POD MED - Exam 3 Questions and Answers Latest Update 2025-2026
What are the clinical signs and symptoms of acute eczema? - Answers erythema
burning
pruritus
edema
What are the clinical signs and symptoms of chronic eczema? - Answers crusts (erythema
subsides)
skin thickens forming plaques
hyperkeratosis (fissuring, lichenification, scaling)
pigmentation changes
how does hypersensitivity reactions begin in Allergic CD pathogenesis? - Answers langerhans
cells process particulate antigen, presents to naive T lymphocytes in lymph nodes, CD4 and CD8
sensitized T-lymphocytes, produced and released into the circulation
how long does sensitization process take? - Answers 10 to 14 days
what do you want to avoid using when trying to prevent contact dermatitis? - Answers tincture
of benzoin (skin adherents)
what are contributing factors for a latex glove allergy - Answers friction, irritation from repeated
moisture build up under gloves, drying after removing the gloves can be contributing factors
About ankles, legs and feet; presents with pruritus, erythema (evolves into papules, excoriations
and plaques), can become secondarily infected - Answers Acute asteotic eczema
diffuse chronic eczematous dermatitis about ankles, legs and feet; brown discoloration, low
humidity and high ambient temperature exacerbates - Answers chronic asteotic eczema
what would some topical agents be used to treat asteotic eczema? - Answers topical steroid for
pruritus and erythema
what are the low potency steroid for treatment of asteotic eczema? - Answers 1%
hydrocortisone cream/lotion
what is the mid potency steroid for treatment of asteotic eczema? - Answers 0.25%
desoximetasone
what are some non-topical agents that a patient could do in order to treat asteotic eczema? -
Answers humidify air and lower temperature
,daily emollient applications immediately after bathing
reduce frequency of bathing
what are some daily applicaitons of OTC or Rx topical agents for treating asteotic eczema? -
Answers Lacticare HC lotion
Lac-Hydrin cream (ammonium lactate 12%) lotion Rx or amilactin OTC
Carmol-10 cream (urea 10%)
Lactinol cream (lactic acid 10%)
Eucerin lotion/cream (water and petrolatum)
what is the topical corticoteroid that we use to get the red out, to stop itch, to block an immune
reaction? - Answers triamcinolone acetonide 0.5% ointment
what would cause atopic eczema? - Answers genetic sensitivity, hay fever, rashes
what would cause contact dermatitis? - Answers shoes, rhus, meds
what would cause nummular dermatitis? - Answers circular plaques, legs, trunk
What would cause hyshidrotic eczema? - Answers stress, sweating, intense itching
what is the diagnostic critera for atopic dermatitis? - Answers pruritic skin
skin crease involvement
flexural surfaces
personal or family history of asthma or hay fever
presence of generally dry skin within the past year
symptoms before age 2 or children <4 years, cheek dermatitis dorsal aspect of the extremities
Which stage of eczematous inflammation is associated with primary and secondary lesions
that appear as vesicles, blisters, or have intense redness? - Answers acute stage
Which stage of eczematous inflammation is associated with symptoms such as slight to
moderate itch, pain, stinging or burning? - Answers subacute stage
patient presents with small vesicles on their lateral fingers what would this be? - Answers
dyshidrotic eczema
What are venous ulcers usually associated with? - Answers venous insufficiency, varicose veins,
and chronic ankle edema
, relatively non-painful medial ankle ulcer - Answers venous ulcers
patients with a venous ulcer will most likely have a previous history of - Answers deep venous
thrombus, phlebitis, postpartum "milk leg"
where are venous ulcers often localized to? - Answers three finger breadths above the medial
malleolus
what is the pathogenesis behind venous ulcers? - Answers incompetent deep perforator vein
due to valvular damage
what are the treatments for venous ulcers? - Answers R/o DVT and cellulitis
rest, elevation, oral AB
Wound care: NSS cleaning, TAO, sterile gauze
Weekly Unna boots
what is a unna boot - Answers paste bandage with zinc oxide infused in it
webril cotton layer
coban/elastoplast
what are some contraindications to compression? - Answers Severe peripheral artery disease
confirm ulcer due to chronic venous insufficiency rather than ischemia, or of mixed origin
ABI if not palpable pulses (<0.9 but >0.6 caution in moderate PAD)
Acute cellulitis
what are the indications for OTC compression stockings? - Answers asymptomatic individuals
as needed for comfort
what are the indications for class 1 compression stockings and what is the pressure range? -
Answers minor varicosities, tired aching legs; minor ankle, leg or foot swelling
pressure: 15-20 mmHg
what are the indications for a class II compression stocking and what is the pressure range? -
Answers moderate to severe varicosities, moderate swelling, phlebitis, following vein ablation
Pressure: 20-30 mmHg
what are the indications for class III compression stocking and what is the pressure range? -
Answers severe varicosities, severe swelling, management of active ulceration, following DVT,
