red purple and ulcerate skin, mouth, GI tract AIDS, HPV8
kaposi sarcoma
44
tx Kaposi sarcoma
HAART | excision
45
hx of arsenic exposure most common complication of immunosuppressive therapy indurated erythematous nodule/plaque with surface scale/crust ulceration often lowe lip ear, forehead
Squamous cell carcinoma
46
tx SCC
Mohs | surgical excision
47
strong topical corticosteroid drug that treats inflammatory hyperkeratotic dermatosis
Mometasone
48
antibiotic used for dog bites
amox-clav
49
homeopathic for fearful, wakes at 2am-4am, stitching stabbing pain, worse cold, better movement, lots of colds
kali carb
50
what herbs are safe for derm conditions in children
mellissa, echinacea, sambuca
51
proper management of puncture wounds
apply lidocaine, epi, tetracine gel. Clean with iodine and irrigate with saline. Cover with gauze and allow to heal with secondary intention.
52
What vaccine should you give with dog bite
DTaP booster due to tetanus risk
53
herbal acne treatment
arctium lappa, berberine, rumex, galium
54
topical botanicals for psoriasis
berberis and smilax
55
homeopathic for simple speach, cold, rose hot shower, worse morning, constipated
graphites
56
cranial caudal macular papular rash with CLAD and fever
rubella
57
cough coryza conjunctivitis koplick spots
measles
58
HHV6/7 maculopapular rash with high fever
roseola infantum
59
tx for vitiligo
copper vit D phylalanine
60
tx atopic derm
psorinum sulphur vit C
61
when do drug eruptions begin
7 days post med
62
lichen planus vs lichen simplex
lichen planus: wickham striae, 5 ps hep C | lichen simplex: red, scaling, itching

HK Last - Cardio (16 decks)

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