skin

Question 1

What is:

contagious dome shaped lesion with a plug in the middle?

Answer 1

mollosum contagiosum

Question 2

Complaints of sudden onset of groups of small vesicles on a red base, following linear pattern (dermatomal) on one side of the body. The vesicles rupture easily
and are crusty when dry.

If prodrome present, may complain of severe pain or
itching or burning sensation on the site of the breakout.

Answer 2

Herpes Zoster

Question 3

What is this:

benign growth (or tumor) of bone located midline on the
hard palate. It is congenital and painless and does not interfere with function

Answer 3

Torus palantinus

Question 4

What is this:

tongue has multiple fissures on its surface and is benign. Patients
may complain of a burning sensation when eating or drinking acidic foods.

Answer 4

Geographic tongue

Question 5

What is this:

Taking antiobiotcs/phenytoin/ septra/penicillin

Acute onset of bullae rash and hemorrhagic lesions, mucosal involvement, blisters to conjunctiva, mouth, genitals

Answer 5

Steven Johnson Syndrome

Question 6

Name the conditons associated with the rash

1. Erythema Marginatum
2. Erythema Migrans
3. Erythema multiforme
4. Erythema Infectiosum
5. Erythem Toxicum

Answer 6

1. Erythema Marginatum -> rheumatic fever
2. Erythema Migrans –> lyme
3. Erythema multiforme –> mild form of steven-johnson drug rx
4. Erythema infectiosum—> 5th disease (slapped cheek b19 paro)
5. Erythem Toxicum–>Infant acnes 1-2 weeks small red pustules

Question 7

name the rash:

Pink-to-red target-like lesions,
wheals, and blisters.
No mucosal involvement.
Recent antibiotics use

Answer 7

Erythema multiforme

Question 8

name the rash:

dry, red lesions with a rough texture on cheks nose face arms and back

Answer 8

Actin keratosis

Question 9

What rash is associated with Rheumatic Fever

Answer 9

Erythema marginatum

Question 10

name the rash

Raised and yellow soft plaques that are located under the brow on the upper and/or lower lids of the eyes on the nasal side

Answer 10

Xanthelasma

Question 11

Describe Seborrheic Dermatitis

Answer 11

Infants: Cradle cap, yellow greasy scales on scalp

Adults: greasy, flaky, plaques in scalp, chest, ears, NLF

Question 12

Name the rash:
Soft and round wartlike fleshy growths on the trunk located mostly on the back.

Lesions on the same person can range in color from light tan to black.
Onset usually starts after the age of 50 years.

Answer 12

Seborrheic Keratoses

Question 13

Name the rash:

pinpoint areas of bleeding remain in the skin when a plaque is
removed

Answer 13

Auspitz sign

This is from psoriasis

Question 14

What is Koebner phenomenon?

Answer 14

new psoriatic plaques form over areas of skin trauma

Question 15

Name the rash:

pruritic erythematous plaques covered with fine silvery white
scales and pitted fingernails and toenails.
The plaques are distributed in the scalp,
elbows, knees, sacrum, and in the intergluteal folds.

Answer 15

Psoriasis

Question 16

name the rash:

• new rash that is bright red and pruritic
• bullous/vesicular/weeping
• dries and crusts over
  -asymmetric distribution

no systemic symptoms

Answer 16

Contact dermatitis

Question 17

name the rash:

• painful rash to face or legs
• indurated (hard) bright red skin lesion
  -has very distinct edges
• pt may or may not be febrile

Answer 17

erysipelas

Question 18

What medication is used to treat dog, cat, human bite?

Answer 18

amoxi/clauv

Question 19

if you are bitten by a dog/cat/human do you start antibiotics prophylactically?

Answer 19

cats- ALWAYS
dog/human - almost always only if its face/hand/uppper limb

Question 20

How do you treat impetigo ?

Answer 20

if there are less than 2-3 lesions = mupirocin ointment
if bullae or widespread Cephalexin 10 days

Question 21

name the rash:
pruritic rashes located in the interdigital webs, axillae, buttock
folds, waist, and the penis.
The itching is worse at nighttime and interferes with sleep.

Answer 21

scabies

Question 22

name the rash:

Patchy alopecia with “black dots” (broken hair
shaft) and fragile hair shaft.
Fine scales on scalp. Frequent itching of the scalp.

Answer 22

Tinea capitis

Question 23

name the rash:

Perineal and groin area with pruritic red rashes with fine scales.

Answer 23

Tinea cruris

Question 24

name the rash:

Ringlike pruritic rashes with a collarette of fine scales that slowly enlarges and some central clearing.

Answer 24

Tinea corporis/circinata

Question 25

name the rash:
chronic, small acne-like papules and pustules
nose, mouth, and chin,
becomes exacerbated episodically

Answer 25

acne rosacea treated with flagyl gel/ tetracycline for months

Question 26

name the rash:

Skin fissures and maceration at each corner of the mouth.
Can be caused by IDA, infection, etc

Answer 26

Cheilosis

Question 27

name the difference between:

1st
2nd
third

degree burns

Answer 27

1) erythema only no blisters
2) bullae blisters
3) PAINLESS

Question 28

How can you differentiate contact dermatitis from atopic dermatitis?

Answer 28

Contact dermatitis: asymmetric distribution (one leg), liner rash or unusually shaped

Atopic Dermatitis: flexural folds, vesicles, that rupture producing painful bright weepy lesions that become lechienfied from itching

Question 29

name the rash:

Chronic inflammatory skin disease manifested as recurrent inflammatory nodules, abscesses, sinus tracts, and complex scar formation

“acute onset of painful red nodules and pustules under one or
both axilla. The patient reports that some of the lumps start to drain pus. History of recurrent episodes”

Answer 29

Hidraenitis Suppurativa