Clin Med Final Exam UPDATED Exam
Questions and CORRECT Answers
Generalized Viligo - CORRECT ANSWER - Bi-lateral/symmetrical
All over the body
Acrofacial Vitiligo - CORRECT ANSWER - Distal extremities and face
Segmental Vitiligo - CORRECT ANSWER - Least common
Dermatomal Distribution
If you bx vitiligo, what will you get? - CORRECT ANSWER - Absence of melanocytes
If you bx albinism, what will you get? - CORRECT ANSWER - Melanocytes that are not
producing melanin
OCA 1 - CORRECT ANSWER - Most severe visual impairment
White hair/blue eyes
OCA 2 - CORRECT ANSWER - Most common albinism worldwide
May improve over time
Less severe visual impairment than OCA1
OCA 3 - CORRECT ANSWER - Copper/red skin and hair
Urticaria lasting <6 weeks is considered... - CORRECT ANSWER - Acute
Urticaria lasting >=6 weeks is considered... - CORRECT ANSWER - Chronic
, What is the classic description of urticaria? - CORRECT ANSWER - Circumscribed,
raised, erythematous, blanchable plaques
Where does erythema multiforme manifest? - CORRECT ANSWER - Palms/soles
Mucosal surfaces
What causes EM? - CORRECT ANSWER - Infection 90% of the time, especially HSV
Certain medications
EM Treatment - CORRECT ANSWER - Treat underlying cause (anti-virals for HSV)
Supportive care
Resolves in 2-6 weeks
What causes SJS and TEN? - CORRECT ANSWER - Drug reactions almost always
SJS more common/less severe than TEN
What medication is notorious for causing SJS? - CORRECT ANSWER - Bactrim
Clinical presentation of SJS/TEN - CORRECT ANSWER - Epidermal detachment
(desquamation)
<10% BSA indicates (SJS/TEN) - CORRECT ANSWER - SJS
>30% BSA indicates (SJS/TEN) - CORRECT ANSWER - TEN
Nikolsky Sign - CORRECT ANSWER - Indicates SJS/TEN
Rubbing skin causes separation of dermis and epidermis
Questions and CORRECT Answers
Generalized Viligo - CORRECT ANSWER - Bi-lateral/symmetrical
All over the body
Acrofacial Vitiligo - CORRECT ANSWER - Distal extremities and face
Segmental Vitiligo - CORRECT ANSWER - Least common
Dermatomal Distribution
If you bx vitiligo, what will you get? - CORRECT ANSWER - Absence of melanocytes
If you bx albinism, what will you get? - CORRECT ANSWER - Melanocytes that are not
producing melanin
OCA 1 - CORRECT ANSWER - Most severe visual impairment
White hair/blue eyes
OCA 2 - CORRECT ANSWER - Most common albinism worldwide
May improve over time
Less severe visual impairment than OCA1
OCA 3 - CORRECT ANSWER - Copper/red skin and hair
Urticaria lasting <6 weeks is considered... - CORRECT ANSWER - Acute
Urticaria lasting >=6 weeks is considered... - CORRECT ANSWER - Chronic
, What is the classic description of urticaria? - CORRECT ANSWER - Circumscribed,
raised, erythematous, blanchable plaques
Where does erythema multiforme manifest? - CORRECT ANSWER - Palms/soles
Mucosal surfaces
What causes EM? - CORRECT ANSWER - Infection 90% of the time, especially HSV
Certain medications
EM Treatment - CORRECT ANSWER - Treat underlying cause (anti-virals for HSV)
Supportive care
Resolves in 2-6 weeks
What causes SJS and TEN? - CORRECT ANSWER - Drug reactions almost always
SJS more common/less severe than TEN
What medication is notorious for causing SJS? - CORRECT ANSWER - Bactrim
Clinical presentation of SJS/TEN - CORRECT ANSWER - Epidermal detachment
(desquamation)
<10% BSA indicates (SJS/TEN) - CORRECT ANSWER - SJS
>30% BSA indicates (SJS/TEN) - CORRECT ANSWER - TEN
Nikolsky Sign - CORRECT ANSWER - Indicates SJS/TEN
Rubbing skin causes separation of dermis and epidermis
