Dermatology and Pharmacology Quiz
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Questions and Answers

When describing crisaborole to a patient for the treatment of atopic dermatitis, what side effect should be mentioned?

  • Acral erythema
  • Tingling (correct)
  • Dose of Pentostam
  • Bleeding per rectum
  • If a patient on biologics presents with bleeding per rectum, what is the next appropriate investigation?

  • Drugs accumulated in eccrine glands
  • Colonoscopy (correct)
  • Dapsone and appear with malaise and fatigue
  • Occult blood in stool
  • A child taking dapsone presents with malaise and fatigue, which investigation is most appropriate?

  • Reticulocyte count
  • Dose of Pentostam
  • U/S
  • G6PD (correct)
  • What is the correct dose of Pentostam for treatment?

    <p>5 mg/kg</p> Signup and view all the answers

    Which drug is known to accumulate in eccrine glands?

    <p>Cyclosporin</p> Signup and view all the answers

    What is the cause of acral erythema?

    <p>Doxorubicin</p> Signup and view all the answers

    After stopping the treatment, how long does it take for WBC CD20 to return to a positive count?

    <p>6 months</p> Signup and view all the answers

    In a male patient with androgenic alopecia and elevated testosterone levels, how long does it take to prevent conception after stopping the treatment?

    <p>6 months</p> Signup and view all the answers

    In a patient with Hailey-Hailey disease (acanthosis without dyskeratosis), what is the recommended treatment?

    <p>Steroid</p> Signup and view all the answers

    What is the recommended treatment for a patient with alopecia and papules (pustules) of follicular opening without ostia?

    <p>Minocycline + Dapsone</p> Signup and view all the answers

    In a patient with an erythematous plaque at the base of the nose between the eyes and histology showing granuloma without organism and perifollicular inflammation, what is the recommended treatment (diagnosis is sarcoidosis)?

    <p>Infliximab</p> Signup and view all the answers

    A patient treated with minocycline for acne developed papulopustular lesions. What should replace minocycline?

    <p>Isotretinoin</p> Signup and view all the answers

    What is the next step in management for a patient with bloody diarrhea after receiving secukinumab 30-60 minutes prior to surgery?

    <p>Colonoscopy</p> Signup and view all the answers

    In a patient with high testosterone levels planning for preconception, how long should the drug be stopped prior to conception?

    <p>12 months</p> Signup and view all the answers

    What is the first-line treatment for a 10-year-old child with fever, productive cough, and normal CBC, HB, platelet, and leukocyte counts?

    <p>Antibiotics if mycoplasma pneumonia</p> Signup and view all the answers

    For a patient with skin colored papules and elastic skin on the neck, along with angoid streaks on the retina, what is the next step in management?

    <p>Stop smoking</p> Signup and view all the answers

    In a patient with SLE who has been on hydroxychloroquine for 2 years and is now non-responsive, what is the next step in management?

    <p>Shift to rituximab</p> Signup and view all the answers

    A pregnant female on systemic prednisone (1mg/kg) at 37 weeks with no improvement and a body weight of 65 Kg should:

    <p>Preterm labor</p> Signup and view all the answers

    What is the recommended treatment for tinea capitis based on dermoscopy findings?

    <p>Terbin 125 Micronized</p> Signup and view all the answers

    Which drug is contraindicated in a patient with burn and neutropenia?

    <p>[Alcohol] Ethanol</p> Signup and view all the answers

    What is the recommended treatment for hair swelling and brittleness based on dermoscopy findings?

    <p>[Minoxidil] Rogaine</p> Signup and view all the answers

    Which chemical sunscreen is strictly considered a UVB absorber?

    <p>Oxybenzone Padimate O</p> Signup and view all the answers

    What is the next step in management for a female on renal dialysis complaining of an ulcer on the Achilles tendon?

    <p>Hyperbaric oxygen</p> Signup and view all the answers

    In a case of folliculitis decalvans with increased urea and creatinine, what is the preferred treatment?

    <p>Doxycycline</p> Signup and view all the answers

    What is the recommended next investigation for a patient on biologics presenting with bleeding per rectum?

    <p>Occult blood in stool</p> Signup and view all the answers

    For a child taking dapsone and appearing with malaise and fatigue, what is the most appropriate investigation?

