Dermatology (NEW)

Question 1

1st line treatment for Rosacea

Answer 1

Others: Azelaic acid, PO Abx, Ive cream, laser, electrosurgery, laser

Question 2

Treatment for Androgenic Alopecia

Answer 2

Topical Minoxidil and PO Finasteride

Question 3

What is the MCC of Erythema Multiforme?

Answer 3

HSV and new med

Question 4

What ulcer stage is classified as a partial loss of dermal layer and pink ulceration?

Answer 4

II

Question 5

Does Rosacea present with comodones (blackheads)?

Answer 5

No! This differentiates it from acne.

Question 6

• Treatment for severe acne
• SE of med
• CI of med

Answer 6

• PO Isotretinoin
• Skin irritation
• Pregnancy (teratogenic)

Question 7

Treatment for acne in women and adolescent girls

Answer 7

Ethinyl estradiol - Norgestimate

Question 8

At what age would we find neonatal acne?

Answer 8

Birth to 8 wks

Question 9

Neonatal acne treatment

Answer 9

Usually none but can use Topical Ketoconazole cream

Question 10

Treatment for flushing of face found in Rosacea

Answer 10

Clonidine

Question 11

1st line treatment for Folliculitis?

Severe treatment?

Answer 11

• Topical Mupirocin + Topical Benzoyl Peroxide

- PO Diclo or Cephalexin

Question 12

Where is Erythema Multiforme found on the body?

Answer 12

Hands, feet, mucosa.

Question 13

What type of hypersensitivity reaction is Erythema Multiforme?

Answer 13

IV

Question 14

MCC of hot tub folliculitis

Answer 14

Pseudomonas

Question 15

Which med used in treating bipolar D/O is limited by potentially life-threatening rashes?
What rashes can is cause?

Answer 15

• Lamotrigine

- Angioedema, SJS, TEN

Question 16

Pt. presents with painful flaccid skin bullae that rupture

easily and a positive Nik sign. How would you treat this patient?

Answer 16

(Pemphigus Vulgaris)

HIGH dose steroids**, Methotrexate

Question 17

1st line treatment for Acne Vulgaris

Answer 17

Topical Retinoid + Topical antibiotic

Question 18

Treatment for Tinea Capitis

Answer 18

PO Griseofulvin or Terbinafine

Question 19

Kaposi Sarcoma is associated with what patho and found in patients with what illness?

Answer 19

• HHV-8

- AIDS (defining cancer)

Question 20

How long does it take a new fingernail and toe nail to grow back?

Answer 20

Fingernail: 4-6mo

Toe nail: >12 mo

Question 21

In what two disorders is Parvovirus B19 the cause?

Answer 21

• Erythema Infectiosum

- SCD Aplastic Crisis

Question 22

What exanthem is teratogenic and in what trimester? What congenital abnormalities does it cause?

Answer 22

• Rubella (German)
• 1st trimester
• Congenital syndrome: deafness, cataracts, TTP, mental retardation

Question 23

What is the patho for Hand-Foot-Mouth Disease?

Answer 23

Coxsackievirus A

Question 24

What exanthem presents with a rash that presents after a HIGH fever has ceased?

Answer 24

Roseola

Question 25

A) PE showing brown-black plaques with waxy look. Dx? | B) PE showing rough, sandpaper flesh-colored, pink, or yellow-brown lesions. Dx?

Answer 25

A) Seborrheic Keratosis | B) Actinic Keratosis

Question 26

What type of hypersensitivity is Atopic/Contact Dermatitis? What is the best initial treatment?

Answer 26

- 1 | - Hydrocortisone cream

Question 27

MC form of Melanoma

Answer 27

Superficial Spreading

Question 28

A) PE showing pearly, rolled borders, central ulceration and telangiectasis. Dx? B) PE showing hyperkeratotic, scaly, crusty macules. Dx?

Answer 28

A) BCC | B) SCC

Question 29

When should facial sutures be removed?

Answer 29

3-5 d

Question 30

What ulcer stage is classified as a full dermal loss with usual exposure of subcutaneous tissue and fat?

Answer 30

III

Question 31

MCC of Folliculitis

Answer 31

Staph aureus

Question 32

MC site for Stasis Dermatitis

Answer 32

Medial ankles

Question 33

Pt. presents with urticarial tense itchy bullae that do not rupture easily and a negative Nik sign. How would you treat this patient?

Answer 33

(Bullous Pemphigoid) | Systemic steroids

Question 34

Which is the MCC of hair loss in women?

Answer 34

Androgenic Alopecia

Question 35

Treatment for Dyshidrosis

Answer 35

High strength topical steroids + cold compresses

Question 36

Treatment for Lichen Simplex Chronicus

Answer 36

High potency topical steroids

Question 37

What type of hypersensitivity is Contact Dermatitis?

Answer 37

4

Question 38

What type of Alopecia is associated with rapid hair loss that occurs in round patches?

Answer 38

Areata

Question 39

Treatment for Perioral Dermatitis

Answer 39

Topical Metronidazole or Erytho

Question 40

The drug of choice for cold-induced urticaria is:

Answer 40

Cyproheptadine

Question 41

What patho is most likely responsible for a skin infection with underlying drainage, penetrating trauma, eschar, or abscess?

Answer 41

S. aureus (MRSA)

Question 42

MCC (almost always) of Erysipelas

Answer 42

Streptococcus pyogenes (GAS)

Question 43

What is a rare complication of Impetigo?

Answer 43

Poststreptococcal glomerulonephritis

Question 44

Overgrowth of what yeast cause Pityriasis Tinea (Versicolor)?

Answer 44

Malassezia furfur

Question 45

What is an oral med used in treating Scabies? Is it safe during pregnancy?

Answer 45

- PO Ivermectin | - No but OK for nursing

Question 46

Dermatitis herpetiformis is associated with what disease?

Answer 46

Celiac

Question 47

MCC Condyloma Acuminata

Answer 47

6 and 11

Question 48

Dx for Condyloma Acuminata

Answer 48

Nucleic acid amp test (NAAT) for HPV DNA

Question 49

MCC Molluscum Contagiosum

Answer 49

Poxvirus

Question 50

Lesion on nose tip seen in Varicella Zoster Shingles is called:

Answer 50

Hutchinson’s sign

Question 51

What is the BEST treatment for Urticaria? Others?

Answer 51

``` Epinephrine >> --------------------- Diphenhydramine Famotidine Methylprednisolone ```

Question 52

What is the BEST treatment for Chickenpox?

Answer 52

Acyclovir

Question 53

MC site of Melanoma METS

Answer 53

Lungs

Question 54

Initial and better treatment for Psoriasis

Answer 54

- Topical steroids | - PUVA

Question 55

MCC Pityriasis Rosea

Answer 55

HHV 6 and 7