Sara Michelle's Crash Course Exam
Questions with correct Answers
Aphthous Stomatitis - Correct Answers -inside of the mouth
red base with white ulcer
topical relief
Herpes - Correct Answers -outside of the mouth
painful clustered vesicles on an erythema base
antiviral- valtrex/acylovir within in 48 to 72 hours
Keratosis Pilaris - Correct Answers -Chicken bumps
seen in children
most of the time will outgrow
rough patches small acne- like bumps from too much keratin blocking hair follicles
TXT: emollients & moisturizers
Impetigo - Correct Answers -Honey crusted lesions
Strep Anginosus & Staph Aureus
Bolus= oral antibiotics
NonBolus= mupirocin/Bactroban ointment
Pityriasis Rosea - Correct Answers -Distributed in Christmas tree pattern
starts with a herald patch
self-limiting
Osgood Schlatter - Correct Answers -pain over the anterior tibial tubercle near the
tendon insertion site
TXT: NSAIDS, ICE, & will likely outgrow it once the bones stop growing
Keloid - Correct Answers -grows over the skin incision or injury- common with infected
nose rings
hypertrophic scars will regress over time
hydrocele - Correct Answers -abnormal accumulation of fluid around the testes
sometimes born with it or later on with inflammation or injury of the testes
most resolve on their own & do not need surgery
Kawaski's Disease - Correct Answers -Fever > 5 days, strawberry tongue, peeling rash
TXT: high dose ASA & IVIG
,Pylori Stenosis - Correct Answers -projective vomiting & olive shape mass
need US
Brown recluse spider bite - Correct Answers -bite becomes under and turns deep purple
in color with a white halo around it
may have systemic symptoms
Rocky Mountain Spotted Fever - Correct Answers -Tic Bite
TXT: Doxycycline- even if pregnant
rash 3-5 days after symptoms on palms of hands and soles of feet
North Carolina
Lyme Disease - Correct Answers -Bulls-eye lesion (Erythema Migraines)
TXT: Doxycline
Amoxicillin if allergic
Sialolithiasis - Correct Answers -mass under the chin while eating
salivary gland stone
Actinic keratosis - Correct Answers -dry pink lesions on sun exposed areas
if left untreated may lead to CANCER- squamous cell carcinoma
TXT: 5-FU or cryotherapy
Squamous Cell Carcinoma - Correct Answers -Slow-growing, scale, ulcerated & bleeds
easily
DX: BIOPSY
REFER to dermatology
Cafe au Lait Spotsq - Correct Answers -Benign & do not require interventions unless
you have more that 8= neurofibromatosis
Malignant Melanoma - Correct Answers -Asymmetry
Border irregularity
Color
Diameter > 6mm
Evolving or Elevated above the skin
could also present as a dark spot under the nail that is not related to trauma
Splinter hemorrhage - Correct Answers -black lines under the nail not related to
melanoma but caused by endocarditis
Seborrheic Keratosis - Correct Answers -Pasted on skin lesions
BENIGN- does not need to be removed
Basal Cell Carcinoma - Correct Answers -Most comnmon skin cancer
Telangiectasias= visible blood vessels across the lesion
,Shiny, waxy, or pearly in nature
BIOPSY & REFER to DERM
Eczema - Correct Answers -Extremely PRURITIC
commonly found on flexor surfaces
TXT: emollients & Topical steroids
Atopic dermatitis, Asthma & Allergies
Plaque Psoriasis - Correct Answers -Thick Silvery Scales
Auspitz Sign- when the plaques are scratched pinpoint bleeding occurs
Koebner's phenomenon- Trauma to skin leads to plaque forming
TXT: topical steroids & Cole Tar & Refer to Dermatology
Contact Dermatitis - Correct Answers -Linear distribution
TXT: topical steroids & avoid irritant
Shingles - Correct Answers -Across the dermatome
Vascular & burning & tingling at the site prior to rash
TXT: Acyclovir (CHEAPER)/Valcyclovir
Anywhere close to the eyes- refer to ophthalmology b/c risk for permanent corneal
scaring & blindness
Shingrex- can be given no matter when the last outbreak was b/c inactivated also give
at 50 years old
Zosyvax- old vaccine & off the market
Stage 1 pressure injury - Correct Answers -red does not blanch
no breaks in the skin
TXT: foam dressings
Unstageable pressure injury - Correct Answers -can not see the depth of the wound bed
because of the presents of a sloth
