Podcast
Questions and Answers
What is the primary mechanism of action shared by emollients, topical steroids, and systemic treatments like methotrexate in managing psoriasis?
What is the primary mechanism of action shared by emollients, topical steroids, and systemic treatments like methotrexate in managing psoriasis?
- Increasing the rate of skin cell differentiation.
- Blocking the inflammatory response mediated by IgE.
- Enhancing the skin's natural moisturizing factor (NMF) production.
- Reducing the rate of skin production. (correct)
A dermatologist observes flat-topped, violaceous papules on a patient's wrists and lower back. Which skin condition is MOST likely indicated by these observations?
A dermatologist observes flat-topped, violaceous papules on a patient's wrists and lower back. Which skin condition is MOST likely indicated by these observations?
- Rosacea.
- Eczema.
- Psoriasis vulgaris.
- Lichen planus. (correct)
Which variant of lichen planus is characterized by thick, raised plaques that are often more persistent and difficult to treat compared to other forms?
Which variant of lichen planus is characterized by thick, raised plaques that are often more persistent and difficult to treat compared to other forms?
- Macular lichen planus.
- Papular lichen planus.
- Hypertrophic lichen planus. (correct)
- Atrophic lichen planus.
A patient with lichen planus is concerned about potential long-term effects on their skin and nails. Which areas are MOST prone to scarring as a result of this condition?
A patient with lichen planus is concerned about potential long-term effects on their skin and nails. Which areas are MOST prone to scarring as a result of this condition?
During an oral examination, a dentist notices a lacy, white network on the buccal mucosa along with bright red gums. Which feature is MOST indicative of oral lichen planus?
During an oral examination, a dentist notices a lacy, white network on the buccal mucosa along with bright red gums. Which feature is MOST indicative of oral lichen planus?
What is a common first-line topical treatment for managing the inflammation and discomfort associated with lichen planus?
What is a common first-line topical treatment for managing the inflammation and discomfort associated with lichen planus?
In cases of severe or widespread lichen planus, which systemic treatment is often considered to suppress the immune system and reduce inflammation?
In cases of severe or widespread lichen planus, which systemic treatment is often considered to suppress the immune system and reduce inflammation?
A child presents with a rash characterized by vesicles appearing in successive crops, giving the appearance of lesions in various stages of development. What condition is MOST likely responsible for this presentation?
A child presents with a rash characterized by vesicles appearing in successive crops, giving the appearance of lesions in various stages of development. What condition is MOST likely responsible for this presentation?
An elderly patient develops a painful, unilateral vesicular rash along a single dermatome. Which condition is MOST likely the cause, and what underlying factor contributes to its development?
An elderly patient develops a painful, unilateral vesicular rash along a single dermatome. Which condition is MOST likely the cause, and what underlying factor contributes to its development?
A patient presents with recurrent vesicular lesions around the mouth and on the fingers. What is the MOST likely viral cause of these infections?
A patient presents with recurrent vesicular lesions around the mouth and on the fingers. What is the MOST likely viral cause of these infections?
A child has several small, shiny papules with a central indentation (umbilication) on their trunk. Which viral infection is MOST likely responsible for these skin lesions?
A child has several small, shiny papules with a central indentation (umbilication) on their trunk. Which viral infection is MOST likely responsible for these skin lesions?
A patient presents with common warts on their hands. Which virus is the MOST likely cause of these lesions?
A patient presents with common warts on their hands. Which virus is the MOST likely cause of these lesions?
A child is diagnosed with impetigo. What is the MOST likely bacterial cause of this skin infection?
A child is diagnosed with impetigo. What is the MOST likely bacterial cause of this skin infection?
An adult patient develops a localized, warm, and tender area of skin on their lower leg, diagnosed as cellulitis. What is the typical treatment approach for this condition?
An adult patient develops a localized, warm, and tender area of skin on their lower leg, diagnosed as cellulitis. What is the typical treatment approach for this condition?
A patient presents with paronychia, an infection around the nail. What is the MOST likely bacterial cause of this condition?
A patient presents with paronychia, an infection around the nail. What is the MOST likely bacterial cause of this condition?
A patient is diagnosed with a fungal infection of the skin. Which fungal species is MOST commonly responsible for these types of infections?
