Dermatology

Question 2

Where are 90% of basal cell lesions found on the body?

Answer 2

Head and neck

Question 3

What are the ABC’s of melanoma?

Answer 3

asymmetry, border, color, diameter, elevation/irregularity

Question 4

Rhinophyma should make you think of what diagnosis?

Answer 4

Acne Rosacea

Question 5

A slowly growing nodule with a central depression and a pearly border is often referring to what type of skin lesion?

Answer 5

Basal cell carcinoma

Question 6

A herald patch should make you think of what diagnosis?

Answer 6

Pityriasis rosea

Question 7

Oval patches of hair loss should make you think of what diagnosis?

Answer 7

Alopecia areata

Question 8

What two herpes viruses are most responsible for condyloma accuminata?

Answer 8

HSV 6 and 11

Question 9

Pitting nails is associated with what dermatologic disorder?

Answer 9

Psoriasis

Question 10

How do you treat a stasis dermatitis?

Answer 10

Compression stockings

Question 11

Purple, pruritic, polygonal, papule on physical exam should make you think of what diagnosis?

Answer 11

Lichen planus

Question 12

Why should should actinic keratosis be removed?

Answer 12

It may progress to squamous cell carcinoma

Question 13

Pearly dome shaped lesion with a central umbilication should make you think of what diagnosis?

Answer 13

Mulluscum contagiousum

Question 14

What is the best treatment for molluscum contagiosum?

Answer 14

It is self limiting, but can be removed if patient really wants it

Question 15

Melasma is most often found in what patient population?

Answer 15

Women of childbearing age

Question 16

What is the key indicator of prognosis in melanoma?

Answer 16

Thickness of the lesion

Question 17

What is first line treatment for rosacea?

Answer 17

Metronidazole, tetracycline is probably a close second

Question 18

Nummular eczema is most like what other dermatological disorder?

Answer 18

Atopic dermatitis

Question 19

Depigmented patches of skin should make you think of what diagnosis?

Answer 19

Vitiligo

Question 20

What are the two most common organisms responsible for cellulitis?

Answer 20

Strep and Staph

Question 21

What is the first line treatment for tinea corporis?

Answer 21

Topical azoles

Question 22

What is the first line treatment for genital warts?

Answer 22

Imiquimod (aldara)

Question 23

5 year old presents in January with a red itchy rash behind his knees and on the flexor surface of the elbows. What diagnosis should you be thinking of?

Answer 23

Atopic dermatitis

Question 24

A positive auspitz sign should make you think of what diagnosis?

Answer 24

Psoriasis

Question 25

Hyperpigmented velvety plaques should make you think of what diagnosis?

Answer 25

Acanthosis Nigricans

Question 26

The term satellite lesion should make you think of what diagnosis?

Answer 26

Candida diaper rash

Question 27

Honey colored crusts should make you think of what diagnosis?

Answer 27

Impetigo

Question 28

Giant cells on a Tzanck smear should make you think of what diagnosis?

Answer 28

Herpes simplex virus

Question 29

Extremely pruritic lesions with burrows in runs should make you think of what diagnosis?

Answer 29

Scabies

Question 30

Tear drop lesion after a course of strep throat should make you think of what diagnosis?

Answer 30

Guttate psoriasis

Question 31

What is the best lab test for scabies?

Answer 31

Microscopic examination under oil immersion

Question 32

A patient with a history of herpes now presents with a target lesion. What diagnosis should you be thinking of?

Answer 32

Erythema multiforme

Question 33

Salmon colored scales should make you think of what diagnosis?

Answer 33

Psoriasis

Question 34

A patient presents with flaky skin in the nasolabial folds or in the hair. What diagnosis should you be thinking of?

Answer 34

Seborrheic dermatitis

Question 35

A christmas tree pattern should make you think of what diagnosis?

Answer 35

Pityriasis rosea

Question 36

What is the first step in treating atopic dermatitis?

Answer 36

Behavioral modifications - reduce bathing, only use soap on face and genitals, use natural breathable fabrics

Question 37

How do you treat pityriasis rosea?

Answer 37

Reassurance

Question 38

Are lesions from psoriasis typically found on flexor or extensor surfaces?

Answer 38

Extensor

Question 39

What is the treatment for seborrheic keratosis?

Answer 39

Bengin no need to treat. Lesions may be removed if unsightly

Question 40

What is the treatment for a bad brown recluse spider bite?

Answer 40

Debridement, the venom causes tissue necrosis

Question 41

What dermatologic finding is associated with asthma?

Answer 41

Atopic dermatitis

Question 42

30 year old female presents with vesicles on her face that spare the vermilion border. In her history she has been using topical steroids. What diagnosis should you be thinking of?

Answer 42

Perioral dermatitis

Question 43

Tapioca blisters should make you think of what diagnosis?

Answer 43

Dyshidrosis - these are usually on the hands and feet

Question 44

Silvery scales should make you think of what diagnosis?

Answer 44

Psoriasis

Question 45

What is the treatment for melanoma?

Answer 45

Moh's surgery

Question 46

A waxy stuck on appearance should make you think of what diagnosis?

Answer 46

Seborrheic keratosis

Question 47

Spaghetti and meatballs on KOH prep should make you think of what diagnosis?

Answer 47

Tinea versicolor

Question 48

What dermatologic finding is associated with insulin insensitivity?

Answer 48

Acanthosis nigricans

Question 49

Coin shaped plaques should make you think of what diagnosis?

Answer 49

Nummular eczema

Question 50

How do you treat dyshidrosis?

Answer 50

Topical steroids

Question 51

How do you treat lichen simplex chronicus?

Answer 51

Get the patient to stop scratching it

Question 52

A double comedone is indicative of what diagnosis?

Answer 52

Hidradenitis suppurativa