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Step III
Step III - Derm 3
| Question | Answer |
|---|---|
| Tx for Kaposi | HAART to raise CD count |
| If initial tx for Kaposi fails then what is the next rx tx | Chemo w/ liposome adriamycin AND vinblastine |
| What is the Koebner phenomenom | Injury to epidermis leaves psoriatic skin plaques |
| What is the best initial tx for psoriasis | Emollients |
| What can be used to slough up build up in psoriasis | Salicylic acid |
| localized psoriasis tx | Steroids |
| instead of coal tar and steroids for tx of psoriasis what else can be used | Vita D (calcipotriene) or Vita A (tazarotene) derivatives |
| if > 30% of pt body is affected by psoriasis what tx can be used | UV light |
| AE MTX | Liver fibrosis |
| Severe, progressive, widespread psoriasis is tx using | MTX |
| Name the immunomodulators in tx of psoriasis | Etanercept, alefacept, infliximab |
| Red itchy plaques flexor surfaces, high IgE | Atopic dermatx |
| Preventive tx for atopic dermatx | Avoid hot showers and scratching skin, wear cotton, use emollients (avoid drying the skin) |
| Tx for Active atopic dermatx | Anti-histamines, steroids, tacrolimus, coal tar, phototx, anti-bx if impetigo |
| Name fungus causing seborrheic dermatx | Pityrosporum ovale |
| Venous incompetence of LE causing hemosiderin build up = | venous stasis dermatx |
| Linear streaked vesicles a/w soap, metal, poison ivy, latex | Contact dermatx |
| Most accurate test for contact dermatx | Patch testing |
| Pruritic, herald patch, Christmas tree rash, salmon colored, spares palms and soles | Pityriasis rosea |
| Tx for Pityriasis rosea | Self limiting (8wks); steroids if too itchy |
| Moderate acne is tx using | Benzoyl peroxide + retinoic acid/adapalene/tazarotene |
| Mild acne is tx using | Topical clinda/erythro/sulfacetamide + benzoyl peroxide OR topical retinoid |
| Severe acne is tx with | PO clinda/minocycline/tetracycline/isotretinoin |
| If melanoma is 1mm depth then what margin needed for excision | 1cm |
| If melanoma is 1-4mm depth then what margin needed for excision | 2cm |
| The strongest risk factor for malignancy in melanoma | shape |