Clin Med Cumulative Exam UPDATED
ACTUAL Exam Questions and CORRECT
Answers
- CORRECT ANSWER -
Pityriasis Rosea - CORRECT ANSWER - herald patch that turns salmon-colored plaques
along cleavage plane
may be asymptomatic and self-limited
Steroid use on face - CORRECT ANSWER - often not done
can make some condition worse
thin skin so if you do use then use weaker one
Stasis Dermatitis - CORRECT ANSWER - lower legs w/ chronic swelling causes rash
rash starts with simple discoloration that darkens, can become more severe
Seborrheic Dermatitis - CORRECT ANSWER - greasy yellow scales in folds, commonly
on face in nasolabial folds
Lichen simplex chronicus - CORRECT ANSWER - chronic itching and scratching
scratch-itch cycle
Primary vs secondary lesions - CORRECT ANSWER - primary is normal skin that
becomes a lesion
secondary is a lesion that changes or worsens
Define Macule, Papule, Vesicle, Nodule, Patch, Bulla, Plaque, Pustule, and Wheal - CORRECT
ANSWER - Macule- a nonraised small rash
,Papule- a raised small rash
Vesicle- fluid filled small rash
Nodule- a large raised rash
Patch- large flat rash
Bulla- large fluid filled rash
Plaque- a rash with inconsistent, rough raised portions, (think scatchy)
Pustule- a raised rash filled with pus
Wheal- hive
Define induration - CORRECT ANSWER - palpable thickness or hardness with indistinct
borders
Ecchymosis vs Purpura vs Petechiae - CORRECT ANSWER - basically hemorrhages that
vary in size (large to small)
Atopic Dermatitis - CORRECT ANSWER - Eczema
immune based and related to genetics
barrier problem
the itch that rashes, flexure surfaces
hydrate to treat, steroids for bad flares
Psoriasis - CORRECT ANSWER - erythematous lesions with silver plaques, nail pitting
and oncholysis
increased cell turnover and immature, build up of these cells
extensor surfaces
Koebner phenomena - CORRECT ANSWER - skin trauma from scratching may cause
new lesions
,Auspitz sign - CORRECT ANSWER - pinpoint bleeding after a scale is removed
(psoriasis)
Allergic contact dermatitis - CORRECT ANSWER - vesicles that weep
Urticaria - CORRECT ANSWER - hives
key is that it comes and goes over the course of hours, if a singular wheal last over 24 hours then
it isn't urticaria
Erythema Multiforme vs SJS vs TEN - CORRECT ANSWER - EM- mild drug reaction
SJS- more severe drug reaction, potentially life threatening <10% of skin involved
TEN- most severe drug reaction, life-threatening, >30% of skin involved
Folliculitis - CORRECT ANSWER - infection of hair follicle
there is a nonbacterial form (just irritated follicles)
Furuncle vs Carbuncle - CORRECT ANSWER - Furuncle- abscess or boil, hair follicle
and adjacent tissue
Carbuncle- several furuncles
I&D typically fixes if not spontaneous, no Abx really needed unless systemic symptoms or other
concern (not first one or immunocompromised)
Cellulitis - CORRECT ANSWER - dermis and subcutaneous tissue involved
painful, erythematous, indurated,
Advancing borders
if noncomplicated (non Diabetic, not immunocompromised) then treat if complicated then need
culture to determine which Ab is best, may need to admit
Impetigo - CORRECT ANSWER - honey crusted lesion
, bacterial infection in toddlers
Erysipelas - CORRECT ANSWER - superficial cellulitis that is sharply demarcated
caused by strep
treat inpatient with IV antibiotics
Tinea Capitis - CORRECT ANSWER - ringworm of scalp
need oral antifungals because topical can't penetrate scalp
Tinea Corporis - CORRECT ANSWER - ringworm of the body
start w/ topical treatment
Tinea Cruris - CORRECT ANSWER - jock itch
usually spares scrotum but hits all around it
Tinea pedia - CORRECT ANSWER - ringworm of the foot
may need more involved treatment for DM and immunocompromised
Tinea barbae - CORRECT ANSWER - ringworm of the beard
Tinea Versicolor - CORRECT ANSWER - fungal rash that is painless and causes spots that
don't tan with the sun
Onchomycosis - CORRECT ANSWER - ringworm of the nail
Candidiasis - CORRECT ANSWER - yeast infection of skin and commonly mucous
membranes
bleeds when white plaques removed (mucousal membrane)
