SARAH MICHELLE CRASH STUDY GUIDE EXAM QUESTIONS
WITH ANSWERS 2025/2026 GRADED A+
Basal Cell Carcinoma - Most comnmon skin cancer
Telangiectasias= visible blood vessels across the lesion
Shiny, waxy, or pearly in nature
BIOPSY & REFER to DERM
Eczema - Extremely PRURITIC
commonly found on flexor surfaces
TXT: emollients & Topical steroids
Atopic dermatitis, Asthma & Allergies
Plaque Psoriasis - Thick Silvery Scales
Auspitz Sign- when the plaques are scratched pinpoint bleeding occurs
Koebner's phenomenon- Trauma to skin leads to plaque forming
TXT: topical steroids & Cole Tar & Refer to Dermatology
Contact Dermatitis - Linear distribution
TXT: topical steroids & avoid irritant
Shingles - Across the dermatome
Vascular & burning & tingling at the site prior to rash
TXT: Acyclovir (CHEAPER)/Valcyclovir
Anywhere close to the eyes- refer to ophthalmology b/c risk for permanent corneal
scaring & blindness
Shingrex- can be given no matter when the last outbreak was b/c inactivated also give
at 50 years old
Zosyvax- old vaccine & off the market
Stage 1 pressure injury - red does not blanch
no breaks in the skin
TXT: foam dressings
Unstageable pressure injury - can not see the depth of the wound bed because of the
presents of a sloth
Eschar on the heel - typically seen with diabetics
if it is stable with no signs of infections it should not be removed or soaked by the
patient
Scabies - between fingers & ties intently pruritic & everyone in the house has same
symptoms
TXT: permethrin cream & wash everything in hot water usually have to treat twice to get
rid of it effectively
,Chicken Pox - Lesions in various stages of healing
Varicella Vaccine- LIVE must be 12 months of age
Can return to school when all of the lesions are crusted over
Head Lice - Pruitis all throughout the day and night
TXT: permethrin- only kills live lice therefore the nits (eggs) must be combed out. may
need 2 treatments. wash bedding & other items in hot water
Molluscum Contagiosum - If located in the groin area- possible sexual abuse
Impregnated or dimple lesion
highly contagious
TXT: self-limiting takes a few months
Anthrax - Cattle Farmer
ulcerated & black lesion that is painless
TXT: CIPRO for at least 2 months. also treated with tetracycline- doxycycline
Hidradenitis Suppurativia - Recurrent issue- not due to hygiene more linked to genetics
risk factors- smoking & obesity
abscess in the axilla
TXT: I&D & wound culture
Mild= warm compresses and ABX- long term
Folliculitis - infection of the hair follicles
TXT: topical mupirocin
Severe- oral ABX penicillin or Keflex
Rosacea - Erythematous facial rash that does NOT spare the nose
TXT: topical flatly gel
Lupus - Erythematous facial rash that DOES spare the nasolabial folds (MALOR RASH)
Sjogren's Syndrome - Very dry eyes & mouth
commonly seen in Lupus
Erysipelas - Sharply defined with well-defined borders
superficial cellulitis
TXT: Keflex or Penicillin
Purulent Cellulitis - Possible MRSA
Bactrim
Clindamyacin
Doxycline
Non-Purulent Cellulitis - Erythematous angry looking swollen
TXT: Keflex or PCN
,Geographical tongue - BENIGN
caused by spicy & hot foods
Leukoplakia - can not scrape off of tongue
refer to dentists
commonly seen with HIV
Candidiasis - Can scrape off of tongue
Rubeola - Measles
starts with a fever, cough, congestion (Coryza) & conjunctivitis (pink watery eyes)- 10
days after exposure
rash on day 15 when fever breaks
Koplic Spots- mouth tiny sand grains surrounded by erythematous base on the buccal
mucosa (2-3 days after symptoms)
contagious airborne- 1 week after exposure 304 days before rash & 3-4 days after rash
causes PNA & encephalitis
TXT: antpyretics, hydration & rest (days 22-24 rash resolves along w/ measles)
MMR at 12 months & 4 yrs- LIVE vaccine
Mumps - Parotid gland swelling (bulimia can cause this too from repetitive vomiting)
Rubella - German measles
Rash- pink & starts on face and spreads to rest of the body
fever, swollen cervical lymph nodes
TXT: hydration, rest, Tylenol & Motrin
