---DERM---HEENT---

Question 1

Recent shaving
erythema, Edema
papules/pustules
rash over follicle

Answer 1

folliculitis

Question 2

usually on face/extremities
multiple lesions
nonbollous-crusty yellow
bullous-brown crusty (trunk kids)

Answer 2

Impetigo

Question 3

Typically caused by break in skin
4 signs :Erythema, edema, TTP, Elevated skin temp
regional lymphadenopathy
Fever, chills, malaise, pain, itching, burning at site

Drainage- abscess

Answer 3

Cellulitis

Question 4

Pain out of proportion to physical findings
Mainly in lower extremities, Erythema, edema, fever, cellulitis/abscess
blisters, discoloration , visual ulceration, bullae

Answer 4

Necrotizing fasciitis

Question 5

Deep SubQ erythematous papule can be stable or fluctuant, most common on back, neck,
tender perifollicular swelling discharge of pus and necrotic plug

SINGLE FOLLICLE

Answer 5

Furuncle

Question 6

Deep SubQ erythematous papule can be stable or fluctuant, most common on back, neck,
tender perifollicular swelling discharge of pus and necrotic plug

MANY FOLLICLES

Answer 6

Carbuncle

Question 7

erythema, edema, localized pain, tenderness, abscess in the nail bed, purulent discharge behind the cuticle
inflammation W/O abscess formation involving proximal/lateral nail folds

Answer 7

Paronychia

Question 8

Trauma distal end of finger (splinter, needle prick)
Severe pain, TTP,
erythema, edema, necrosis
Pain distal pulp of finger

Answer 8

Felon

Question 9

Primary lesion is a pustule, the contents which dissect horizontally under the strum corneum and then peel away

Glistening surface with long cigarette paper-like scaling and advancing border

Answer 9

Candidiasis

Question 10

Yellowish nail
thick
caused by trauma, tight fitting shoes

Answer 10

Onychomycosis

Question 11

Intense itching worse at night
rash for 2-6 weeks
eczema and impetigo appear as secondary lesion
Webs of toes, fingers, in folds of skin
lesions are linear, curved or s shaped elevated vesicle or papule

Answer 11

Scabies

Question 12

2-5 cm round oval patch
sharply delineated pink salmon colored lesion on chest, neck, back
‘multiple lesions become scaly usually alone lines of CLEAVAGE
7-21 days “FIR TREE” Present on back

Answer 12

Pityriasis Rosea

Question 13

Deep burning, throbbing, stabbing sensation,
malaise, fever, HA, periorbital burning/itching

Unilateral erythematous papules typically in a singular dermatome or several contiguous dermatomes, vesicle/bullae form become pustular and crust over

Answer 13

Herpes Zoster

Question 14

2-5mm diameter papules, itchy, dome shaped with shiny surface and central indentation or umbilication

Answer 14

Molluscum contagiosum

Question 15

usually on hands,
erythema, dryness, painful cracking, fissuring and scaling are typical , possible vesicles, tenderness, burning

hurts more than it itches

Answer 15

Irritant dermatitis

Question 16

common on hands, forearms, and face
Vesicle, edema, erythema, Extreme pruritus

Itches more than it hurts

possible delayed reaction

Answer 16

allergic contact dermatitis

Question 17

Lesions on, hands, feet, face, neck, upper chest, genitals,
Eczematous eruption that is distressingly pruritic, recurrent often flexural and symmetric.
dry skin and pruritic, rubbing leads to inflammation and lichenification

Answer 17

Atopic dermatitis

Question 18

Males > women
Better in summer worse in winter
SCALP/eyebrows/eyelids/ears/ nasolabial folds
burning itching, red greasy/smooth/glazed, scaling rash consisting of patches and plaques

Answer 18

Seborrheic Dermatitis (dandruff)

Question 19

Transient/recurrent symmetrical vesicular eruptions located on volar and plantar surfaces
FMHX/PMHX asthma, hay fever, atopic eczema
Intense Pruritis

