Sarah Michelle Exam Questions and
Answers
Lichen Planus - Correct Answers --An inflammatory condition of the skin and mucous
membranes.
-commonly seen with MG, ulcerative colitis, and vitiligo (My Uncle Vern)
-can be brought on by stress and infection
Where does lichen planus occur? - Correct Answers --flexor surfaces of the limbs
-mouth, genitals, skin
what does lichen planus look like? - Correct Answers --red/purple puritic
-on mucous membrane can be white lacy appearance
lichen planus duration and treatment - Correct Answers --6 months; self limiting
-topical steroids (pink and inflamed)
what CKD stage do sx appear? - Correct Answers -stage 3
inflammation markers - Correct Answers -ESR and CRP
Gout tx - Correct Answers -maintenance: allopurinol
exacerbations: colchicine, NSAIDs, tylenol, and corticosteroids
RA TX - Correct Answers -DMARDS-------can cause folic acid deficiency
Chlamydia Treatment - Correct Answers -doxy
Lichen Simplex Chronicus - Correct Answers --leathery skin from scratching
what can lead to lichen simplex chronicus - Correct Answers -atopic dermatitis
Lichen Simplex Chronicus TX - Correct Answers --topical steroid
-antihistamine
-lotion for prevention
,Lichen sclerosis - Correct Answers -*think Slow down
-skin disease, white spots appear over time, most common genital and anal (vulva)
-always white in appearance
-most common in post menopausal women
-not contagious; result from overactive immune system
Lichen sclerosis tx - Correct Answers --strong topical steroids
-clobetasol
-they are miserable
lichen sclerosis adverse effect - Correct Answers -**all S
at high risk for squamous cell carcinoma
all lichens are...... - Correct Answers -puritic!
First-degree burn - Correct Answers --superficial; epidermis
-do not blister
-example: sunburn
-tx: aloe
second degree burn - Correct Answers --A partial-thickness burn involving the
epidermis and the dermis
-red and blistered ( do not pop)
-TX: silver sulfadiazine cream or abx cream
third degree burn - Correct Answers --full thickness
-involves destruction of epidermis, dermis and subcutaneous layer
-emergency care
-airway assessment to rule out smoke inhalation
fourth degree burn - Correct Answers --full thickness burn
-dermis, epidermis, may involve bone and muscle
-emergency care
-airway assessment to rule out smoke inhalation
Rule of 9's - Correct Answers --anyone under 14 is a child
Head and neck = 9%
Upper Ex (back and front each 4.5) = 9% each
chest= 9%
stomach/abd =9%
, upper back= 9%
lower back= 9%
((((Front trunk = 18%
Back trunk = 18%)))
genitals= 1%
leg and foot= 18% each (9 front and 9 back)
**** remember front and back is its own %
Pediatric Rule of 9s - Correct Answers -Head 9% for front and back
Legs - 6.7% for front and 6.7% for back (13.4%)
Chest 18% front 18% back
Arms 9% per arm
Burns key point - Correct Answers -referrrrrrrrr
Any burns involving more than 10% of the total body surface area, or burns that involve
the face, hands, genitals, or feet should be referred to a burn center.
rubeola - Correct Answers --aka measles
-rubeola, measles, and koplik spots all have 1 L in the word
-think about the 3 C's: cough, congestion/coryza, conjunctivitis
-very contagious: airborne
-can lead to serious complications
-tx is symptomatic in nature
-koplik spots usually on MM in mouth near molars; white spots like sand, surrounded by
erythematous halo
measles timeline - Correct Answers -exposure
1 week later contagious
day 10 sx start (3 C's and fever)
day 12-13 koplik spots
day 15 fever subsided and rash appears
Answers
Lichen Planus - Correct Answers --An inflammatory condition of the skin and mucous
membranes.
-commonly seen with MG, ulcerative colitis, and vitiligo (My Uncle Vern)
-can be brought on by stress and infection
Where does lichen planus occur? - Correct Answers --flexor surfaces of the limbs
-mouth, genitals, skin
what does lichen planus look like? - Correct Answers --red/purple puritic
-on mucous membrane can be white lacy appearance
lichen planus duration and treatment - Correct Answers --6 months; self limiting
-topical steroids (pink and inflamed)
what CKD stage do sx appear? - Correct Answers -stage 3
inflammation markers - Correct Answers -ESR and CRP
Gout tx - Correct Answers -maintenance: allopurinol
exacerbations: colchicine, NSAIDs, tylenol, and corticosteroids
RA TX - Correct Answers -DMARDS-------can cause folic acid deficiency
Chlamydia Treatment - Correct Answers -doxy
Lichen Simplex Chronicus - Correct Answers --leathery skin from scratching
what can lead to lichen simplex chronicus - Correct Answers -atopic dermatitis
Lichen Simplex Chronicus TX - Correct Answers --topical steroid
-antihistamine
-lotion for prevention
,Lichen sclerosis - Correct Answers -*think Slow down
-skin disease, white spots appear over time, most common genital and anal (vulva)
-always white in appearance
-most common in post menopausal women
-not contagious; result from overactive immune system
Lichen sclerosis tx - Correct Answers --strong topical steroids
-clobetasol
-they are miserable
lichen sclerosis adverse effect - Correct Answers -**all S
at high risk for squamous cell carcinoma
all lichens are...... - Correct Answers -puritic!
First-degree burn - Correct Answers --superficial; epidermis
-do not blister
-example: sunburn
-tx: aloe
second degree burn - Correct Answers --A partial-thickness burn involving the
epidermis and the dermis
-red and blistered ( do not pop)
-TX: silver sulfadiazine cream or abx cream
third degree burn - Correct Answers --full thickness
-involves destruction of epidermis, dermis and subcutaneous layer
-emergency care
-airway assessment to rule out smoke inhalation
fourth degree burn - Correct Answers --full thickness burn
-dermis, epidermis, may involve bone and muscle
-emergency care
-airway assessment to rule out smoke inhalation
Rule of 9's - Correct Answers --anyone under 14 is a child
Head and neck = 9%
Upper Ex (back and front each 4.5) = 9% each
chest= 9%
stomach/abd =9%
, upper back= 9%
lower back= 9%
((((Front trunk = 18%
Back trunk = 18%)))
genitals= 1%
leg and foot= 18% each (9 front and 9 back)
**** remember front and back is its own %
Pediatric Rule of 9s - Correct Answers -Head 9% for front and back
Legs - 6.7% for front and 6.7% for back (13.4%)
Chest 18% front 18% back
Arms 9% per arm
Burns key point - Correct Answers -referrrrrrrrr
Any burns involving more than 10% of the total body surface area, or burns that involve
the face, hands, genitals, or feet should be referred to a burn center.
rubeola - Correct Answers --aka measles
-rubeola, measles, and koplik spots all have 1 L in the word
-think about the 3 C's: cough, congestion/coryza, conjunctivitis
-very contagious: airborne
-can lead to serious complications
-tx is symptomatic in nature
-koplik spots usually on MM in mouth near molars; white spots like sand, surrounded by
erythematous halo
measles timeline - Correct Answers -exposure
1 week later contagious
day 10 sx start (3 C's and fever)
day 12-13 koplik spots
day 15 fever subsided and rash appears
