dermtest1

Question 1

What is the most common skin disorder in adolescents?

Answer 1

Acne.

Question 2

What are different things to treat to clear up acne?

Answer 2

Bacteria, sebum chemistry, sebum quantity, keratinocyte proliferation, terrain.

Question 3

What is the first treatment of acne listed?

Answer 3

Don’t treat the bacteria, change the sebum.

Question 4

What is the most common choice for treating acne?

Answer 4

Benzoyl peroxide.

Question 5

What will make for healthy sebum?

Answer 5

It is a product of our environment so good foods and clean water with less pollution and low stress.

Question 6

What type of diet may improve acen?

Answer 6

Low-glycemic diet with high protein. So avoid high glycemic foods.

Question 7

Why will acne be a adolescent condition?

Answer 7

Androgen hormones during puberty stimulate increase of sebacous glands.

Question 8

How will high glycemic foods create more sebum?

Answer 8

They stimulate production of insulin and growth factors (IGF-1), IGF-1 stimulates 5-alpha reductase which leads to increased sebum.

Question 9

How will genetics play a role in acne?

Answer 9

Dry skin vs. oily skin.

Question 10

Name 2 supplements that will help to inhibit sebaceous gland functions?

Answer 10

Zinc, and Vitamin A. Omega 3s.

Question 11

Isotretinoin (acutane) does what?

Answer 11

It inhibits sebaceous gland function.

Question 12

How can keratinocyte hyper proliferation and shedding/ clumping in follices be prevented?

Answer 12

Less high glycemic foods.

Question 13

What are the western treatments of acne?

Answer 13

Kill bacteria, inhibit sebum, stop inflammation, normalize the pattern of follicular keratinization.

Question 14

What are the natural treatments of acne?

Answer 14

Encourage healthy bacteria, encourage healthy sebum production, reduce inflammation, normalize the pattern of follicular keratinization.

Question 15

What are some ways to detox for an acne treatment?

Answer 15

Fasting, sauna, colonics, chelation, anit-inflammatory/elimination diet.

Question 16

What are some physical medicine for acne treatment?

Answer 16

Sun, contrast bath with calendula.

Question 17

What is a topical botanical that can be used to treat acne?

Answer 17

Tea tree oil, azelaic acid, calendula succus, grindelia tincture.

Question 18

What ia an internal botanical treatment of acne?

Answer 18

Vitex tincture, gugulipid, mixture of berberis, usnea, grindelia.

Question 19

How is rosacea diagnosed?

Answer 19

No comedones, rhinophyma (males),

Question 20

What is the natural medicine etiology of Rosacea?

Answer 20

Terrain, genetics, poor digestion, toxic bowels.

Question 21

What is perioral dermatitis?

Answer 21

Facial dermatosis characterized by papulopustules on an erythematous base.

Question 22

What are some possible causes of perioral dermatitis?

Answer 22

unknown- possible aggravation by fluoride and sodium lauryl sulfate.

Question 23

What is the chief complaint Hidradenitis suppurativa?

Answer 23

Tender lesion in axillary, inguinal, intermammary and or anogenital region.

Question 24

What are the signs of hidradenitis suppurativa?

Answer 24

Erythema, buring, itching, discomfort, hyperhidrosis.

Question 25

What is a conservative management of Hidradenitis suppurativa?

Answer 25

Like treating acne.

Question 26

What is eczema?

Answer 26

Types of of skin problems also known as dermatitis.

Question 27

What are 2 types of contact dermatits (a form of Eczema aka dermatitis)?

Answer 27

Irritant and allergic.

Question 28

What is the prevention of contact dermatits?

Answer 28

Avoid irritant or caustic chemicals, Oral treatments of ICD.

Question 29

What is te top allergens for contact dermatits?

Answer 29

Nickel sulfate.

Question 30

Poison oak and poison ivy are create what?

Answer 30

Allergic contact dermatitis due to plants.

Question 31

When would systemic steroids be used with poison ivy?

Answer 31

If 25% or more of the body surface in affected.

Question 32

What is the course of poison oak like?

Answer 32

Rash begins quickly and lasts 3-4 days and clears within the next 5 days. 1-2 weeks total without treatment.

Question 33

What is Atopic dermatitis?

Answer 33

A form of eczema aka dermatitis that causes inflammation of dermis and epidermis.

