Morphology and Therapeutic Basics

Question 1

what is the name of the initial lesion that occurs

Answer 1

• primary lesion

Question 2

what is the name of the changes that occur due to time or manipulation

Answer 2

• secondary lesions

Question 3

which lesion defines a disease (primary or secondary)

Answer 3

• primary

Question 4

what is the name for small (<1cm) flat lesions

Answer 4

• macules

Question 5

macule are caused by

Answer 5

• color changes in epidermis or upper dermis

Question 6

presence of a macule indicates that the process is confined to the ______

Answer 6

• epidermis

Question 7

do macules contain fluid and/or are raised?

Answer 7

• no

Question 8

macules can have secondary changes such as _____ or ______

Answer 8

• scale - crust

Question 9

if a flat lesion is over 1 cm it is called a _______

Answer 9

• patch

Question 10

what is the description of color for a lesion the same color as the patient’s skin tone

Answer 10

• skin-colored

Question 11

what is the name for raised lesions larger than 1 cm

Answer 11

• plaques

Question 12

what lesions cast a shadow with side lighting

Answer 12

• plaques

Question 13

plaques are a proliferation of cells in the ______ or _______

Answer 13

• epidermis - superficial dermis

Question 14

what is the name for raised lesions less than 1 cm

Answer 14

• papule

Question 15

papules are a proliferation of cells located in the _____ or ______

Answer 15

• epidermis - superficial dermis

Question 16

a larger, deep papule is called a

Answer 16

• nodule

Question 17

nodules are proliferations of cells down to the _______

Answer 17

• mid dermis

Question 18

what is a raised area in the skin where the overlying epidermis looks and feels normal but there is a proliferation of cells in deeper tissues-

Answer 18

• nodule

Question 19

what means location on the body

Answer 19

• distribution

Question 20

what means how the lesions are arranged or relate to each other

Answer 20

• configuration

Question 21

what is the name of lesions that are fluid-filled

Answer 21

• vesicles

Question 22

a vesicle filled with pus is called a ________-

Answer 22

• pustule

Question 23

pus is made up of _______ and a thin fluid called

Answer 23

• leukocytes - liquor puris

Question 24

a superficial loss of the epidermis is called an

Answer 24

• erosion

Question 25

erosions are an example of primary or secondary change?

Answer 25

- secondary change

Question 26

If an erosion involves the dermis, it is called an

Answer 26

- ulcer

Question 27

\_\_\_\_\_\_ often heal with scarring _______ do not heal with scarring

Answer 27

- ulcers heal with scarring - erosions do not

Question 28

ulcers are primary or secondary lesions

Answer 28

- secondary lesions

Question 29

what is the name for a larger version of a vesicle

Answer 29

- bulla

Question 30

the efficacy of any topical medication is related to

Answer 30

- active ingredient (strength) - anatomic location - mode of transport (vehicle) - concentration of medication

Question 31

what vehicle is greasy but works best on non-hairy skin, away from intertriginous sites, or on areas with erosions does it sting

Answer 31

- ointments - does not sting

Question 32

which vehicle is less greasy but can sting open skin. Can also use for intertrigenous areas, minimal scale, or patients who dislike thick ointment

Answer 32

- creams

Question 33

what vehicle is less greasy than creams and can be used on face or hairy areas

Answer 33

- lotion

Question 34

what vehicle can be used for the scalp

Answer 34

- oils/solutions

Question 35

what vehicle is non-greasy, quick drying, and can be used for acne but may sting

Answer 35

- gel

Question 36

what vehicle spreads readily and may sting open areas. use for hairy areas and inflammation

Answer 36

- foams

Question 37

which vehicle is rarely used but good for scalps and may sting

Answer 37

- sprays

Question 38

in topical steroid strength, which class of steroid is the strongest which is the lowest

Answer 38

- class I - class VI-VII

Question 39

ointments are inherently stronger than _____ or \_\_\_\_\_\_

Answer 39

- lotions or creams

Question 40

remember to look at the _____ not the percentage

Answer 40

- class

Question 41

which class of steroids do you use for severe dermatoses over nonfacial and nonintertriginous areas like scalp, palms, soles, and extensor surfaces

Answer 41

- class I

Question 42

which class of steroids do you use for milder conditions on trunk/extremities or for short periods on the face and intertriginous sites

Answer 42

- Classes II-V

Question 43

which steroids to do use for face, eyelid, genital, and intertrigenous areas

Answer 43

- classes VI-VII

Question 44

what are some local side effects of topical steroids

Answer 44

- skin atrophy - telangiecgtasias - striae - acne - steroid rosacea - hypopigmentation

Question 45

example of super high potency steroid

Answer 45

- clobetasol

Question 46

example of low potency steroid

Answer 46

- hydrocortisone

Question 47

example of high potency steroid

Answer 47

- fluocinonide

Question 48

example of medium potency steroid

Answer 48

- triamcinolone