Contagious- do not want pregnant women to catch- fetus= birth defects or miscarriage
most worrisome 1st trimester
Roseola - 6th disease
high fever- 103, irritable, fussy, fever breaks on day 3-4 and rash appears (rose pink
papules starts on the trunk and blanches, spreads to neck, arms, face, & legs)
cervical adenothopy
herpes virus
no longer contagious when rash appears
TXT: symptomatic
5th disease - Erythema infectious
mild cold symptoms for 1 week then red rash on cheeks (SLAPPED CHEEK) with Lacey
rash on the body that may be itchy especially the feet
parvovirus B19
No longer contagious when rash appears
Pregnant women- 1/2 are already immune but can cause severe anemia in the fetus-
draw a titer to check immunity
TXT: symptomatic
, Hand, Foot & Mouth Disease - Fever for 1-2 days with sore throat then painful sores
around the front of the mouth then vesicular rash to palm or hands and soles of feet
skin may peel with rash
COXSACKIE virus
TXT: symptomatic
Tinea - Annular Lesion
TXT: Antifungal cream- Fluconazole
Tinea Capitous - head
Tinea Barbae - Beard
Tinea Cruris - Groin
Tinea Pedis - Foot
Tinea Versicolor - All over the body
Enterobiasis - Pinworms
Intensely pruritic at night
scotch tape test early in the morning
TXT: Mebendazole or Albendizole
TXT for Dog Bites - Augmentin
Lichen Planus - inflammatory skin condition commonly seen with ulcerative colitis,
vitiligo, & myasthenia gravis
can also be caused by stress & infection
seen on the flexor surface of the limbs but can be on the mouth & genitals too
carries in presentations
skin= reddish-purple flat top itchy bump
MM= Lacey white appearance
Self-liming resolves in 3 to 6 months
Milld= pink w/ flat top bumps- topical steroids & antihistamines
Purple= healed and does not need steroids
Lichen Sclerosus - Always white in appearance and primarily found on the genitalia
seen in postmenopausal women's vulva b.c of overactive immune system
itchy & causes painful sex & bleeding
TXT: reoccurent topical steroids
at risk for SQUAMOUS CELL CARCINOMA
Licen Simplex Chronicus - Lichenification
WITH ANSWERS 2025/2026 GRADED A+
Basal Cell Carcinoma - Most comnmon skin cancer
Telangiectasias= visible blood vessels across the lesion
Shiny, waxy, or pearly in nature
BIOPSY & REFER to DERM
Eczema - Extremely PRURITIC
commonly found on flexor surfaces
TXT: emollients & Topical steroids
Atopic dermatitis, Asthma & Allergies
Plaque Psoriasis - Thick Silvery Scales
Auspitz Sign- when the plaques are scratched pinpoint bleeding occurs
Koebner's phenomenon- Trauma to skin leads to plaque forming
TXT: topical steroids & Cole Tar & Refer to Dermatology
Contact Dermatitis - Linear distribution
TXT: topical steroids & avoid irritant
Shingles - Across the dermatome
Vascular & burning & tingling at the site prior to rash
TXT: Acyclovir (CHEAPER)/Valcyclovir
Anywhere close to the eyes- refer to ophthalmology b/c risk for permanent corneal
scaring & blindness
Shingrex- can be given no matter when the last outbreak was b/c inactivated also give
at 50 years old
Zosyvax- old vaccine & off the market
Stage 1 pressure injury - red does not blanch
no breaks in the skin
TXT: foam dressings
Unstageable pressure injury - can not see the depth of the wound bed because of the
presents of a sloth
Eschar on the heel - typically seen with diabetics
if it is stable with no signs of infections it should not be removed or soaked by the
patient
Scabies - between fingers & ties intently pruritic & everyone in the house has same
symptoms
TXT: permethrin cream & wash everything in hot water usually have to treat twice to get
rid of it effectively
,Chicken Pox - Lesions in various stages of healing
Varicella Vaccine- LIVE must be 12 months of age
Can return to school when all of the lesions are crusted over
Head Lice - Pruitis all throughout the day and night
TXT: permethrin- only kills live lice therefore the nits (eggs) must be combed out. may
need 2 treatments. wash bedding & other items in hot water
Molluscum Contagiosum - If located in the groin area- possible sexual abuse