    <p>Reticulocyte count</p> Signup and view all the answers

    What is the correct dose of Pentostam for treatment?

    <p>20 mg/kg</p> Signup and view all the answers

    Which drug is known to accumulate in eccrine glands?

    <p>Cyclosporin</p> Signup and view all the answers

    In the context of acral erythema, which drug is known to cause a similar presentation?

    <p>Cytarabine</p> Signup and view all the answers

    In a histopathological picture showing fat cells and subcutaneous involvement, what is the recommended treatment?

    <p>$Colchicine$</p> Signup and view all the answers

    In a patient with erythema nodosum treated with an unknown medication and having eczema, what is the likely drug being used?

    <p>$Potassium iodide$</p> Signup and view all the answers

    What is the best time for prophylactic antibiotic treatment in a patient scheduled for cutaneous surgery?

    <p>$Before surgery$</p> Signup and view all the answers

    Which chemical sunscreen is strictly considered a UVB absorber?

    <p>$Oxybenzone$</p> Signup and view all the answers

    In a male patient with androgenic alopecia and elevated testosterone levels, how long does it take to prevent conception after stopping the treatment?

    <p>12 months</p> Signup and view all the answers

    What is the first-line treatment for a 10-year-old child with fever, productive cough, and normal CBC, HB, platelet, and leukocyte counts?

    <p>Azithromycin (Zithromax)</p> Signup and view all the answers

    What should be the next step in management for a female on renal dialysis complaining of an ulcer on the Achilles tendon?

    <p>Referral to vascular surgery for vascular assessment and intervention</p> Signup and view all the answers

    What is the best treatment for a patient with interstitial granuloma?

    <p>Cyclosporine</p> Signup and view all the answers

    Which drug can be considered for treating a patient with DLE (discoid lupus erythematosus) involving the face at the maximum dose of 6.5mg ideal body weight?

    <p>Methotrexate</p> Signup and view all the answers

    In a patient with Tinea versicolor on the chest who is already on digoxin and verapamil, what is the best treatment option?

    <p>Itraconazole</p> Signup and view all the answers

    What is the next appropriate investigation for a patient with Sezary syndrome presenting with bleeding per rectum?

    <p>Colonoscopy</p> Signup and view all the answers

    A patient with Sweet syndrome and abnormal lab findings is likely to take how long for white blood cells to recover?

    <p>9 days</p> Signup and view all the answers

    For a patient with Hailey-Hailey disease (acanthosis without dyskeratosis), what is the recommended treatment?

    <p>Topical steroids</p> Signup and view all the answers

    What chemical sunscreen is strictly considered a UVB absorber?

    <p>Methyl Anthranilate</p> Signup and view all the answers

    Which factor does not contribute to exacerbating Darier Disease?

    <p>Viral Infections</p> Signup and view all the answers

    What should be the next step in management for a female on renal dialysis complaining of an ulcer on the Achilles tendon?

    <p>Hyperbaric oxygen</p> Signup and view all the answers

    What common side effect is associated with the drug used for treating a patient with hemangioma?

    <p>Bradycardia</p> Signup and view all the answers

    What is the best protective measure to recommend during treatment for hand eczema?

    <p>Broad-spectrum sunscreen</p> Signup and view all the answers

    What is the best next step in management for a baby with yellow crusted lesions in the pubic area (impetigo)?

    <p>Mupirocin cream if impetigo</p> Signup and view all the answers

    After stopping the treatment, how long does it take for WBC CD20 to return to a positive count?

    <p>6 months</p> Signup and view all the answers

    For a male patient with plaque pigmented on his leg, Kaposi's sarcoma, and HHV8 positive, what is the recommended treatment?

    <p>Sirolimus</p> Signup and view all the answers

    In a patient with generalized purpuric eruption and sole ulcer, along with ulcerative LP, what is the recommended treatment?

    <p>Cyclosporine</p> Signup and view all the answers

    In a patient with cyanosis in fingers (Reynaud’s), edema, low C3 and C4, and positive ANA, what is the best treatment?

    <p>Hydroxychloroquine</p> Signup and view all the answers

    What is the preconception period of acitretin to prevent conception?

