UW3 (05 Derm)

Question 1

Acne Vulgaris (treatment)

Comedone? 4
Inflammatory? 3
Nodular / Cystic? 3

Answer 1

Topical
Retinoid
Salicylic
Azelaic
Glycolic

Topical Retinoid + Benzyl Peroxide
+ Topical Antibiotics
+ Oral antibiotics

Topical Retnoid + Benzyl Peroxide + Topical Antibiotics
+ Oral antibiotics
Oral Isotretinoin

Question 2

Urticaria (treatment)

Acute < 6w? 3
Chronic > 6w? 5

Answer 2

1) H1 blocker
2) + H2 blocker
3) + Steroids

1) H1 blocker
2) ↑ H1 blocker
3) + H2 blocker
4) + Leukotrine inhibitor
5) + Steroids

Question 3

Tinea pedis & Unguium (treatment)

For mild - type & meds? 3
For svere - type & meds? 3

Answer 3

Topical
Terbinafine
Miconazole
Clotrimazole

PO
Terbinafine
Itraconazole
Fluconazole

Question 4

Erythema @ face
Flushing
Telangiectasia

Associated:
Blepharitis
Keratitis
Conjunctivitis
Corneal ulcer
Chalazion

Diagnosis?

Treatment? 1+4+2

Answer 4

Rosacea

1) Avoid Trigger
2) Topical
• Metronidazole
• Azelaic acid
• Clindamycin
• Benzyl peroxide
3) PO
• Metronidazole
• Clindamycin

Question 5

Pressure ulcer

Name 4 stages?
Debridment needed at what stage?

Answer 5

1) Intact skin
2) Shallow ulcer
3) Full thickness / SubCut
4) Bone / Tendon / Muscle

Debridement @ stage > 3

Question 6

Rapid abdominal mass onset
Deep / IntraAbdominal
Painless / Painful

Diagnosis?
Treatment if stable?

Answer 6

Desmoid tumor

Observation

Question 7

Painless blister
HyperTrichosis
HyperPigmentation
Diagnosed with porphyria cutanea

Association / Complication? 3
Trigger? 2
Management 4
Mechanism?

Answer 7

Hemochromatosis
Hep C
HCC

Alcohol
Estrogen

Avoid trigger
Phlebotomy
HydroxyChloroquine
Interferon A

UroPorphyrinogen Decarboxylase ↓

Question 8

Keloid

Treatment? 2

Answer 8

Steroid injection @ Intra Lesion

Excisional surgery

Question 9

Psoriasis (treatment)

1. Mild / Moderate
2. Severe
3. Face / Intertrigo
4. Guttate

Answer 9

1) Topical – Steroid / Vit D
2) UV / Methotrexate
3) Topical – Steroid / Tacrolimus
4) Observation / UV

Question 10

Angioma (differential)

Dome / Bleed / Benign
Diagnosis?
Treatment? 2

Bright red / Central papule / Radiating vessel
Diagnosis?
Association? 2

Rapid growth @ early childhood
Diagnosis?
Typical course?
Treatment?

Answer 10

Cherry Angioma
Electro-Cauderize
Shave excision

Spider Angioma
Estrogen dependent
Cirrhosis

Infantile / Strawberry
Spontaneous remit 5-8y
Propranolol

Question 11

Purple Plaque @ extensor
Pruritic
Polygonal
Violaceous

Diagnosis?
Association?
Diagnostic?

Answer 11

Lichen Planus
Hep C
Biopsy

Question 12

Acne Vulgaris

Hormone therapy indication? 3
Agents? 2

Answer 12

Inflammatory
Pre-Menstrual
Face / Neck

Combined OCP
Spironolactone

Question 13

Photoaging

Condition worse @ which risk factor?
Treatment?

Answer 13

Smoker

Isotreotonin top

Question 14

Warts

Initial treatment? 2
Duration?