Eschar on the heel - Correct Answers -typically seen with diabetics
if it is stable with no signs of infections it should not be removed or soaked by the
patient
Scabies - Correct Answers -between fingers & ties intently pruritic & everyone in the
house has same symptoms
TXT: permethrin cream & wash everything in hot water usually have to treat twice to get
rid of it effectively
Chicken Pox - Correct Answers -Lesions in various stages of healing
Varicella Vaccine- LIVE must be 12 months of age
Can return to school when all of the lesions are crusted over
Head Lice - Correct Answers -Pruitis all throughout the day and night
, TXT: permethrin- only kills live lice therefore the nits (eggs) must be combed out. may
need 2 treatments. wash bedding & other items in hot water
Molluscum Contagiosum - Correct Answers -If located in the groin area- possible sexual
abuse
Impregnated or dimple lesion
highly contagious
TXT: self-limiting takes a few months
Anthrax - Correct Answers -Cattle Farmer
ulcerated & black lesion that is painless
TXT: CIPRO for at least 2 months. also treated with tetracycline- doxycycline
Hidradenitis Suppurativia - Correct Answers -Recurrent issue- not due to hygiene more
linked to genetics
risk factors- smoking & obesity
abscess in the axilla
TXT: I&D & wound culture
Mild= warm compresses and ABX- long term
Folliculitis - Correct Answers -infection of the hair follicles
TXT: topical mupirocin
Severe- oral ABX penicillin or Keflex
Rosacea - Correct Answers -Erythematous facial rash that does NOT spare the nose
TXT: topical flatly gel
Lupus - Correct Answers -Erythematous facial rash that DOES spare the nasolabial
folds (MALOR RASH)
Sjogren's Syndrome - Correct Answers -Very dry eyes & mouth
commonly seen in Lupus
Erysipelas - Correct Answers -Sharply defined with well-defined borders
superficial cellulitis
TXT: Keflex or Penicillin
Purulent Cellulitis - Correct Answers -Possible MRSA
Bactrim
Clindamyacin
Doxycline
Non-Purulent Cellulitis - Correct Answers -Erythematous angry looking swollen
TXT: Keflex or PCN
Geographical tongue - Correct Answers -BENIGN
Questions with correct Answers
Aphthous Stomatitis - Correct Answers -inside of the mouth
red base with white ulcer
topical relief
Herpes - Correct Answers -outside of the mouth
painful clustered vesicles on an erythema base
antiviral- valtrex/acylovir within in 48 to 72 hours
Keratosis Pilaris - Correct Answers -Chicken bumps
seen in children
most of the time will outgrow
rough patches small acne- like bumps from too much keratin blocking hair follicles
TXT: emollients & moisturizers
Impetigo - Correct Answers -Honey crusted lesions
Strep Anginosus & Staph Aureus
Bolus= oral antibiotics
NonBolus= mupirocin/Bactroban ointment
Pityriasis Rosea - Correct Answers -Distributed in Christmas tree pattern
starts with a herald patch
self-limiting
Osgood Schlatter - Correct Answers -pain over the anterior tibial tubercle near the
tendon insertion site
TXT: NSAIDS, ICE, & will likely outgrow it once the bones stop growing
Keloid - Correct Answers -grows over the skin incision or injury- common with infected
nose rings
hypertrophic scars will regress over time
hydrocele - Correct Answers -abnormal accumulation of fluid around the testes
sometimes born with it or later on with inflammation or injury of the testes
most resolve on their own & do not need surgery
Kawaski's Disease - Correct Answers -Fever > 5 days, strawberry tongue, peeling rash
TXT: high dose ASA & IVIG
,Pylori Stenosis - Correct Answers -projective vomiting & olive shape mass
need US
Brown recluse spider bite - Correct Answers -bite becomes under and turns deep purple
in color with a white halo around it
may have systemic symptoms
Rocky Mountain Spotted Fever - Correct Answers -Tic Bite
TXT: Doxycycline- even if pregnant
rash 3-5 days after symptoms on palms of hands and soles of feet
North Carolina
Lyme Disease - Correct Answers -Bulls-eye lesion (Erythema Migraines)
TXT: Doxycline
Amoxicillin if allergic
Sialolithiasis - Correct Answers -mass under the chin while eating
salivary gland stone
Actinic keratosis - Correct Answers -dry pink lesions on sun exposed areas
