SARAH MICHELLE CRASH COURSE EXAMINATION 2025/2026
QUESTIONS WITH SOLUTIONS GRADED A+
✔✔if squamous cell CA is suspected and a visible lesion is present, the next step
should be - ✔✔Refer to dermatology
✔✔ABCDEs of melanoma - ✔✔asymmetry, border, color, diameter >6 mm, evolving
✔✔seborrheic keratosis: do lesions need to be removed - ✔✔No- they are benign
✔✔most common type of skin cancer - ✔✔basal cell carcinoma
✔✔basal cell carcinoma presentation - ✔✔Shiny, waxy, pearly
May see telangiectasia with this
✔✔basal cell carcinoma : what should we do if we see this - ✔✔Refer to derm
✔✔Another name for atopic dermatitis - ✔✔Eczema
✔✔eczema (atopic dermatitis) presentation - ✔✔Pruitic, itch scratch cycle. Located on
flexor surfaces (like back of knees, axilla, elbows) .
✔✔Eczema, atopic dermatitis - treatment - ✔✔Topical corticosteroids
✔✔3A's - ✔✔Asthma, allergies, atopic dermatitis
✔✔Plaque Psoriasis presentation - ✔✔Silvery scales, itches
✔✔auspitz sign, psoriasis - ✔✔pinpoint bleeding after a scale is removed or after
✔✔Koebner phenomenon - ✔✔new psoriatic plaques form over areas of skin trauma.
Trauma to skin leads to having plaque in that spot
✔✔Plaque psoriasis treatment - ✔✔Topical steroids
✔✔Contact dermatitis treatment - ✔✔avoid offending agents, corticosteroids
✔✔Shingles presentation - ✔✔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 - ✔✔Antivirals with 48 hours of onset of
symptoms
Acyclovir ( cheapest) or
Valcyclovir
✔✔Shingles prevention - ✔✔Shingrix (50 years and older). Most effective and preferred
because it's inactivated. We can give out no matter when the last outbreak was.
Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak
✔✔Which type of shingles must be referred out? - ✔✔Shingles close to the eyes. Refer
to ophthalmology. It may lead to vision loss
✔✔Scabies presentation - ✔✔- itching because it burrows into skin and lays eggs.
Contagious
- most intense time of itching is often at night.
- Wrists, elbows, fingers, and toes are among the common distribution sites for scabies.
- classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion--the burrow;
but infants often do not have burrows on presentation.
✔✔Scabies treatment - ✔✔Permethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
Wash everything in house with hot water. Usually have to repeat treatment
✔✔chicken pox prevention - ✔✔Live attenuated vaccine
Only to be given after 12 months old
✔✔When can children return to school after chickenpox - ✔✔When all the lesions are
crushed over
✔✔Molluscum contagiosum presentation - ✔✔Flesh-colored papules w/ central
umbilication. Contagious
✔✔anthrax presentation - ✔✔Ulcerated, black, and painless
✔✔Who would you typically see anthrax in? - ✔✔Cattle farmers
✔✔Anthrax treatment - ✔✔Ciprofloxacin for another 2 months
alternative treatment doxycycline
✔✔Hidradenitis suppurativa presentation - ✔✔Painful and reoccurring in axillae
✔✔Hidradenitis Suppurativa Treatment - ✔✔Warm compress and antibiotics
If large abscess- may need incision and drainage to obtain cultures
, ✔✔Folliculitis - ✔✔inflammation / infection of the hair follicles
✔✔Follliculitis treatment - ✔✔Mupirocin
If severe: PO abx like PCN or Keflex
✔✔Leukoplakia - ✔✔Cannot be scraped off tongue
Refer to dentist
Most commonly seen in HIV patients
May be detrimental with enamel
✔✔Candidiasis (Thrush) - ✔✔Thick, white, raised patches in the mouth
Can be scraped off
✔✔Candidiasis (Thrush) treatment - ✔✔Nystatin swish and spit
✔✔Encopresis - ✔✔a childhood disorder characterized by repeated defecating in
inappropriate places, such as one's clothing after already being toilet trained.
Child resists having bowel movements, causing impacted stool to collect in the colon
and rectum and lead to leakage.
✔✔Encopresis Treatment - ✔✔Daily laxatives until BM is soft and regular
Behavior management: toilet refusal behavior, scheduled toileting time, incentives.