    <p>Three years</p> Signup and view all the answers

    In a patient with bullous pemphigoid, elevated urea and creatinine levels, and on treatment, what is the next step?

    <p>Stop drug</p> Signup and view all the answers

    In a patient with multiple hypopigmented macules and skin papules on knee, elbow, and wrist after contaminated water exposure, what is the likely diagnosis?

    <p>Arsenic poisoning</p> Signup and view all the answers

    In a patient who developed a rash after taking antibiotics, what is the likely cause?

    <p>Clarithromycin</p> Signup and view all the answers

    What is the mechanism of action of Itraconazole?

    <p>Inhibit lanosterol 14-dimethylsylase</p> Signup and view all the answers

    In a patient with recurrent erosions in hands and ears that are self-limited, what is the recommended treatment?

    <p>Topical steroids</p> Signup and view all the answers

    What is the recommended next investigation for a patient on biologics presenting with bleeding per rectum?

    <p>Colonoscopy</p> Signup and view all the answers

    A child taking dapsone and appearing with malaise and fatigue, what investigation is most appropriate?

    <p>G6PD</p> Signup and view all the answers

    What is the correct dose of Pentostam for treatment?

    <p>20 mg/kg</p> Signup and view all the answers

    Which drug is known to accumulate in eccrine glands?

    <p>Cyclosporin</p> Signup and view all the answers

    In a histopathological picture showing fat cells and subcutaneous involvement, what is the recommended treatment?

    <p>Steroid</p> Signup and view all the answers

    What chemical sunscreen is strictly considered a UVB absorber?

    <p>Homosalate</p> Signup and view all the answers

    After stopping the treatment, how long does it take for WBC CD20 to return to a positive count?

    <p>6 months</p> Signup and view all the answers

    In a male patient with androgenic alopecia and elevated testosterone levels, how long does it take to prevent conception after stopping the treatment?

    <p>12 months</p> Signup and view all the answers

    In a patient with Hailey-Hailey disease (acanthosis without dyskeratosis), what is the recommended treatment?

    <p>Biologic</p> Signup and view all the answers

    For a patient with cyanosis in fingers (Reynaud’s), edema, low C3 and C4, and positive ANA, what is the best treatment?

    <p>Hydroxychloroquine</p> Signup and view all the answers

    In a patient treated with minocycline for acne then developed papulopustular lesions, what should replace minocycline?

    <p>Isotretinoin</p> Signup and view all the answers

    A patient with area of alopecia with papules (pustules) of follicular opening without ostia, what is the treatment?

    <p>Isotretinoin</p> Signup and view all the answers

    What is the next appropriate investigation for a patient with pustules in the armpits three days after starting Sulfasalazine?

    <p>Linear IgA</p> Signup and view all the answers

    In a patient with photosensitivity, what is the best next step for management?

    <p>Phlebotomy if PCT or hydroxychloroquine</p> Signup and view all the answers

    A patient with DLE (discoid lupus erythematosus) involving the face has not shown improvement on hydroxychloroquine. What is the next step in management?

    <p>Shift to rituximab</p> Signup and view all the answers

    For a pregnant female with systemic prednisone at 37 weeks and no improvement, what is the best course of action?

    <p>Preterm labor</p> Signup and view all the answers

    In a patient with hypereosinophilic syndromes, cardiomyopathy, deep venous thrombosis, and high eosinophils, what is the most appropriate treatment?

    <p>Mepolizumab</p> Signup and view all the answers

    What is the recommended treatment for tinea capitis based on dermoscopy findings?

    <p>Ultra-Griseofulvin 400 mg</p> Signup and view all the answers

    What is the best NBUVB treatment for a vitiligo patient?

    <p>PUVA</p> Signup and view all the answers

    In a patient with severe side effects to a drug used for treating hemangioma, which side effect is most commonly associated with the drug?

    <p>(Bradycardia)</p> Signup and view all the answers

    For a male patient with bullous pemphigoid, elevated urea and creatinine levels, and ongoing treatment, what is the next appropriate step?

    <p>(Dapsone)</p> Signup and view all the answers

    A male patient with lip crutation and bullous lesions likely has which condition?

    <p>(Sweet syndrome)</p> Signup and view all the answers

    In a male patient with androgenic alopecia and elevated testosterone levels, how long does it take to prevent conception after stopping the treatment?

