Sarah Michelle AANP Board Exam - Crash Course Review With Complete Solution

Sarah Michelle AANP Board Exam - Crash
Course Review With Complete Solution


Apthous stomatitis, herpes - ANSWER mi mi mi mi mi akacancar sores are mi mi mi




typically located inside the mouth whereas
mi mi mi mi mi mi mi lesions are typically outside the mi mi mi mi




mouth
mi




herpes - ANSWER mi mi mi lesions are described as painful, clustered vesicles on an mi mi mi mi mi mi mi mi




erythematous base, must be treated within 48-72 hours
mi mi mi mi mi mi mi mi




keratosis pilaris - ANSWER commonly referred to as "chicken bumps," or "chicken skin," treated
mi mi mi mi mi mi mi mi mi mi mi mi mi




with emolients/moisturizers, most of the time children outgrow the condition
mi mi mi mi mi mi mi mi mi mi




strep pyrogenes, staph aureus - ANSWER the two most common bacterial causes of impetigo are
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




and

oral, mupirocin - ANSWER bullous impetigo must be treated with
mi mi mi mi mi mi mi mi mi antibioticswhile i
m




non-bullous impetigo can be treated with
mi mi mi mi mi mi mi (bactroban)

pityriasis rosea - ANSWER self-limiting condition preceded by a Herald patch prior to full rash
mi mi mi mi mi mi mi mi mi mi mi mi mi mi




distribution, rash is characterized by a "Christmas tree like" pattern
mi mi mi mi mi mi mi mi mi mi




brown recluse - ANSWER bites from this spider present as though the patient did not notice the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




bite the night before but it became tender and turned deep purple the next and often has a white
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




halo around it, can report some systemic symptoms as well
mi mi mi mi mi mi mi mi mi mi




rocky mountain spotted fever - ANSWER illness precipitated by a tick bite, treated with
mi mi mi mi mi mi mi mi mi mi mi mi mi




doxycycline, rash typically presents 3-5 days after initial symptoms on the palms of hands and
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




soles of feet
mi mi mi




erythema migrans - ANSWER characteristic "bull's eye" lesion, also known as lyme disease
mi mi mi mi mi mi mi mi mi mi mi mi




rubeola (measles) (koplik's spots) - ANSWER condition characterized by the "3 C's," cough,
mi mi mi mi mi mi mi mi mi mi mi mi mi

,congestion, conjunctivitis 3-5 days after initial rash presents. Can be prevented by MMR vaccine at
mi mi mi mi mi mi mi mi mi mi mi mi mi mi




12 months old.
mi mi mi




mumps - ANSWER most common symptom of this condition is parotid gland swelling
mi mi mi mi mi mi mi mi mi mi mi mi




actinic keratosis - ANSWER skin lesion characterized by dry pink lesions on a sun exposed area, if
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




left untreated can lead to cancer, specifically squamous cell carcinoma
mi mi mi mi mi mi mi mi mi mi




squamous cell carcinoma - ANSWER skin cancer characterized by slow growth, scaly, ulcerated
mi mi mi mi mi mi mi mi mi mi mi mi




appearance, bleeds easily
mi mi mi




cafe au lait spots - ANSWER hyperpigmentation of the skin, typically benign and does not
mi mi mi mi mi mi mi mi mi mi mi mi mi mi




require further intervention, however if a patient has more than 8 of them it may indicate
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




underlying disorder such as neurofibromatosis
mi mi mi mi mi




melanoma - ANSWER the "ABCDE" tool is used to evaluate a lesion that you suspect may be
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




malignant
mi mi , A= asymmetry, B= border, C= color, D= diameter, E=
mi mi mi mi mi mi mi mi mi




evolving/elevated
mi




eczema (atopic dermatitis) - ANSWER skin condition characterized by intensely pruritic
mi mi mi mi mi mi mi mi mi mi




itch/scratch cycle, typically located on flexor surfaces of the body
mi mi mi mi mi mi mi mi mi mi




emollients, steroids - ANSWER eczema (atopic dermatitis) is often associated with allergies
mi mi mi mi mi mi mi mi mi mi mi




and asthma and is treated with
mi mi mi mi mi mi mi and topical mi mi




plaque psoriasis - ANSWER skin condition characterized by thick silvery scales, it is treated with
mi mi mi mi mi mi mi mi mi mi mi mi mi mi




topical steroids or coal tar
mi mi mi mi mi




Auspitz sign - ANSWER when psoriasis plaques are scratched and pinpoint bleeding occurs
mi mi mi mi mi mi mi mi mi mi mi mi




Koebner's phenomenon - ANSWER when there is trauma to the skin that leads to plaque psoriasis
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




formation
mi




shingles - ANSWER mi mi mi rash is typically across a dermatome, vesicular in nature
mi mi mi mi mi mi mi mi




and usually preceded by burning and tingling at the site before the rash appears
mi mi mi mi mi mi mi mi mi mi mi mi mi mi




contact dermatitis - ANSWER rash that is localized and linear and related to an irritant, usually
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi

