OME - Derm

Question 1

Dermatitis herpetiformis has what Path?

Presents how?

Answer 1

IgA antibodies in the Dermis

Extensor, buttocks, celiac

Question 2

Alopecia areata is what?

Pt looks like what?

Treat how?

Answer 2

Autoimmune disorder against hair follicles

Well-defined circular bald spot, exclamation point sign

Steroids

Question 4

Pt w/herald patch and trailing scale is what?

Spares what?

Tx?

Answer 4

Pityriasis rosea

Palms and soles

None

Question 5

What causes erythema-multiforme?

Answer 5

Chronic HSCV

Drug reaction - Sulfa, anticonvulsants, NSAIDs, PCN

Question 6

What is a fleshy erythematous, crusted or ulcerated lesion?

Answer 6

SCC

Question 7

Pt w/tinea capitis is treated with what?

Pt w/onchomycosis?

Answer 7

Griseofulvin

Terbinafine or itraconazole

Question 8

Pt w/inadequate melanocytes migration and white forloch has what?

Answer 8

Piebaldism

Question 13

Lesion that sounds SCC but went away on its own most likely had what?

Answer 13

Keratoacanthoma

Question 14

What involves the basal layer and has dusky appearance w/+ Nikolsky’s sign?

Answer 14

SJS

Question 15

What is the hair cycle in order (4)?

Answer 15

Anagen - growth
Catagen - regression
Teolgen - resting
Exogen - shedding

Question 16

Vitiligo is diagnosed how?

Treat how?

Associated with what else?

Answer 16

Wood’s lamp

High potency topical steroids or UV Light

Hypothyroidism or Lupus

Question 17

Infection that starts dismally and then ascends the limb in adults is what?

Treat how?

Answer 17

Erysipelas

Amoxicillin

Question 18

Pt that has edema, erythema, brown discoloration and scaling of their lower extremities has what?

Treatment?

Answer 18

Stasis dermatitis

Diuretics and compression stockings w/leg elevation

Question 19

Biopsy of Staphylococcus scalded skin syndrome shows what?

Answer 19

NO mucosal involvement

Question 20

Woman with patchy alopecia in multiple areas and all hair is the same length has what?

Answer 20

Fungal infection

Question 21

Tinea capitis is diagnosed how?

Treat how?

Answer 21

KOH prep

Oral griseofulvin

Question 25

Mycoplasma PNA is associated w/what skin condition?

Answer 25

Erythema multiforme

Question 27

Pt that has a pink, morbilliform rash occurring 7-14 days after exposure is having what?

Treat how?

Answer 27

Drug reaction

Diphenhydramine for mild

Corticosteroids for severe sx

Question 28

Albinism d/t what?

melanocytes Increased or decreased?

Answer 28

Tyrosinase

NORMAL

Question 29

Pt w/pustular or nodulocystic acne needs what treatment?

Answer 29

PO Abx - Doxy, Erythromycin

Question 31

Pt inflamed comedones or pustules acne needs what treatment?

Answer 31

Topical retinoids + benzoyl peroxide

Question 33

What presents as ruptured bullae on mucosal surfaces w/dusky, irregular appearing macules that involves the oral mucosa?

Answer 33

SJS

Question 34

Child w/1 single hypopigmented spot that is + on Wood’s lamp has what?

Dx how?

What else will they have?

Answer 34

Ash leaf - Tuberous sclerosis

CT scan brain

Shagreen patches and adenoma sebaceum

Question 36

What is a large, brown, greasy looking and crusted mole on the skin?

Common in whom?

What else about it?

Answer 36

Seborrheic keratosis

Old people

“Stuck on”

Question 38

Pt w/erythematous, sandpaper-like yellow to brown scale lesion has what? Malignant or not? Dx how? Treat?

Answer 38

Actinic keratosis PRE-malignant Biopsy Cryoablation or 5-FU

Question 39

Tinea corporis is treated with what?

Answer 39

Topical ketoconazole

Question 40

Pt that braids their hair and pony tails has what? Treat how?

Answer 40

Traction Alopecia None

Question 41

Milian’s ear sign and butterfly involvement of the face is what?

Answer 41

Erysipelas

Question 45

What is the ladder for acne?

Answer 45

``` Retionoids + Benzoyl peroxide Topical Abx PO Abx - Doxy Isoretinoin ```

Question 46

Pt w/purple papule w/lacy network of white lines is what? Treat? May be caused by what?

Answer 46

Lichen planus Topical steroids New onset after NEW medication (ACE-i, THZ, Loop, BBs)

Question 49

Woman pt that pulls out her hair 1 strand at a time has what? Diagnose how? Treat?

Answer 49

Trichotillomania Clinical - different length of hair strands OCD

Question 53

What is an invasive malignancy of keratinocytes? Located where? What can it do?

Answer 53

SCC Lower lip Can metastasize

Question 54

Seborrheic Dermatits presents how? Treat how?

Answer 54

Rash on face around the hair areas (eyebrows and scalp) Selenium shampoo

Question 55

What causes tinea versicolor? Dx how? Treat how?

Answer 55

Malassezia globosa - fungus KOH prep - see spaghetti and meatballs Selenium sulfide or ketoconazole

Question 58

Porphyria cutanea tarda can be brought on by what?

Answer 58

``` OAHH OCPs Alcohol HepC Hemochromatosis ```

Question 60

What presents w/neutrophilic abscesses in the dermal papillae?

Answer 60

Dermatitis herpetiformis

Question 62

Psoriasis has what 2 classic sx? Treat how? If joint symptoms look for what?

Answer 62

Nail pitting, onycholysis (detachment of nailbed) 1st - UV light 2nd - Topical steroids Seronegative - psoriatic arthritis

Question 65

What does ABCDE stand for?

Answer 65

``` Asymmetry borders - irregular Color - black D - diameter > 5mm Evolving (changing over time) ```

Question 67

Treatment for pemphigus vulgaris? Pt age?

Answer 67

Steroids, or mycophenolate, Rituximab 30-50, life threatening

Question 68

When do drug reactions typically occur? Present how?

Answer 68

Days 4-14 Morbiliform eruptions

Question 72

Pemphigus vulgaris is an autoimmune disorder against what? Presents with what? Treatment?

Answer 72

Desmosomes - desmoglein oral mucosa, + Nikolsky’s sign

Question 74

Porphyria Cutanea tarda has what enzyme deficiency? Presents how? Dx how?

Answer 74

Uroporphyrinogen Blisters in sun-exposed areas - dorsum of hand LOTS of hair Wood lamp in URINE - coral red

Question 75

Bullous pemphigoid is autoimmune disorder against what? Presents how?

Answer 75

Hemidesmosomes Tense rigid bullae, with Negative Nikolsky’s

Question 80

Psoriasis presents how?

Answer 80

Erythematous patch w/silver scale that bleeds when picked | Extensors or gluteal fold

Question 85

Bullous pemphigoid treatment? Common pt?

Answer 85

Steroids for acute attacks 70-80, non-life threatening