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