,occurs immediately mi




shingrix - ANSWER shingles vaccine that can be given no matter when the last shingles outbreak
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




was, it is inactivated, can be given starting at age 50
mi mi mi mi mi mi mi mi mi mi mi




scabies - ANSWER intensely pruritic skin condition commonly seen between the fingers and toes,
mi mi mi mi mi mi mi mi mi mi mi mi mi




other members of the household typically have it as well
mi mi mi mi mi mi mi mi mi mi




permethrin - ANSWER scabies is treated with mi mi mi mi mi mi mi cream and washing mi mi




everything in the house in hot water, often requires treatment twice to effectively get rid of it
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




varicella, 12 - ANSWER chicken pox can be prevented with the vaccine,it is a live vaccine so children
mi mi mi mi mi mi mi mi mi mi mi m
i m
i mi mi mi mi mi




cannot get it until they are
mi mi mi mi mi mi mi months old mi




crusted - ANSWER children with chicken pox may return to school/daycare once all the
mi mi mi mi mi mi mi mi mi mi mi mi mi




lesions are
mi mi mi over

head lice - ANSWER condition characterized by incessant pruritis all day and night, very easily
mi mi mi mi mi mi mi mi mi mi mi mi mi mi




spread, treated with permethrin but often requires two treatments
mi mi mi mi mi mi mi mi mi




molluscum contagiosum - ANSWER skin lesions characterized by indent in the middle of the mi mi mi mi mi mi mi mi mi mi mi mi mi




lesion, commonly referred to as the lesion being impregnated or having a "dimpling," highly
mi mi mi mi mi mi mi mi mi mi mi mi mi mi




contagious but self-limiting and usually resolves on their own over a few months
mi mi mi mi mi mi mi mi mi mi mi mi mi




groin - ANSWER if molluscum contagiosum lesions are located in the
mi mi mi mi mi mi mi mi mi mi mi area we i
m




should investigate further as it could indicated possible sexual abuse
mi mi mi mi mi mi mi mi mi mi




anthrax - ANSWER mi mi mi lesions are usually black and characterized as painless mi mi mi mi mi mi mi




ulceration, typically seen in farmers
mi mi mi mi mi




ciprofloxacin, 2 - ANSWER anthrax lesions are treated with mi mi mi mi mi mi mi mi mi for at leastmi mi




m i m i m i m i months, can also use tetracyclines if need be mi mi mi mi mi mi mi




hidradenitis suppurativa (HS) - ANSWER skin condition that causes small, painful lumps to form mi mi mi mi mi mi mi mi mi mi mi mi mi




under the skin commonly in areas where the skin rubs together such as the armpits or groin, this
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




condition is NOT related to poor hygiene and the biggest risk factors are smoking
mi mi mi mi mi mi mi mi mi mi mi mi mi mi

, and obesity, treated with warm compresses and oral abx unless large enough then I&D
mi mi mi mi mi mi mi mi mi mi mi mi mi




folliculitis - ANSWER skin infection of the hair follicles and surrounding tissue, treated with
mi mi mi mi mi mi mi mi mi mi mi mi mi




mupirocin unless severe then oral abx such as penicillin or keflex
mi mi mi mi mi mi mi mi mi mi mi




rosacea - ANSWER erythematous facial rash that does not spare the nose/nasolabial fold
mi mi mi mi mi mi mi mi mi mi mi mi




flagyl - ANSWER rosacea is treated with topical
mi mi mi mi mi mi mi mi mi gel

lupus - ANSWER rash from this disease is characterized as a butterfly rash that does spare the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




nose/nasolabial fold, called a malar rash
mi mi mi mi mi mi




Sjogren's syndrome - ANSWER this disease is characterized by dry eyes and dry mouth, often
mi mi mi mi mi mi mi mi mi mi mi mi mi mi




associated with lupus
mi mi mi




erysipelas - ANSWER sharply defined and well demarcated borders, essentially a more superficial
mi mi mi mi mi mi mi mi mi mi mi mi




cellulitis
mi




keflex, penicillin - ANSWER erysipelas and non-purulent cellulitis are treated with
mi mi mi mi mi mi mi mi mi mi




or mi




bactrim, clindamycin, doxycycline - ANSWER purulent cellulitis is treated with (BCD)
mi mi mi mi mi mi mi mi mi mi




, mi or mi




geographical tongue - ANSWER benign tongue condition typically preceded by spit and hot mi mi mi mi mi mi mi mi mi mi mi mi




foods
mi




leukoplakia - ANSWER white spots/patches on the tongue and mucous membranes in the
mi mi mi mi mi mi mi mi mi mi mi mi




mouth that do not scrape off, often considered precancerous and seen in those with HIV,
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi




should be referred to the dentist
mi mi mi mi mi mi




candidiasis - ANSWER white spots/patches in the mouth that do scrape off mi mi mi mi mi mi mi mi mi mi mi




fifth's disease - ANSWER childhood exanthem that starts with a fever and slapped cheek
mi mi mi mi mi mi mi mi mi mi mi mi mi




presentation, a lacy net-like rash across the body then develops, self-limiting condition however
mi mi mi mi mi mi mi mi mi mi mi mi mi




stay away from pregnant women who are not immune as it can cause miscarriage
mi mi mi mi mi mi mi mi mi mi mi mi mi mi