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Derm > Final Exam > Flashcards

Final Exam Flashcards

1
Q

Atopic Dermatits Tx

A

Tx includes long term use of emollients & short-term Rx for flares

Acute inflammation:
Topical steroid
(low potency for face- hydrocortisone 0.25%)
Eyelid- Topical Desonide

Antihistamines for pruritus

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2
Q

Chronic form of Eczema
pruritic, inflammatory skin Dz w/ wide range of severity

red, non clearing circle.
Hand & eyelid

A

Atopic Dermatitis

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3
Q

well demarcated erythematous plaque w/ silvery scale & no central clearing
Extensor Surfaces

A

Psoriasis

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4
Q

scaly, erythematous patches, papules

most common form of the skin condition

A

Plaque Psoriasis

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5
Q

Plaque Psoriasis 1st line Tx (Class)

A 
high intensity (II) topical steroid
Desonide 0.05%
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6
Q

Plaque Psoriasis Tx Trunk/Extrem (Class)

A 
high potency (II)  topical corticosteroid
clobetasol, halobetasol, betamethasone, dipropionate
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7
Q

Plaque Psoriasis Tx Face (3) (class)

A

LOW potency topical steroid (VI-VII)

desonide 0.05%
hydrocortisone butyratem
triamcinolone 0.025%

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8
Q

Severe Psoriasis Systemic Tx (3)

Oral Steroids?

A

Systemic Tx should be supplemented w/Topical Tx
No oral steroids

  1. phototherapy
  2. Oral Rx/Traditional Agents
    - methotrexate, acitretin, cyclosporin, apremilast
  3. Select Biologic Agents- TNF inhibitors, IL inhibitors
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9
Q

Guttate Psoriasis Triggers & Tx

A

Strep infections

Tx: ABX

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10
Q

Psoriasis & FHx

A

1/3 of psoriasis pts have 1st degree relative

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11
Q

Most common form of Psoriasis

A

Plaque Psoriasis

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12
Q

well-demarcated/self-limiting
Hyper or hypopigmented patches (salmon/tan)

Hot climates
Exercise, sweat

chest, groin

A

Tinea Versicolor

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13
Q

Tinea Versicolor Dx test (finding)

A

KOH (hyphae & small,round spores)

Spaghetti & meatballs

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14
Q

Tinea Versicolor duration?

A

Lifelong

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15
Q

Tinea Versicolor Tx

A

1st line

1. Antifungal Shampoo (selenium sulfide, Ketoconazole, zinc pyrithione)

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16
Q

satellite macules around patches of erythema

A

Candida Intertrigo

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17
Q

Candida Intertrigo Tx

A

Topical Antifungal Tx
Cream: Clomitazole or Miconazole
Powder: Nystatin
Ointment: Desonide

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18
Q

Tinea Pedis (4)
Tinea Corporis
Tinea Cruris
Presentation

A 
Pedis-athletes foot
1. Interdigital
2. Moccasin
3. Vesicolor
4. Ulcerative
Corporis-Skin, trunk & limbs
Cruris- jock itch
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19
Q

Tinea Pedis
Tinea Corporis
Tinea Cruris
Tx (3) in 2 forms

A

Terbinafine
Naftifene
Butenafine
(Cream or gel)

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20
Q

Erythematous patches w/overlying scale

common inflammatory rxn to

A

Seborrheic Dermatitis

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21
Q

Seborrheic Dermatitis Tx

A

Ketoconazole cream

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22
Q

Pityrias Alba Definition & Tx

A

Mild, often asymptomatic form of AD on the face

1st line Tx- emollients & sun protection

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23
Q

Atopic March

A

progression from AD to other allergic Dz (food intolerance, allergic rhinitis, & asthma)

24
Q

% of pt’s w/food allergies who have Atopic Dermatitis

A

30%

25
Q

Classes of Steroid (low to high)

A

Low (Class VI-VII)

  • Fluocinolone 0.01%
  • Desonide 0.05%
  • Hydrocortisone (1% or 2.5%)
Medium (Class III-V)
- Triamcinolone:
ointment 0.01%
cream 0.01%
lotion 0.01%

High (II)
Fluocinonide 0.05%

Super High (I)
Clobetasol 0.05%
26
Q

Contact Dermatitis & Types (2)

& sensitivity type

A

Delayed type IV hypersensitivity

  1. Allergic Contact Derm
  2. Irritant Contact Derm
27
Q

When does ACD occur?

