Dermatology

Question 1

“Herald patch” and Christmas tree pattern rash

Ora antihistamine
Topical antipruritic

Answer 1

Pityriasis Rosea

If not itching and on palms and plantar surfaces, r/o syphillis!!!!!!!

This has a close appearance as ringworm. It has an oval, pink patch with scaly raised borders and another close appearance to a fungal skin infection; tinea corporis.

Question 2

Burrows

A rash that is very itchy at night and located on the interdigital webs and/or genitals; dark areas

Answer 2

Scabies***

Question 3

Well circumscribed lesions found on the trunk

Answer 3

Tinea Corporis OR Herald Patch

Question 4

Sandpaper textured rash

Answer 4

Strep infection — Scarlet Fever

Question 5

Pearly domed nodule

Answer 5

Basal cell carcinoma

Question 6

Bright beefy red rash

Answer 6

Candidiasis such as diaper rash

Question 7

Silvery whitish scales plaques

Or

‘Covered with fine scales’

Pitting of nails

Txt topicals and on scalp - tar/salicylic acid shampoo and steriods with UVB

Answer 7

Psoriasis

Question 8

Bull’s eye lesion

Erythema Migrans and could have flu like symptoms

By tick, txt with doxy or amox,

labs - ELISA and Western blot

Answer 8

Lyme’s

Question 9

Nits

Answer 9

Head lice

Question 10

Dermatomal rash with small vesicles that become crusted

Txt acyclovir or any -vir

Post herpetic neuralgia - gabapentin or pregabalin (lyrica)

And get zostavax at 50 yoa

Answer 10

Shingles (herpes zoster)

Shingles is the reactivation of the varicella-zoster virus (chickenpox)

Chickenpox (Varicella) and herpes zoster (shingles) are both caused by the same virus. The primary infection is called chickenpox (Varicella) & the reactivation of the infection is known as shingles (herpes zoster). After primary infection (chickenpox) the virus becomes a latent within a dermatone and is kept under control by the immune system.

Question 11

Butterfly rash

Answer 11

Lupus

Question 12

What is the most potent topical? List strongest to weakest.
Gel
Cream
Ointment
Lotion

Answer 12

Strongest to Weakest:

Ointment, Gel, Cream, Lotion

Question 13

Scaly, greasy skin on elderly or with Parkinson’s

Answer 13

Seborrheic Dermatitis

Question 14

Honey colored crusts

Answer 14

Impetigo

Question 15

Dark colored moles, with uneven text your berries and colors irregular borders in a diameter of 6 mm or larger - “ABCDE”

Aysmmetry
Border irregular
Colors are different in same region
Diameter > 6mm 
Enlargement or evolution

Answer 15

Malignant Melanoma

Question 16

Elevated superficial blister filled with serous fluid and > 1 cm in size

Example: impetigo, 2nd degree burn w/ blisters, SJS lesions

Answer 16

Bulla

Question 17

Elevated superficial skin lesion

Answer 17

Vesicle

Question 18

Elevated superficial skin lesion

Answer 18

Pustule

Question 19

Flat nonpalpable lesion

Answer 19

Macule

Question 20

Palpable solid lesion up to 0.5 cm

Example: Nevi (moles), acne

Answer 20

Papule

Question 21

Flattened elevated lesions with variable shape that is > 1cm in diameter

Example: Psoriatic Lesions

Answer 21

Plaque

Question 22

Skin is what type of organism?

Answer 22

90% staph and 10% strep

**will need gram (+) coverage

Question 23

What antibiotic will you use for a bite wound - human and animal

Answer 23

Augmentin for 3-5 days, tetanus, possible rabies, clean/flush wound

Question 24

Hypopigmented round to oval macular rashes. Most lesions on upper shoulders and back, not pruritic.

Answer 24

Tinea Versicolor

Question 25

Inflammatory skin reaction due to contact with an irritating substance.can be a single lesion or generalized rash. Ex) poison ivy, nickel Topical steriod

Answer 25

Contact dermatitis

Question 26

Chronic inherited skin disorder with severe pruritis, located on hands, folds, & neck. Exacerbated by stress and environmental factors such as winter. Associated with asthma and allergic rhinitis Topical steriod

Answer 26

Atopic Dermatitis (Eczema)

Question 27

Coxsackie virus, multiple blisters appear and hands feet and diaper area, sore throat, fever

Answer 27

Hand foot mouth****

Question 28

Persistent fungal infection affecting the toenails and fingernails ONLY treat with oral antifungals

Answer 28

Tinea Unguium (onychomycosis)

Question 28

Inflammation fungal infection of the penile head caused by yeast Txt with miconazole

Answer 28

Candida Balanitis

Question 29

Fungal infection, irritation of the fold of the skin occurring and warm moist body areas. Txt: drying agents - talc or corn starch, topical antifungals - ciclopirox (loprox), oral antifungals - fluconazole

Answer 29

Candida intertrigo

Question 30

Staph infection around the nail fold, manicure gone bad

Answer 30

Paronychia

Question 31

Yellow plaque that builds up from hyperlipidemia, build up is under the skin or near the inner upper eyelid

Answer 31

Xanthelasma

Question 32

Ticks, lethal Maculopapular rash, petechial rash, flu like, joint pain Labs- PCR, IHC, IFA with r. Rickettsii antigen Doxy and refer!

Answer 32

Rocky Mountain fever