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ANCC review > Integumentary > Flashcards

Integumentary Flashcards

1
Q

What is a flat nonpalpable discoloration,

A

Macule-example is freckle

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2
Q

What is a solid elevation, less than 1cm

A

papule-example nevus

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3
Q

What is a papule with indented center, less than 1cm.

A

umbilicated-example moluscum contagiosum

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4
Q

What is a vesicle-like lesion with purulent contents

A

pustule-example impetigo

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5
Q

What is a flat non palpable area of skin discoloration, larger than macule?

A

patch-example vitiligo

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6
Q

What is a raised lesion, same or different color from surrounding skin, can result from a coalescence of papules?

A

plaque-example is psoriasis or auspitz-pinpoint bleeding

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7
Q

What is a fluid-filled vesicle >1cm in diameter?

A

bulla-example 2nd degree burn

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8
Q

What is a raised, encapulated, fluid filled lesion of any size?

A

cyst-example intradermal cyst

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9
Q

What is a circumscribed are of skin edema?

A

wheal-example hive

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10
Q

What is flat red-purple discoloration caused by RBCs lodged in the skin?

A

purpura (less than 1cm is petechiae)

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11
Q

What is actinic keratoses?

A

precancerous lesions on sun-exposed skin-early-stage squamous cell carcinoma

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12
Q

how is actinic keratosis treated?

A

5FU, imiquimod cream, cryosurgery, chemical peel

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13
Q 
Compare Basal Cell and Squamous Cell carcinoma?
Which is more common?
Where does it arise?
Does it have a precursor?
Physical description?
Metastasis risk?
A

BCC: More common; sun exposed areas, no precursor, papule, nodule with or without central erosion; pearly or waxy with distinct borders; low metastatic risk

SCC: Less common; sun exposed areas, can arise from AK or without precursor; red conical hard lesion with or without ulceration; less distinct borders; metastatic risk 3-7%-greatest risk on lip, oral cavity, genitals

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14
Q

What is psoriasis vulgaris commonly treated with?

A

medium potency topical corticosteroid

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15
Q

What is herpes zoster, varicella commonly treated with?

A

Oral valacyclovir

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16
Q

What is scabies treated with?

A

permethrin treatment x1

17
Q

what is verruca vulgaris treated with?

A

imiquimod cream

18
Q

What is tinea pedis treated with?

A

topical ketoconazole

19
Q

What is rosacea treated with?

A

topical metronidazole

20
Q

What is the most common location for pityriasis rosea; psoriasis vulgaris; actinic keratosis; scabies; and eczema?

A

preceded by herald patch on trunk; anterior surface of knees; sun exposed areas; over waistband area; and antecubital fossa

21
Q

What is the most common causative organism in erysipelas

A

strep pyogenes (Group A beta-hemolytic strep

22
Q

What is the most common causative organism in cellulitis

A

strep pyogenes, staph aureus, MRSA

23
Q

What is most common causative organism in a cutaneous abscess?

A

staph aureus (MRSA, MSSA)

24
Q

How should you treat nonpurulent infections such as cellulitis, erysipelas?

A

Moderate-IV PCN, Rocephin, Cefazolin, Clindamycin. Mild with oral PCN, cephalosporins, dicloxacillin, clindamycin

25
Q

How should you treat purulent infections such as furuncles, carbuncles, abcesses?

A

Possible I&D, C&S-empiric treatment with Bactrim or doxy, defined RX with bactrim for MRSA or dicloxacillin or cephalexin for MSSA

26
Q

What is common first line treatment for acne?

A

topical benzoyl peroxide, often in combo with topical abx such as clindamycin, erythromycin

27
Q

How are topical steroids grouped? What are some examples?

A

By potency, 1-7. Hydrocortisone most mild (7) triamcinolone mod (3-6) clobetasol (1) most potent

28
Q

What form of skin cancer is most common?

A

Basal cell

29
Q

How is comedomal acne treated?

A

keratolytics

30
Q

How is inflammatory acne treated?

A

topical abx

31
Q

How is mod-severe systemic acne treated?

A

aldactone, BC pills

32
Q

How is acne different from rosacea?

A

There are NO comedomes in rosacea?

ANCC review (16 decks)

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