post-surgery
What are the clinical signs and symptoms of acute eczema? - Answers erythema
burning
pruritus
edema
What are the clinical signs and symptoms of chronic eczema? - Answers crusts (erythema
subsides)
skin thickens forming plaques
hyperkeratosis (fissuring, lichenification, scaling)
pigmentation changes
how does hypersensitivity reactions begin in Allergic CD pathogenesis? - Answers langerhans
cells process particulate antigen, presents to naive T lymphocytes in lymph nodes, CD4 and CD8
sensitized T-lymphocytes, produced and released into the circulation
how long does sensitization process take? - Answers 10 to 14 days
what do you want to avoid using when trying to prevent contact dermatitis? - Answers tincture
of benzoin (skin adherents)
what are contributing factors for a latex glove allergy - Answers friction, irritation from repeated
moisture build up under gloves, drying after removing the gloves can be contributing factors
About ankles, legs and feet; presents with pruritus, erythema (evolves into papules, excoriations
and plaques), can become secondarily infected - Answers Acute asteotic eczema
diffuse chronic eczematous dermatitis about ankles, legs and feet; brown discoloration, low
humidity and high ambient temperature exacerbates - Answers chronic asteotic eczema
what would some topical agents be used to treat asteotic eczema? - Answers topical steroid for
pruritus and erythema
what are the low potency steroid for treatment of asteotic eczema? - Answers 1%
hydrocortisone cream/lotion
what is the mid potency steroid for treatment of asteotic eczema? - Answers 0.25%
desoximetasone
what are some non-topical agents that a patient could do in order to treat asteotic eczema? -
Answers humidify air and lower temperature
,daily emollient applications immediately after bathing
reduce frequency of bathing
what are some daily applicaitons of OTC or Rx topical agents for treating asteotic eczema? -
Answers Lacticare HC lotion
Lac-Hydrin cream (ammonium lactate 12%) lotion Rx or amilactin OTC
Carmol-10 cream (urea 10%)
Lactinol cream (lactic acid 10%)
Eucerin lotion/cream (water and petrolatum)
what is the topical corticoteroid that we use to get the red out, to stop itch, to block an immune
reaction? - Answers triamcinolone acetonide 0.5% ointment
what would cause atopic eczema? - Answers genetic sensitivity, hay fever, rashes
what would cause contact dermatitis? - Answers shoes, rhus, meds
what would cause nummular dermatitis? - Answers circular plaques, legs, trunk
What would cause hyshidrotic eczema? - Answers stress, sweating, intense itching
what is the diagnostic critera for atopic dermatitis? - Answers pruritic skin
skin crease involvement
flexural surfaces
personal or family history of asthma or hay fever
presence of generally dry skin within the past year
symptoms before age 2 or children <4 years, cheek dermatitis dorsal aspect of the extremities
Which stage of eczematous inflammation is associated with primary and secondary lesions
that appear as vesicles, blisters, or have intense redness? - Answers acute stage
Which stage of eczematous inflammation is associated with symptoms such as slight to
moderate itch, pain, stinging or burning? - Answers subacute stage
patient presents with small vesicles on their lateral fingers what would this be? - Answers
dyshidrotic eczema
What are venous ulcers usually associated with? - Answers venous insufficiency, varicose veins,
and chronic ankle edema
, relatively non-painful medial ankle ulcer - Answers venous ulcers
patients with a venous ulcer will most likely have a previous history of - Answers deep venous
thrombus, phlebitis, postpartum "milk leg"
where are venous ulcers often localized to? - Answers three finger breadths above the medial
malleolus
what is the pathogenesis behind venous ulcers? - Answers incompetent deep perforator vein
due to valvular damage
what are the treatments for venous ulcers? - Answers R/o DVT and cellulitis
rest, elevation, oral AB
Wound care: NSS cleaning, TAO, sterile gauze
Weekly Unna boots
what is a unna boot - Answers paste bandage with zinc oxide infused in it
webril cotton layer
coban/elastoplast
what are some contraindications to compression? - Answers Severe peripheral artery disease
confirm ulcer due to chronic venous insufficiency rather than ischemia, or of mixed origin
ABI if not palpable pulses (<0.9 but >0.6 caution in moderate PAD)
Acute cellulitis
what are the indications for OTC compression stockings? - Answers asymptomatic individuals
as needed for comfort
what are the indications for class 1 compression stockings and what is the pressure range? -
Answers minor varicosities, tired aching legs; minor ankle, leg or foot swelling
pressure: 15-20 mmHg
what are the indications for a class II compression stocking and what is the pressure range? -
Answers moderate to severe varicosities, moderate swelling, phlebitis, following vein ablation
Pressure: 20-30 mmHg
what are the indications for class III compression stocking and what is the pressure range? -
Answers severe varicosities, severe swelling, management of active ulceration, following DVT,
post-surgery
