SARAH MICHELLE EXAM QUESTIONS
AND CORRECT ANSWERS
Treatment for Rocky Mountain Spotted Fever - Correct Answers -Doxycycline for any
age and regardless of pregnancy
Presentation of Rocky Mountain Spotted Fever - Correct Answers -Rash on palms of
hands and soles of feet pops up after 3-5 days of initial treatment
Presentation of Lyme Disease - Correct Answers -Bulls eye rash
Lyme disease is also known as... - Correct Answers -Erythema migrans
which of the following heart valves is the most likely to be affected by IV drug abuse? -
Correct Answers -Tricuspid
a "red flag" for colorectal cancer when reported by the patient - Correct Answers -A new
onset of ribbon-like stool
trichomoniasis diagnostic test - Correct Answers -On a wet mount, KOH prep could kill
the organisms and flagella seen with trichomoniasis. Therefore, it would be best to first
assess without KOH prep.
vulvovaginal candidiasis infection. Which of the following on a wet mount would indicate
that this is the likely differential? - Correct Answers -Pseudohyphae
Lung cancer screening guidelines include - Correct Answers -creening for adults aged
50-80 years old who have a history of 20 pack year history and are currently a smoker
or have quit in the past 15 years. They should be screened annually with a low-dose
CT; Stop screening once a person has not smoked for 15 years or develops a health
problem that limits life expectancy or possibility of a lung transplant.
Treatment for Lyme disease over 8 years old - Correct Answers -Doxycycline
Treatment for Lyme disease less than 8 years old - Correct Answers -Amoxicillin
Aphthous Stomatitis vs herpes - Correct Answers -Aphthous Stomatits: kanker sore
inside the mouth
Herpes: painful clustered vesicles located outside the mouth
,Treatment for herpes - Correct Answers -Antivirals with 48-72 hours
Valtrex or Acyclovir
Impetigo - 2 causes of bacteria - Correct Answers -Staph aureus & strep pyogenies
Impetigo presentation - Correct Answers -Honey crusted lesions
2 types of Impetigo treatment - Correct Answers -Bullous: PO antibiotics
Nonbollous: mupirocin ointment
Pityriasis Rosea presentation - Correct Answers -Christmas tree like pattern rash
Herald Patch
pityoriasis rosea treatment - Correct Answers -Self limiting
Rubeola presentation - Correct Answers -Cough, congestion, conjunctivitis (3 C's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
Rubeola prevention - Correct Answers -MMR vaccine after 12 months old
( live vaccine)
Mumps presentation - Correct Answers -Parotid gland swelling
Sialolithiasis: what is it! - Correct Answers -Salivary gland stone
Mass under chin when eating
actinic keratosis presentation - Correct Answers -Dry pink lesions on a sun exposed
area
actinic keratosis treatment - Correct Answers -5FU cream (topical chemo) and use
liquid nitrogen (cryotherapy)
If actinic keratosis is left untreated, what can it develop into? - Correct Answers -
squamous cell carcinoma
sqamous cell carcinoma presentation - Correct Answers -Slow growing scaly ulcerated,
bleeds easily
if squamous cell CA is suspected and a visible lesion is present, the next step should be
- Correct Answers -Refer to dermatology
ABCDEs of melanoma - Correct Answers -asymmetry, border, color, diameter >6 mm,
evolving
, seborrheic keratosis: do lesions need to be removed - Correct Answers -No- they are
benign
most common type of skin cancer - Correct Answers -basal cell carcinoma
basal cell carcinoma presentation - Correct Answers -Shiny, waxy, pearly
May see telangiectasia with this
basal cell carcinoma : what should we do if we see this - Correct Answers -Refer to
derm
Another name for atopic dermatitis - Correct Answers -Eczema
eczema (atopic dermatitis) presentation - Correct Answers -Pruitic, itch scratch cycle.
Located on flexor surfaces (like back of knees, axilla, elbows) .
Eczema, atopic dermatitis - treatment - Correct Answers -Topical corticosteroids
3A's - Correct Answers -Asthma, allergies, atopic dermatitis
Plaque Psoriasis presentation - Correct Answers -Silvery scales, itches
auspitz sign, psoriasis - Correct Answers -pinpoint bleeding after a scale is removed or
after
Koebner phenomenon - Correct Answers -new psoriatic plaques form over areas of skin
trauma. Trauma to skin leads to having plaque in that spot
Plaque psoriasis treatment - Correct Answers -Topical steroids
Contact dermatitis treatment - Correct Answers -avoid offending agents, corticosteroids
Shingles presentation - Correct Answers -Severe, piercing, burning, stabbing nerve pain
along a dermatome
Vesicular rash in same area appears a few days after pain
Typically unilateral
Lesions last 3-5 days
Can spread to visceral organs or ocular region
shingles (herpes zoster) treatment - Correct Answers -Antivirals with 48 hours of onset
of symptoms
Acyclovir ( cheapest) or
Valcyclovir
AND CORRECT ANSWERS
Treatment for Rocky Mountain Spotted Fever - Correct Answers -Doxycycline for any
age and regardless of pregnancy
Presentation of Rocky Mountain Spotted Fever - Correct Answers -Rash on palms of
hands and soles of feet pops up after 3-5 days of initial treatment
Presentation of Lyme Disease - Correct Answers -Bulls eye rash
Lyme disease is also known as... - Correct Answers -Erythema migrans
which of the following heart valves is the most likely to be affected by IV drug abuse? -
Correct Answers -Tricuspid
a "red flag" for colorectal cancer when reported by the patient - Correct Answers -A new
onset of ribbon-like stool
trichomoniasis diagnostic test - Correct Answers -On a wet mount, KOH prep could kill
the organisms and flagella seen with trichomoniasis. Therefore, it would be best to first
assess without KOH prep.
