Derm Questions - EOR 2 PDF

1. A young child presents with cough, coryza and conjunctivitis. Dx? a. Rubeola or measles 2. What virus causes both mumps and measles? a. Paramyxovirus 3. What is coryza? a. Inflammation of nasal mucus membranes. From cold, hay fever or associated with measles or german measles 4. Pain and edema ne...

1. A young child presents with cough, coryza and conjunctivitis. Dx? a. Rubeola or measles 2. What virus causes both mumps and measles? a. Paramyxovirus 3. What is coryza? a. Inflammation of nasal mucus membranes. From cold, hay fever or associated with measles or german measles 4. Pain and edema near the jaw line. Displaced ear lobe and testicular swelling. Dx? a. Mumps 5. Young child complains of a three day hx of maculopapular rash. PE small white spots inside mouth with red background. What is the name for this finding? a. Koplick spots and they are associated with measles or rubeola 6. Small rash on pt’s face this AM. Later the rash has spread down passed knees. Child complains of sore throat and HA. What was the best way to prevent this condition? a. MMR vaccine - has rubella aka german measles. Should be given at 1 and 4 years old. 7. What rash is caused by RNA togavirus? a. German measles or rubella 8. Treatment for anaphylaxis? a. Epi 9. A 9 year old with all UTD vaccines comes with flushed cheeks and lacy reticulated appearance on her arms that spare her palms. What is the dx? a. Fifth’s disease aka erythema infectiosum. b. MC in 5-15 in late winter and spring 10. Tx for pediculosis? a. Permethrin 11. Blueberry muffin rash dx? a. German measles or rubella 12. Which virus causes chickenpox? a. Varicella zoster aka HHV3 13. A 5 year old boy has itchy, oozing eruptions on flexors and upper trunk. PE shows rough, red plaques with poor demarcations. Father also has similar sxs. What is best first line tx? a. Eczema should be first advised lifestyle modification. Like avoid low humidity, wool fabric, hot water, scented / emollient and topical CS. 14. Lichen plus RFs? a. Sulfa, nsaids, terracyinel, HCTZ, hep c and mercury allergy 15. Rash with violaceous papules on flexors and lacy lesions within mouth a. Occlusive dressing or phototherapy b. Tacrolimus - topical steroids 16. A 4 year old girl in daycare has burrow linear itchy vesicles that are in runs and galleries. What is the preferred treatment? a. Permethrin 5% - scabies 17. Which pathogen causes diaper rash with white, scaly borders a. Staph 18. What is the term for initial lesion of pityriasis rosea? a. A herald patch 19. What maintenance fluid for ped burn patients? a. LR 20. What pathogen is responsible for an itchy, honey colored rash on face? a. Impetigo - staph or strep 21. Describe appearance of pediculosis a. Lice are 6 legged wingless, translucent mice that are 2-3 mm in length 22. SJS disposition a. Consult derm, and consider admission to burn unit or icu b. IVIG and fluids c. No systemic steroids 23. Tx for impetigo? a. Topical mupirocin for mild b. Po keflex or doxy for widespread 24. A 12 year old with flat topped violaceous rash with irregular borders on trunk and flexors. with lacy lesions in the mouth. What is def diagnosis? a. Bx for lichen planus 25. What causes pityriasis rosea? a. Virus or idiopathic 26. A pt with diaper rash. Notice bright red pinpoint lesions. What is etiology? a. Candida 27. A 16 year old has back and upper ext rash. Not otherwise bothering her. Started with one large spot and then spread to multiple, light color small lesions. Christmas tree along cleavage lines in back. Dx? a. Pityriasis rosea 28. Grade 1 acne appearance? a. Open comedones (blackheads), pimples, milia and no inflammation 29. What causes Fifth disease? a. Parvovirus B19 30. Hypopigmented rash upper ext and trunk, no sxs, it does not tan out in the sun. Dx and tx? a. Tinea versicolor tx topical selenium sulfide or ketoconazole 31. Which oral drugs are effective for moderate to severe acne? a. Tetracycline or spironolactone 32. Symmetric iris and target lesions dx? a. Erythema multiforme 33. Tinea capitis tx a. Griseofulvin for 6-12 weeks 34. Def dx for SJS or TEN? a. Skin bx 35. KOH shows hyphae in spaghetti and meatballs dx? a. Tinea versicolor 37. Nikolscky’s sign? a. Extensive necrosis and detachment of epidermis with pressure 38. Which type of burn has blisters, blanching and pain and heals without scarring a. Second degree partial thickness burn 39. What is etiology of roseola? a. HH6 and HH7 40. A 13 year old girl complains of painful acne and significant inflammation and pustules. Tx? a. Iso tret aka accutane 41. What causes tinea versicolor? a. Malassezia 42. What chem substance causes liquefactive necrosis? a. Bases 43. Tx for verrucae? a. Cryosurgery or topical salicylic acid 44. Tx for EM minor in peds? a. HSV or mycoplasma 45. Parkland formula and what is it used for? a. Used for burn pts and is rate for IVF b. If greater than 10%, give first half first 8 hours and then remainder in the next 16 hrs 46. First line tx for mild acne? a. Mild OTC cleanser like BP 47. Three drugs for SJS? a. NSAIDS, sulfas, anticonvulsants