Derma step 1 Flashcards

(20 cards)

1
Q

Intensely pruritic rash
Worse at night
Close interpersonal contact
Erythematous papules
Rash on flexor surface of wrist,axilla,finger webs,palm
What is disease?

A

Scabies

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2
Q

Middle aged woman,
lipid laden macrophages on biopsy of upper eyelid
What is its and what condition causes it?

A

Its xanthalesma and cause is primary biliary cholangitis due to hyperlipidemia

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3
Q

Which oral medication is given for hair loss in men and what happens to testosterone,DHT and estradiol levels after that medication?

A

Finasteride( 5 alpha-reductase inhibitor) stops the conversion of testosterone to DHT.
Hence testosterone levels rise, DHT levels fall
Testosterone is then converted to estradiol leading to gynecomastia as a side effect.

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4
Q

What do black and brown, red, and lastly grey and white areas on melanoma represent?

A

1.black and brown shows advancing neoplastic melanocytes
2.red shows vessel ectasia(dilation) and local inflammation.
3.grey and white areas show melanocyte regression

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5
Q

A raised scar,flattens out after a few weeks/months by which process and who does it?

A

It occurs by process of remodelling and is done by MMP (matrix metallo-proteinases)

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6
Q

Which virus causes vesicular rash and follows dermatomal distribution( affecting one side only) and its feature?

A

Herpes Zoster Virus(Shingles) characterized by multinucleated cells with intranuclear inclusion

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7
Q

Which cytokine over-expression causes scar to become big even after smaller injuries?

A

TGF-B

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8
Q

Which cell has shape of tennis racquet?

A

Langerhan cell which is an APC

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9
Q

Which enzyme does terbinafine inhibit?

A

Squalene epoxidase

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10
Q

Unilateral vesicular rash involving XYZ dermatome,older patient,with neuropathic pain, what is it?

A

Herpes Zoster infection (Shingles)

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11
Q

Necrotic ulcers cos of insufficient blood flow, with febrile neutropenia is associated with which disease and causative organism?

A

Ecthyma Gangrenosum caused by Pseudomonas Auraginosa

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12
Q

Recurrent nose bleeds with spider like lesion on lips oronasopharnyx GI plus respiratory tract urinary tract is whixh disease?

A

Osler Weber Rendu Syndrome (Hereditary hemorrhagic telengictasia)

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13
Q

Irritant contact diaper dermatitis is caused by what?

A

Increase in local skin ph by fecal bacteria

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14
Q

Rod-shaped kinetoplasts are seen in which disease and caused by which organism?

A

Disease is leishmaniasis caused by sand fly bite.

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15
Q

Walking barefoot on moist soil causes which infection that has serpiginous tracks ?

A

Hookworm infection

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16
Q

Intensely/extremely pruritic rash
Particularly aggravated at night
Rash on feet,hand(web spaces),genitalia,umbilicus,axilla
Spread thru direct person-person contact
What is it?

17
Q

Vancomycin and opiods (eg morphine)
Causes IgE-dependent or IgE-independent mast cell degranulation?

A

IgE Independent…

18
Q

Hidradenitis suppurativa occurs in which areas and what is its pathogenesus?

A

Occurs in axilla medial thigh and groin regions
Caused by occlusion of folliculopilosebaceous units

19
Q

Skin and nerve infection is seen in which disease

20
Q

Low grade fever,lesion in oral cavity and distal extremities seen in which disease and caused by which organism?

A

Hand foot and mouth disease.
Caused coxsackie(enteroviral) infection.