Dermatology Quiz on Skin Disorders
45 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following factors is NOT typically associated with the development of acanthosis nigricans?

  • Endocrine disorders
  • Obesity
  • Exposure to ultraviolet radiation (correct)
  • Use of topical corticosteroids
  • What is a common characteristic of seborrheic keratosis?

  • It typically appears as a flat, smooth patch of skin.
  • It is usually very painful and itchy.
  • It is most frequently found on the palms and soles.
  • It often has a "stuck-on" appearance. (correct)
  • What is the most common benign epithelial tumor?

  • Seborrheic keratosis (correct)
  • Acanthosis nigricans
  • Cherry angioma
  • Actinic keratosis
  • Which of the following is a potential treatment option for acanthosis nigricans?

    <p>Topical retinoids (B)</p> Signup and view all the answers

    In what age group is seborrheic keratosis rarely seen?

    <p>Under 10 years old (D)</p> Signup and view all the answers

    Which of the following is a characteristic of alopecia areata?

    <p>May involve beard, brows, or lashes. (A)</p> Signup and view all the answers

    What is the most common cause of telogen effluvium?

    <p>Recent stress (B)</p> Signup and view all the answers

    Which of the following is NOT a possible treatment option for alopecia areata ?

    <p>Topical antifungal medications (C)</p> Signup and view all the answers

    What is the characteristic hair finding associated with alopecia areata?

    <p>Exclamation point hairs (2-3 mm long) (C)</p> Signup and view all the answers

    What is the primary treatment for telogen effluvium?

    <p>Supportive care and reassurance (A)</p> Signup and view all the answers

    What is the most common type of alopecia?

    <p>Androgenic alopecia (D)</p> Signup and view all the answers

    Which of the following is NOT a possible cause of scarring alopecia?

    <p>Minoxidil 5% (B)</p> Signup and view all the answers

    Which of the following is a systemic symptom that may occur with a Loxosceles spider bite?

    <p>Dark urine (A)</p> Signup and view all the answers

    What is the typical treatment for a Latrodectus spider bite?

    <p>IV analgesics &amp; benzos, consider antivenom (C)</p> Signup and view all the answers

    What is the typical timeframe for the resolution of pain associated with a Latrodectus spider bite?

    <p>1-3 days (B)</p> Signup and view all the answers

    What is the typical timeframe for the development of the depressed center in a Loxosceles spider bite?

    <p>24-48 hours (D)</p> Signup and view all the answers

    What is the typical timeframe for the resolution of a Loxosceles spider bite?

    <p>3-7 days (B)</p> Signup and view all the answers

    What is the typical location of a Loxosceles spider bite?

    <p>Upper arm, thorax, inner thigh, LE (B)</p> Signup and view all the answers

    Which of the following is NOT a typical symptom of a fungal infection of the fingernails or toenails?

    <p>Painful swelling surrounding the nail (D)</p> Signup and view all the answers

    What is the recommended treatment duration for toenail onychomycosis using oral terbinafine?

    <p>12 weeks (D)</p> Signup and view all the answers

    Which of the following is a common risk factor for paronychia?

    <p>Nail biting (D)</p> Signup and view all the answers

    Which of the following medications is NOT recommended for the treatment of onychomycosis due to its potential for hepatotoxicity?

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

    What is the recommended monitoring schedule for liver function tests (LFTs) and complete blood count (CBC) while a patient is taking oral antifungal medications for dermatophytosis?

    <p>Every 4-6 weeks (D)</p> Signup and view all the answers

    Which of the following is a common symptom of tinea corporis?

    <p>Red, itchy patches with a raised border (D)</p> Signup and view all the answers

    Which of the following topical antifungal medications is available over-the-counter?

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

    What is the name of the fungal infection that affects the scalp hair?

    <p>Tinea capitis (D)</p> Signup and view all the answers

    Which of these medications is specifically used to treat scabies?

    <p>Ivermectin (A), Elimite (B)</p> Signup and view all the answers

    In what age group should Elimite (Permethrin) not be used to treat scabies?

    <p>Less than 2 months old (B)</p> Signup and view all the answers

    What is the recommended treatment frequency for Ivermectin in cases of severe scabies?

    <p>Once daily (D)</p> Signup and view all the answers

    What is the primary symptom of scabies?

    <p>Intense itching (C)</p> Signup and view all the answers

    What is the most common site of scabies in adults?

    <p>Genitals and groin (A)</p> Signup and view all the answers

    What is the characteristic appearance of tinea versicolor on microscopic examination?

    <p>Round yeast and elongated hyphae (D)</p> Signup and view all the answers

    What is a common treatment for molluscum contagiosum?

    <p>Curettage or liquid nitrogen (A)</p> Signup and view all the answers

    Which of the following conditions is primarily associated with HPV 6 and HPV 11?