ACTUAL Exam Questions and CORRECT
Answers
- CORRECT ANSWER -
Pityriasis Rosea - CORRECT ANSWER - herald patch that turns salmon-colored plaques
along cleavage plane
may be asymptomatic and self-limited
Steroid use on face - CORRECT ANSWER - often not done
can make some condition worse
thin skin so if you do use then use weaker one
Stasis Dermatitis - CORRECT ANSWER - lower legs w/ chronic swelling causes rash
rash starts with simple discoloration that darkens, can become more severe
Seborrheic Dermatitis - CORRECT ANSWER - greasy yellow scales in folds, commonly
on face in nasolabial folds
Lichen simplex chronicus - CORRECT ANSWER - chronic itching and scratching
scratch-itch cycle
Primary vs secondary lesions - CORRECT ANSWER - primary is normal skin that
becomes a lesion
secondary is a lesion that changes or worsens
Define Macule, Papule, Vesicle, Nodule, Patch, Bulla, Plaque, Pustule, and Wheal - CORRECT
ANSWER - Macule- a nonraised small rash
,Papule- a raised small rash
Vesicle- fluid filled small rash
Nodule- a large raised rash
Patch- large flat rash
Bulla- large fluid filled rash
Plaque- a rash with inconsistent, rough raised portions, (think scatchy)
Pustule- a raised rash filled with pus
Wheal- hive
Define induration - CORRECT ANSWER - palpable thickness or hardness with indistinct
borders
Ecchymosis vs Purpura vs Petechiae - CORRECT ANSWER - basically hemorrhages that
vary in size (large to small)
Atopic Dermatitis - CORRECT ANSWER - Eczema
immune based and related to genetics
barrier problem
the itch that rashes, flexure surfaces
hydrate to treat, steroids for bad flares
Psoriasis - CORRECT ANSWER - erythematous lesions with silver plaques, nail pitting
and oncholysis
increased cell turnover and immature, build up of these cells
extensor surfaces
Koebner phenomena - CORRECT ANSWER - skin trauma from scratching may cause
new lesions
,Auspitz sign - CORRECT ANSWER - pinpoint bleeding after a scale is removed
(psoriasis)
Allergic contact dermatitis - CORRECT ANSWER - vesicles that weep
Urticaria - CORRECT ANSWER - hives
key is that it comes and goes over the course of hours, if a singular wheal last over 24 hours then
it isn't urticaria
Erythema Multiforme vs SJS vs TEN - CORRECT ANSWER - EM- mild drug reaction
SJS- more severe drug reaction, potentially life threatening <10% of skin involved
TEN- most severe drug reaction, life-threatening, >30% of skin involved
Folliculitis - CORRECT ANSWER - infection of hair follicle
there is a nonbacterial form (just irritated follicles)
Furuncle vs Carbuncle - CORRECT ANSWER - Furuncle- abscess or boil, hair follicle
and adjacent tissue
Carbuncle- several furuncles
I&D typically fixes if not spontaneous, no Abx really needed unless systemic symptoms or other
concern (not first one or immunocompromised)
Cellulitis - CORRECT ANSWER - dermis and subcutaneous tissue involved
painful, erythematous, indurated,
Advancing borders
if noncomplicated (non Diabetic, not immunocompromised) then treat if complicated then need
culture to determine which Ab is best, may need to admit
Impetigo - CORRECT ANSWER - honey crusted lesion
, bacterial infection in toddlers
Erysipelas - CORRECT ANSWER - superficial cellulitis that is sharply demarcated
caused by strep
treat inpatient with IV antibiotics
Tinea Capitis - CORRECT ANSWER - ringworm of scalp
need oral antifungals because topical can't penetrate scalp
Tinea Corporis - CORRECT ANSWER - ringworm of the body
start w/ topical treatment
Tinea Cruris - CORRECT ANSWER - jock itch
usually spares scrotum but hits all around it
Tinea pedia - CORRECT ANSWER - ringworm of the foot
may need more involved treatment for DM and immunocompromised
Tinea barbae - CORRECT ANSWER - ringworm of the beard
Tinea Versicolor - CORRECT ANSWER - fungal rash that is painless and causes spots that
don't tan with the sun
Onchomycosis - CORRECT ANSWER - ringworm of the nail
Candidiasis - CORRECT ANSWER - yeast infection of skin and commonly mucous
membranes
bleeds when white plaques removed (mucousal membrane)
