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1. Increasing fever, n/v, photophobia, myalgia, arthralgias... THEN 2-5 days
later you develop a petechial rash on forearms, ankles, wrists and then gen- eralized.
What condition, dx and treatment
Ans>> Rocky Mountain Spotted Fever Dx:PCR essay with Rickessetti antigen
Tx: Doxycycline
2. Target bulls-eye rash 7-14 days after deer tick bite. Rash is hot to touch and flu-like
symptoms. (stage 1 Lyme disease) What condition, dx, and treatment?-
Ans>>: Erythema Migraines
Dx: B Burgdorferi via ELISA, confirm with western blot Tx: <7-
Amoxicillin >7- Doxycycline
1/6
,3. Dark moles, uneven texture, different colors, irregular, over 6mm, could be itchy:
Ans>> Melanoma
4. Target or bulls-eye rash. Abruptly hives, blisters, petechiae, purpura, necro- sis, or
sloughing of tissues. Extensive mucosal involvement and fevers with flu-like
symptoms. What condition, triggers, and at risk
Ans>> Steven Johnson Syn- drome
Triggers: Allopurinol, anticonvulsants, pcn, sulfonamides, NSAIDS At risk: people
with HIV
5. Pruritic erythematous plaques, fine silvery white scales on scalps, elbows, knees,
sacrum. What condition and treatment
Ans>> Psoriasis
Tx: topical steroid
mild- Tar preps Severe- anti TNF
6. new psoriatic plaques form over skin trauma:
Ans>> Koebner phenomenon
2/6
, 7. pinpoint bleeding when plaques are removed:
Ans>> Auspitz
8. velvet hyperpigmented patches most common on back of neck or skin folds due to
DM resistance:
Ans>> acanthos nigricans
9. itching at bedtime. What condition and treatment
Ans>> Scabies
tx: Permethrin cream- treat everyone and wash sheets and everything in hot water
10. Extremely itchy, on flexural folds, neck, hands vesicles. IgE and leave painful red
weepy lesions when itched. What condition and treatment
Ans>> Atopic Dermatitis (eczema)
Tx: topical steroids, avoid hot water/soaps, PO antihistamines
11. ring like itchy rash, slowly enlarge central clearing. What condition and
treatment
Ans>> Tinea Corporis
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