Derm CE 3

Question 1

suspect that the diagnosed cellulitis is cancer when
4

Answer 1

1. non healing wound or cellulitis
2. no fever
3. normal WBC count
4. nonresponsive to standard abx tx

Question 2

SCC is common in what areas

Answer 2

sun exposed areas -
55% head and neck
18% hands, forearms
13% legs
lower lip common for smokers

Question 3

SCC are varied lesions including
6

Answer 3

papules
plaques
nodules
smooth
hyperkeratotic
ulcerative lesions

Question 4

basal cell carcinoma BCC - what percent appears on face

Answer 4

70%

Question 5

BCC characteristics

Answer 5

pearly, domed shaped nodule that typically presents on face as pink or flesh colored

Question 6

pearly, domed shaped nodule that typically presents on face as pink or flesh colored

Answer 6

BCC

Question 7

malignant melanoma ABCDEFs

Answer 7

A - asymmetry
B - border is irregular
C - color variation
D - diameter > 6 mm (pencil eraser)
E - elevation, evolving too
F - feeling/sensation

Question 8

ethnic differences in location for malignant melanoma - white and black

Answer 8

white - lower legs and back
black - hands, feet, nails

Question 9

dermatomyositis
3

Answer 9

muscle weakness
predominant symptoms is pruritis
weight loss and fever

Question 10

psoriasis pharm mgmt
3

Answer 10

1. emollients to hydrate skin - creams, ointments
2. topical steroids
3. systemic agents - methotrexate

Question 11

vehicle strength determines ability of drug to enter skin - lowest to highest strength

Answer 11

lotions, creams, gels, ointments

Question 12

bed bugs - tx

Answer 12

environment

Question 13

pubic lice - tx

Answer 13

permethrin topical

Question 14

scabies - tx

Answer 14

permethrin topical

Question 15

pinworm - tx

Answer 15

mebendazole/Emverm 500 mg PO single dose

Question 16

scabies

Answer 16

skin infection by mites

Question 17

scabies - itchy

Answer 17

yes, especially at night

Question 18

raised, thin, linear lesions that crust and blister

Answer 18

scabies

Question 19

rapid onset, well demarcated rash often on face with red, raised edges; patient is very sick

Answer 19

erysipelas - send to ER

Question 20

necrotizing fasciitis - onset

Answer 20

sudden onset, rapid progression, sick fast

Question 21

red/purple skin, severe pain, fever

Answer 21

necrotizing fasciitis