Prevention of constipation
Counseling
Reduce family tension
✔✔What indicates hepatitis B immune - ✔✔Hepatitis surface antibody
✔✔What indicates Hepatitis b is active - ✔✔Hepatitis B surface antigen (lasts 1-10
weeks after infection )
IgM
✔✔Liver enzyme that is grossly elevated in hepatitis - ✔✔ALT compared to AST
✔✔Liver enzymes that is elevated when liver is damaged due to alcohol or medications
like APAP - ✔✔AST compared to ALT
✔✔Viral infections like hepatitis would predominantly have _______, as compared to
bacterial infection predominantly would have _____ on labs - ✔✔Lymphocytes (viral
infections)
Leukocytes ( bacterial infections)
QUESTIONS WITH SOLUTIONS GRADED A+
✔✔if squamous cell CA is suspected and a visible lesion is present, the next step
should be - ✔✔Refer to dermatology
✔✔ABCDEs of melanoma - ✔✔asymmetry, border, color, diameter >6 mm, evolving
✔✔seborrheic keratosis: do lesions need to be removed - ✔✔No- they are benign
✔✔most common type of skin cancer - ✔✔basal cell carcinoma
✔✔basal cell carcinoma presentation - ✔✔Shiny, waxy, pearly
May see telangiectasia with this
✔✔basal cell carcinoma : what should we do if we see this - ✔✔Refer to derm
✔✔Another name for atopic dermatitis - ✔✔Eczema
✔✔eczema (atopic dermatitis) presentation - ✔✔Pruitic, itch scratch cycle. Located on
flexor surfaces (like back of knees, axilla, elbows) .
✔✔Eczema, atopic dermatitis - treatment - ✔✔Topical corticosteroids
✔✔3A's - ✔✔Asthma, allergies, atopic dermatitis
✔✔Plaque Psoriasis presentation - ✔✔Silvery scales, itches
✔✔auspitz sign, psoriasis - ✔✔pinpoint bleeding after a scale is removed or after
✔✔Koebner phenomenon - ✔✔new psoriatic plaques form over areas of skin trauma.
Trauma to skin leads to having plaque in that spot
✔✔Plaque psoriasis treatment - ✔✔Topical steroids
✔✔Contact dermatitis treatment - ✔✔avoid offending agents, corticosteroids
✔✔Shingles presentation - ✔✔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 - ✔✔Antivirals with 48 hours of onset of
symptoms
Acyclovir ( cheapest) or
Valcyclovir
✔✔Shingles prevention - ✔✔Shingrix (50 years and older). Most effective and preferred
because it's inactivated. We can give out no matter when the last outbreak was.
Zostavax (at age 60). Live vaccine. Must wait 2-6 months after an outbreak
✔✔Which type of shingles must be referred out? - ✔✔Shingles close to the eyes. Refer
to ophthalmology. It may lead to vision loss
✔✔Scabies presentation - ✔✔- itching because it burrows into skin and lays eggs.
Contagious
- most intense time of itching is often at night.
- Wrists, elbows, fingers, and toes are among the common distribution sites for scabies.
- classic lesion for scabies is about a 5-10 mm curvilinear thread-like lesion--the burrow;
but infants often do not have burrows on presentation.
✔✔Scabies treatment - ✔✔Permethrin 5% cream (Remember you have 5 fingers)
Starve mites by sealing them in a bag for about 10 days.
Wash everything in house with hot water. Usually have to repeat treatment
✔✔chicken pox prevention - ✔✔Live attenuated vaccine
Only to be given after 12 months old
✔✔When can children return to school after chickenpox - ✔✔When all the lesions are
crushed over
✔✔Molluscum contagiosum presentation - ✔✔Flesh-colored papules w/ central
umbilication. Contagious
✔✔anthrax presentation - ✔✔Ulcerated, black, and painless
✔✔Who would you typically see anthrax in? - ✔✔Cattle farmers
✔✔Anthrax treatment - ✔✔Ciprofloxacin for another 2 months
alternative treatment doxycycline
✔✔Hidradenitis suppurativa presentation - ✔✔Painful and reoccurring in axillae
✔✔Hidradenitis Suppurativa Treatment - ✔✔Warm compress and antibiotics
If large abscess- may need incision and drainage to obtain cultures
, ✔✔Folliculitis - ✔✔inflammation / infection of the hair follicles
✔✔Follliculitis treatment - ✔✔Mupirocin
If severe: PO abx like PCN or Keflex
✔✔Leukoplakia - ✔✔Cannot be scraped off tongue
Refer to dentist
Most commonly seen in HIV patients
May be detrimental with enamel
✔✔Candidiasis (Thrush) - ✔✔Thick, white, raised patches in the mouth
Can be scraped off
✔✔Candidiasis (Thrush) treatment - ✔✔Nystatin swish and spit
✔✔Encopresis - ✔✔a childhood disorder characterized by repeated defecating in
inappropriate places, such as one's clothing after already being toilet trained.
Child resists having bowel movements, causing impacted stool to collect in the colon
and rectum and lead to leakage.
✔✔Encopresis Treatment - ✔✔Daily laxatives until BM is soft and regular
Behavior management: toilet refusal behavior, scheduled toileting time, incentives.
Prevention of constipation
Counseling
Reduce family tension
✔✔What indicates hepatitis B immune - ✔✔Hepatitis surface antibody
✔✔What indicates Hepatitis b is active - ✔✔Hepatitis B surface antigen (lasts 1-10
weeks after infection )
IgM
✔✔Liver enzyme that is grossly elevated in hepatitis - ✔✔ALT compared to AST
✔✔Liver enzymes that is elevated when liver is damaged due to alcohol or medications
like APAP - ✔✔AST compared to ALT
✔✔Viral infections like hepatitis would predominantly have _______, as compared to
bacterial infection predominantly would have _____ on labs - ✔✔Lymphocytes (viral
infections)
Leukocytes ( bacterial infections)