Question 34

What is the cause of atopic dermatitis?

Answer 34

Unknown.

Question 35

What is some key factors associated with getting atopic dermatitis?

Answer 35

IgE mediated hypersensitivity. Personal or family history.

Question 36

What are the major diagnostic factors of atopic dermatitis?

Answer 36

Pruritus(itchy), chronic or chronically relapsing, typical morphology and distribution, chronic or chronically relapsing dermatitis (3 of 4 present)

Question 37

What are the stages of atopic dermatitis?

Answer 37

Infant, childhood, adult.

Question 38

What are some physical modalities to treat atopic dermatitis?

Answer 38

Natural sunlight, UVA-UVB phototherapy 2-3 x a week.

Question 39

What is a nutritional supplemet for atopic dermatitis?

Answer 39

Defective zinc-dependent delta-6-desaturase.

Question 40

What will botanical medicines do for atopic dermatitis?

Answer 40

Normalize or reduce the histamine levels and normalizing bacteriocidal activity.

Question 41

Seborrheic dermatitis causes what in infants and what in adults?

Answer 41

Infants- cradle cap. Adults- dandruff.

Question 42

What is pompholyx?

Answer 42

Acute, chronic or recurrent dermatitis of the hands 80% and soles.

Question 43

What are some treatment options for Venous leg ulcers?

Answer 43

Silver-releasing dressings may help speed healing in chronic wounds. Manuka honey may help speed healing to venous leg ulcers.

Question 44

What are auspitz's signs?

Answer 44

Suggestive of psoriasis and happen with removal of scales-reveals punctate bleeding.

Question 45

What is Koebners phenomenon?

Answer 45

Physical trauma that is a major factor for elicting lesions- rubing and scratching seen with psoriasis.

Question 46

What are some botanicals for psoriasis?

Answer 46

Aloe vera extract.

Question 47

What is a a herald patch?

Answer 47

The first lesion seen with pityriasis rosea.

Question 48

Common signs of rosacea?

Answer 48

Erythema, telangiectasia, populopustule, nodules, NO COMEDONES, rhinophyma,

Question 49

What percent of rosacea patients have ocular symptoms?

Answer 49

30-50%

Question 50

What is the age of onset for perioral dermatitis?

Answer 50

16-45, mostly women.

Question 51

What is hidradenitis suppurativa?

Answer 51

Chronic suppuration, often fibrous tissue disease of the apocrine gland -bearing skin of the axilla and anogenital region. Sometimes seen on scalp and pilonidal sinus

Question 52

Hidradenitis suppurativa DDX

Answer 52

Furuncle, carbuncle, lymphadenitis, rupture inclusion cyst, cat-scratch disease, lymphogranuloma venereum, donovanosis

Question 53

What type of hypersensitivity is allergic contact dermatitis?

Answer 53

Class - type 4 delayed hypersensitivity

Question 54

What is seborrheic dermatitis?

Answer 54

Common, chronic, inflammatory disease.

Question 55

What effects the onset of seborrheic derm?

Answer 55

Pityrosporum yeast (malassezia), genetics, stress and dietary factors.

Question 56

What does seborrheic derm look like?

Answer 56

Rash is red and scaly, except in skin folds, where it is red, smooth and glazed. Sticky crusts and fissures are common when ear and scalp are involved. Dry or greasy scales.

Question 57

Where do you find seborrheic derm?

Answer 57

Areas rich in sebaceous glands : scalp, eyebrows, eyelids, nasolabial fold, para nasal area, sternum, ears, axilla, public area,

Question 58

What is the etiology of pompholx (dyshidrotic eczema)?

Answer 58

Unknown, possible association with stress, allergens, metals (Ni, Co, Cr).

Question 59

How is pompholx characterized?

Answer 59

Sudden onset of deep-seated pruritic, clear "tapioca-like" vesicles on palms and sides of fingers; later scaling fissures and lichenification can occur.

Question 60

Name a treatment of pityriasis rosea?

Answer 60

Give patients choice of acyclovir.

Question 61

What are Wickham's striae?

Answer 61

Surface scales seen with lichen planus.

Question 62

Lichen planus is best seen with what?

Answer 62

Mineral oil application.

Question 63

What is a topical treatment for Lichen planus?

Answer 63

Mositerizing cream-use within 3 minutes of bathing.