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Exam (elaborations)

Sarah Michelle Aanp Board Exam Enhanced Study Reference

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SARAH MICHELLE AANP BOARD EXAM ENHANCED STUDY REFERENCE

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SARAH MICHELLE AANP BOARD EXAM
ENHANCED STUDY REFERENCE
©Rocky Mountain Spotted Fever Presentation - Rash on palms of hands
and soles of feet pops up after 3-5 days of initial treatment


©Lyme Disease Presentation - Bulls eye rash


©Lyme Disease Alternative Name - Erythema migrans


©Lyme Disease Treatment for over 8 years old - Doxycycline


©Lyme Disease Treatment for less than 8 years old - Amoxicillin


©Aphthous Stomatitis vs Herpes - Aphthous Stomatitis: kanker sore
inside the mouth; Herpes: painful clustered vesicles located outside the
mouth


©Herpes Treatment - Antivirals with 48-72 hours, Valtrex or Acyclovir


©Impetigo Causes - Staph aureus & strep pyogenies


©Impetigo Presentation - Honey crusted lesions

,©Types of Impetigo Treatment - Bullous: PO antibiotics; Nonbullous:
mupirocin ointment


©Pityriasis Rosea Presentation - Christmas tree like pattern rash, Herald
Patch


©Pityriasis Rosea Treatment - Self limiting


©Rubeola Presentation - Cough, congestion, conjunctivitis (3 C's). 3-5
days after the 3 C's a rash appears (measles, rubella, Koplik spots)


©Rubeola Prevention - MMR vaccine after 12 months old (live vaccine)


©Mumps Presentation - Parotid gland swelling


©Sialolithiasis Definition - Salivary gland stone, Mass under chin when
eating


©Actinic Keratosis Presentation - Dry pink lesions on a sun exposed
area


©Actinic Keratosis Treatment - 5FU cream (topical chemo) and use
liquid nitrogen (cryotherapy)

,©Actinic Keratosis Complication - If left untreated, it can develop into
squamous cell carcinoma


©Squamous Cell Carcinoma Presentation - Slow growing scaly
ulcerated, bleeds easily


©Next Step if Squamous Cell CA is Suspected - Refer to dermatology


©ABCDEs of Melanoma - asymmetry, border, color, diameter >6 mm,
evolving


©Seborrheic Keratosis Lesions - No- they are benign


©Most Common Type of Skin Cancer - Basal cell carcinoma


©Basal Cell Carcinoma Presentation - Shiny, waxy, pearly; May see
telangiectasia with this


©Next Step if Basal Cell Carcinoma is Seen - Refer to derm


©Atopic Dermatitis Alternative Name - Eczema

, ©Eczema (Atopic Dermatitis) Presentation - Pruitic, itch scratch cycle.
Located on flexor surfaces (like back of knees, axilla, elbows)


©Eczema, atopic dermatitis - treatment - Topical corticosteroids


©3A's - Asthma, allergies, atopic dermatitis


©Plaque Psoriasis presentation - Silvery scales, itches


©Auspitz sign, psoriasis - Pinpoint bleeding after a scale is removed


©Koebner phenomenon - New psoriatic plaques form over areas of skin
trauma.


©Plaque psoriasis treatment - Topical steroids


©Contact dermatitis treatment - Avoid offending agents, corticosteroids


©Shingles presentation - Severe, piercing, burning, stabbing nerve pain
along a dermatome. Vesicular rash in same area appears a few days after
pain. Typically unilateral. Lesions last 3-5 days. Can spread to visceral
organs or ocular region.

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