Leik's Np Exam Tips

Front 1

multiple hypopigmented round macules in the chest, shoulders, and back that appear after skin becomes tan from sun

Back 1

Tinea Versicolor, yeast

Front 2

meds for tinea versicolor

Back 2

topical selenium sulfide or ketoconazole

Front 3

Koebner phenomenon

Back 3

new psoriatic plaques over areas of skin trauma

Front 4

rahes in the hands, neck, antecubital and popliteal space. multiple small vesicles that rupture, leaving painful, bright red weepy lesions

Back 4

eczema/ atopic dermatitis

Front 5

cellulitis treatment

Back 5

dicloxacillin if beta lactam resis or cephalexin without beta lactam resis

Front 6

erysipelas

Back 6

acne or bite that became infected and now appears like a raised indurated plaque with distinct edges

Front 7

treatment for hidradentis suppurative

Back 7

augmentin

Front 8

acute superficial skin infection caused by Gm + bacteria strep or staph aureus very contagious

Back 8

impetigo

Front 9

iimpetigo trx

Back 9

cephalexin, dicloxacillian, or axith if pcn allergic or mupiricin ointment

Front 10

erythema migrans

Back 10

lymes disease

Front 11

lyme dx treatment

Back 11

doxycycline

Front 12

complication of lymes dx

Back 12

neurological poblems Guillain Barre' migratory arthritis, chronic fatigue

Front 13

RMSF trx

Back 13

doxycycline

Front 14

ovl lesions with fine scales that follow skin lines of the trunk or a christmas tree pattern of papulosquamous lesions Hearld patch

Back 14

pityriasis rosea

Front 15

pityriasis rosea trx

Back 15

none self limiting

Front 16

scabies treatment

Back 16

permethrin cream, treat household

Front 17

impetigo rash

Back 17

honey colored crusts, fragile bullae

Front 18

measles rash

Back 18

koplik's spots, pink morbilliform rash

Front 19

scarlet fever rash

Back 19

sand paper rash with sore throat (strep)

Front 20

molluscum contagiosum rash

Back 20

smooth papules 5 mm size that are dome shaped with central umbilication with a white plug

Front 21

erythema migrains rash

Back 21

red maculopapular target lesions that grow in size early stage of lyme dz

Front 22

meningococcemia rash

Back 22

purple colored to dark red painful skin lesions all over the body. reportable and treat with rifampin to close contacts

Front 23

rocky mountain spotted fever rash

Back 23

round red rashes with petechiae, maculopapular, headache, fever, myalgias

Front 24

tinea capitis treatment

Back 24

oral antifungals griseofulvin x several weeks

Front 25

nails become yellowed thickened and opaque with debris. nail may separate from nailbed. great toe is most common

Back 25

onychomycosis

Front 26

open comedomes, closed with small papules

Back 26

mild acne treat with benzoyl peroxide, erythromycin soln retin A gel

Front 27

mild acne plus large numbers of papuiles and pustules

Back 27

moderate acne

Front 28

moderate acne treatment

Back 28

oral tetracycline (perm discoloration of teeth so not use < 18, decreases OCP's)

Front 29

painful indurated nodules and cysts over face

Back 29

severe cystic acne

Front 30

cystic acne treatmen

Back 30

isotretinoin accutane
cat X drug, use 2 forms of contraception

Front 31

light skinned adult to older patient with celtic background complains of chrinic and small acnelike papules and pustules around the nose, mouth and chin

Back 31

rosacea

Front 32

rosacea treatment

Back 32

metronidazole gel or oral tetracycline

Front 33

contact dermatitis clue

Back 33

usually unilateral location and shape of lesions

Front 34

if allergic to PCN may also be allergic to

Back 34

cephalosporins use macrolides

Front 35

actinic keratosis precurson

Back 35

squamous cell cancer

Front 36

psoralens are tar derived topicals uesd to treat

Back 36

psorasis

Front 37

If beta strep, gp B infection in cellulitis also at risk for developing???

Back 37

glomerular nephritis seen in strept throat

Front 38

elevated free T4 and low TSH can detect the majority of

Back 38

hyperthyroid cases

Front 39

thyroid nodules treatment

Back 39

ultrasound and refer

Front 40

most common cause of hyperthyroidism in USA

Back 40

graves dz

Front 41

middle aged female loses a large amount of weight rapidly, becomes irritible anzious and hyperactive. insomnia with frequent bowel movements, amenorrhea and heat intolerance. Enlarged thyroid goiter

Back 41

graves disease (hyperthyroid)

Front 42

tment for graves

Back 42

PTU or methimazole,can use BB to decrease symptoms

Front 43

permanent destruction of thyroid results, radioactive iodine trx

Back 43

hypothyroidism for life and need thyroid supplementation for life

Front 44

prgnancy and hypertryroid`

Back 44

PTU is preferred and lowest dose

Front 45

thyroid cancer risk factors

Back 45

painless nodule larger than 2.5 cm

Front 46

thyroid scan shows

Back 46

metabolic activity of thryoid gland

Front 47

cold spot

Back 47

not metabolic activie

Front 48

hot spot

Back 48

metabolically active nodule and usually benign

Front 49

urine microalbunuria if positive order

Back 49

24 hour urine for protein and creatinine

Front 50

DM eye findings

Back 50

microaneurysms due to neovascularization