Dermatology UPDATED ACTUAL Exam
Questions and CORRECT Answers
Dermatology Assessment: History - CORRECT ANSWER - Onset—A/W heat, cold,
exercise, exposures, travel, drugs, season, change in environment
Where initially; has it spread or changed?
Itch or hurt?
Treatment and response
Previous similar lesions, recurrent?
Other family members/contacts affected (sexual contact)
ROS—constitutional or prodromal symptoms
FH—skin conditions
Social history—hobbies, exposures
Types of Skin lesions - CORRECT ANSWER -
Dermatology Assessment: Physical Exam - CORRECT ANSWER - General appearance &
VS: sick or toxic
Skin:
Type of lesion—macule, papule, plaque, wheal, nodule, pustule, vesicle, crust, scaling, ulcer
Color
Margins
Palpation—indurated, fluctuant
Shape—round, annular, serpiginous
Arrangement—grouped, scattered
Distribution—characteristic, pattern
General PE—hair, nails, mucous membranes, lymph nodes, spleen, joints
Laboratory Tests in Dermatology - CORRECT ANSWER - Dermatopathology
,Direct microscopic examination (scale, skin, parasites)
Culture (bacterial, fungal, viral)
Blood
CBC
Chemistry profile
Serology
Wood's lamp
Green if tinea
Coral if erythrasma
Other tests: imaging; stool and urine evaluation; patch testing; biopsy
Topipcal Treatments - CORRECT ANSWER - Ointments: most potent, best for hairless
areas, lubricating, occlusive
Creams: 2nd most potent, hairless areas, easier to wash off
Lotions: 3rd most potent, good for moist & hairy areas, cooling effect
Solutions: drying to exudative lesions, hairy areas
Gel: oil-in-water with alcohol base, as therapeutic as ointment but with cosmetic advantage
Corticosteroids: low, medium, high, & ultra potency
Antifungals
Topical antibiotics
Compresses and soaks: Burow's solution, Aveeno
Rosacea - CORRECT ANSWER - 30-50 yr olds, female
Rhynophema in men
Episodic erythema in
response to increase skin
temp (sun, alcohol, foods)
Cheeks, chin, forehead;
, occurs in stages of erythema,
pustules, telangiectases.
No comedomes
Can involve eyes
Rosacea Treatment - CORRECT ANSWER - Prevention by avoidance of offending
factors (hot foods & liquids, etoh, emotional stress, sun)
Topical Metronidazole cream 0.75% or gel BID; or 1% cream daily
Systemic antibiotics for unremitting or severe:
TCN 1-1.5 g/day initially then taper or
Minocycline/Doxycyclin50-100mg BID
Accutane for severe disease. Requires Dermatologist referral for Rx due to toxicity
Acne Vulgaris - CORRECT ANSWER - Increased sebum prod.,
Propionibacterium acnes
Abnormal keratinization
and desquamation
Inflammatory response
Comedomes (open &
closed), pustules, papules
Nodules & cysts
Acne, hirsuitism, obesity
& amenorrhea PCOD
Assessment of Acne - CORRECT ANSWER - History:
OTC treatments,
Skin care—soaps, moisturizers, cosmetics
Medications—OCP's, corticosteroids, Lithium
Questions and CORRECT Answers
Dermatology Assessment: History - CORRECT ANSWER - Onset—A/W heat, cold,
exercise, exposures, travel, drugs, season, change in environment
Where initially; has it spread or changed?
Itch or hurt?
Treatment and response
Previous similar lesions, recurrent?
Other family members/contacts affected (sexual contact)
ROS—constitutional or prodromal symptoms
FH—skin conditions
Social history—hobbies, exposures
Types of Skin lesions - CORRECT ANSWER -
Dermatology Assessment: Physical Exam - CORRECT ANSWER - General appearance &
VS: sick or toxic
Skin:
Type of lesion—macule, papule, plaque, wheal, nodule, pustule, vesicle, crust, scaling, ulcer
Color
Margins
Palpation—indurated, fluctuant
Shape—round, annular, serpiginous
Arrangement—grouped, scattered
Distribution—characteristic, pattern
General PE—hair, nails, mucous membranes, lymph nodes, spleen, joints
Laboratory Tests in Dermatology - CORRECT ANSWER - Dermatopathology
,Direct microscopic examination (scale, skin, parasites)
Culture (bacterial, fungal, viral)
Blood
CBC
Chemistry profile
Serology
Wood's lamp
Green if tinea
Coral if erythrasma
Other tests: imaging; stool and urine evaluation; patch testing; biopsy
Topipcal Treatments - CORRECT ANSWER - Ointments: most potent, best for hairless
areas, lubricating, occlusive
Creams: 2nd most potent, hairless areas, easier to wash off
Lotions: 3rd most potent, good for moist & hairy areas, cooling effect
Solutions: drying to exudative lesions, hairy areas
Gel: oil-in-water with alcohol base, as therapeutic as ointment but with cosmetic advantage
Corticosteroids: low, medium, high, & ultra potency
Antifungals
Topical antibiotics
Compresses and soaks: Burow's solution, Aveeno
Rosacea - CORRECT ANSWER - 30-50 yr olds, female
Rhynophema in men
Episodic erythema in
response to increase skin
temp (sun, alcohol, foods)
Cheeks, chin, forehead;
, occurs in stages of erythema,
pustules, telangiectases.
No comedomes
Can involve eyes
Rosacea Treatment - CORRECT ANSWER - Prevention by avoidance of offending
factors (hot foods & liquids, etoh, emotional stress, sun)
Topical Metronidazole cream 0.75% or gel BID; or 1% cream daily
Systemic antibiotics for unremitting or severe:
TCN 1-1.5 g/day initially then taper or
Minocycline/Doxycyclin50-100mg BID
Accutane for severe disease. Requires Dermatologist referral for Rx due to toxicity
Acne Vulgaris - CORRECT ANSWER - Increased sebum prod.,
Propionibacterium acnes
Abnormal keratinization
and desquamation
Inflammatory response
Comedomes (open &
closed), pustules, papules
Nodules & cysts
Acne, hirsuitism, obesity
& amenorrhea PCOD
Assessment of Acne - CORRECT ANSWER - History:
OTC treatments,
Skin care—soaps, moisturizers, cosmetics
Medications—OCP's, corticosteroids, Lithium
