Dermatology > Midterm > Flashcards

Midterm Flashcards

(104 cards)

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1
Q

Usually Family history of eczema, hay fever or asthma

A

Atopic Dermatitis

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2
Q

What is the end result of rosacea

A

Rhinophyma

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3
Q

Name the rxn in a case where A women who used neomycin ointment and had a reaction.

A

Allergic Contact Dermatitis

Type 4 delayed hypersensitivity

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4
Q

Common chronic inflammatory disease, pityrosporum oval, genetics, stress and dietary factor affect onset of disease

A

Seborrheic Dermatitis

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5
Q

Typical Sites on neck, head, creases of elbows, back of knees and arms, toes

A

Atopic Dermatitis

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6
Q

Sites: Wrists (MC), forearm, ankles, ant legs, lumbar region, genitals

-50% have mucous membrane and 10% nail ridge

A

Lichen Plans

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7
Q
  • All races
  • Female >Male around age 20
  • Spring, early summer
  • 2-24 hours after 1st sun exposure lasts 7-10 days
A

Polymorphous light eruptions

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8
Q

Typically occurs in spots on face, genitals, hands, back, front of legs and feet

A

Erythema Multiforme

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9
Q

Blackhorn cyst think?

A

Seborrheic Keratosis

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10
Q

Sunlight reaction that happens at low doses of light

A

Polymorphous light eruptions

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11
Q

Centrally affects the face, forehead, cheeks, nose and chin

-may include iritis or blepharoconjunctivitis

A

Rosacea

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12
Q

What are the 5 P’s of Lichen Planus

A 
Pruritic
Planar
Polygonal
Purple
Papules

2-10 mm in diameter

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13
Q

Location: Paranasal, under the breasts, genitals and on the head

A

Seborrheic Dermatitis

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14
Q

Papulopustules on an erythematous base that may have occasional:

  • Itching
  • Burning
  • Feeling of Tightness
A

Perioral Dermatitis

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15
Q

Present in 5% of white population

A

Atypical Nevi

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16
Q

Triggers include drugs, infection and other unknown things

A

Erythema Multiforme

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17
Q

Acute Inflammatory/immunologic rx of subcutaneous fat leading to painful red swollen nodules on the extensor aspect of the extremities

A

Erythema Nodosum

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18
Q

Prodome: Fever, malaise, later arthralgia, arthritis and hilarious adenopathy

A

erythema nodosum

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19
Q

Pruritic, papulovesicular, scaly, coin shaped lesions

A

Nummular Eczema

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20
Q

Head, trunk, buttock, back of arms, front of knees, front of legs and bottom of feet and hands

A

(opposite of atopic dermatitis)

-Psoriasis

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21
Q

Patient notices a correlation with wearing a bra and these lesions, what do you suspect

A

Type 4 cell-mediated delayed hypersensitivity

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22
Q

Dimple Sign with lateral compression

A

Dermatofibroma

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23
Q

Top 10 List:

  • Nickel Sulfate
  • Neomycin Sulfate
  • Balsam of Peru
  • Fragrance Mix
  • Thimerosal
  • Sodium gold thiosulfate
  • Formaldehyde
  • Quaternium-15
  • Cobalt Chloride
  • Bacitracin
A

