Certification Exam QUESTIONS AND
VERIFIED CORRECT ANSWERS
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cellulitis - CORRECT ANSWER-most common causes: out patients strep ; inpatient: gram
negative (ecoli, klebsiels, psuedomonsa, enterbacter, staph aureus and strep
MRSA - CORRECT ANSWER-trimethoprm-sulfamethoxazole (bactrim); doxy, clindamycin
group a strep - CORRECT ANSWER-bactrim + beta lactam (PCN, amoxicillin , keflex) or
doxy/inocycline +beta lactam or clindamycin
erysipelas - CORRECT ANSWER-usually caused by strep, rapid progression of an erythematous,
warm indurated area (looks like sunburn,)
hidradenitis supparativa - CORRECT ANSWER-staph infection common in groin or axilla ; abscess
formation common
impetigo - CORRECT ANSWER-usually caused by staph, primary lesion is thin walled vesicle that
breaks easily and honey colored crust at edge; satelite lesions appear and spread to remote
areas of skin
paronychia - CORRECT ANSWER-staph around nail fold
,candida balanitis - CORRECT ANSWER-inflammation of superficial tissues of penile head caused
by candida albicans : managed by steroids, miconazole, clotrimazole or fluconazole
candida intertrigo - CORRECT ANSWER-irruption of the fold of skin in warm, moist body areas;
use drying agents like talc, cornstarch, topical antifungals, oral antifungals
tinea capitus - CORRECT ANSWER-dermatophyte infection of scalp caused by trichophyton;
managed with selenium shampoo, oral terbinafine, fluconanzole
tinea corporis - CORRECT ANSWER-dermatophyte infection caused by trichomphyton or
microsporum; managed with topical antifungals, severe axes systemic therapy ketoconazole
tinea curis - CORRECT ANSWER-jock itch. dermatophyte infection in groin (used topical agents
or oral antifungals)
tinea pedis - CORRECT ANSWER-athletes foot treat with miconazole or clotrimazole (pedis) or
aluminum sub acetate soaks
tinea unguium - CORRECT ANSWER-onychomycosis ( persistent fungal infection affecting the toe
nails and fingernails caused by dermatophytes. treated with oral antifungals
tinea vesicolor - CORRECT ANSWER-fungal infection of skin caused by yeast, treated with topical
selenium sulfide, topical antifungals
herpes zoster - CORRECT ANSWER-pain along dermatomal distribution, usually on trunk, may
be life threatening in immunocomprised individuals. grouped vesicles eruption of erythema and
exudate along the dermatomal pathway, regional lymphadenoapathy may be present.
zostavax - CORRECT ANSWER-approved 50> for prevention of shingles
, management of shingles pharmacological - CORRECT ANSWER-acyclovir, famciclovir,
valacyclovir
actinic keratosis - CORRECT ANSWER-small patches occurring on sun-exposed parts of the body.
Pre-malignant (1:1000) lesions progress to squamous cell carcinoma. systematic, small patches
may be tender, fought, flesh colored, pink and hyperpigmented
squamous cell carcinoma - CORRECT ANSWER-arise out of actinic keratoses; firm , irregular
papule or nodule, develop over few months 3-7% metastasize, prolonged sun-exposed areas in
fair skin people, keratitic, scaly bleeding
treatment of squamous cell carcinoma - CORRECT ANSWER-biopsy and surgical excision (MOHS)
seborrheic keratoses - CORRECT ANSWER-benign, not painful lesion, beigh, brown, or black
plaques, stuck on appearance, 3-20cm
basal cell carcinoma - CORRECT ANSWER-MOST common skin cancer; slow growing; grows 1-2
cm in years; waxy, pearly appearance (may be shiny red), central depression or rolled edge; may
have telangiectatic vessels
treatment of basal cell carcinoma - CORRECT ANSWER-shave/punch biopsy and surgical excision
malignant melanoma - CORRECT ANSWER-mortality rate highest of all skin cancers; mediate age
of diagnoses 40, may spread to any organ ABCDE
what does ABCDE - CORRECT ANSWER-asymmetry, border irregularity, color variation, diameter
>6cm, elevation, enlargement. treatment is biopsy and surgical excision