Skin Path

Question 1

What are three cell types in skin?

Answer 1

1-squamous cells
2-basal cells
3-melanocytes

Question 2

What are three types of appendage glands found in skin?

Answer 2

1-Apocrine (sweat milky odor)
2-Eccrine (thermo control)
3-Sebaceous (oily sebum for lubrication and prevent water loss)

Question 3

Which lesion is flat, circumscribed and less than 5 mm?

Answer 3

Macule

Question 4

Which lesion is an elevated dome or flat topped and less than 5 mm?

Answer 4

Papule

Question 5

Which lesion is an elevated dome more than 5 mm?

Answer 5

Nodule

Question 6

Which lesion is elevated, flat topped and more than 5 mm?

Answer 6

Plaque

Question 7

Thickened skin due to repeated rubbing is called?

Answer 7

Lichenification

Question 8

Discrete, pus-filled raised lesion is called?

Answer 8

Pustule

Question 9

Dry, plate-like excrescence, imperfect cornification is called?

Answer 9

Scale

Question 10

A Fluid filled raised area, <5 mm is called?

Answer 10

Vesicle

Question 11

The loss of intercellular adhesion keratinocytes (epidermis falls apart and sloughs off) is called?

Answer 11

Acantholysis

Question 12

Diffuse epidermal hyperplasia (thicker than normal) is called?

Answer 12

Acanthosis

Question 13

Traumatic breakage of the skin (from intense scratching)

is called?

Answer 13

Excoriation

Question 14

A fluid-filled raised area, >5 mm is called?

Answer 14

Bulla

Question 15

Abnormal keratization, deeper in epidermis than normal is called?

Answer 15

Dyskeratosis

Question 16

Hyperplasia of stratum cornum is called?

Answer 16

Hyperkeratosis

Question 17

Intercellular edema of epidermis is called?

Answer 17

Spongiosis

Question 18

Surface elevation caused by hyperplasia is called?

Answer 18

Papillomatosis

Question 19

What hypersensitivity reaction is mediated by antigens, is an IgE response and is treated with antihistamines?

Answer 19

Urticaria (Hives)

Question 20

What condition can be associated with asthma or allergic rhinitis and is a hypersensitivity reaction that is often delayed?

Answer 20

Eczematous dermatitis

Question 21

Cellular memory of the reaction so that future contacts cause an increased dermatitis reaction is called?

Answer 21

Allergic contact dermatitis

Question 22

Stevens-Johnson syndrome is a life threatening example of what hypersensitivity reaction to infection, or drugs?

Answer 22

Erythema Multiforma

Question 23

What skin condition is characterized by well-marked pink to salmon colored plaques, can be treated with NSAIDS and immunosuppressents and can increase risk for heart attacks and arthritis?

Answer 23

Psoriasis

Question 24

What skin condition is found in middle age in the extremities and oral cavity and has lace-like wickham striae hyperkeratosis?

Answer 24

Lichen Planus

Question 25

Staph or strep infections on the face of a young child with honey color crusted-pustules is called?

Answer 25

Impetigo *use topical antibiotics such as tetracycline

Question 26

Which infections are often in immunocompromised patients and have erythematous macules that are often pruritic?

Answer 26

Fungal (ring worm, candida)

Question 27

Which infections are contagious by direct contact, can auto-innoculate and are epidermal hyperplasia causing papillo mitosis?

Answer 27

Viral (Warts, HPV)

Question 28

Painful flaccid blister like deep erosions with crusts after rupturing is called?

Answer 28

Pemphigus *hypersensitivity

Question 29

What are the main Herpes viruses?

Answer 29

1-HSV1 (oral) 2-HSV2 (genital) 3-Zoster (Vericella zoster causing shingles and chicken pox)

Question 30

Which herpes virus is unilateral with dermatomal distribution and is a rash that burns and itches but is not contagious?

Answer 30

Vericella Zoster Virus

Question 31

Openend comediennes are _____ while closed ones are______

Answer 31

Blackheads Whiteheads

Question 32

Gland rupture with inflammation around hair follicles that are caused by blocked hair follicles and sebaceous glands are characteristic of what?

Answer 32

Acne Vulgaris *can be caused by hormone changes

Question 33

What are 5 treatments for Acne Vulgaris?

Answer 33

``` 1-antibiotics (tetracycline) 2-keratolytics 3-drying agents 4-vitamin A (topical and systemic-Accutane) 5-UV exposure ```

Question 34

What condition is found in young women as follicular papules, vesicles and pustules caused by long term steroid use, cosmetics or hormonal changes?

Answer 34

Perioral Dermatitis

Question 35

What benign neoplasm is ran to dark brown and has a stuck on appearance?

Answer 35

Seborrhea Keratosis

Question 36

What pre-malignant lesion is related to UV exposure and appears brown to red?

Answer 36

Actinic keratosis

Question 37

Which lesion has well defined borders and is not predisposed to cancer?

Answer 37

Melanocytic Nevi

Question 38

Which sporadic lesions have irregular, asymetric borders?

Answer 38

Dysplastic Nevi *more than 10 increases risk for melanoma

Question 39

What are 3 common Malignant skin cancers?

Answer 39

1-Basal cell carcinoma 2-Squamous cell carcinoma 3-Melanoma

Question 40

Which Malignant skin cancer is most common, least aggressive and is most common malignancy worldwide?

Answer 40

Basal Cell Carcinoma *Slow growing. Excision is usually curative

Question 41

Which malignant skin cancer is second most common, intermediately aggressive and is a red scaling plaque?

Answer 41

Squamous cell Carcinoma *no metastasis, locally aggressive

Question 42

Which malignant skin cancer is least common, aggressive, caused by UV exposure and genetics and has a poor prognosis if it has metastasized?

Answer 42

Melanoma *Irregular borders, surface and colors, Rapidly enlarges