    <p>24 months</p> Signup and view all the answers

    For a patient with skin colored papules and elastic skin on the neck, along with angoid streaks on the retina, what is the next step in management?

    <p>Biologic</p> Signup and view all the answers

    What is the next appropriate step in the management of a 65-year-old female on renal dialysis complaining of an ulcer on the Achilles tendon?

    <p>Hyperbaric oxygen</p> Signup and view all the answers

    In a patient with Sezary syndrome presenting with fever, rash, facial edema, leukocytosis, and hepatitis after four weeks of starting phenytoin for seizures, which risk factor is most likely to have contributed to these symptoms?

    <p>Deficiency of epoxidase hydroxylase</p> Signup and view all the answers

    What is the best next step in the management of a baby with yellow crusted lesions in the pubic area (impetigo)?

    <p>Mupirocin cream</p> Signup and view all the answers

    In a 10-year-old child with fever, productive cough, and normal CBC, HB, platelet, and leukocyte counts, what is the next appropriate treatment?

    <p>Antibiotics if mycoplasma pneumonia</p> Signup and view all the answers

    In a patient with tinea versicolor on the chest while on digoxin and verapamil, what is the best treatment approach?

    <p>Voriconazole</p> Signup and view all the answers

    For a patient with DLE on the face, what is the maximum recommended dose of hydroxychloroquine?

    <p>$6.5 mg ideal body weight$</p> Signup and view all the answers

    What is the next appropriate investigation for a patient presenting with eosinophilic cardiomyopathy and deep venous thrombosis?

    <p>$Mepolizumab$</p> Signup and view all the answers

    What is the best protective measure to recommend during treatment for hand eczema?

    <p>$Broad-spectrum sunscreen$</p> Signup and view all the answers

    In a patient with photosensitivity, wearing a broad-spectrum sunscreen is emphasized while counseling. Which of the following chemical sunscreens is strictly considered a UVB absorber?

    <p>$Oxybenzone$</p> Signup and view all the answers

    A pedia patient has undergone lung transplant and after 1 year develops poorly differentiated SCC along with photosensitivity. What could be the likely drug that she takes?

    <p>Voriconazole</p> Signup and view all the answers

    In a pregnant female on systemic prednisone (1mg/kg) at 37 weeks without improvement, weighing 65 Kg, what should be done?

    <p>Preterm labor induction</p> Signup and view all the answers

    What is the expected duration for WBC CD20 to return to a positive count after treatment stoppage?

    <p>6 months</p> Signup and view all the answers

    In a patient with androgenic alopecia and elevated testosterone levels, how long should the treatment be stopped to prevent conception?

    <p>6 months</p> Signup and view all the answers

    For a patient with Hailey-Hailey disease (mother and daughter with axillary erosion and bad smell), what is the recommended treatment?

    <p>Biologic</p> Signup and view all the answers

    For a patient with alopecia and papules (pustules) of follicular opening without ostia, what is the recommended treatment?

    <p>Isotretinoin</p> Signup and view all the answers

    In the case of erythematous plaque at the base of the nose between the two eyes with granuloma without organism in histology, what is the recommended treatment (diagnosis is sarcoidosis)?

    <p>Infliximab</p> Signup and view all the answers

    A patient treated with minocycline for acne then developed papulopustular lesions. What should replace minocycline?

    <p>Isotretinoin</p> Signup and view all the answers

    When describing crisaborole to a patient for the treatment of atopic dermatitis, what common side effect should be mentioned?

    <p>Tingling</p> Signup and view all the answers

    What is the next appropriate investigation for a patient on biologics presenting with bleeding per rectum?

    <p>Colonoscopy</p> Signup and view all the answers

    In a child taking dapsone and appearing with malaise and fatigue, what is the most appropriate investigation?

    <p>Reticulocyte count</p> Signup and view all the answers

    What is the correct dose of Pentostam for treatment?

    <p>20 mg/kg</p> Signup and view all the answers

    Which drug is known to accumulate in eccrine glands?

    <p>Cyclosporin</p> Signup and view all the answers

    What type of disease is characterized by acral erythema?