Impregnated or dimple lesion
highly contagious
TXT: self-limiting takes a few months
Anthrax - Cattle Farmer
ulcerated & black lesion that is painless
TXT: CIPRO for at least 2 months. also treated with tetracycline- doxycycline
Hidradenitis Suppurativia - Recurrent issue- not due to hygiene more linked to genetics
risk factors- smoking & obesity
abscess in the axilla
TXT: I&D & wound culture
Mild= warm compresses and ABX- long term
Folliculitis - infection of the hair follicles
TXT: topical mupirocin
Severe- oral ABX penicillin or Keflex
Rosacea - Erythematous facial rash that does NOT spare the nose
TXT: topical flatly gel
Lupus - Erythematous facial rash that DOES spare the nasolabial folds (MALOR RASH)
Sjogren's Syndrome - Very dry eyes & mouth
commonly seen in Lupus
Erysipelas - Sharply defined with well-defined borders
superficial cellulitis
TXT: Keflex or Penicillin
Purulent Cellulitis - Possible MRSA
Bactrim
Clindamyacin
Doxycline
Non-Purulent Cellulitis - Erythematous angry looking swollen
TXT: Keflex or PCN
,Geographical tongue - BENIGN
caused by spicy & hot foods
Leukoplakia - can not scrape off of tongue
refer to dentists
commonly seen with HIV
Candidiasis - Can scrape off of tongue
Rubeola - Measles
starts with a fever, cough, congestion (Coryza) & conjunctivitis (pink watery eyes)- 10
days after exposure
rash on day 15 when fever breaks
Koplic Spots- mouth tiny sand grains surrounded by erythematous base on the buccal
mucosa (2-3 days after symptoms)
contagious airborne- 1 week after exposure 304 days before rash & 3-4 days after rash
causes PNA & encephalitis
TXT: antpyretics, hydration & rest (days 22-24 rash resolves along w/ measles)
MMR at 12 months & 4 yrs- LIVE vaccine
Mumps - Parotid gland swelling (bulimia can cause this too from repetitive vomiting)
Rubella - German measles
Rash- pink & starts on face and spreads to rest of the body
fever, swollen cervical lymph nodes
TXT: hydration, rest, Tylenol & Motrin
Contagious- do not want pregnant women to catch- fetus= birth defects or miscarriage
most worrisome 1st trimester
Roseola - 6th disease
high fever- 103, irritable, fussy, fever breaks on day 3-4 and rash appears (rose pink
papules starts on the trunk and blanches, spreads to neck, arms, face, & legs)
cervical adenothopy
herpes virus
no longer contagious when rash appears
TXT: symptomatic
5th disease - Erythema infectious
mild cold symptoms for 1 week then red rash on cheeks (SLAPPED CHEEK) with Lacey
rash on the body that may be itchy especially the feet
parvovirus B19
No longer contagious when rash appears
Pregnant women- 1/2 are already immune but can cause severe anemia in the fetus-
draw a titer to check immunity
TXT: symptomatic
, Hand, Foot & Mouth Disease - Fever for 1-2 days with sore throat then painful sores
around the front of the mouth then vesicular rash to palm or hands and soles of feet
skin may peel with rash
COXSACKIE virus
TXT: symptomatic
Tinea - Annular Lesion
TXT: Antifungal cream- Fluconazole
Tinea Capitous - head
Tinea Barbae - Beard
Tinea Cruris - Groin
Tinea Pedis - Foot
Tinea Versicolor - All over the body
Enterobiasis - Pinworms
Intensely pruritic at night
scotch tape test early in the morning
TXT: Mebendazole or Albendizole
TXT for Dog Bites - Augmentin
Lichen Planus - inflammatory skin condition commonly seen with ulcerative colitis,
vitiligo, & myasthenia gravis
can also be caused by stress & infection
seen on the flexor surface of the limbs but can be on the mouth & genitals too
carries in presentations
skin= reddish-purple flat top itchy bump
MM= Lacey white appearance
Self-liming resolves in 3 to 6 months
Milld= pink w/ flat top bumps- topical steroids & antihistamines
Purple= healed and does not need steroids
Lichen Sclerosus - Always white in appearance and primarily found on the genitalia
seen in postmenopausal women's vulva b.c of overactive immune system
itchy & causes painful sex & bleeding
TXT: reoccurent topical steroids
at risk for SQUAMOUS CELL CARCINOMA
Licen Simplex Chronicus - Lichenification
