Phys Dx (Skin)

Front 1

A slightly but uniformly pigmented macule or patch with a somewhat irregular border (benign under 1.5 cm.).

Back 1

Cafe-Au-Lait spot

Front 2

Six or more cafe-au-lait spots, each measuring over 1.5 cm indicates ________.

Back 2

Neurofibromatosis

Front 3

Common superficial fungal infection of the skin, causing hypopigmented, slightly scaly macules on the body like a short sleeved shirt.

Back 3

Tinea versicolor

Front 4

Depigmented macules appear on the face, hands, feet, extensor areas that lack melanin.

Back 4

Vitiligo

Front 5

Causes include - liver disease and hemolysis of red blood cells.

Back 5

Jaundice

Front 6

T or F
Jaundice and Carotenemia can cause yellowing of the sclera.

Back 6

Only Jaundice affects the sclera.
Carotenemia will not.

Front 7

Aka "Fifth disease".

Back 7

Erythema

Front 8

Violaceous eruption over the eyelids in the collagen vascular disease Dermatomyositis.

Back 8

Heliotrope

Front 9

What collagen vascular disease will present Heliotrope (violaceous eruption over the eyelids)?

Back 9

Dermatomyositis

Front 10

Reddish oval ringworm-like lesions.

Back 10

Pityriasis Rosea

Front 11

Silvery scaly lesions, mainly on the extensor surfaces.

Back 11

Psoriasis

Front 12

Tan, flat, scaly lesions.

Back 12

Tinea Versicolor

Front 13

Where does Atopic eczema normally appear?

Back 13

Flexor surfaces

Front 14

Linear epidermal nevus is an example of what pattern?

Back 14

Linear

Front 15

Mycosis fungoides is an example of what pattern?

Back 15

Geographic

Front 16

Grouped lesions of Herpes simplex is an example of what pattern?

Back 16

Clustered

Front 17

Tinea corporis is an example of what pattern?

Back 17

Serpiginous

Front 18

Tinea faciale (ringworm) is an example of what pattern?

Back 18

Annular, Arciform

Front 19

A small flat spot, up to 1 cm.

Back 19

Macule
i.e. Hemangioma or Vitiligo

Front 20

A flat spot, 1 cm or larger.

Back 20

Patch
i.e. Cafe-au-lait

Front 21

An elevated superficial lesion 1 cm or larger, often formed by coalescence of papules.

Back 21

Plaque
i.e. Psoriasis

Front 22

How large are papules?

Back 22

Up to 1 cm.
i.e. Psoriasis

Front 23

A marble-like lesion larger than .5 cm., often deeper and firmer than a papule.

Back 23

Nodule
i.e. Dermatofibroma

Front 24

A nodule filled with expressible material, either liquid or semisolid.

Back 24

Cyst
i.e. Epidermal inclusion cyst

Front 25

A somewhat irregular, relatively transient, superficial area of localized skin edema.

Back 25

Wheal
i.e. Urticaria

Front 26

A serous-filled cavity of up to 1 cm.

Back 26

Vesicle
i.e. Herpes simplex

Front 27

A serous fluid-filled cavity, 1 cm. or more.

Back 27

Bulla
i.e. Insect bite

Front 28

Filled with pus.

Back 28

Pustule
i.e. Acne or Small pox

Front 29

A minute, slightly raised tunnel in the epidermis, commonly found on the finger webs and on the sides of the fingers.

Back 29

Burrow
i.e. Scabies

Front 30

A thin flake of dead exfoliated epidermis.

Back 30

Scale
i.e. Ichthyosis vulgaris or dry skin

Front 31

The dried residue of skin exudates such as serum, pus, or blood.

Back 31

Crust
i.e. Impetigo

Front 32

Visible and palpable thickening of the epidermis and roughening of the skin with increased visibility of the normal skin furrows (often from chronic rubbing).

Back 32

Lichenification
i.e. Neurodermatitis

Front 33

Connective tissue that arises from injury or disease.

Back 33

Scars

Front 34

Hypertrophic scarring that extends beyond the borders of the initiating injury.

Back 34

Keloids

Front 35

Name 3 common reasons for a primary skin lesion turning to a secondary lesion.

Back 35

Excess scratching
Infection of primary lesion
Overtreatment

Front 36

Nonscarring loss of the superficial epidermis; surface is moist but does not bleed.

Back 36

Erosion
i.e. Aphthous stomatitis, moist area after the rupture of a vesicle, as in chickenpox

Front 37

Linear or punctate erosions caused by scratching.

