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APEA - Pre predictor > Derm CE 2 > Flashcards

Derm CE 2 Flashcards

1
Q

characteristics of fungal rash
4

A

circular
central clearing
edges are more scaley and red
dry, erthematous scales peripherally

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2
Q

central clearing is to

A

fungal rash

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3
Q

presents are linear lines

A

scabies

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4
Q

how is tinea cruris treated

A

topical antifungal 2-3 weeks

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5
Q

christmas tree rash is to

A

pityriasis rosea

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6
Q

herald patch is to

A

pityriasis rosea PR

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7
Q

is PR contagious

A

no

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8
Q

abx used first line to treat early Lyme disease and other tickborne infections

A

doxycycline

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9
Q

Lyme disease - pregnant individual rx

A

amoxicillin

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10
Q

shingles is common in patients of what age

A

> 50

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11
Q

shingles - pharm for pain

A

nsaids - mild to mod pain
narcotics - severe pain

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12
Q

shingles - pharm antiviral agents by time

A

high dose antiviral agents:
<72 hours of symptoms - acyclovir, famciclovir, valacyclovir x 7 days
>72 hours - treat if new lesions are still appearing

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13
Q

shingles - pharm antiviral agents for immunocompromised patients

A

yes - give antiviral agents

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14
Q

shingles assessment - acute phase

A

maculopapular rash that progresses to grouped vesicles on an erythematous base, then pustules in 3-4 days

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15
Q

maculopapular rash that progresses to grouped vesicles on an erythematous base, then pustules in 3-4 days

A

shingles

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16
Q

postherpetic neuralgia PHN

A

pain longer than 1 month after shingle rash has resolved; common in >65 year old patients; may last for month

17
Q

shingrix

A

2 IM injections, 2-6 months apart; recommended for everyone 50 years and older

18
Q

shingrix vaccine is contraindicated in who
2

A

pregnancy
severe immunocompromised (including HIV with CD4 count <200)

19
Q

erysipelas - rash

A

hot, angry rash on face and lower extremities

20
Q

butterfly rash is to

A

lupus

21
Q

lupus SLE

A

multisystem autoimmune disease that is of an inflammatory disease that affects the skin, joints, kidneys, and lungs

22
Q

multisystem autoimmune disease that is of an inflammatory disease that affects the skin, joints, kidneys, and lungs

A

lupus

23
Q

lupus SLE - more common in who

A

Black, Asian, and Hispanic women of childbearing age

24
Q

SLE - most common complaint

A

fatigue

25
Q

SLE - common findings
9

A

butterfly rash
fatigue
fever - sign of active disease
arthalgias
arthritis
myalgias
oral and nasal ulcers - painless
renal involvement
gastritis, peptic ulcers

26
Q

oral and nasal ulcers that are painless

A

SLE

27
Q

common criteria for dx of lupus
4

A
  1. arthritis
  2. hemolytic anemia
  3. positive antinuclear antibody test ANA
  4. butterfly rash on cheeks
28
Q

uses light and magnification to evaluate skin lesions

A

dermoscopy

29
Q

skin cancer - best predictor for malignancy

A

asymmetry, including the colors and structures within lesion

30
Q

actinic keratosis

A

dry, rough, scaly patches; usually from sun exposure

31
Q

dry, rough, scaly patches; usually from sun exposure

A

actinic keratosis

32
Q

are actinic keratosis cancerous

A

precancerous

33
Q

AK - do what
4

A

refer
cryo, laser, 5-FU

34
Q

seborrheic keratosis

A

brown spots, rough, warty

35
Q

brown spots, rough, warty

A

seborrheic keratosis

36
Q

seborrheic keratosis most common location
3

A

chest
back
scalp

37
Q

seborrheic keratosis - irritating?

A

may bleed, be irritating - get biopsy to r/o cancer

38
Q

seborrheic keratosis - tx how
3

A

cryo
scraping
electrocautery

APEA - Pre predictor (38 decks)

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