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APEA - Pre predictor > Skin > Flashcards

Skin Flashcards

1
Q

actinic keratosis usually presents on

A

sun-exposed skin as keratotic scaly lesions and erythematous papules or plaques

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2
Q

sun-exposed skin as keratotic scaly lesions and erythematous papules or plaques

A

AK actinic keratosis

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3
Q

AK etiology
3

A
  1. UV radiation (sunlight, tanning beds)
  2. immunocompromised status
  3. immunosuppressive therapy
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4
Q

AK incidence
3

A
  1. common in middle aged and older adults
  2. more common in men
  3. presents in younger adults 30-40 years old
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5
Q

actinic keratosis assessment findings
4 (shape, color, texture, size)

A
  1. round or oval-shaped raised, scaly papules
  2. flesh colored, red, pink, brown or black
  3. papules or plaques; rough texture
  4. 2-5mm
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6
Q

AK nonpharm and pharm management
2

A
  1. cryotherapy, tissue scraping
  2. topical fluorouracil cream
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7
Q

seborrheic dermatitis description

A

chronic, superficial papulosquamous disorder affecting hairy areas of the body, where many sebaceous glands are present

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8
Q

chronic, superficial papulosquamous disorder affecting hairy areas of the body, where many sebaceous glands are present

A

seborrheic dermatitis

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9
Q

seborrheic dermatitis assessment finding in infant (mild disease)

A

fine, white or yellow greasy scale on erythematous base (usually resolves by age of 1 year)

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10
Q

fine, white or yellow greasy scale on erythematous base

A

seborrheic dermatitis - mild disease in infants

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11
Q

seborrheic dermatitis assessment finding in infant (severe disease)

A

dull, red plaques with thick white or yellow scale on erythematous base

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12
Q

dull, red plaques with thick white or yellow scale on erythematous base

A

seborrheic dermatitis assessment finding in infant (severe disease)

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13
Q

seborrheic dermatitis assessment finding in infant
5

A
  1. cradle cap
  2. diaper rash
  3. axillary rash
  4. mild erythema
  5. usually resolves by 8-12 months
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14
Q

seborrheic dermatitis assessment finding in adults
5

A
  1. greasy, scaling rash
  2. erythema
  3. rash usually symmetrical and bilateral
  4. no loss of hair
  5. pruritic rash
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15
Q

seborrheic dermatitis assessment finding in adults - usually occurs on what areas
6

A
  1. scalp
  2. eyebrows
  3. nasolabial area
  4. ear canals
  5. upper back
  6. anterior chest
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16
Q

greasy, scaling rash

A

seborrheic dermatitis

17
Q

seborrheic dermatitis non pharm tx
3

A
  1. sunlight exposure
  2. frequent shampooing
  3. warm peanut, olive or mineral oil at night to remove thick scales
18
Q

seborrheic dermatitis pharm tx (scalp; face/ears/scalp margin; eyelids)

A

scalp:
1. antiseborrheic shampoos
2. keoconazole shampoo

faces, ears, scalp margin:
1. 1% hydrocortisone cream

eyelids:
1. diluted baby shampoo with cotton swab
2. 1% ophthalmic hydrocortisone perp

19
Q

comedonal acne tx

A

topical retinoid

20
Q

mild mixed papular/pustular acne tx

A

topic retinoid plus topical antimicrobial, w/wo benzoyl peroxide

21
Q

moderate mixed papular/pustular acne tx

A

oral antibiotic plus topical retinoid, w/wo benzoyl peroxide

22
Q

nodulocystic acne tx

A

oral antibiotic
topical retinoid
benzoyl peroxide

23
Q

varicella aka

A

chicken pox

24
Q

varicella etiology and incubation period

A
  1. varicella zoster virus
  2. incubation period 14-16 days after exposure to virus or a herpes zoster rash
25
Q

VZV is contagious when

A

1-2 days before rash onset until lesions have crusted

26
Q

VZV assessment findings prodrome phase
5

A
  1. fever
  2. malaise
  3. anorexia
  4. abd pain
  5. headache
27
Q

VZV assessment findings rash phase

A

small erythematous macules appear on scalp, face, trunk, and limbs and progress within 12-24 hours to papules, clear vesicles and pustules with central umbilications then form crusts

28
Q

VZV vaccine doses

A

1st at 12-15 months with MMR
2nd at 4-6 years

29
Q

VZV - prevention for immunocompromised patients

A

passive immunization with varicella zoster immune globulin (VZIG) within 4 days of exposure

30
Q

VZV vaccine in pregnancy
3

A

contraindicated
should remain non-pregnant for 3 months after vaccine
avoid contact with recently vaccinated people for 6 weeks

APEA - Pre predictor (38 decks)

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