Allergic Contact Dermatitis

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24
Q

Cradle Cap

A

Seborrheic Dermatitis

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25
This phenomenon results from release of cytokines that develop in a distal primary dermatitis
ID reaction
26
Dietary recommendations for acne
- High fat, moderate protein, low glycemic diet to stabilize blood glucose - Diary and wheat elimination
27
Chronic unchanging macular lesion benign on
Junctional Macular Lesions
28
Triggers include drugs, infection or unknown
Target Lesions (herpes outbreak caused by erythema multiform)
29
Tender lesion in axillary, inguinal, intermammary and/or anogenital region
Hydradentitis Suppurativa
30
Telangiectasia is commonly found in association with what condition
Rosacea
31
spots all around body abdomen and thigh, spares face arm and legs
Pityriasis Rosea
32
Chronic Itch-Rash-Scratch cycle
Lichen Simplex Chronicus
33
Chronic Itch-Rash-Scratch cycle | Negative for fungal, bacterial or viral
Lichen Simplex Chronicus
34
Older women who claims this scaly dry rash or her leg returns every winter. She has no other dermatitis history. With history you determine she is deficient in EFA's?
Asteatotic Eczema
35
one year duration, moderate pruitis, wick ham's striae
Linchen Planus
36
Lip licking | Oven Cleaner
Irritant Dermatitis
37
Treated with 5-FU or curaderm
Superifical BCC
38
Chronic Itchy rash 7-15% of pppulation
Atopic Dermatitis
39
Possible Viral etiology | -rapid growth 2.5cm with in a few weeks to month
Keratoacanthoma
40
-Can self-resolve in months to years, leaves a bad scar
keratocanthoma
41
treatment for ketatocanthoma
remove it but it leaves a bad scar
42
Single Lesion, Most commonly on the cheeks, nose, ears, hands (Post), but can be any location
Keratocanthoma
43
-Relevant food allergies in 70-80% of cases
Atopic Dermatitis
44
What are the major and minor allergies in atopic dermatitis
Major: Eggs, milk, peanuts, soy fish, wheat Minor: Citrus, tomato, strawberries, corn, chocolate, food preservatives, coloring
45
Major inhalants that trigger atopic derm
Aeroallergens, animal dander, dust mites
46
- Negative KOH - Negative HX of topical creams - Negative Blood Tests
Rosacea
47
Sun exposed areas of skin Male>female Premalignant
Actinic Keratosis
48
1/1000 lesions develop into SCC annually
Actinic Keratosis
49
Treatment for actinic keratosis
- Decrease Sun exposure - Antioxidants - 5-Flurouriacil - Black Salve - Vitamin A - Curaderm - Cryotherapy - Sunscreen - Excision of lesion
50
Fair skinned individuals with excessive sun exposure in childhood are at highest risk
SCC
51
Exposure to chemical carcinogens is a major risk
SCC
52
Arsenic is a major risk
SCC
53
Single or scattered discrete lesions adherent hyperkeratotic scales (rough texture) a sore that doesn't heal
Actinic Keratosis
54
Most common pre-malignant lesion
Actinic Keratosis
55
Patient at strep info one week before rash
guttate psoriasis
56
Treatment for guttate psoriasis
resolves spontaneously in weeks to months
57
Most common cause of allergic dermatitis
Nickel
58
The dorsal aspect of the penis is a common location for what conditin
psoriasis
59
Hutchinsons sign | -Periungual spread from nail
Acral Lentiginous Melanoma
60
- Scaling to ulcer | - Elevated nodule to tumor
SCC
61
-Indurated, eroded nodule that ulcerates and bleeds easily
SCC
62
Common on lower lip, top of ears, tongue, head, neck, back of hands
SCC
63
Rash on legs and arms with Negative Culture, hx of cubital and popliteal rashes as child
Keratosis Pilaris
64
Acute Vesicles | -Linear lesions is a sign of resin being dragged over the skin while scratching
Contact allergic dermatitis (poison Oak)
65
What of the following conditions is not located on the face: - Keratosis Pilaris - Rosacea - Psoriasis - Acne - Seborrheic Dermatitis
Keratosis Pilaris
66
Name of condition with painful swollen sweat glands
Hidradentitis Suppurativa
67
Painful itchy condition has been recurrent and usually lasts 2-3 weeks and then clears. Patient says it starts with deep seated blisters between the fingers. No other lesions can be found
Pomphylox
68
- Papule or nodule | - Pearly or translucent
BCC
69
- Telangiectasia(haphazard) - Can be pigmented/sclerotic - Translucent when stretched
BCC
70
Chronic Itchy rash. Remembers having a rash in cubital popliteal fossa as child
atopic dermatitis
71
Chronic lesion on elbow, pinpoint bleeding
psoriasis
72
hyper proliferative skin disorder in genetically predisposed individuals
Psoriasis
73
Oil Accentuates the lacy, white wick ham's striae
Lichen Planus
74
asymmetrical, just one location
Lichen Simplex
75
How do you management Polymorphus Light Eruption
``` -Prevention: Sun block System: -beta-carotene -Niacinamide: B6: ```
76
What lesion often develops into SCC
Actinic Keratosis
77
Common Areas: lower legs, scrotum, vulva, anus, pubis, wrists, ankles, elbow, upper eyelid, back and side of neck, ear office and fold, scalp-pickers nodules
Lichen Simplex Chronicus
78
MC areas of Lichen Simplex Chronicus
- lower legs - scrotum - vulva - anus pubis, - wrists - ankles, - elbow - upper eyelid - back and side of neck - ear office and fold, - scalp-pickers nodules
79
Treatment of actinic keratosis
5-fluoruracil acetaminophen with codeine for pain Petrolatum
80
Patient has negative pruitus, Negative KOH, Negative ANA
Seborrheic dermatitis
81
Chronic itchy lesions, often resistant to tx
nummular eczema
82
Neg KOH, Neeg culture, biopsy reveals spongiosis
Nummular Eczema
83
Chronic skin condition common in atopic dermatitis
Keratosis Pilaris
84
What type of cancer is locally invasive, aggressive, destructive
BCC
85
Most common in 6th decade of life | no radial growth so early metastasis
Nodular Melanoma
86
possibly associated with fluoride and sodium laurel surfate. Not considered a ACD
Perioral dermatitis
87
When do you use photodynamic therapy
AK
88
ocular symptoms (iritis, scleritis, keratitis, chalazia, bephoconjunctivitis) is common in what condition
Rosacea
89
Chronic itch in post menopausal women
Lichen Simplex Chronicus
90
Will Lichen Simplex chronicus have a positive or negative KOH
Negative
91
Rapid radial growth within few weeks, can self resolve within month to year
Keratocanthoma
92
Hyper proliferative skin lesion in genetically predisposed individuals
Psoriasis
93
Delayed abnormal reaction to UV radiation
Polymorphus light eruption
94
button-like dermal nodule
dermatofibroma
95
Pink, brown, tan darker at center found on the legs>arms>drunk positive dimple sign
Dermatofibroma
96
Treatment for dermatofibroma
leave alone, excise, cryotherapy
97
Pruritic Inflammatory condition that occurs in association with a personal or family history of what:
Atopic Dermatitis
98
Spilled oven cleaner causing a lesion?
Irritant Dermatitis
99
Is seborrheic keratotsis beginning, do you usually see multiple or one
Multiple, benign
100
Itching since introduction of food
Atopic dermatitis
101
FMHX of what condition is common in atopic derm
Asthma
102
Herald Patch
Pityriasis rosea
103
Associated with an acute inflammatory process at a distal site
ID reaction
104
can develop from actinic keratosis
SCC
Dermatology
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