QUESTIONS WITH ANSWERS
◉ Middle age lady, found a tick, target bullseye rash. Answer: Lyme
disease or erythema migrans
vector tick
txt doxy
◉ Middle-age man, skin lesion on arm, irregular borders, light
brown and dark brown, black,. Answer: melanoma
◉ red, plaques, little silvery plaques, itching. Answer: psoriasis
◉ Psoriasis on middle-aged man and scraped himself where
psoriasis is, scab forming. Answer: Koebner phenomenon
◉ Aupitz sign. Answer: Psoriasis plaque is scraped and pinpoint
bleeding
◉ Five-yr-old child complaining of itching, itching at night, hands,
burrowing. Answer: Scabies
Txt Permethrin cream,
,wash everything in hot, hot water, put everything outside and in the
heat
◉ Atopic Dermatitis (Eczema). Answer: disease process associated -
asthma / allergies
◉ Prof Walden: (11:44)Mom brings in her 10-year-old and you look
at the leg. She's like, "he's scratching around his leg." And you see a
little circle. Then you're doing your assessment. You see a ring with
central clearing.. Answer: Tinea corporis/ringworm
presentation: ringlike, itchy rash with central clearing and its gets
biggeer
◉ Actinic keratoses.. Answer: precursor to squamous cell carcinoma,
see it in sun exposed areas, scalp, dry, pink lesion, horn?
txt: 5F-U cream, cryotherapy
◉ melanoma. Answer: gold standard for dx: punch biopsy
◉ black, tan, wart. Answer: seborrheic keratosis benign,
asymptomatic.
◉ Cellulitis, diabetes. Answer: infection, red, weepy leg, worried
about osteomyelitis
,◉ PAD. Answer: Intermittent Claudication, feels better when they
rest
shiny, hairless, painful when walking, dx test: ABI, 0.9 or below. Stop
smoking
◉ venous insufficiency. Answer: edema and discoloration, blood is
pooling and risk for DVT, assess leg for warm/hot
◉ cellulitis of the face, clearly demarcated lines, shows up on cheeks
and chin. Answer: erysipelas, txt with penicillin (Dicloxacillin)
◉ Inflamed skin, or a rash, which meds do u use?. Answer: Keflex or
penicillin
◉ New mom who is breast feeding, dx with mastitis. Answer: Keflex,
penicillin. Let's keep BF
◉ What drugs do u gave for MRSA. Answer: BCD
Bactrim, clindamycin, Doxy
◉ What do u give if your patients are allergic to penicillin?. Answer:
Macrolide- azithromycin
, ◉ basal cell carcinoma (BCC). Answer: pearly, waxy, may or may not
have a ulcerated center
◉ 7 y/o old, dome shaped lesion, papules, white plug. Answer:
Molluscum contagiosum.
◉ maculopapular vesicular rash, starts on trunk, all over the body,
face, scalp. Answer: varicella, if there lesions have crusted over and
heal they can go back to school
◉ 1st line txt acne. Answer: benzols
2nd line- oral abx (tetracycline)
3rd line-Accutane, oral contraceptive
refer to derm
◉ acne patient with face irritation. Answer: Reduce the frequency of
the oral
◉ Honey-crusted lesions.. Answer: impetigo, txt with mupirocin,
bactroban
◉ scarlet fever. Answer: scarlatina