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75 Cards in this Set
- Front
- Back
Man with vague upperabdominal discomfort. Present for 3 months. Not associated with meals oractivity. Oblong shaped firm and deeply seated mass in the epigastric area. Notenderness on direct palpation. He says he had similar thing in the past. |
Desmoid tumor, locallyaggressive bening with high recurrence even after removal.CT or MRI to evaluatethe size. |
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Onychomycosis treatment |
Terbinafine, itraconazoleSecond line: griseofulvin,fluconazole |
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54 yo male with flaky anditchy scalp. He has red oily skin with inflammation and scaling of the scalp,eyebrows and ears. |
Seborrheic dermatitis“dandruff” Treatment is selenium shampoo |
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Atopic dermatitis (eczema)presentation in infants and adults |
Infants: Itchy, red, scaly,crusted lesions on extensor surfaces, trunk, cheeks, scalpAdults: Lichenified plaquesin flexural creases |
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Treatment of atopicdermatitis (eczema) |
Topical steroids |
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Porphyria cutanea tardainvolves deficiency of |
Uroporphyrinogendecarboxylase an enzyme in the heme synthesis pathway |
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Porphyria cutanea tardamanifests as |
Painless blisters andincreased fragility of the skin on the dorsal surfaces of the hands, facialhypertrichosis (excessive hair growth) and hyperpigmentation |
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Whats the treatment ofporphyria cutanea tarda |
Phlebotomy or hydroxychloroquine,interferon alpha if infected with Hep C. |
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Pruritic papules and vesicleson elbows, knees, buttocks, posterior neck and scalp. Usually associated withgluten allergy |
Dermatitis herpetiformis |
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Tinea versicolor treated with |
Topical ketoconazole |
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Diaper rash treated with |
Topical zinc oxide paste |
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Self limiting condition thatfirst manifests as primary plaque (herald patch) with a fine collarette scale.A generalized eruption develops 1 to 2weeks later with fine scaling papules and plaques in the Christmas treedistribution |
Pityriasis rosea |
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Whats the treatment forphotoaging? |
Tretinoin |
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Single or multiple lesions,well demarcated, pigmented, round or oval with dull or verrucous surface with astuck on appearance. |
Seborrheick keratosis usually bening no treatment needed. |
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Explosive onset of multiplepruritic seborrheic keratosis has been associated with |
Lung and Gi cancer |
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Tinea capitis is treated with |
Oral griseofulvin |
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Treament for mild to moderateplaque psoriasis |
Topical high potency steroids(betamethasone) and topical vitamin D derivatives |
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Severe plaque psoriasistreatment |
Phototherapy, methotrexate |
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Facial and intertriginous(axillae) psoriasis |
Topical tacrolimus Low potency steroids |
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Guttate (salmon pink spots)psoriasis |
Observation, or phototherapy |
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Erythema in the central faceoften associated with flushing, telangiectasias and pustules. |
Rosacea, topicalmetronidazole if popular or pustular lesions. |
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If rosacea ony has erythemaand telangiectasias, treatment is |
Topical brimonidine |
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Whats the common complicationwith rosacea |
Eye problems like blepharitis, keratitis,conjunctivitis, corneal ulcers and recurrent chalazion |
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When scabies is suspectedwhat to do? |
Skin scrappings and examinationunder the microscope |
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Whats the treatment ofscabies |
Topical 5% permethrin |
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The most commonly used treatment for actinic keratosis is |
Topical 5 fluorouracil |
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Herpes zoster treatment |
Oral valacyclovir 7-10 days |
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Pain management for herpeszoster |
Amitriptyline, capsaicin,gabapentin |
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Shiny, discrete intensely pruritic polygonalshaped violaceous plaques and papules most frequent on flexural surfaces of theextremities |
Lichen planus |
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What should be checked forafter diagnosis of linchen planus? |
Anti hep C antibioides |
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Photosensitivity that appearsafter treatment of acne is likely due to which antibiotic |
Doxycycline. Treated withNSADs |
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Methods to prevent acneinclude |
Water based skin products, pHneutral detergent cleansers, low sugar diet. Avoid saturated fats, dairyproducts and refined carbohydrates. |
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Bullous phemphigoid should bediagnosed by |
Skin biopsy from the edge ofan intact blister |
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Tense bullae, itching,erythema and urticarial |
Bullous pemphigoid |
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Phemphigus vulgaris |
Flaccid bullaeSloughing of skinOral lesions |
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Severe itching, crusting andvesicles Elbows, knees, buttAssociated with celiacdisease |
Dermatitis herpetiformis |
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Grouped lesions linear orannular pattern |
Linear bullous dermatosis |
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Psoriatic arthritis requires |
Systemic treatment withmethotrexate |
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8 year olf with vesicularrash at the level of the seventh left intercostal space involving the anteriorand posterior walls of the chest. What is it? |
Nothing. This is herpeszoster infection. No further testing needed. |
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Which diuretic is associatedwith photosensitivy when exposed to the sun? |
Hydrochlorothiazide. Which isa sulfa |
