MDT Derm

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Author:
dabrojr
ID:
85848
Filename:
MDT Derm
Updated:
2011-05-20 08:52:30
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MDT Integumentary Dermatology
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MDT DERM
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  1. when treating a patient with common warts, how long and what would you use to freeze them and when would a patient need the treatment repeated
    • Liquid nitrogen for 15-30 sec
    • repeated in 2-3 weeks
  2. in dealing with acne, which antibiotic regime is the most affective with the fewest side affects
    Tetracycline
  3. this condition is small clear vesicles, approx 1-5 cm in diameter, deep seated stud the skin on the sides of the fingers and on the palms or soles of the feet
    Dyshydrosis
  4. What are the four clinical patterns of tinea capitas
    • seborrheic type
    • Inflamatory tinea capitis
    • Black dot pattern
    • pustular type
  5. A chronic superficial inflamation of the skin, frequently associated with a personal or family Hx of reated disorders (hayfever/asthma)
    Atopic dermatitis
  6. This is sudden loss of hair in circumscribed areas occuring in individuals who have no obvious skin disorders or systemic disease
    Alopecia areata
  7. What class of medication is used to treat alopecia Areata
    Corticosteroid injections
  8. This iS considered an excellent tx against yeast and a tx of choice against many forms of mucocutaneous candidias
    Fluconazole
  9. What is an errythematous non-pitting plaque that changes in size and shape
    Uticaria (hives and wheals)
  10. What is the most common or important cause of Uticaria
    Histamine
  11. This inflammatory scaling disease of the scalp, face and other areas, has symptoms of dandruff, dry or greasy scaling and variable itching and has a gradual onset in adults and can be affected by climate
    Seborrheic dermatitis
  12. What are the causitive agents in acute/chronic paronychia
    • Staphylococcus Aureus
    • Streptocci

    • Chronic
    • -Candidia Albacans
  13. What type of paronychia occurs in people whos hands are always wet
    CHRONIC
  14. What fungal infection may appear as a chronic non-inflamatory scalling occasionally with thickening and cracking of the epidermis, it may extend over the feet in a moccasin distribution
    Tinea Pedis
  15. IN what condition would you use oral acyclovir (zovarix) 800mg po 5x a day for 7-1 days to significantly shourtn the perod of viral shedding, accelerate healing time and decrease acute pain
    Herpes Zoster
  16. Dx of this condition can be confirmed by demonstrating the parasite in scrappings taken from a burrow, then mixed with a clear solution and examined microscopically
    Scabies
  17. These mites are easier seen with KOH and Heat, it will also destroy the feces
    Scabies
  18. When lesions spread to the area innervatd by the opthalmic division of the trigeminal nerve may develop what
    Herpes Zoster Opthalmicus
  19. 5 I's of utecaria
    • Ingestion
    • Inhalants
    • Injections
    • Infections
    • Internal disease
  20. What disease arise from epithelial cells, may develop in normal tissue, in prexisting Actinc Keratosis, a patch of lukoplakia or in burn scars
    Squamous cell carcinoma
  21. What is a cluster of furnicles with a spread of infection subcutaneously resulting in deep suppuration, often extensive local sloughing, slow healing and a large scar
    A Carbuncile
  22. What is mild superficial Malassezia fur fur (pityrosporum orbiculare) infections of the skin (usually on the trunk)
    Tinea versicolor
  23. an extensive disease of intolerable itching and is usually treatment with epinephrin
    Uticaria
  24. what type of surgery should be used to treat recurrence of squamous cell carcinoma
    Mohs surgery
  25. The goal in tx of this disease process of this disease is aimed at eliciting an immune response to hpv
    Verrucae
  26. What is the tx of choice for head lice
    • permethrin 1% cream rinse (nix)
    • topical OTC pediculide and ovicide
    • applied to scalp 10-30 min rinse
    • tx repeated in 1 week if needed
  27. To remove clavus (corns) and callus what isthe tx of choice
    • 17% salicylic acid in collidon
    • 40% salicylic acid plaster
  28. What cons\dition lacks a central plug and associated dermal changes and has a more even appearance
    calluse
  29. What is diffused spreading of infection of the dermis and subcutaneous tissue
    Cellulitis
  30. What is a common, benign chronic inflamatory skin disease with a genetic basis and characteristacally involves the scalp, extensor surfaces of the extremities, nails, eyebrows axilla or aniogenital regioons
    Psoriasis
  31. Complete loss of scalp hair
    Alopecia Areata
  32. These are benign plaques, beige to brown or even black, 3-20 mm in diameter with velvety or wayery surface
    Seborrheic keratoses
  33. What is the tx of choice in dealing with bacterial folliculitis of a limited area
    2% mupirocin
  34. What type of warts are smooth, flat, yellow-brown lesions occur more commonly in children and young adults on the face and along scratch marks through autoinoculation
    flat warts
  35. what folliculitis is caused by psuedomonas aeruginosa
    Hot tub folliculitis

  36. What are differential diagnoses for Tinea versicolor?
    • - Vitiligo
    • – No scaling asscoiated
    • - Deriorificial Dermatitis - Pityriasis Rosea

  37. What is an acute or chronic bacterial/fungal infection of the proximal and lateral nail fold tissues?
    Paronychia: Acute or chronic bacterial or fungal infections of the proximal and lateral nail fold tissues (periungual tissues).
  38. What
    are
    circumscribed
    areas
    of
    hyperkeratosis,
    caused
    by
    intermittent
    friction,
    pressure
    and
    repeated
    trauma?
    • - CLAVUS (CORNS) AND CALLUSES
    • Calluses and corns are circumscribed areas of hyperkeratosis
  39. 10.

    Which
    tumor
    arises
    in
    pigmented
    areas
    of
    skin,
    mucous
    membranes,
    eye
    and
    CNS?
    MALIGNANT MELANOMA
  40. pink-to-red papulosquamous annular lesions have raised borders, expand peripherally, and tend to clear centrally Variant form appears as nummular scaling patches studded with small papules or pustules
    TINEA CORPORIS:
  41. A recurrent viral infection characterized by the appearance on the skin or mucous membranes of single or multiple clusters of small vesicles, filled with clear fluid, on slightly raised inflammatory bases.
    HERPES SIMPLEX VIRUS (HSV
  42. what are premalignant small papules 0.2 to 0.6 cm, flesh-colored, pink, or slightly hyper- pigmented. - They feel like sandpaper and are tender when the finger
    is drawn over them.
    ACTINIC KERATOSES
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    • MALIGNANT MELANOMA

  44. This condition is
    caused by Pseudomonas Aeruginosa, and is characterized by pruritic or
    tender follicular/pustular lesions occurring 1-4 days after bathing in a
    hot tub, whirlpool or public swimming pool?
    • FOLLICULITIS / “Hot tub Folliculitis


  45. What is a parasitic
    infestation
    of the skin of the scalp, trunk or pubic areas


    PEDICULOSIS


  46. This is a common,
    chronic, recurrent disease characterized by a combination of red
    papules/plaques dry, well-circumscribed (sharply demarcated), silvery, shiny
    scaling
    of various sizes?


    PSORIASIS




  47. What condition
    is of an unknown etiology and is an uncommon, pruritic, inflammatory papulosquamous
    disorder of the skin and mucous membranes?




    LICHEN PLANUS
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    • -

    • Seborrheic type
    • -

    • Inflammatory Tinea Capitis (Kerion).
    • -

    • “Black Dot” pattern
    • -

    • Pustular Type
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    LICHEN PLANUS
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    PSORIASIS
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    ACTINIC KERATOSES

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