    <p>Granulomatous</p> Signup and view all the answers

    In a histopathological picture showing fat cells and subcutaneous involvement, what is the recommended treatment?

    <p>$Steroid$</p> Signup and view all the answers

    In a patient with erythema nodosum treated with an unknown medication and presenting with eczema, what is the likely drug being used?

    <p>$Dapsone$</p> Signup and view all the answers

    What is the best time of prophylactic antibiotic treatment in a patient scheduled for cutaneous surgery?

    <p>Before the surgery</p> Signup and view all the answers

    What is the best NBUVB treatment for a vitiligo patient?

    <p>Tacrolimus</p> Signup and view all the answers

    What should replace minocycline in a patient who developed papulopustular lesions after minocycline treatment?

    <p>Doxycycline</p> Signup and view all the answers

    What is the recommended next step in management for a patient on biologics presenting with bleeding per rectum?

    <p>Occult blood in stool test</p> Signup and view all the answers

    In a child taking dapsone and presenting with malaise and fatigue, what investigation is most appropriate?

    <p>G6PD testing</p> Signup and view all the answers

    What is the correct dose of Pentostam for treatment?

    <p>25 mg/kg</p> Signup and view all the answers

    Which drug is known to accumulate in eccrine glands?

    <p>Cyclosporin</p> Signup and view all the answers

    What type of disease is characterized by acral erythema?

    <p>Vasculitic disease</p> Signup and view all the answers

    In a patient with acral erythema, which drug is known to cause a similar presentation?

    <p>Doxorubicin</p> Signup and view all the answers

    What is the next appropriate investigation for a patient with Sezary syndrome presenting with bleeding per rectum?

    <p>CBC with peripheral blood smear</p> Signup and view all the answers

    In a patient treated with minocycline for acne who then developed papulopustular lesions, what should replace minocycline?

    <p>Lymecycline</p> Signup and view all the answers

    For a patient with recurrent erosions in hands and ears that are self-limited, what is the recommended treatment?

    <p>Topical tacrolimus</p> Signup and view all the answers

    In the case of erythematous plaque at the base of the nose between the two eyes with granuloma without organism in histology, what is the recommended treatment (diagnosis is sarcoidosis)?

    <p>Methotrexate</p> Signup and view all the answers

    When describing crisaborole to a patient for the treatment of atopic dermatitis, what side effect should be mentioned?

    <p>Herpetic infections</p> Signup and view all the answers

    In a patient with Hailey-Hailey disease (acanthosis without dyskeratosis), what is the recommended treatment?

    <p>Tacrolimus ointment</p> Signup and view all the answers

    In a patient with photosensitivity, wearing a broad-spectrum sunscreen is emphasized while counseling. Which of the following chemical sunscreens is strictly considered a UVB absorber?

    <p>Dibenzoylmethanes</p> Signup and view all the answers

    For a patient with area of alopecia with papules (pustules) of follicular opening without ostia, what is the treatment?

    <p>Dapsone</p> Signup and view all the answers

    In a male patient with androgenic alopecia and elevated testosterone levels, how long does it take to prevent conception after stopping the treatment?

    <p>12 months</p> Signup and view all the answers

    In a patient with generalized purpuric eruption and sole ulcer, along with ulcerative LP, what is the recommended treatment?

    <p>Cyclosporine</p> Signup and view all the answers

    What should replace minocycline in a patient who developed papulopustular lesions after minocycline treatment?

    <p>Lymecycline</p> Signup and view all the answers

    After stopping the treatment, how long does it take for WBC CD20 to return to a positive count?

    <p>6 months</p> Signup and view all the answers

    In a patient with androgenic alopecia and elevated testosterone levels, how long should the treatment be stopped to prevent conception?

    <p>6 months</p> Signup and view all the answers

    For a patient with a crusted lesion possibly SCC and needing treatment, what is the most appropriate intervention?

    <p>Injection of Bleomycin</p> Signup and view all the answers

    In a patient with generalized purpuric eruption all over the body and sole ulcer due to MM, what is the recommended treatment?

    <p>Cyclosporine</p> Signup and view all the answers

    In a patient with Reynaud’s phenomenon and edematous fingers with low C3 and C4 levels, what is the best treatment?