    <p>Condyloma acuminata (D)</p> Signup and view all the answers

    What is a hallmark symptom of genital herpes caused by HSV-2?

    <p>Grouped vesicles on an erythematous base (C)</p> Signup and view all the answers

    Which organism is responsible for tinea versicolor?

    <p>Malassezia spp. (C)</p> Signup and view all the answers

    What is a significant risk factor for developing herpes zoster (shingles)?

    <p>Immunosuppressed status (A)</p> Signup and view all the answers

    What population typically shows more severe disease from chickenpox (varicella)?

    <p>Older adults (B)</p> Signup and view all the answers

    What is the treatment of choice for cutaneous candidiasis?

    <p>Keeping the area dry and nystatin cream (A)</p> Signup and view all the answers

    Which of the following skin conditions is characterized by 'spaghetti and meatballs' appearance on microscopy?

    <p>Tinea versicolor (B)</p> Signup and view all the answers

    Which treatment option is typically not recommended for genital candidiasis?

    <p>Oral terbinafine (D)</p> Signup and view all the answers

    For which diagnosis is a clinical diagnosis often sufficient?

    <p>Oral candidiasis (C)</p> Signup and view all the answers

    What is a common complication of herpes zoster infections?

    <p>Postherpetic neuralgia (B)</p> Signup and view all the answers

    Which preventative measure is recommended for HPV-related anogenital warts?

    <p>Use of condoms (B)</p> Signup and view all the answers

    Which statement about varicella vaccination is correct?

    <p>It has a reported effectiveness of over 98%. (D)</p> Signup and view all the answers

    Flashcards

    Scabies

    A skin condition caused by Sarcoptes scabiei leading to intense itching and a rash.

    Symptoms of Scabies

    Includes intense itching, burrows, vesicles, and skin-colored ridges on various body parts.

    Diagnosis of Scabies

    Diagnosed clinically or through skin scraping to find mites, eggs, and feces.

    Treatment: Elimite

    5% Permethrin cream applied from neck down after bath, left for 8-10 hours, repeat in one week.

    Signup and view all the flashcards

    Post Scabietic Dermatitis

    Pruritis may continue 2-3 weeks after treatment, often requiring topical steroids or antihistamines.

    Signup and view all the flashcards

    Seborrheic Keratosis

    Most common benign epithelial tumor, often hereditary, found mainly in adults.

    Signup and view all the flashcards

    Acanthosis Nigricans

    Thickened, velvety, hyperpigmented skin usually in body folds, linked to obesity and hormones.

    Signup and view all the flashcards

    Cherry Angioma

    Common erythematous papule, typically less than 1cm, with a rough surface.

    Signup and view all the flashcards

    Actinic Keratosis

    Precancerous skin lesions caused by UV exposure, may lead to squamous cell carcinoma.

    Signup and view all the flashcards

    Fitzpatrick Skin Types

    Classification of skin types based on reaction to UV exposure, often used in dermatology.

    Signup and view all the flashcards

    Alopecia Areata

    An autoimmune condition causing patchy, non-scarring hair loss.

    Signup and view all the flashcards

    Exclamation Point Hairs

    Short, stubbly hairs seen in alopecia areata, indicating active hair loss.

    Signup and view all the flashcards

    Telogen Effluvium

    Temporary hair loss due to stress, occurring up to 3 months after an event.

    Signup and view all the flashcards

    Hair Pull Test

    A diagnostic test for hair loss; >4-6 hairs with white bulbs indicates Telogen Effluvium.

    Signup and view all the flashcards

    Onychomycosis

    A fungal infection of the toenails, also known as Tinea Unguium.

    Signup and view all the flashcards

    Latrodectism

    Symptoms caused by bites from widow spiders, including muscle pain and systemic effects.

    Signup and view all the flashcards

    Loxoscelism

    Symptoms resulting from recluse spider bites, characterized by red plaques and possible necrosis.

    Signup and view all the flashcards

    Alopecia types

    Scarring involves permanent loss; non-scarring is temporary and less inflammatory.

    Signup and view all the flashcards

    Treatment for widow spider bites

    Includes wound care, analgesics, and possible antivenom based on severity.

    Signup and view all the flashcards

    Treatment for recluse spider bites

    Involves wound care, analgesics, and possibly surgical debridement for severe cases.

    Signup and view all the flashcards

    Systemic symptoms of widow spider bite

    Includes muscle pain, tremors, diaphoresis, nausea, and headaches occurring 30-120 minutes post-bite.

    Signup and view all the flashcards

    Common causes of non-scarring alopecia

    Includes conditions like SLE, secondary syphilis, and vitamin deficiencies.

    Signup and view all the flashcards

    Diagnosis of Onychomycosis

    Confirmed through KOH prep and fungal culture to identify hyphae.