A patient is diagnosed with a fungal infection of the skin. Which fungal species is MOST commonly responsible for these types of infections?
A patient is prescribed calcipotriol for their psoriasis. What is the mechanism of action of this medication?
A patient is prescribed calcipotriol for their psoriasis. What is the mechanism of action of this medication?
Which of the following is a characteristic feature that distinguishes shingles from chickenpox?
Which of the following is a characteristic feature that distinguishes shingles from chickenpox?
A patient presents with bright red gums and a white lacy pattern on the inside of their cheeks. Which condition is MOST likely?
A patient presents with bright red gums and a white lacy pattern on the inside of their cheeks. Which condition is MOST likely?
Which of the following medications used to treat psoriasis is classified as a systemic treatment?
Which of the following medications used to treat psoriasis is classified as a systemic treatment?
Flashcards
Psoriasis treatments
Psoriasis treatments
Emollients/bath oils, Vitamin D analogues, Tar preparations, Topical steroids, Dithranol, UVB/PUVA, Systemic treatments (acitretin, methotrexate, cyclosporin, biologics). They all reduce the rate of skin production.
Lichen Planus appearance
Lichen Planus appearance
Flat-topped, violaceous papules often found on flexor surfaces (wrists) and the lower back.
Types of Lichen Planus
Types of Lichen Planus
Papular, Hypertrophic, and Macular/Pigmented.
Lichen Planus scarring
Lichen Planus scarring
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Oral Lichen Planus features
Oral Lichen Planus features
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Topical Lichen Planus treatments
Topical Lichen Planus treatments
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Systemic Lichen Planus treatments
Systemic Lichen Planus treatments
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Chicken Pox features
Chicken Pox features
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Shingles features
Shingles features
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Herpes Simplex locations
Herpes Simplex locations
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Molluscum Contagiosum features
Molluscum Contagiosum features
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Human Papilloma Virus example
Human Papilloma Virus example
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Staphylococcus Aureus infections
Staphylococcus Aureus infections
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Cause of fungal infections
Cause of fungal infections
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Study Notes
Psoriasis Treatments
- Seven treatments for psoriasis include emollients/bath oils, Vitamin D analogues (e.g., calcipotriol), tar preparations, topical steroids, dithranol, UVB/PUVA, and systemic treatments like acitretin, methotrexate, cyclosporin, and biologics.
- All treatments aim to reduce the rate of skin production.
Lichen Planus
- Lichen planus appears as flat-topped violaceous papules on the skin.
- It often affects flexor surfaces like wrists and the lower back.
Types of Lichen Planus
- Papular lichen planus presents with small, raised bumps.
- Hypertrophic lichen planus is characterized by thick, raised plaques.
- Macular and pigmented lichen planus involves flat, discolored spots.
Lichen Planus Scarring
- Lichen planus can cause scarring on the scalp and fingernails.
Oral Lichen Planus
- Reticular lichen planus appears as a network of white lines.
- Desquamative gingivitis, another form, presents as bright red gums.
Topical Treatments for Lichen Planus
- Emollients and topical steroids can be applied topically.
Systemic Treatments for Lichen Planus
- Systemic treatments include the steroid prednisolone.
- Immunosuppressant agents like azathioprine, mycophenolate, and methotrexate are also options.
Chicken Pox
- Chickenpox rashes occur in waves, displaying various stages simultaneously (polymorphic).
- Vesicles are a characteristic feature.
Shingles
- Shingles occurs when the varicella-zoster virus, which causes chickenpox, reactivates later in life.
- Shingles is typically unilateral, affecting only one side of the body.
Herpes Simplex
- Herpes simplex can manifest orally, on fingers, or in the genital area.
Pox Virus: Molluscum Contagiosum
- Molluscum contagiosum is a pox virus that presents as shiny papules with a central indentation (umbilication).
Human Papilloma Virus: Warts
- Warts are caused by the human papilloma virus.
Staphylococcus Aureus Infections
- Impetigo, cellulitis, and paronychia can be caused by Staphylococcus aureus.
- Intravenous antibiotics are the mode of treatment.
Fungal Infections
- Fungal infections are commonly caused by Trichophyton species.
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