General

Question 1

Atopic triad

Answer 1

1. Eczema
2. Asthma
3. allergic rhinitis

MC on flexor surfaces

Tx itching with Benadryl or hydroyzine

Question 2

Pt comes in with with salmon colored paule on the trunk with scaling along the borders. States 2 days later more erupted to proxmal extremities. Dx? Course? Tx?

Answer 2

Pityriasis rosea is self limited and usually resolved in 6-12 weeks. Can use PO antihistamines or topical steroids.

Question 3

EM drug sensitivity?

Answer 3

Erythema Multiforme is type 4 hypersensitivity

Question 4

What association is MC with Erythema Multiforme?

Answer 4

Herpes simplex virus is MC, but can occur after taking sulfa drugs, beta lactams, Phentoin

Question 5

Target lesions with dusty violen purpuric macules w/ vessicles surrounded by pale rim. + Fever. Notise oral and genital mucosa. Dx?

Answer 5

EM Major as involves more than 1 mucosal membrane

Question 6

Difference between EM and SJS

Answer 6

Epidermal detachment

Question 7

Difference between SJS and TEN

Answer 7

SJS involves less than 10% of body surface as opposed to more than 30% in TEN

tx both like burn

Question 8

Translucent pearlyly waxy papule with central ulceration on face and trunk that bleeds easily with telectatic vessles.

Answer 8

Basal cell- electrodessication vs Mohs for facial involvement

Question 9

Honey colored crust after pt got bit. What is dx and expected organism

Answer 9

Impetigo usually due to Stap—> give Mupirocin

Question 10

Pt states they traveled from Southwestern to Midwestern part of US when they noticed bite on their left leg. States they saw violin shaped pattern on spider prior to killing it. What is the spider and what do you need to be cautious for?

Answer 10

Pt was bit by brown recluse spider need to observe for hemorrhagic bullae that undergoes eschar formation withint 24-72 hours after.

Question 11

Pt states they noticed small bite after gardening. Reports muscle pain and 30 minutes after. PE shows blanched circular patch with surrounding red perimeter and central target lesion. What do you tell patient?

Answer 11

Sx should resolve in 1-3 days after black widow spider bite. Can give benzos for spasms
*Antivenome reserved for patients not responsive to medications

Question 12

Patient comes in c/o painful bumps underneath arm. You notice folliculitis and tracking underneath the skin. What is dx and tx?

Answer 12

Give topical Clinda and Tetracycline for hidradentitis suppurative

Advise to avoid high glycemic foods and smoking cessation

Question 13

What burns should be referred to wound care no matter if they are minor

Answer 13

1. Face, hands, perineum, feet, and cross major joints or be circumferential

Question 14

Burn to the epidermis causing erythematous pink and moist appearance with blistering-painful to touch

Answer 14

2nd degree burn-superfical partial thickness

Question 15

Red, yellow, pale and dry appearance that is not painful to touch with lack of cap refill and blistering

Answer 15

Deep partial thickness0scarring common

-typically takes 3-2 months to heal

Question 16

What type of burn requires escharotomy to prevent compartment syndrome

Answer 16

Circumferential