SOLUTIONS RATED A+
✔✔What medication can be used for itching caused by atopic dermatitis? -
✔✔Antihistamines.
✔✔What medication can be used for inflammation caused by atopic dermatitis? -
✔✔Topical corticosteroids.
✔✔What is important to know about treating atopic dermatitis? - ✔✔Treatment should
be individualized based on severity and location of lesions.
✔✔What is the prognosis for atopic dermatitis? - ✔✔Most cases improve with age.
✔✔Eczema triggers - ✔✔Stress, environmental triggers, temperature extremes, contact
with irritant, skin conditions or infections
✔✔Main feature of eczema - ✔✔Disturbance of epidermal-barrier function that
culminates in dry skin. S. aureus and its inflammatory products are also believed to play
a role
✔✔Cardinal sign of eczema - ✔✔Severe pruritis
✔✔Distribution of eczema in infants - ✔✔Cheeks, face, upper extremities
✔✔Distribution of eczema in older children/adults - ✔✔Flexural distribution (neck
area/AC fossa). Symmetrical lesions: crusting and excoriated. Early papulovesicular:
erythematous, edematous, and weeping. Later: Lichenification/scaling typical.
Secondary infection or superinfection may be present
✔✔Risk factors for basal and squamous cell carcinomas - ✔✔Intense sun exposure, UV
radiation during childhood and adolescence, decreased immune system
✔✔Diagnostic tests for carpal tunnel - ✔✔Tinel's and Phalen's signs, EMG and nerve
conduction studies for definitive diagnosis
✔✔Diagnostic imaging for lower back pain - ✔✔MRI or CT (not the most inexpensive
test)
✔✔Greatest risk factor for melanoma - ✔✔UV radiation from sunlight or tanning lamps
and beds, fair skin, hx of sunburn, living closer to the equator, accumulation of 3 or
more risk factors (blond or red hair, positive family hx for cancer, immunosuppressive
disorders such as HIV or AIDs, freckling on the upper back, hx of blistering sunburns
before age 20, outdoor summer jobs for more than 3 teenage years, presence of
, multiple nevi or atypical nevi especially presence of large number of nevi on person >
50 years old)
✔✔Risk factors for carpal tunnel syndrome - ✔✔Women 3X more likely, age 40-60
years, pregnancy, occupational hazard, recent trauma to hand, wrist, or elbow, DJD,
Ganglion cyst, Fibromyalgia
✔✔What are some activities that can cause median nerve dysfunction? - ✔✔Repetitive
movements or use of vibratory tools
✔✔What is a PMH that might compromise median nerve function? - ✔✔Pregnancy
✔✔How is fibromyalgia diagnosed? - ✔✔No specific test. Rule out other diagnoses with
CBC, ESR, muscle enzymes, TSH, and Rheumatoid factor
✔✔What is fibromyalgia? - ✔✔Chronic disorder with diffuse muscle pain, fatigue, and
tender points
✔✔What is the etiology of fibromyalgia? - ✔✔Unknown
✔✔What are the most common symptoms of fibromyalgia? - ✔✔Musculoskeletal pain,
sleep disturbances, and fatigue
✔✔What are some other symptoms of fibromyalgia? - ✔✔Swelling, stiffness, H/A,
paresthesias, sensitivity to temperature, dyspnea, chest pain, night sweats, visual
problems, dizziness, painful menses, GI complaints, memory impairment, anxiety, and
depression
✔✔Can fibromyalgia cause functional disability? - ✔✔Yes
✔✔What are some treatments for fibromyalgia? - ✔✔Exercise, pharmacological
treatment (Amitriptyline, Ambien, Prozac, Flexeril, Zanaflex, Tramadol, and
Gabapentin), massage therapy, and acupuncture. Narcotics only for severe pain;
NSAIDs not effective.
✔✔What recommendations would you give for musculoskeletal back pain that interferes
with sleep? - ✔✔N/A
✔✔What is the treatment for a grade III sprain? - ✔✔Refer to orthopedist
✔✔What is the initial treatment for a sprain? - ✔✔PRICE therapy (protection, rest, ice,
compression, elevation) and NSAIDs for pain (Motrin 400 mg q 4-6 hours)
✔✔What is the functional rehabilitation for a sprain? - ✔✔N/A