    Signup and view all the flashcards

    Treatment for Fingernails

    Topical antifungals or PO griseofulvin for 4 months with a fatty meal.

    Signup and view all the flashcards

    Treatment for Toenails

    PO terbinafine for 12 weeks, monitor ANC; if unresponsive, use itraconazole.

    Signup and view all the flashcards

    Paronychia

    Infection of the nail folds, can be acute or chronic and is often painful.

    Signup and view all the flashcards

    Treatment of Paronychia

    Includes warm water soaks, PO antibiotics, and possibly I&D for abscesses.

    Signup and view all the flashcards

    Tinea Corporis

    Fungal skin infection presenting as circular lesions with erythematous borders.

    Signup and view all the flashcards

    Dermatophytosis Treatment

    Treated with PO terbinafine, itraconazole, or topical antifungals, monitoring LFTs.

    Signup and view all the flashcards

    Tinea Versicolor

    A skin condition with hypo/hyper-pigmented, scaly areas, usually on the trunk, caused by Malassezia overgrowth.

    Signup and view all the flashcards

    Diagnosis of Tinea Versicolor

    Identified by skin scraping showing round yeast and elongated hyphae, resembling 'spaghetti and meatballs'.

    Signup and view all the flashcards

    Treatment for Tinea Versicolor

    Involves topical agents like selenium sulfide, azole creams, and terbinafine solutions.

    Signup and view all the flashcards

    Condyloma Acuminata

    Also known as anogenital warts, primarily caused by HPV types 6 and 11, presenting as soft papules.

    Signup and view all the flashcards

    Transmission of Condyloma Acuminata

    Spread through direct skin-to-skin contact, often associated with STIs.

    Signup and view all the flashcards

    Treatment for Condyloma Acuminata

    Includes cryotherapy, Imiquimod cream, and surgical options.

    Signup and view all the flashcards

    Molluscum Contagiosum

    A poxvirus infection causing dome-shaped, waxy, umbilicated papules; self-limiting.

    Signup and view all the flashcards

    Transmission of Molluscum Contagiosum

    Spread via wet skin contact or sharing towels, often autoinoculable.

    Signup and view all the flashcards

    Herpes Simplex Virus (HSV)

    Comprises HSV-1 (oral) and HSV-2 (genital), causing vesicular lesions.

    Signup and view all the flashcards

    Diagnosis of Herpes Simplex

    Confirmed through clinical evaluation, viral culture, PCR, or serology tests.

    Signup and view all the flashcards

    Treatment for Herpes Simplex

    First episodes use antivirals like acyclovir; recurrences may require suppressive therapy.

    Signup and view all the flashcards

    Varicella Zoster Virus (VZV)

    Causes chickenpox (varicella) and shingles (herpes zoster), presenting differently in children vs. adults.

    Signup and view all the flashcards

    Shingles Presentation

    Reactivation of VZV causes painful, dermatomal rash in adults, commonly after stress or immunosuppression.

    Signup and view all the flashcards

    Candidiasis Symptoms

    Infections of the oral, cutaneous, and genital regions caused by Candida species, often with pruritis.

    Signup and view all the flashcards

    Treatment for Genital Candidiasis

    Commonly treated with oral fluconazole (Diflucan) or topical agents, but oral is more effective.

    Signup and view all the flashcards

    Study Notes

    Dermatology 2 - Instructional Objectives

    • Identify and describe the etiology, epidemiology, clinical features, differential diagnosis, and management of various skin disorders.

    Topics

    • Benign skin lesions
    • Precancerous lesions
    • Insects & parasites
    • Envenomations & arthropod bite reactions
    • Alopecia
    • Diseases/disorders of the nails
    • Viral/fungal skin diseases
    • Verrucous lesions

    Fitzpatrick Skin Types

    • A scale for classifying skin types based on the reaction to sunlight
    • Type I: White, always burns, never tans
    • Type II: White, always burns, minimal tan
    • Type III: White to olive, burns minimally, gradually tans
    • Type IV: Light brown, burns minimally, tans well
    • Type V: Brown, very rarely burns, tans profusely
    • Type VI: Dark brown to black, never burns, tans deeply

    Benign Lesions - Seborrheic Keratosis

    • Most common benign epithelial tumor
    • Hereditary, rare before 30 years old, more common in men
    • Skin-colored, tan, brown, black
    • Small papules to larger plaques with a warty surface ("stuck-on" appearance)
    • Stippling on the surface
    • Located on the face, trunk, and upper extremities
    • No treatment usually necessary, cryotherapy if bothersome

    Acanthosis Nigricans

    • Velvet, thickened, hyperpigmented skin on the neck, axilla, groin, and other body folds
    • Related to obesity, endocrine disorders, diabetes, drugs, corticosteroids, and malignancy
    • Can be common at puberty
    • Treatment: Address underlying disorders, retinoids (difficult to completely eradicate)

