APEA 3P Exam Save
Terms in this set (204)
#1 risk factor for COPD smoking
Acanthosis Nigricans: symptoms Velvety hyperpigmented patches most common on back of
neck or skin folds • Usually associated with diabetes,
metabolic syndrome, obesity, and cancer of the GI tract
Ace inhibitors -pril: HTN, HF. AD: angioedema, cough, hypotension,
hyperkalemia, hepatotoxicity, neutropenia, agranulocytosis,
pancreatitis, SJS. Contra: pregnancy. Nursing: empty
stomach, monitor for infection, dry cough, use contraception
(teratogenic), avoid sports drinks/salt substitutes (extra K)
Acne medications to avoid in pregnancy Category X: Topical tazarotene (Tazorac), Accutane
(category X &C)
Category C: Topical retinoids (tretinoin, adapalene)
,Acne: Mild treatmetn open comedones blackheads/closed comedones
(whiteheads) w/ or w/o papules
topical retinoid (Retin-A)
*Acne will worsen during first 4-6 weeks*
IF no improvement in 8-12 weeks, increase dose or ADD
benzoyl peroxide and/or erythromycin
Acne: Moderate (topicals plus antibiotics) papules and pustules with comedones (3 part treatment)
Topical retinoid (Retin-A) AND topical benzoyl peroxide
AND oral antibiotic (Tetracycline or Minocycline) x 3-4
weeks --> Exam usually asks about moderate
Acne Rosacea Symptoms: • Chronic small acne like papules/pustules, and
telangiectasias around nose, mouth, and chin symmetrically
Treatment: First line: o (Avoid triggers of flushing (EtOH,
excessive sun, spicy foods)
Metro gel or Azelex gel QD-BID
Low dose Tetracycline 250 mg QID or doxycycline 100 mg
QD if gel not effective or the patient has pustular/ocular
rosacea
,Acne: Severe painful indurated nodule, cysts, abscesses, pustules
Accutane- check Liver function tests (LFTS)
must use 2 forms of contraceptives, monthly pregnancy
testing
only prescribe 1 month supply of medication
Usually, will refer to Dermatology
Acne Vulgaris (common acne): treatment First line is always topical retinoid such as tretinoin cream
(Retin-A)
Acoustic Neuroma (Vestibular Symptoms: Ages 30-60
Schwannoma): Symptoms/DX/TX Gradual onset, one-sided
Sensorineural hearing loss, tinnitus that is insidious; CN 8
Facial numbness and pain if it compresses CN 5
Dx: Order an MRI o Benign tumor of CN 8 causing
sensorineural hearing loss and tinnitus.
If it compresses on CN 5 will have facial numbness and pain
Treatment: Surgery
, Acral lengtiginous melanoma Most common type of melanoma in dark skinned individuals
(blacks & asians)
--> look for longitudinal brown to black bands under the
nailbed. a changing spot or mole in the palms, or the soles
of the feet
Actinic keratosis Precursor to squamous cell carcinoma
numerous dry, round and pink to red lesions w/ rough and
scaly texture
--> does not heal, slow growing in sun exposed areas
Actinic keratosis diagnosis gold standard Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication
Causes skin to ooze, crust, scab and be red
*5-flouracil/ efudex-wear sunscreen!!*
Terms in this set (204)
#1 risk factor for COPD smoking
Acanthosis Nigricans: symptoms Velvety hyperpigmented patches most common on back of
neck or skin folds • Usually associated with diabetes,
metabolic syndrome, obesity, and cancer of the GI tract
Ace inhibitors -pril: HTN, HF. AD: angioedema, cough, hypotension,
hyperkalemia, hepatotoxicity, neutropenia, agranulocytosis,
pancreatitis, SJS. Contra: pregnancy. Nursing: empty
stomach, monitor for infection, dry cough, use contraception
(teratogenic), avoid sports drinks/salt substitutes (extra K)
Acne medications to avoid in pregnancy Category X: Topical tazarotene (Tazorac), Accutane
(category X &C)
Category C: Topical retinoids (tretinoin, adapalene)
,Acne: Mild treatmetn open comedones blackheads/closed comedones
(whiteheads) w/ or w/o papules
topical retinoid (Retin-A)
*Acne will worsen during first 4-6 weeks*
IF no improvement in 8-12 weeks, increase dose or ADD
benzoyl peroxide and/or erythromycin
Acne: Moderate (topicals plus antibiotics) papules and pustules with comedones (3 part treatment)
Topical retinoid (Retin-A) AND topical benzoyl peroxide
AND oral antibiotic (Tetracycline or Minocycline) x 3-4
weeks --> Exam usually asks about moderate
Acne Rosacea Symptoms: • Chronic small acne like papules/pustules, and
telangiectasias around nose, mouth, and chin symmetrically
Treatment: First line: o (Avoid triggers of flushing (EtOH,
excessive sun, spicy foods)
Metro gel or Azelex gel QD-BID
Low dose Tetracycline 250 mg QID or doxycycline 100 mg
QD if gel not effective or the patient has pustular/ocular
rosacea
,Acne: Severe painful indurated nodule, cysts, abscesses, pustules
Accutane- check Liver function tests (LFTS)
must use 2 forms of contraceptives, monthly pregnancy
testing
only prescribe 1 month supply of medication
Usually, will refer to Dermatology
Acne Vulgaris (common acne): treatment First line is always topical retinoid such as tretinoin cream
(Retin-A)
Acoustic Neuroma (Vestibular Symptoms: Ages 30-60
Schwannoma): Symptoms/DX/TX Gradual onset, one-sided
Sensorineural hearing loss, tinnitus that is insidious; CN 8
Facial numbness and pain if it compresses CN 5
Dx: Order an MRI o Benign tumor of CN 8 causing
sensorineural hearing loss and tinnitus.
If it compresses on CN 5 will have facial numbness and pain
Treatment: Surgery
, Acral lengtiginous melanoma Most common type of melanoma in dark skinned individuals
(blacks & asians)
--> look for longitudinal brown to black bands under the
nailbed. a changing spot or mole in the palms, or the soles
of the feet
Actinic keratosis Precursor to squamous cell carcinoma
numerous dry, round and pink to red lesions w/ rough and
scaly texture
--> does not heal, slow growing in sun exposed areas
Actinic keratosis diagnosis gold standard Biopsy.
if not an option, refer to derm
Actinic keratosis treatment gold standard small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication
Causes skin to ooze, crust, scab and be red
*5-flouracil/ efudex-wear sunscreen!!*