(Positive Otter Sign-not really a sign)
LOOKS LIKE TAPIOCA

Answer 19

Dyshidrosis

Question 20

Acute- sudden onset, mild to severe pain, erythema, edema
Tender swollen fluctuant nodule located along superior gluteal fold.
Possible infected sinus tract with drainage

Answer 20

Pilonidal Abscess

Question 21

Intense pruritis, erythematous plaque, lesions may be red/pink or flesh colored with white or red halo
Triggered by food, drug, insect bites, injection, diseases, inhalants

Answer 21

Urticaria

Question 22

On Face, neck, upper back, chest if on buttocks, palms or planter = trauma
warm, red boggy and tender to palpation lesion
may rupture with purulent material and keratin debris

Answer 22

Inflamed /ruptured epidermal cyst

Question 23

half moon shaped plaques in crural folds spread to medial thighs
well defined borders
lesions are usually bilateral and do not include Scutum/penis
hyperpigmented
may migrate to perianal, gluteal cleft

Answer 23

Tinea Cruris

Question 24

Webs of toes and soles of feet
Male>Female
Itching, burning, stinging of interdigital webs and plantar surfaces, may progress to fissuring or macerations in toe web spaces.

Answer 24

Tinea Pedis

Question 25

Pruritis with excoriation hair: head, eyebrow, eyelashes nits hairs that fluorescent

Answer 25

Pediculus humanus capitus

Question 26

Scaling round/oval pruritic plaques sharply defined annular pattern Papules/pustules vesicles at border

Answer 26

Tinea Corpus -Ring worm

Question 27

predominately ages 3-9 males >females round patches on scal scaled with little/marked inflammation or alopecia, florescence

Answer 27

Tinea Capitis

Question 28

Central, upper back, chest and proximal arms Asymptomatic Color is uniform, velvety tan, pink or white macules that do not TAN

Answer 28

Tinea Versicolor

Question 29

Pruritus with excoriation | occasionally sky blue macules on the inner thighs or lower abdomen.

Answer 29

Pediculosis pubis

Question 30

another name for hair loss due to disorders of hair cycling, inflammatory conditions that damage hair follicles, or inherited or acquired abnormalities in hair shafts

Answer 30

Alopecia

Question 31

Inflammation, irritation of the eye lid, Tears may be frothy or abnormally greasy, itching/burning, Foreign body sensation, tearing erythema, edema, discharge CRUSTING WHEN AWAKENING eye lid rolled outward

Answer 31

Blepharitis

Question 32

EYE---erythema, edema, purulent discharge in morning, LESS itchy, Yellow/White discharge.

Answer 32

bacterial conjunctivitis

Question 33

EYE----Swollen conjunctiva, erythema, edema eyelids, periocular hyper pigmentation, itching, watery discharge bilateral, history of allergies

Answer 33

Allergic Conjunctivitis

Question 34

EYE---Itching, burning, tearing gritty foreign body sensation, URI, Watery discharge, Erythema, edema, pinpoint conjunctival hemorrhage, critical tender periauricular lymph

Answer 34

Viral conjunctivitis

Question 35

EYE--Severe discharge, HYPER ACUTE onset 12-24 hrs. | Conjunctival papillae, marked chemosis, preauricular adenopathy eyelid swelling

Answer 35

gonococcal conjunctivitis

Question 36

EYE-- erythema, edema, watery discharge, ocular pain, foreign body sensation, photophobia, blurred vision Extended use of soft contacts

Answer 36

Corneal Ulcer

Question 37

EYE-- Severe pain , tearing photo phobia | POS fluorescein stain due to trauma

Answer 37

Corneal Abrasion

Question 38

Localized eyelid tenderness, erythema, edema, foreign body sensation well defined SubQ nodule on eyelid Infection of sweat gland

Answer 38

Hordeolum

Question 39

Hard nodule , nontender, usually farther back on eyelid, erythema/edema on upper or lower lid, blockage of MEIBOBIAN GLAND (Oil gland)

