SARA MICHELLE'S CRASH
COURSE EXAM QUESTIONS AND
COMPLETE SOLUTIONS GRADED
A+
Your Exam Plug
,Aphthous Stomatitis - Answer: inside of the mouth
red base with white ulcer
topical relief
Herpes - Answer: outside of the mouth
painful clustered vesicles on an erythema base
antiviral- valtrex/acylovir within in 48 to 72 hours
Keratosis Pilaris - Answer: Chicken bumps
seen in children
most of the time will outgrow
rough patches small acne- like bumps from too much keratin blocking hair follicles
TXT: emollients & moisturizers
Impetigo - Answer: Honey crusted lesions
Strep Anginosus & Staph Aureus
Bolus= oral antibiotics
NonBolus= mupirocin/Bactroban ointment
Pityriasis Rosea - Answer: Distributed in Christmas tree pattern
starts with a herald patch
self-limiting
Brown recluse spider bite - Answer: bite becomes under and turns deep purple in color with a white
halo around it
may have systemic symptoms
Rocky Mountain Spotted Fever - Answer: Tic Bite
TXT: Doxycycline- even if pregnant
,rash 3-5 days after symptoms on palms of hands and soles of feet
North Carolina
Lyme Disease - Answer: Bulls-eye lesion (Erythema Migraines)
TXT: Doxycline
Amoxicillin if allergic
Sialolithiasis - Answer: mass under the chin while eating
salivary gland stone
Actinic keratosis - Answer: dry pink lesions on sun exposed areas
if left untreated may lead to CANCER- squamous cell carcinoma
TXT: 5-FU or cryotherapy
Squamous Cell Carcinoma - Answer: Slow-growing, scale, ulcerated & bleeds easily
DX: BIOPSY
REFER to dermatology
Cafe au Lait Spotsq - Answer: Benign & do not require interventions unless you have more that 8=
neurofibromatosis
Malignant Melanoma - Answer: Asymmetry
Border irregularity
Color
Diameter > 6mm
Evolving or Elevated above the skin
could also present as a dark spot under the nail that is not related to trauma
, Splinter hemorrhage - Answer: black lines under the nail not related to melanoma but caused by
endocarditis
Seborrheic Keratosis - Answer: Pasted on skin lesions
BENIGN- does not need to be removed
Basal Cell Carcinoma - Answer: Most comnmon skin cancer
Telangiectasias= visible blood vessels across the lesion
Shiny, waxy, or pearly in nature
BIOPSY & REFER to DERM
Eczema - Answer: Extremely PRURITIC
commonly found on flexor surfaces
TXT: emollients & Topical steroids
Atopic dermatitis, Asthma & Allergies
Plaque Psoriasis - Answer: 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 - Answer: Linear distribution
TXT: topical steroids & avoid irritant
Shingles - Answer: 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
COURSE EXAM QUESTIONS AND
COMPLETE SOLUTIONS GRADED
A+
Your Exam Plug
,Aphthous Stomatitis - Answer: inside of the mouth
red base with white ulcer
topical relief
Herpes - Answer: outside of the mouth
painful clustered vesicles on an erythema base
antiviral- valtrex/acylovir within in 48 to 72 hours
Keratosis Pilaris - Answer: Chicken bumps
seen in children
most of the time will outgrow
rough patches small acne- like bumps from too much keratin blocking hair follicles
TXT: emollients & moisturizers
Impetigo - Answer: Honey crusted lesions
Strep Anginosus & Staph Aureus
Bolus= oral antibiotics
NonBolus= mupirocin/Bactroban ointment
Pityriasis Rosea - Answer: Distributed in Christmas tree pattern
starts with a herald patch
self-limiting
Brown recluse spider bite - Answer: bite becomes under and turns deep purple in color with a white
halo around it
may have systemic symptoms
Rocky Mountain Spotted Fever - Answer: Tic Bite
TXT: Doxycycline- even if pregnant
,rash 3-5 days after symptoms on palms of hands and soles of feet
North Carolina
Lyme Disease - Answer: Bulls-eye lesion (Erythema Migraines)
TXT: Doxycline
Amoxicillin if allergic
Sialolithiasis - Answer: mass under the chin while eating
salivary gland stone
Actinic keratosis - Answer: dry pink lesions on sun exposed areas
if left untreated may lead to CANCER- squamous cell carcinoma
TXT: 5-FU or cryotherapy
Squamous Cell Carcinoma - Answer: Slow-growing, scale, ulcerated & bleeds easily
DX: BIOPSY
REFER to dermatology
Cafe au Lait Spotsq - Answer: Benign & do not require interventions unless you have more that 8=
neurofibromatosis
Malignant Melanoma - Answer: Asymmetry
Border irregularity
Color
Diameter > 6mm
Evolving or Elevated above the skin
could also present as a dark spot under the nail that is not related to trauma
, Splinter hemorrhage - Answer: black lines under the nail not related to melanoma but caused by
endocarditis
Seborrheic Keratosis - Answer: Pasted on skin lesions
BENIGN- does not need to be removed
Basal Cell Carcinoma - Answer: Most comnmon skin cancer
Telangiectasias= visible blood vessels across the lesion
Shiny, waxy, or pearly in nature
BIOPSY & REFER to DERM
Eczema - Answer: Extremely PRURITIC
commonly found on flexor surfaces
TXT: emollients & Topical steroids
Atopic dermatitis, Asthma & Allergies
Plaque Psoriasis - Answer: 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 - Answer: Linear distribution
TXT: topical steroids & avoid irritant
Shingles - Answer: 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