A

contact w/ a particular substance elicits type IV hypersensitivity rn

28
Q

Allergen test for ACD?

A

Patch test

29
Q

latex allergy hypersensitivity type?

A

delayed

30
Q

Tx for minor & major cases of ACD

A

minor- low dose topical steroids- desonide 0.09%

major-oral steroids- prednisone

31
Q

Most common type of ACD

Tx? (class)

A

Rhus dermatitis:
Poison ivy, poison oak, poison sumac all contain causative resin (urushiol)

Tx: Low potency Topical Steroid (desonide) esp on face

32
Q

Atopic Triad

A

Atopic Triad:
Asthma
Atopic Dermatitis
Seasonal Allergic Rhinitis

33
Q

Low (VI-VII) Steroids (3)?

A
  • Fluocinolone 0.01%
  • Desonide 0.05%
  • Hydrocortisone (1% or 2.5%)
34
Q

Medium (III-VI) Steroid (1) & forms (3)?

A
  • Triamcinolone:
    ointment 0.01%
    cream 0.01%
    lotion 0.01%
35
Q

High (II) Steroid?

A

Fluocinonide 0.05%

36
Q

Super High (I) Steroid?

A

Clobetasol 0.05%

37
Q

Name the condition:

Molecule turned on by strep infection**
found in younger pop
Psoriasis in tiny droplets over the body.
Can beitchy

A

Guttate Psoriasis

38
Q

Seborrheic Dermatitis Bug?

Cure?

A

Malassezia yeast that thrives on seborrheic skin

No cure

39
Q

Extremely common in young
“Christmas tree distribution’**
light pink patches

Asymptomatic
Commonly follows virual URI***

A

Pityrias Rosacea

40
Q

pityriasis Rosacea Tx

A

Doxycycine

41
Q

Prepubescent girls & postmenstrual women
‘fine cigarette paper’
3% risk of squamous cell carconima**

A

Lichen Sclerosus et Atrophicus

42
Q 
super itchy
5 P's (
classic lichen 'lace'
& found in mouth as well
Nails as well
A

Lichen Planus

43
Q

Lichen Planus Tx (2)

A

Prednisone

Steroid Mouth wash

44
Q

Shorts & tshirt pattern (under shorts & tshirt)
Not found >30yo
Not contagious

A

Pityrias Rosacea

45
Q 
Is there a cute for Keratosis Pilaris?
Sx Tx (3)?
A

No cure

Salicylic acid (low [ ])
scratch- topical ABX (mupirocin)
Vinegar water soaks (teaspoon vinegar, pint of H2O)
46
Q

Contact Dermatits Tx (3 levels)

A

Topical Steroids
Hydrocortisone 2.5% (light)
Triamsenolone or hydroxyzine (antihistamine) (medium)
Betamethasone (stronger)

47
Q

Psoriasis Tx?

Check for what 1st?

A

Skyrizi

check for TB

48
Q

Bellybutton type papule ***

kids & sexually active adults

A

Mulloscum contagiosum

49
Q

arms & buttocks
contaigous but don’t make them stay home
Liquid nitrogen if necessary

A

Mulloscum Contagiosum

50
Q

dew drop on a rose petal**

one size vesicles

A

Varicella Zoster

51
Q

What tx do you add to Doxycylcine (or other oral ABX) for Acne Tx?

A

also use benzol peroxide!

52
Q

“ugly duckling” rule

Flast=more concerning

A

Melanoma

53
Q

Precursor to Squamous Cell Carcinoma

A

Actinic keratosis

54
Q

telangiectasia
acne pimples
chronic, no cure

A

Rosacea

55
Q

Rosacea Tx?

A

Doxycycline

56
Q

dry, angry red, rashy
lichenified
red, open, weapy

travel to humid area

A

Eczema

57
Q

Eczema Tx (steps)

A 
Wet skin w/H2O, 
then steroid, 
then non fragrance cream
Dupixant maybe
Prednisone is last resort or if waiting for prior auth for dupixant.

Derm (3 decks)

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