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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

25
Classes of Steroid (low to high)
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
Contact Dermatitis & Types (2) | & sensitivity type
Delayed type IV hypersensitivity 1. Allergic Contact Derm 2. Irritant Contact Derm
27
When does ACD occur?
contact w/ a particular substance elicits type IV hypersensitivity rn
28
Allergen test for ACD?
Patch test
29
latex allergy hypersensitivity type?
delayed
30
Tx for minor & major cases of ACD
minor- low dose topical steroids- desonide 0.09% | major-oral steroids- prednisone
31
Most common type of ACD Tx? (class)
Rhus dermatitis: Poison ivy, poison oak, poison sumac all contain causative resin (urushiol) Tx: Low potency Topical Steroid (desonide) esp on face
32
Atopic Triad
Atopic Triad: Asthma Atopic Dermatitis Seasonal Allergic Rhinitis
33
Low (VI-VII) Steroids (3)?
- Fluocinolone 0.01% - Desonide 0.05% - Hydrocortisone (1% or 2.5%)
34
Medium (III-VI) Steroid (1) & forms (3)?
- Triamcinolone: ointment 0.01% cream 0.01% lotion 0.01%
35
High (II) Steroid?
Fluocinonide 0.05%
36
Super High (I) Steroid?
Clobetasol 0.05%
37
Name the condition: Molecule turned on by strep infection** found in younger pop Psoriasis in tiny droplets over the body. Can beitchy
Guttate Psoriasis
38
Seborrheic Dermatitis Bug? | Cure?
Malassezia yeast that thrives on seborrheic skin No cure
39
Extremely common in young "Christmas tree distribution'** light pink patches Asymptomatic Commonly follows virual URI***
Pityrias Rosacea
40
pityriasis Rosacea Tx
Doxycycine
41
Prepubescent girls & postmenstrual women 'fine cigarette paper' 3% risk of squamous cell carconima**
Lichen Sclerosus et Atrophicus
42
``` super itchy 5 P's ( classic lichen 'lace' & found in mouth as well Nails as well ```
Lichen Planus
43
Lichen Planus Tx (2)
Prednisone | Steroid Mouth wash
44
Shorts & tshirt pattern (under shorts & tshirt) Not found >30yo Not contagious
Pityrias Rosacea
45
``` Is there a cute for Keratosis Pilaris? Sx Tx (3)? ```
No cure ``` Salicylic acid (low [ ]) scratch- topical ABX (mupirocin) Vinegar water soaks (teaspoon vinegar, pint of H2O) ```
46
Contact Dermatits Tx (3 levels)
Topical Steroids Hydrocortisone 2.5% (light) Triamsenolone or hydroxyzine (antihistamine) (medium) Betamethasone (stronger)
47
Psoriasis Tx? | Check for what 1st?
Skyrizi | check for TB
48
Bellybutton type papule *** | kids & sexually active adults
Mulloscum contagiosum
49
arms & buttocks contaigous but don’t make them stay home Liquid nitrogen if necessary
Mulloscum Contagiosum
50
dew drop on a rose petal** | one size vesicles
Varicella Zoster
51
What tx do you add to Doxycylcine (or other oral ABX) for Acne Tx?
also use benzol peroxide!
52
"ugly duckling" rule | Flast=more concerning
Melanoma
53
Precursor to Squamous Cell Carcinoma
Actinic keratosis
54
telangiectasia acne pimples chronic, no cure
Rosacea
55
Rosacea Tx?
Doxycycline
56
dry, angry red, rashy lichenified red, open, weapy travel to humid area
Eczema
57
Eczema Tx (steps)
``` 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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