click below
click below
Normal Size Small Size show me how
Skin System
WVSOM: Skin System (Sammon's Lectures)
Question | Answer |
---|---|
Organism for hottub folliculitis | psuedomonas |
Acne vulgaris is an dlock of what | pilsebaceous unit |
Neonatal acne is caused by what | left over hormones from mother |
Whats different about acne rosacea | NO comedones |
What is different between inflammatory and non-inflammatory | Inflammatory has a IMMUNE response, redness and papules/pustles/nodules |
What does Benzy peroxide do | reduces number of P. Ance |
What do antibiotics do for ance | reduce inflammation |
Only acne drug to ever be shown to reduce effectivness of birth control | rifampin |
Caused by pox virus and has pink umbilicated papules | Molluscum Contagiosum |
Itches most at night | scabies |
What causes the itching in scabies | scobala, or the poop |
A individual with Karposi's sarcoma should be tested for... | HIV |
Is a wheal a primary or secondary lesion | primary |
Is a tumor a primary or secondary papule | primary |
Do erosions or ulcers heal w/o scarring | erosions |
What is an excoriation | erosion caused by scratching |
A thickened epidermis caused by scratching is called a.... | Lichenification |
Will hypopigmentation or depigmentation light up under a Woods lamp | DEpigmentation |
Which two types of cleansers have the highest (basic) pH | soaps and combars |
Which type of cleanser should you use on infants | syndets |
True or False: Moisterizers put water back into the skin | FALSE, just keep water in |
Most effective occlusive moisturizer | petrolatum |
What do humectants do? | Pull water from enviornment (requires humidity above 70%, cause Keratinocytes to swell) |
Which skin products are used in between washing and moisturizing | astrigents and toners |
Two mechansims behind sunscreen? Which one is poor for controlling UVA? | block/absorb the UV energy and reflect it.UVA. |
At which SPF do you get both UVA and UVB protection | 30 |
Which UV source, A B or C, is more erythrogenic and seasonal | UVB |
What is the proper order of ability to keep in moisture between creams, oinments and lotions | ointment > creams > lotions |
Is it a good idea to use combinations of steroids and antibiotics? | NO |
What is tachyphylaxis | reduced response to a drug due to enzyme induction and thus normal durg dose becomes ineffective |
'Cidal' drugs work to reduce fungi by what mechanism | killing them |
'Static' drugs work to reduce fungi by what mechansim | supressing them |
Waxy brown "stuck on" plaques that look like they coudl just peel off are indicative of... | Seborrhetic keratosis |
Skin tags occur in areas of... | Friction (DO NOT remove with string, more common in the obese, LOTS of bleeding when removed) |
Usually found on the lower legs, these are TOUGH to the touch, and havea POSITIVE DIMPLE SIGN | Dermatofibroma |
Pruigo Nodularis is what? Commonly linked to? | Itching nodular disease linked to psych disorders |
Hyperpigmentation, usually on the face and seen 10x as much in women | Melasma |
6 or more cafe au lait spots can lead you to think about... | von Recklinghous disease |
Congeital small bumps on the buttocks, back of legs, and anterior legs | Keratosis Pylaris |
Vititigo is caused by what | actual autoimmune disease that attacks melanocytes |
Cough, coryza and conjunctivitis | Measles |
A disease that manifests a rash as soon as a high fever breaks | rosiola |
Caused by coxsackie virus | Hand-foot-mouth disease |
Alopecia Atreata is caused by.. | autoimmune disease against the pigment in the hair follicles |
True or False: The presence of auto-reactive antibodies are enough to warrent a diagonsis of some kind of disease (lupus, etc...) | False |
Strongest risk factor for Lupus | Gender (females at more risk) |
At what age does Lupus most often occur | childhood |
In which ethnicities does Lupus most often occur | African Americans |
'MD SOAP BRAIN' is used to describe what? What does it stand for | Systemic Lupus. Malar Rash, Discoid lesiosn, Arthritis, Photosensitivity, Photosensitivity, Blood disorder, ANA, Immune response, Nueropathy |
How many traits out of the 11 diagnotic criteria does a patient need to have in order to be diagnosed as having systemic lupus | 4 |
In which form of lupus is ANA NOT expected to be seen | Discoid Lupus |
In which type of Lupus woudl you seen "carpet-tac lesions" | Discoid |
SS-A and SS-B antibodies | Subacute Lupus |
Papulosquamous and Annular Polycyclic pattern | Subacute Lupus |
What disease 'spares the knuckles' | Subacute lupus |
Which Lupus is ANA positive and has Anti-histone antibodies | Drug induced antibodies |
Which drug has been highly associated with drug induced lupus | menecillin |
SS-A negative with possible SS-B positive or neagtive | Neonatal lupus |
which lupus is associated with congenital heart block | neonatal lupus |