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White kid when to summercamp, developed a rash 2 days later. Intense itchy lesion in right arm. Red,irregular, linear with papules and vesicles with oozing of a serous fluid.Small popular lesions on the lateral part of the left hand. What is it? |
Poison ivy dermatitis. |
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65 yo male with scaly pink,white and gray spots on his hands for several years but now increasing in size.He has small papules and plaques on the dorsum of the hand with a rough scale |
Actinic keratosis which is apremalignant condition associate with scc. |
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Female sexually active with anew partner. Small skin colored papules with indented centers that may occuranywhere except the palms and soles |
Molluscum contagiosum causedby poxvirus. HIV testing should be considered. |
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Molluscum contagiosumtreatment |
Curettage/cryotherapyPodophyllotoxin for chemicalremoval |
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Closed or open comedones onforehead nose and chin, what is it? Tx? |
Comedonal acne, topicalretinoids, salicylic, azelaic or glycolic acid |
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Inflammed papules (less than5mm) and pustules with erythema. What is it, whats the tx? |
Inflammatory acne. If mildtopical retinoids + benzoyl peroxideModerate: add topicalantibiotics erythromycin, clindaSevere: ORAL ANTIBIOTICS |
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Large (greater than 5mm)nodules that can appear cystic. What is it? Whats the treatment |
Nodular cystic acne. Moderate: topical retinoid +benzoyl peroxide+topical antibioitcsSevere: add oral antibioticsUnresponsive: oralisotretinoin |
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Clinical feats of melanoma |
Asymmetry: when bisected, the2 sides are not identical Border: uneven edges, pigmentfading off ColorDiameter >6mm, Evolving. |
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When are topical antibiotics useful? |
Full thickness burns and partial thickness burns with loss of epithelium |
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47 yo man with 2 month leftplantar surface of his left great toe enlarging painful and thickened papule.What is it? Treatment? |
Plantar warts by hpv. Usuallyhappens to people that work with meat, poultry, fish. Topical salicylic acid.Effects are seen in 2-3 weeks |
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Characteristics of alopeciaareata in terms of recurrence and treatment |
Intralesional steroids. Hairgrowth in 4-6 weeksThere is high chance ofrecurrence of hair loss even after successful treatment |
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What is the treatment ofatopic dermatitis |
1-oral antihistamines2-regular use of emollientsto maintain skin hydration and avoidance of hot or dry environments3-topical steroidstriamcinolone |
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in which areas are topicalsteroids contraindicated? Can be used instead |
face, eyelid, flexural areas.Tacrolimus can be used instead |
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Biopsy for actinic keratosisis indicate for |
Diagnosis is unclearLesions > 1cm in diameterLesions are induratedUlceration is present There is tendernessLesions are growing rapidlyLesions fail to respond toappropriate therapy |
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Patients with low risk sccrefusing surgery the best course of action is |
Radiation therapy |
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Whats the best treatment forkeloid |
Intralesional steroids |
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Treatment of mild tineapedis. And treatment of extensive disease or failure of topicals |
For mild topical terbinafine,miconazole, clotrimazoleSevere oral terbinafine,itraconazole, fluconazole |
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What skin condition isassociated with insulin resistance, GI malignancy |
Acanthosis nigricans |
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Multiple skin tags areassociated with which disease |
Insulin resistance, pregnancy, chrons (perianal |
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Porphyria cutanea tarda.Cutaneous leukocytoclastic vasculitis (palpable purpura) secondary tocryoglobulinemia is associated with which disease |
Hep c |
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Dermatitis herpetiformis isassociated with |
Celiac disease |
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Sudden onset severepsoriasis, recurrent herpes zoster, disseminated molluscum contagiosum areassociated with what |
HIV |
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Severe seborrheic dermatitisis associated with |
HIV and Parkinson |
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Explosive onset of multipleitchy seborrheic keratosis is associated with |
GI malignancies |
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Pyoderma gangrenosum isassociated with |
Inflammatory bowel disease |
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Initial solitary painful andinflamed nodule in intertriginois area. May have abscess formation withpurulent or seroanguineous drainage. Multiple recurrent nodules with sinustracts, comedones and scarring |
Hydradenitis suppurativa |
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What is the management ofhidradenitis suppurativa |
Weight loss, smokingcessation, cleansing of the area. |
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Treatment of mildhidradenitis suppurativa |
Topical clindaIntralesional steroids ororal antibiotics |
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Treatment of moderatehidradenitis suppurative-nodules sinus tracts and scarring |
Oral doxy (tetracyclines)Oral clinda + rifampin |
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Treatment of severehidradenitis suppurativa-diffuse involvement and extensive sinus tract |
Infliximab (TNF alphainhibitor)Oral retinoidsSurgical |
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For women who may becomepregnant the preferred medications are |
Topical erythroClindamycinAzelaic acid. |
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Tomato red plaques andsatellite papules with involvement of crural folds |
Candidal intertrigo andperineal infection. Clotrimazole cream |
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Which are is spared in diaperdermatitis |
Crural folds. |
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Sun protection factor 15recommended for |
Regular daily use |
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Sun protection factor 30 recommended for |
Outdoor work or recreation |