Back 37

Excoriation
i.e. Cat scratches

Front 38

A linear crack in the skin, often resulting from excessive dryness.

Back 38

Fissure
i.e. Athlete's foot

Front 39

A deeper loss of epidermis and dermis, may bleed and scar.

Back 39

Ulcer
i.e. Stasis ulcer of venous insufficiency, syphilitic chancre

Front 40

Is Acne vulgaris a primary or secondary lesion?

Back 40

Can be either, or mixed.
Primary - Mild, Moderate, or Severe cystic
Secondary - Acne w/pitting and scars

Front 41

Most common cutaneous disorder in the U.S.

Back 41

Acne vulgaris
(85% of adolescents)

Front 42

Acne is a disorder of the _______ follicle.

Back 42

Pilosebaceous

Front 43

In Acne, what plugs the follicular openings?

Back 43

A proliferation of Keratinocytes and excess Sebum (stim'd by androgens).

Front 44

An anaerobic diphtheroid normally found on the skin but plays a role in Acne vulgaris.

Back 44

Propionibacterium acnes

Front 45

Fiery red vascular lesion, a central body with radiating legs, from very small to 2 cm.

Back 45

Spider angioma

Front 46

Bluish vascular lesion, can be small or up to several inches.

Back 46

Spider vein

Front 47

Bright or ruby red vascular lesion, may become brownish with age, 1-3 mm.

Back 47

Cherry angioma

Front 48

T or F
Spider angiomas are most often found in the lower extremities.

Back 48

False
Almost never below waist
(Spider Veins are found in lower extremities)

Front 49

Although Spider angiomas occur commonly in some people, what may it also indicate?

Back 49

Liver disease
Pregnancy
Vit B deficiency

Front 50

A deep red or reddish purple lesion, fading away over time.

Back 50

Petechia (1-3 mm)
i.e. Emboli to skin
or
Purpura (larger)
i.e. Vasculitis

Front 51

A purple or purplish blue lesion, fading to green, yellow, and brown with time. (more than 3 mm)

Back 51

Ecchymosis
(often secondary to bruising or trauma)

Front 52

Superficial, flattened papules covered by a dry scale, can be different colors, often seen on sun-exposed skin of elderly fair skinned people.

Back 52

Actinic keratosis
(Benign, however, 1 of 1000 may develop into squamous cell carcinoma)

Front 53

Common, benign, yellowish to brown raised lesions that feel slightly greasy and velvety or warty and have a "stuck on" appearance.

Back 53

Seborrheic keratosis
i.e. Dermatosis papulosa nigra - on cheeks and temples of black people

Front 54

An initial transluscent nodule which spreads, leaving a depressed center and a firm, elevated border and telangiectasic vessels often visible.

Back 54

Basal cell carcinoma
(Malignant, but slow grower)

Front 55

Often seen on face and back of hands, grows quicker than basal cell carcinoma and looks redder and firmer.

Back 55

Squamous cell carcinoma
(may develop from actinic keratosis)

Front 56

A mole that's round, sharply defined borders, uniform color, diameter < 6 mm, flat or raised surface.

Back 56

Benign nevus

Front 57

A mole that's assemetric, irregular borders that fade into the normal skin, variation in color but usually dark, diameter > 6mm.

Back 57

Atypical (dysplastic) nevus
(could be Malignant melanoma)

Front 58

Where do you look for Malignant melanomas on dark skinned people?

Back 58

Under nails, on hands, and soles of feet

Front 59

Papules and pustules developed on the back of the thighs and buttocks from a hot tub may be from what?

Back 59

Pseudomonas
(hot tub folliculitis)

Front 60

Term for itching.

Back 60

Pruritis

Front 61

Term for hydration level.

Back 61

Turgor

Front 62

Micro-hemorrhages that develop when the scale of psoriasis is scraped off; blood supply is very superficial and skin is thickened.

Back 62

Auspitz sign

Front 63

A rash associated with psoriasis or dermatitis that develops on scar tissue after the healing phase (and on scar tissue specific for underlying cancer)

Back 63

Koebner's phenomenon

Front 64

"Liver spots"

Back 64

Purpura

Front 65

What percent of moles become dysplastic?

Back 65

35%

Front 66

T or F
It is normal to acquire new moles later in life?

Back 66

False
(should not acquire new moles passed 40 years old)

Front 67

What percent of skin cancer is Basal cell carcinoma?

Back 67

85%

Front 68

Melanoma risk model.

Back 68

HARMM
History of previous melanoma
Age over 50
Regular dermatologist absent
Mole changing
Male gender