Dermatologic Conditions

Question 1

What is a lesion with unclear margins and dry flaky skin?

Answer 1

Eczema

Question 2

Which type of condition is an itch that rashes and is IgE mediated?

Answer 2

atopic dermatitis

Question 3

How is atopic dermatitis treated?

Answer 3

non-prescrition emollients
topical steroids

Question 4

What is raw, red, dry skin caused by irritating substance?

Answer 4

irritant contact dermatitis

Question 5

How is irritant contact dermatitis treated?

Answer 5

protect the skin:
gloves
zinc oxide

Question 6

What are red vesicular lesions are Tcell mediated and usually seen with poison ivy, oak, and sumac?

Answer 6

allergic contact dermatitis

Question 7

What can cause or worsen allergic contact dermatitis?

Answer 7

Benzocaine, neomycin, topical diphenhydramine (triple antibiotic cream)

Question 8

How is allergic contact dermatitis treated?

Answer 8

topical/ oral steroid

Question 9

How does xerosis present?

Answer 9

dry flaky skin

Question 10

What are old skin cells in hair follicles that form a scaly, horny plug?

Answer 10

keratosis pilaris

Question 11

What are yellow, greasy scales over eczematous lesion?

Answer 11

seborrheic dermatitis

Question 12

How is seborrhea (dandruff) managed?

Answer 12

Selenium sulfide
Zinc pyrithione

Question 13

What condition is silver/white scales that bleed if removed (T-cell and cytokine related)?

Answer 13

psoriasis

Question 14

How do we treat psoriasis?

Answer 14

Refer

Question 15

What are the ABCDEs of melanoma/ skin cancer?

Answer 15

Asymmetric
Boarder (irregular)
Color (multi-colored)
Diameter (more than 1/4 in)
Evolving

Question 16

How do we treat melanoma?

Answer 16

Refer

Question 17

How is cellulitis treated?

Answer 17

Vancomycin
Bactrim
Clindamycin
Doxycycline
Linezolid
Cefalexin
Daptomycin

Question 18

What is a furuncle (boil- puss filled bump caused by infected hair follicles) local cellulitis surrounding?

Answer 18

carbuncle

Question 19

How are carbuncles treated?

Answer 19

Refer- surgical drainage

Question 20

What condition presents with red sores on the face, hands, and mouth usually in children?

Answer 20

Impetigo

Question 21

How is impetigo treated?

Answer 21

Mupirocin cream
Oral Bactrim, Linezolid, Clindamycin

Question 22

How are foot warts (verrucae) treated?

Answer 22

OTC freeze-off liquid nitrogen

Question 23

How are herpes 1 cold sore treated?

Answer 23

Topical:
docosanol ABREVA
penciclovir DEVAVIR

Question 24

How are herpes 2 genital sores treated?

Answer 24

Oral acyclovir, valcyclovir

Question 25

What condition has linear lesions with vesicular eruptions preceded by pain and itching for days?

Answer 25

Herpes Zoster (shingles)

Question 26

What are treatments for herpes zoster?

Answer 26

Valacyclovir Lidocaine patches

Question 27

How are fungal infections on the face, body, feet, and jock treated?

Answer 27

1. Keep area dry 2. Clomitrazole, Miconazole

Question 28

What condition is red, shiny, have "satellite lesions" and appear in moist areas?

Answer 28

candida

Question 29

How long can drug-induced skin reaction occur after D/C?

Answer 29

up to 2 weeks

Question 30

What type of reaction is Type 1 IgE mediated allergic reactionwith raised areas that are extremely itchy?

Answer 30

hives

Question 31

How long do hives last?

Answer 31

24-36 hours

Question 32

What is treatment of hives?

Answer 32

antihistamines systemic corticosteroids

Question 33

How do angioneurotic edema and anaphylaxis present?

Answer 33

swelling around lips, face, tongue, and eyes due to hives occurring in deep layers of the skin

Question 34

How are angioneurotic edema and anaphylaxis treated?

Answer 34

Epi-pen steroids

Question 35

How do T-lymphocyte mediated reactions present?

Answer 35

maculopapular or vesicular lesions on the trunk usually with target regions

Question 36

What are severe forms of T-lymphocyte mediated reactions?

Answer 36

Stevens-Johnson Syndrome (SJS) Toxic Epidermal Necrosis TENs)

Question 37

How does SJS present?

Answer 37

vesicular and bullous lesions of the mucous membranes, mouth, and eyes

Question 38

What drugs can induce SJS and TENs?

Answer 38

Allopurinol Carbamazepine Lamotrigine Phenobarbital Phenytoin Nevirapine Sulfa ABX

Question 39

What is TENs?

Answer 39

same reaction of SJS impacted a larger portion of body; widespread necrosis resembling 3rd degree burn

Question 40

What drugs can cause photosensitivity reactions?

Answer 40

Tetracyclines Sulfonamides Diuretics Sulfonyl ureas

Question 41

Are photosensitivity reactions immune mediated?

Answer 41

no

Question 42

How are photosensitivity reactions treated?

Answer 42

prevent with sunscreen/ clothing

Question 43

What is vancomycin flushing symdrome?

Answer 43

anaphylactoid reaction due to rapid infusion; non immune

Question 44

What is the treatment for vancomycin flushing syndrome?

Answer 44

slow rate of infusion; no more than 1g/hour