Answer 39

Chalazion

Question 40

Defined by: Granulomatous-anterior- blurred vision mildly inflamed eye Nongranulomatous- pain redness, photophobia and vision loss

Answer 40

Uveitis/Iritis

Question 41

Trauma red eye Foreign body sensation, blurred vision/double, swelling of eyelid, nasal congestion/discharge, sinus pressure, HA, tooth pain CRITICAL-RESTRICTED EXTRAOCULAR MOVEMENT

Answer 41

Orbital Cellulitis

Question 42

Accumulation of blood in the subperichondrial space-secondary to trauma. Commonly associated with boxers/wrestlers Result deformed auricle referred to as CAULIFLOWER EAR

Answer 42

Auricular Hematoma

Question 43

Post Auricular pain and erythema accompanied by spiking Fever Complication of Otitis Media Edema, tenderness, protrusion of auricle and obliteration of the post auricular crease

Answer 43

Mastoiditis

Question 44

``` Painful erythema, edema of ear canal skin, purulent exudate Recent water Exposure: submersion AKA SWIMMERS EAR or Mechanical trauma (scratching with CTA) ```

Answer 44

Otitis External

Question 45

Precipitated by URI Otalgia, aural pressure, decreased hearing, Fever and history of Upper respiratory tract infection ERYTHEMA/HYPOMOBILITY of TM TM bulging, mastoid tenderness

Answer 45

Otitis Media

Question 46

Secondary to middle ear infection or barotrauma, blunt, penetrating, acoustic, lightening strikes Pain, hearing loss, vertigo, tinnitus, N/V, Visible TM perforation-blood/pus/clear fluid

Answer 46

Tympanic Membrane Perforation

Question 47

TM perforation exudes keratin debris or granulation tissue | PROLONGED EUSTACHIAN TUBE DYSFUNCTION

Answer 47

Cholesteatoma

Question 48

Acute onset-4 weeks Purulent yellow green nasal discharge, facial pain/pressure obstruction cough, malaise, fever, HA

Answer 48

Sinusitis

Question 49

Severe sore throat, odynophagia, inferior and medial displacement of infected tonsil Moist /translucent contralateral deflection OF SWOLLEN UVULA Tender cervical lymphadenopathy drooling and dehydration

Answer 49

Peritonsillar Abscess

Question 50

``` Centor Criteria: 1. FEVER over 38c 2. Tender Cervical lymphadenopathy 3. Lack of cough Pharygotonsillar exudates Viral- vesicular and petechial pattern on soft palate and tonsils with rhinorrhea no exudate fungal- whit cheesy can be scraped off ```

Answer 50

Pharyngitis/ tonsillitis

Question 51

Acute swelling of salivary gland Pain increases during meals, tenderness and erythema of duct opening Pus may be massaged from duct

Answer 51

Sialadentitis

Question 52

``` Putrid/ bad breaths Foreign body sensation in throat pain when swallowing increased pain and swelling with meals white debris bad taste (metallic) earache dysphasia chronic tonsillitis ```

Answer 52

Tonsilloliths

Question 53

Flashes of light, floaters, CURTAIN OR SHADOW MOVING OVER FIELD OF VISION Peripheral/central vision loss vision may change based on head position due to fluid movement

Answer 53

Retinal detachment

Question 54

Seasonal Nose: Clear nasals discharge, pruritis, sneezing, nasal polyps Eyes: Irritation, pruritis, conjunctival erythema, excessive tearing cough, bronchospasm, wheezing, eczematous dermatitis

Answer 54

Allergic Rhinitis

Question 55

red papules or pustules, pruritic/painful, scalp, posterior neck, groin legs scarring hyper pigmentation may occur usually AFRICAN/HISPANIC thick coarse hair condition caused by ingrown hairs

Answer 55

PFB

Question 56

Red scaling, CRUSTY PATCH ON NIPPLES AND AREOLA and surrounding, skin eczematous and unilateral

Answer 56

Pagets Disease