Answer 14

Salicylate
Cryotherapy

2-3w

Question 15

Mollescum contagesium

Transmission?
Associated lab test?
Treatment? 3

Answer 15

Skin-Skin contact

HIV test

Curettage
Cryo removal
Podophyllotoxin

Question 16

Varicella PEP

1) Immunity ⊕
2) No immunity
3) No immunity + Pregnancy / Immune ↓

4) Precaution @ Disseminated
5) Precaution @ local infection

Answer 16

1) History of varicella
Varicella vaccine x2
2) Vaccine within 5d
3) Vaccine / IVIG

4) Contact & Airborne
5) Contact & Cover up

Question 17

Herpes Zoster
Duration & treatment?

1. Acute?
2. SubAcute?
3. Post?

Answer 17

< 30d
NSAID

30d-4m
NSAID

> 4m
TCA
Gabapentin
PreGabalin

Question 18

Tinea Versicolor

1. Common occurrence season?
2. Lab test?
3. Treatment? 4

Answer 18

1. Spring / Summer
2. KOH = yeast / hyphae
3. Topical –> PO
   Selenium
   Clotrimazole
   Terbinafine
   Ketoconazole

Question 19

Skin SCC

Treatment? 5

Answer 19

Excision
C&E
Cryo
PhotoDynamic
Radiation

Question 20

Actinic Keratosis

Treatment? 3
Biopsy indication? 6

Answer 20

5FU
Imiquimod
Cryotherapy

1cm diameter
Induration
Ulceration
Tenderness
Rapid growth
Failed therapy

Question 21

Hidradenitis Suppurativa
(treatment)

General? 4
Mild? 2
Moderate? 2
Severe? 3

Answer 21

Weight
Smoke
Clean
Wash

Clindamycin top
Metformin

Tetracycline PO
Clindamycin + Rifampin

Acitretin
Infliximab
Excision

Question 22

Skin Plaque
Greasey
Scale
Pruritic
Erythema

Diagnosis?
Association/ Risk? 2
Treatment? 4

Answer 22

Seborrheic Dermatitis

CNS disease
Parkinson
HIV

topical (q1-2w)
Selenium
Ketoconazole
Steroids
CIN / Pimecrolimus

Question 23

Impetigo

Common microbe? 2
Treatment? 2
Complication? 1

Answer 23

S. Aureus
S. Pyogenes

Mupirocin top
Cephalexin PO

GlomeruloNephritis

Question 24

Tinea Capatis

Treatment? 2

Answer 24

Griseofulvin PO

Terbinafine PO

Question 25

Dermatology disease association:

1. Acanthosis Nigricans (2)
2. Skin tag / AcroChordons (3)
3. Porphyria Cutanea / CryoGlobulinemia
4. Dermatitis Herpatiformis
5. Psoriasis (sudden / severe) / Herpes Zoster (recurrent) / Mollescum (disseminated)
6. Seborrheic dermatitis (severe) 2
7. Seborrheic keratosis
8. Pyoderma Gangronosum

Answer 25

1. Insulin resistance / GI malignancy
2. Insulin resistance / Pregnancy / Crohn’s
3. Hep C
4. Celiac
5. HIV
6. HIV / Parkinson
7. GI malignancy
8. IBD

Question 26

Bullous Disease (differential)

Tense Bullae / Itchy / Erythema / Urticaria

Flaccid Bullae / Oral lesion

Severe itch / Crust+Vesicle / Celiac

Grouped / Linear or Annular

Answer 26

Bullous Pemphigoid

Pemphigus Vulgaris

Dermatitis Herpetiformis

Linear IgA

Question 27

Hair = black & curly
Hyperpigmentation
Infection
Keloid

Diagnosis?
Mechanism?
Treatment?

Answer 27

Pesudo Folliculitis Barbae

Hair shaft penetration

Stop shaving

Question 28

Keratosis Pilaris

Treatment? 2

Answer 28

Topical
Salicylate
Urea

Question 29

Hemangioma

Diagnostic modality
# > 5?
Face / Segmental?
CervicalFacial?
LumboSacral?

High risk indication? 6
Treatment? 2

Answer 29

US liver
Echo / MRI head
Laryngoscope
US spine

Large
Face / PeriOrbital
Subglottic
Segmental
Rapid growth
Hepatic

Observation
Propranolol @ high risk