SARAH MICHELLE CRASH PRACTICE QUESTIONS WITH
ANSWERS 2025/2026 GRADED A+
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
skin becomes leathery and rubbery in appearance due to repetitive scratching or
rubbing
seen w/ excema
TXT: topical steroids & antihistamines
#1 thing we do when a patient complains of an eye complaint? - Visual Acuity
what does 20/40 vision mean - they can see at 20 feet wet a normal person can see at
40 feet
amblyopia - a lazy eye
usually caused by strabismus
, what is considered legally blind - 20/200
What tests for color blindness - Ishihara test
Eye Cranial Nerves - CN2- optic= vision= Snellen chart
CN3- Oculomotor= focus
CN4- Trochlear= downward & inward movements
CN^- Abducens= outward movements
Fundoscopic exam - Retinal arteries are thinner & lighter in color than veins
want to see RED reflex
Funsoscopic HTN exam - Papilledema- swelling of the optic disk
we want to see sharp disk margins
AV nicking- artery cross a vein & it bulges
Copper wire arteries- arteries appear red or copper
Flame hemorrhages
Diabetes Fundoscopic Exam - Cotton wool spots- white to yellow fluffy patches seen on
the retina (underlying vascular insusfencies)
Blot hemorrhages
Microaneurysms
Neovascularization
Acute angle-closure glaucoma - Sudden severe eye pain, blurred vision, & feels firm to
the touch
TONOMATRY= increased intraocular pressure
REFER to ED b/c risk of permanent vision loss
Retinal Detachment - Feels like a curtain is being pulled over their eyes, sudden
appearance of floaters, flashes of light, blurred vision
REFER
Arcus senilus - Grey halo around eye
RUN a LIPID profile if seen with young
Xanthelasma - Cholesterol deposits around the eyes on the skin
Benign in elderly RUN a LIPID panel if YOUNG
Pterygium - Begine noncancerous overgrowth of the conjunctiva
eye redness & asymptomatic & CAN. in crouch into the cornea
Pinguecula - Does NOT in crouch into the cornea
Deposit of protein and fat in the conjunctiva
ANSWERS 2025/2026 GRADED A+
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
skin becomes leathery and rubbery in appearance due to repetitive scratching or
rubbing
seen w/ excema
TXT: topical steroids & antihistamines
#1 thing we do when a patient complains of an eye complaint? - Visual Acuity
what does 20/40 vision mean - they can see at 20 feet wet a normal person can see at
40 feet
amblyopia - a lazy eye
usually caused by strabismus
, what is considered legally blind - 20/200
What tests for color blindness - Ishihara test
Eye Cranial Nerves - CN2- optic= vision= Snellen chart
CN3- Oculomotor= focus
CN4- Trochlear= downward & inward movements
CN^- Abducens= outward movements
Fundoscopic exam - Retinal arteries are thinner & lighter in color than veins
want to see RED reflex
Funsoscopic HTN exam - Papilledema- swelling of the optic disk
we want to see sharp disk margins
AV nicking- artery cross a vein & it bulges
Copper wire arteries- arteries appear red or copper
Flame hemorrhages
Diabetes Fundoscopic Exam - Cotton wool spots- white to yellow fluffy patches seen on
the retina (underlying vascular insusfencies)
Blot hemorrhages
Microaneurysms
Neovascularization
Acute angle-closure glaucoma - Sudden severe eye pain, blurred vision, & feels firm to
the touch
TONOMATRY= increased intraocular pressure
REFER to ED b/c risk of permanent vision loss
Retinal Detachment - Feels like a curtain is being pulled over their eyes, sudden
appearance of floaters, flashes of light, blurred vision
REFER
Arcus senilus - Grey halo around eye
RUN a LIPID profile if seen with young
Xanthelasma - Cholesterol deposits around the eyes on the skin
Benign in elderly RUN a LIPID panel if YOUNG
Pterygium - Begine noncancerous overgrowth of the conjunctiva
eye redness & asymptomatic & CAN. in crouch into the cornea
Pinguecula - Does NOT in crouch into the cornea
Deposit of protein and fat in the conjunctiva