if left untreated may lead to CANCER- squamous cell carcinoma
TXT: 5-FU or cryotherapy
Squamous Cell Carcinoma - Correct Answers -Slow-growing, scale, ulcerated & bleeds
easily
DX: BIOPSY
REFER to dermatology
Cafe au Lait Spotsq - Correct Answers -Benign & do not require interventions unless
you have more that 8= neurofibromatosis
Malignant Melanoma - Correct Answers -Asymmetry
Border irregularity
Color
Diameter > 6mm
Evolving or Elevated above the skin
could also present as a dark spot under the nail that is not related to trauma
Splinter hemorrhage - Correct Answers -black lines under the nail not related to
melanoma but caused by endocarditis
Seborrheic Keratosis - Correct Answers -Pasted on skin lesions
BENIGN- does not need to be removed
Basal Cell Carcinoma - Correct Answers -Most comnmon skin cancer
Telangiectasias= visible blood vessels across the lesion
,Shiny, waxy, or pearly in nature
BIOPSY & REFER to DERM
Eczema - Correct Answers -Extremely PRURITIC
commonly found on flexor surfaces
TXT: emollients & Topical steroids
Atopic dermatitis, Asthma & Allergies
Plaque Psoriasis - Correct Answers -Thick Silvery Scales
Auspitz Sign- when the plaques are scratched pinpoint bleeding occurs
Koebner's phenomenon- Trauma to skin leads to plaque forming
TXT: topical steroids & Cole Tar & Refer to Dermatology
Contact Dermatitis - Correct Answers -Linear distribution
TXT: topical steroids & avoid irritant
Shingles - Correct Answers -Across the dermatome
Vascular & burning & tingling at the site prior to rash
TXT: Acyclovir (CHEAPER)/Valcyclovir
Anywhere close to the eyes- refer to ophthalmology b/c risk for permanent corneal
scaring & blindness
Shingrex- can be given no matter when the last outbreak was b/c inactivated also give
at 50 years old
Zosyvax- old vaccine & off the market
Stage 1 pressure injury - Correct Answers -red does not blanch
no breaks in the skin
TXT: foam dressings
Unstageable pressure injury - Correct Answers -can not see the depth of the wound bed
because of the presents of a sloth
Eschar on the heel - Correct Answers -typically seen with diabetics
if it is stable with no signs of infections it should not be removed or soaked by the
patient
Scabies - Correct Answers -between fingers & ties intently pruritic & everyone in the
house has same symptoms
TXT: permethrin cream & wash everything in hot water usually have to treat twice to get
rid of it effectively
Chicken Pox - Correct Answers -Lesions in various stages of healing
Varicella Vaccine- LIVE must be 12 months of age
Can return to school when all of the lesions are crusted over
Head Lice - Correct Answers -Pruitis all throughout the day and night
, TXT: permethrin- only kills live lice therefore the nits (eggs) must be combed out. may
need 2 treatments. wash bedding & other items in hot water
Molluscum Contagiosum - Correct Answers -If located in the groin area- possible sexual
abuse
Impregnated or dimple lesion
highly contagious
TXT: self-limiting takes a few months
Anthrax - Correct Answers -Cattle Farmer
ulcerated & black lesion that is painless
TXT: CIPRO for at least 2 months. also treated with tetracycline- doxycycline
Hidradenitis Suppurativia - Correct Answers -Recurrent issue- not due to hygiene more
linked to genetics
risk factors- smoking & obesity
abscess in the axilla
TXT: I&D & wound culture
Mild= warm compresses and ABX- long term
Folliculitis - Correct Answers -infection of the hair follicles
TXT: topical mupirocin
Severe- oral ABX penicillin or Keflex
Rosacea - Correct Answers -Erythematous facial rash that does NOT spare the nose
TXT: topical flatly gel
Lupus - Correct Answers -Erythematous facial rash that DOES spare the nasolabial
folds (MALOR RASH)
Sjogren's Syndrome - Correct Answers -Very dry eyes & mouth
commonly seen in Lupus
Erysipelas - Correct Answers -Sharply defined with well-defined borders
superficial cellulitis
TXT: Keflex or Penicillin
Purulent Cellulitis - Correct Answers -Possible MRSA
Bactrim
Clindamyacin
Doxycline
Non-Purulent Cellulitis - Correct Answers -Erythematous angry looking swollen
TXT: Keflex or PCN
Geographical tongue - Correct Answers -BENIGN
