Exam Review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| >40 yrs (not like nevi, first three decades), new nevus at age 50 (think melanoma) | seborrheic keratosis
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| do not use liquid nitrogen for | dermatosis papulosa nigra (hypopigmentation)
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| electrodessication first line for | dermatosis papulosa nigra
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| small white, gray SK pepper dorsal feet, ankles older fair-skinned invidiuals | stucco keratoses
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| freeze, curette, electrodessicate | tx for stucco keratoses
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| pedunculated around neck, groin, eyelid, brown | acrochordons (skin tag), like acanthosis nigricans (marker for insulin resistance)
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| skin tag, what tx and labs? | snipping, liquid N, electrodessication, fasting blood glucose
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| single red papule | cherry angioma (not go away, harmless, more over yeas, trunk)
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| what you have on your leg (benign spindle cell, wad of scar, darking common, dimple with pinch) | dermatofibroma
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| tx for solar lentigines | (due to sun exposure), bleach cream, liquid N, chemical peels
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| ABCDE of melanoma | asymmetry, border, color, diameter, evolving
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| sebacious gland overgrowth (YELLOW color, tan, umbilicated center, mulitple papules around follicle) | sebarceous hyperplasia
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| solitary, friable, pearly translucent, telangiectasia, biopsy/referral | BCC
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| keloid tx | intralesional steroid is best. (NOT excision alone, it will reaccur even larger)
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| overgrowth of scar tissue beyond orignal scar, upper trunk, earlobe | keloid
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| mobile nodule, hair follciles not oil glands, debris (oil, skin) collects in sac (foul smelling) | epidermal inclusion cyst
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| epidermal inclusion cyst remvoal? | surgical excision DO NOT REQUIRE ABx (abscess if traumatized - incision/drain)
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| tiny epidermoid cyst, face, easily extracted no scar,face bumps on children go away, TX? | milia (nick the surface, petrolatum)
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| nodule on scalp | pilar cyst (excise)
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| fat under skin, (autosomal dominant), multiple and benign in early adulthood | lipoma
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| waxy, crumbly, stuck on | seborrheic keratoses
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| firm papule on leg with rim of pigmentation | dermatofibroma
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| definitive tx for epidermal inclusion cysts | excision * Not aspiration or popping
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| elective removal of benign lesions in darker skin types (skin tags, DPN) | electrodessication or snip (not liquid N)
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| SCC | shave biopsy reveals keratinocytes,keritin pearls, PINK/TAN nodule/plaque, central ulcer and crusted top (friable), firm with palpation, sun exposed (higher rate of metastisis)
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| SCC tx/bowen's tx | surgical removal, excision (documened with clear margins) - SCC, currette/dessication (bowne's); 5FU, imiquimod
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| SCC causes | UV exposure, (non sun exposed = chemical carcinoma - arsenic)
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| SCC in situ, keratinocyte atypia confined to epidermis | bowen's disease
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| higher rates of SCC metatisis | large, deep, bone, scalp, nose, lips, scars, burns, genitalia, HIV, arsenic
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| first step to SCC, sun exposure, arise from keratinocytes, increased age, fair skin, sun-exposed sites (damaged skin), "sandpaper", | actinic keratosis *easy bruising = purura
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| UV damage, small brown macules | lentigines
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| actinic keratosis tx | liquid N cryotherapy, currettage, shave, topical photodynamic
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| actinic keratosis associated with | actinic cheilitis on lips, gritty, biopsy to rule out cancer
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| actinic keratosis - when should they have skin exams> | 6-12 mon (broad A, UV B, use >30 SPF, every 2hrs, use a self-tanning product)
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| indurated erythematous lesions with keritin are __ until proven otherwise | SCC
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| SCC dx | shave biopsy
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| radiation therapy is a good choice for sugrical candidates | SCC if surgical excision doesn't work
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| shave biopsy shows basaloid cells, celft formation, palisading, fibromyxoid stroma | basal cell carcinoma
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| basal cell carcinoma | surgical removal treatment of choice, electrodies, curettage, radiation can be used, imiquimod, FU
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| MCC cancer | basal cell, nonkeratinizing keratinocytes in basal layer, UV damage,
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| head, neck most common type | nodular basal cell carcinoma
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| pink, translucent color, patch (scaly), like SCC | superficial basal cell carcinoma
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| microscopically ulcerated, crusting over | ulcerated BCC
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| BCC characteristics with dark pigment | pigmented BCC
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| white and bound down or scar like areas. | morpheaform BCC
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| superficial histological analysis of tumor margins, recurrance rates are lower with>>, if you have morpheaform, on face, | Moh's MMS
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| T/F BCC is locally invasive, metastisis rare, risk for melanoma, f/u 6mon-1yr | true
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Created by:
jamieseals
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