Dermatomyositis is actually inflammation in which tissue that presents cutaneously | muscle |
A case of dermatomyositis shoudl lead you to suspect... | Ovarian cancer in females |
While Lupus tends to spare the knuckle, which disease will manifest right on top of them | dermatomyositis |
A positive anti-Jo-1 antibody | Dermatomyositis |
CREST syndrome satnds for what and is assocaited with which disease | Calcinosis Cutis, Raynaud Phenomenon, Esophageal dysmotility, Sclerodacytly, Teleangecasia and is associated with Systemic Sclerosis |
Whar is the localized form of sclerodoma called | Morphia |
Autoantibodies to Type II Collagen | Relapsing Polychondritis |
ant-U1-RNP antibodies | Mixe connective tissue disease |
WHich has a higher malignancy, congeital or acquried Nevi | congenital |
The tyndal effect is what | Brown pigments that absorb longer wavelengths of light apparently turning them blue |
What type of Nevi has a "fried egg" appearance | Dysplastic Nevi |
What is a Beckers Nevi | NOT a true melanocytic nevi. Overgrowth of smooth muscle seen on SHOULDER. Also is usally seen on a brown papule and has hair |
An immune reaction toward a Nevi may yeild what type of Nevi | Halo Nevi |
What are the two most common forms of malignant melanomas | Spreading (70%) and nudular |
This is a malignant melanoma effecting mostly african americans and asians and occurs on the soles, phalanges, palms and mucous membrane | Lentigo Maligna |
A pigmented band that occurs in a nail or nail fold | Hutichinsons Sign |
ABCDE's of melanomas stand for... | Asymetry, borders, color, Diameter and Evolving |
At which Breslow depth do you sample the sentinal lymph node | 1mm |
What was psoriasis thought to be linked to | Leprosy |
Well demarcated, erthematous plaques, with scales | psoriasis |
What pathological mechanism is thought to be associated with psoriasis | T-cell disease |
Urethritis, arthritis and psoriasis altogether makes up which disease | Reiters |
Methotrexate is damaging to what organ | Liver |
Cyclosproin is damaging to what organ | Kidney |
Guttate psoriais is linked to what bacterial infection | strep |
Erythema multiform is linked to which type of infection | herpes |
Erythema NOdosum is most commonly caused by.. | oral birth control or coccidiovirus in San Jaun Valley |
Very common and is seen as Cradle Cap in newborns. Has a greasy scale and minor itching | Seborrehtic dermatitis |
Red-orange plaques, follicular papules and Islands of Sparing | Pityriasis Rubra Pilaris |
Christmas tree pattern, Herald Patch, Collarette scale and Syphilis | Pityriasis Rosea |
Pruitic, Planar, Polyangular, purple, papules | Lichen Planus |
Where will lichen planus ALWAYS manifestq | buccal mucosa |
Lichen sclerosis is treated with what | CLASS 1 STEROIDS |
Gumma are seen when | stage 3 syphilis |
Copper colored oval papules are seen with moth eatch alopecia in which disease | syphilis, stage 2 |
Gluten sensitive enteropathy | Dermatitis Herpetiformis |
Which disease has IgA deposited associated with GI hemorrage and abnormal jejunal mucosa | Dermatitis Hepretiformis |
anti-desmoglein 1 and 3 antibodies | pemphigus |
BP230 and BP180 antibodies | Pemphigoid |
Four phases of wound healing | INflammatory, Migratory, Proliferative, and Late-proliferative |
Erythema, edema, heat and pain occur in which stgae of healing | inflammatory |
Angiogenesis occurs in which stage of healing | migratory |
Fibroblast and conraction dominate which stage of healing | proliferative |
Most dog bites are treated with which wound intention | primary |
Snake bites are usually treated with which intention | secondary |
Human bites are treated with which intention | tertiary |
Which vitamin is MOST important in healing | vit C |
Which trace element is most important in healing | Zinc |
Do steroids help wound healing | NO |
Do anti-inflammatories inhibit wound healing | NO |
Besides steroids, which condition is extremely detrimental to wound healing | diabetes |
Does ionizing radiation have more effects on basal cell or squamous cell carcinoma | niether! |
Smoking, Arsenic and HPV increase risk for | SCC |
Bowens disease is associated with what | Squamous cell in situ |
Pearly Papule with plaque or depressed center | BCC |
What is the treatment of choice for Morpheaform BCC | Mohs |
What are the levels of toxicity for lidociane with and w/o epi | 7mg WITH eip, 5mg w/o |
Do you use punch biposies on a malignant tumor | no |
Which causes more damage electrodessication or electrofulgaration | electrodesication |
Diuretic that you DO NOT want to give during pregnancy | Spironalactone |
Palpable Purpura are associated with... | vasculitis |
Pityriasis Rosea is associated with which viral infection | syphylis |
Lichen Planis is associated with which viral infection | Hep c |
Are you able to remove a mephiaform BCC in the office | NO |