morphology and therapeutic basics

Question 1

morphology

Answer 1

use of descriptors to accurately characterize and document skin lesions

Question 2

primary lesion

Answer 2

initial lesion that occurs

Question 3

secondary lesions

Answer 3

changes that occur due to time or manipulation

Question 4

small, flat lesions < 1 cm are called

Answer 4

macules

Question 5

cause of macule

Answer 5

color changes in epidermis or upper dermis

Question 6

Answer 6

macule

Question 7

Answer 7

macule

Question 8

macule is confined to

Answer 8

epidermis

Question 9

do macules contain fluid

Answer 9

no

Question 10

secondary changes to macules

Answer 10

scale or crust

Question 11

flat lesion >1 cm

Answer 11

patch

Question 12

Answer 12

patch

Question 13

location of psoriasis

Answer 13

likes to be on extensor surfaces (knees, elbows) back, gluteal cleft

Question 14

skin colored lesion

Answer 14

refers to a lesion of the same color as the patients skin tone

Question 15

plaque

Answer 15

raised lesions larger than 1 cm

you can feel them

cast a shadow with side lighting

Question 16

a plaque is a proliferation of cells in ____ or superficial _____

Answer 16

epidermis

dermis

Question 17

Answer 17

plaque

Question 18

Answer 18

plaque

Question 19

papule

Answer 19

raised lesions < 1 cm

a proliferation of cells in epidermis or superficial dermis

Question 20

a larger deep papule is called a

Answer 20

nodule

Question 21

Answer 21

papule

Question 22

Answer 22

papule

Question 23

a proliferation of cells down to the mid-dermis

Answer 23

nodule

Question 24

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

Answer 24

nodule

Question 25

nodule latin

Answer 25

small knot

Question 26

distribution

Answer 26

location on the body

Question 27

configuration

Answer 27

how the lesions are arranged or relate to each other

Question 28

linear dermatomal configuration

Answer 28

Question 29

Answer 29

shingles

Question 30

vesicle

Answer 30

small fluid filled sac or cyst \<1 cm

Question 31

a vesicle filled with pus

Answer 31

pustule

Question 32

Answer 32

pustule

Question 33

Answer 33

vesicle

Question 34

pus is made up of

Answer 34

leukocytes and a thin fluid called liquor puris "pus liquid"

Question 35

furuncle

Answer 35

pustule associated with a hair follicle

Question 36

abscess

Answer 36

pustule that is deep

Question 37

a superficial loss of the epidermis

Answer 37

erosion

Question 38

an erosion involving the dermis

Answer 38

ulcer deeper wound and may see a scar

Question 39

\_\_\_\_\_ often heal with scarring, ____ usually do not

Answer 39

ulcers erosions

Question 40

how do secondary lesions form

Answer 40

external forces - scratching, trauma, infection, healing process

Question 41

ex of raised lesions

Answer 41

papule plaque nodule tumor wheal burrow scar

Question 42

ex of flat lesions

Answer 42

macule patch

Question 43

ex of depressed lesions

Answer 43

erosion ulcer atrophy sinus stria

Question 44

fluid filled lesion ex

Answer 44

vesicle bulla pustule furuncle abscess

Question 45

vascular lesions

Answer 45

telangiectasia petechiae ecchymosis

Question 46

bullae

Answer 46

larger version of a vescle \> 1 cm

Question 47

the efficacy of any topical medication is related to

Answer 47

the active ingredient (strength) anatomic location the vehicle (mode of transportation) the concentration (of the medication)

Question 48

vehicle

Answer 48

how the treatment is transported

Question 49

ointments

Answer 49

greasy, some patients don't like the mest best on non hairy skin, away from erosion so it doesn't sting inherently stronger than creams or lotions

Question 50

creams

Answer 50

less greasy, can sting on open skin

Question 51

use for cream

Answer 51

intertriginous areas, minimal scale, patients who dislike thick ointment

Question 52

lotion

Answer 52

less greasy than creams, consider use of face and hair areas

Question 53

use of oils/solutions

Answer 53

scalp

Question 54

gel

Answer 54

non-greasy, dry quickly, may sting

Question 55

use for gel

Answer 55

acne, scalp/hairy areas without matting

Question 56

foams

Answer 56

spread readily, may sting open areas

Question 57

use of foams

Answer 57

hairy areas, inflammation

Question 58

sprays

Answer 58

aersols are rarely used, good for scalps but may sting

Question 59

topical corticosteroids

Answer 59

reduce skin inflammation in many conditions

Question 60

whats more important - type of steroid or concentration?

Answer 60

steroid type

Question 61

intertriginous areas

Answer 61

skin areas that fold together like armpit or elbow

Question 62

main therapies used

Answer 62

creams and ointments

Question 63

class 1

Answer 63

super high potency - clobetasol

Question 64

class II

Answer 64

high potency - fluocinonide

Question 65

Class III - V

Answer 65

medium potency - triamcinolone

Question 66

class VI - VII

Answer 66

low potency - desonide and hydrocortisone

Question 67

look at the ___ of steroid not the \_\_\_\_

Answer 67

class percentage

Question 68

when to use super high potency (class I)

Answer 68

severe dermatoses over nonfacial and nonintertriginous areas scalp, palms, soles, thick plaques on extensor surfaces

Question 69

when to use medium to high potency (classes II - V)

Answer 69

milder conditions on trunk/extremeties or short periods for face and intertriginous sites

Question 70

when to use low potency steroids (classes VI, VII)

Answer 70

face, eyelid, genital, intertriginous areas

Question 71

side effects of topical steroids

Answer 71

skin atrophy telangiectasias striae acne steroid rosacea hypopigmentation

Question 72

the higher the ____ the more likely side effects will occur

Answer 72

potency

Question 73

striae

Answer 73

strech mark