    Cherry Angiomas/Hemangiomas

    • Very common erythematous papule, typically less than 3mm
    • Can be violaceous or black
    • Asymptomatic, usually on the trunk, benign
    • Typically seen in individuals over 30
    • Treatment: Laser or electrocoagulation, Cryo not effective

    Precancerous Lesions - Actinic Keratosis

    • Single or multiple, discrete, pinkish, dry, rough, or adherent scaly lesions
    • Not well demarcated
    • Usually found on sun-exposed skin of adults (outdoor workers)
    • Middle-aged individuals, more common in women
    • Typically less than 1cm, round or oval
    • Rough, like coarse sandpaper
    • Possibly tender, painful if excoriated
    • Precursor lesion of squamous cell carcinoma
    • Treatment: Cryotherapy, laser surgery, 5-fluorouracil cream, imiquimod cream

    Cryosurgery

    • A method for treating skin lesions involving freezing the affected area
    • The burn damages the skin lesion, causing it to die

    Insects/Parasites

    • Lice
    • Scabies

    Pediculosis (Lice)

    • Infestation by Pediculus Humanus Capitis (head lice) or Phthirus pubis ("crabs")
    • Eggs (nits) on hair shafts, possibly eyelashes
    • Transmission: hats, caps, brushes, combs, pillows, crowded environments,poor hygiene
    • Symptoms: itching of the scalp and back of the neck
    • Diagnosis: Clinical (visual inspection), Lice/Nit comb
    • Treatment: Over-the-counter treatments (permethrin cream rinse, benzyl alcohol), prescription treatments (ivermectin lotion, Lindane, Malathion)

    Scabies

    • Infestation by Sarcoptes scabiei
    • Intense itching (pruritic)
    • Burrows, vesicles, nodules, excoriations
    • Can look like urticaria, drug reactions, eczema
    • Treatment: Elimite (Permethrin), Ivermectin, Topical steroids, Antihistamines

    Spider Bites

    • Bites from Latrodectus (widow spiders) or Loxosceles (recluse spiders)
    • Mild initial pain; systemic symptoms are possible
    • Latrodectism: Usually on extremities causing pain, rigidity & muscle pain
    • Treatment for Latrodectism: depends on severity (wound care, PO & IV analgesics, benzos, Antivenom)
    • Loxoscelism: Red, plaque or papule with possible vesicles, can be asymptomatic to pain/burning
    • Treatment for Loxoscelism: wound care, analgesics, tetanus prophylaxis, surgical debridement (severe cases)

    Alopecia

    • Hair loss
    • Hair loss may be related to various factors or conditions
    • Scarring and Non-scarring
    • Treatment can vary depending on the type of alopecia

    Disorders of the Hair & Nails

    • Onychomycosis (toenail fungus)
    • Paronychia

    Onychomycosis (Tinea Unguium)

    • Fungal infection of fingernails or toenails
    • Brittle, thickened, yellowing, and friable (easily broken) nails; with subungual debris
    • Confirmed through KOH prep (hyphae) and fungal cultures
    • Difficult to treat; therapy is often lengthy and prone to recurrence
    • Indications for treatment: discomfort, inability to exercise, diabetes (DM), immunocompromise
    • Treatment often includes topical antifungals (limited), griseofulvin, terbinafine, itraconazole. Must monitor ANC and d/c medication if ANC <1000.

    Paronychia

    • Infection of lateral or proximal nail folds (painful)
    • Can be acute or chronic
    • Risk factors: hangnails, thumb sucking, nail biting, diabetes (DM), manicures, dishwashing
    • Treatment: skin care (warm soaks), PO antibiotics, triple antibiotic cream, and /or I&D of abscess

    Viral Diseases

    • Dermatophytes/Tinea
    • Condyloma acuminatum
    • Molluscum contagiosum
    • Herpes simplex
    • Varicella-zoster virus infections
    • Verrucae

    Fungal Infections

    • Candidiasis (oral, cutaneous, genital)

    Verrucae (Warts)

    • Common warts, also known as plantar, genital warts related to HPV
    • Usually asymptomatic, but may cause tenderness or itching
    • May have spontaneous resolution
    • Treatment: Salicylic/lactic acid, imiquimod cream, cryotherapy (liquid nitrogen), laser surgery

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Dermatology 2 PDF

    Description

    Test your knowledge on various skin disorders including acanthosis nigricans, seborrheic keratosis, alopecia, and more. This quiz covers benign tumors, treatment options, and characteristics of different skin conditions. Perfect for students and professionals in dermatology.

    More Like This

    Use Quizgecko on...
    Browser
    Browser