    <p>Hydroxychloroquine</p> Signup and view all the answers

    In a patient with trichotillomania, what is the recommended treatment?

    <p>N-acetyl cysteine</p> Signup and view all the answers

    In a male patient with plaque pigmentation on his leg due to Kaposi's sarcoma and positive HHV8, what is the recommended treatment?

    <p>Sirolimus</p> Signup and view all the answers

    Which drug would be the next appropriate step for a patient who was previously nonreactive on Quantiferon gold but became reactive after taking biological treatment?

    <p>Isoniazid</p> Signup and view all the answers

    What is the best next step in management for a patient presenting with an AGEP rash after taking antibiotics?

    <p>Clarithromycin</p> Signup and view all the answers

    What is the mechanism of action of Itraconazole?

    <p>Inhibit lanosterol 14 dimethylsylase</p> Signup and view all the answers

    What is the most appropriate treatment for a patient presenting with recurrent erosions in hands and ears due to self-limited condition?

    <p>N-acetyl cysteine</p> Signup and view all the answers

    What is the next appropriate step for a patient on biologics presenting with bleeding per rectum?

    <p>Occult blood in stool</p> Signup and view all the answers

    In a patient taking dapsone and appearing with malaise and fatigue, what investigation is most appropriate?

    <p>G6PD</p> Signup and view all the answers

    What is the correct dose of Pentostam for treatment?

    <p>25 mg/kg</p> Signup and view all the answers

    Which drug is known to accumulate in eccrine glands?

    <p>Cyclosporin</p> Signup and view all the answers

    What is the mechanism of action of Itraconazole?

    <p>Inhibition of ergosterol synthesis</p> Signup and view all the answers

    A pediatric patient has undergone lung transplant and after 1 year develops poorly differentiated SCC along with photosensitivity. What could be the likely drug that she takes?

    <p>Azathioprine</p> Signup and view all the answers

    After stopping the treatment, how long does it take for WBC CD20 to return to a positive count?

    <p>3 months</p> Signup and view all the answers

    In a female patient with androgenic alopecia and elevated testosterone levels, how long should the treatment be stopped to prevent conception?

    <p>6 months</p> Signup and view all the answers

    In the case of Hailey-Hailey disease (mother and daughter with axillary erosion and bad smell), what is the recommended treatment?

    <p>Steroid</p> Signup and view all the answers

    In a patient with an erythematous plaque at the base of the nose between the two eyes with granuloma without organism in histology (diagnosis is sarcoidosis), what is the recommended treatment?

    <p>Steroid</p> Signup and view all the answers

    A patient treated with minocycline for acne then developed papulopustular lesions, what should replace minocycline?

    <p>Isotretinoin</p> Signup and view all the answers

    In a patient with a positive Quantiferon gold test after taking biological treatment, what is the next step?

    <p>Isoniazid</p> Signup and view all the answers

    What is the best treatment for a patient presenting with recurrent erosions in hands and ears due to a self-limited condition?

    <p>All biological treatment</p> Signup and view all the answers

    What is the next appropriate investigation for a patient with generalized purpuric eruption, sole ulcer, and ulcerative LP?

    <p>Skin biopsy for direct immunofluorescence</p> Signup and view all the answers

    What is the best next step in the management of a patient who developed a rash after taking antibiotics?

    <p>Skin patch testing for contact dermatitis</p> Signup and view all the answers

    For a patient with androgenic alopecia and elevated testosterone levels, how long does it take to prevent conception after stopping the treatment?

    <p>3 months</p> Signup and view all the answers

    What is the next appropriate investigation for a patient on biologics presenting with bleeding per rectum?

    <p>Colonoscopy and biopsy</p> Signup and view all the answers

    What common side effect is associated with the drug used for treating a patient with hemangioma?

    <p>Bradycardia</p> Signup and view all the answers

    What chemical sunscreen is strictly considered a UVB absorber?

    <p>Dibenzoylmethanes</p> Signup and view all the answers

    In a patient with acral erythema, which factor does not contribute to exacerbating Darier Disease?

    <p>Viral Infections</p> Signup and view all the answers

    For a patient with recurrent erosions in hands and ears that are self-limited, what is the recommended treatment?

    <p>Topical corticosteroids</p> Signup and view all the answers

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