vulvovaginal candidiasis infection. Which of the following on a wet mount would indicate
that this is the likely differential? - Correct Answers -Pseudohyphae
Lung cancer screening guidelines include - Correct Answers -creening for adults aged
50-80 years old who have a history of 20 pack year history and are currently a smoker
or have quit in the past 15 years. They should be screened annually with a low-dose
CT; Stop screening once a person has not smoked for 15 years or develops a health
problem that limits life expectancy or possibility of a lung transplant.
Treatment for Lyme disease over 8 years old - Correct Answers -Doxycycline
Treatment for Lyme disease less than 8 years old - Correct Answers -Amoxicillin
Aphthous Stomatitis vs herpes - Correct Answers -Aphthous Stomatits: kanker sore
inside the mouth
Herpes: painful clustered vesicles located outside the mouth
,Treatment for herpes - Correct Answers -Antivirals with 48-72 hours
Valtrex or Acyclovir
Impetigo - 2 causes of bacteria - Correct Answers -Staph aureus & strep pyogenies
Impetigo presentation - Correct Answers -Honey crusted lesions
2 types of Impetigo treatment - Correct Answers -Bullous: PO antibiotics
Nonbollous: mupirocin ointment
Pityriasis Rosea presentation - Correct Answers -Christmas tree like pattern rash
Herald Patch
pityoriasis rosea treatment - Correct Answers -Self limiting
Rubeola presentation - Correct Answers -Cough, congestion, conjunctivitis (3 C's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
Rubeola prevention - Correct Answers -MMR vaccine after 12 months old
( live vaccine)
Mumps presentation - Correct Answers -Parotid gland swelling
Sialolithiasis: what is it! - Correct Answers -Salivary gland stone
Mass under chin when eating
actinic keratosis presentation - Correct Answers -Dry pink lesions on a sun exposed
area
actinic keratosis treatment - Correct Answers -5FU cream (topical chemo) and use
liquid nitrogen (cryotherapy)
If actinic keratosis is left untreated, what can it develop into? - Correct Answers -
squamous cell carcinoma
sqamous cell carcinoma presentation - Correct Answers -Slow growing scaly ulcerated,
bleeds easily
if squamous cell CA is suspected and a visible lesion is present, the next step should be
- Correct Answers -Refer to dermatology
ABCDEs of melanoma - Correct Answers -asymmetry, border, color, diameter >6 mm,
evolving
, seborrheic keratosis: do lesions need to be removed - Correct Answers -No- they are
benign
most common type of skin cancer - Correct Answers -basal cell carcinoma
basal cell carcinoma presentation - Correct Answers -Shiny, waxy, pearly
May see telangiectasia with this
basal cell carcinoma : what should we do if we see this - Correct Answers -Refer to
derm
Another name for atopic dermatitis - Correct Answers -Eczema
eczema (atopic dermatitis) presentation - Correct Answers -Pruitic, itch scratch cycle.
Located on flexor surfaces (like back of knees, axilla, elbows) .
Eczema, atopic dermatitis - treatment - Correct Answers -Topical corticosteroids
3A's - Correct Answers -Asthma, allergies, atopic dermatitis
Plaque Psoriasis presentation - Correct Answers -Silvery scales, itches
auspitz sign, psoriasis - Correct Answers -pinpoint bleeding after a scale is removed or
after
Koebner phenomenon - Correct Answers -new psoriatic plaques form over areas of skin
trauma. Trauma to skin leads to having plaque in that spot
Plaque psoriasis treatment - Correct Answers -Topical steroids
Contact dermatitis treatment - Correct Answers -avoid offending agents, corticosteroids
Shingles presentation - Correct Answers -Severe, piercing, burning, stabbing nerve pain
along a dermatome
Vesicular rash in same area appears a few days after pain
Typically unilateral
Lesions last 3-5 days
Can spread to visceral organs or ocular region
shingles (herpes zoster) treatment - Correct Answers -Antivirals with 48 hours of onset
of symptoms
Acyclovir ( cheapest) or
Valcyclovir
