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Flashcards in Dermatology Review Deck (51)
1

Why should actinic keratosis be treated?

It may progress to squamous cell carcinoma.

2

What is first line treatment for rosacea?

Metronidazole, tetracycline is probably a close second.

3

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

On the head and neck

4

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

Lichen planus

5

What are the ABC's of melanoma?

Asymmetry, border, color, diameter, elevation/irregularity, evolving.

6

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

Psoriasis

7

What is the key indicator for the prognosis of melanoma?

Thickness of the lesion

8

What is the treatment for melanoma?

Wide local excision

9

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

Seborrheic keratosis

10

A five year old presents in January with a red itchy rash behind his knees and on the flexor surfaces of the elbows. What is the most likely diagnosis?

Atopic dermatitis

11

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

Candida diaper rash

12

Coin shaped plaques should make you think of what diagnosis?

Nummular eczema

13

A thirty year old female presents with pustules on her face that spare the vermilion border. In her history she has been using topical steroids. What is the most likely diagnosis?

Perioral dermatitis

14

A patient presents with flaky skin in the nasolabial folds and in her hair. What is the most likely diagnosis?

Seborrheic dermatitis

15

How do you treat a stasis dermatitis?

Compression stockings

16

Tapioca blisters should make you think of what diagnosis?

Dyshidrosis - these are usually on the hands and feet.

17

How do you treat dyshidrosis?

Topical steroids

18

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

Herpes simplex virus

19

How do you treat lichen simplex chronicus?

Get the patient to stop scratching it.

20

A herald patch should make you think of what diagnosis?

Pityriasis rosea

21

How do you treat pityriasis rosea?

Reassurance

22

A patient with a history of herpes now presents with a target lesion. What is the most likely diagnosis?

Erythema multiforme

23

Rhinophyma should make you think of what diagnosis?

Acne Rosacea

24

Silvery scales should make you think of what diagnosis?

Psoriasis

25

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

Guttate psoriasis

26

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

Extensor

27

What is the first line treatment for tinea corporis?

Topical azoles

28

What are the two most common organisms responsible for cellulitis?

Strep and Staph

29

Pitting nails are associated with what dermatologic disorder?

Psoriasis

30

Nummular eczema is most like what other dermatological disorder?

Atopic dermatitis

31

Honey colored crusts should make you think of what diagnosis?

Impetigo

32

What two herpes viruses are most responsible for condyloma accuminata?

HSV 6 and 11

33

A double comedone is indicative of what diagnosis?

Hidradenitis suppurativa

34

What is the best treatment for molluscum contagiosum?

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

35

What is the treatment for seborrheic keratosis?

It is bengin so there is no need to treat it. Lesions may be removed if unsightly.

36

Hyperpigmented velvety plaques should make you think of what diagnosis?

Acanthosis Nigricans

37

Melasma is most often found in what patient population?

Women of childbearing age.

38

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

Scabies

39

What is the first step in treating atopic dermatitis?

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

40

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

Debridement, the venom causes tissue necrosis.

41

Salmon colored scales should make you think of what diagnosis?

Psoriasis

42

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

Vitiligo

43

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

Tinea versicolor

44

What dermatologic finding is associated with insulin insensitivity?

Acanthosis nigricans

45

A slowly growing nodule with a central depression and a pearly border should make you think of what diagnosis?

Basal cell carcinoma

46

What dermatologic finding is associated with asthma?

Atopic dermatitis

47

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

Pityriasis rosea

48

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

Alopecia areata

49

What is the first line treatment for genital warts?

Imiquimod (aldara)

50

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

Mulluscum contagiousum

51

What is the best lab test for scabies?

Microscopic examination under oil immersion.