TEST PAPER QUESTIONS AND SOLUTIONS
◍ Presentation of Rocky Mountain Spotted Fever . Answer: Rash on
palms of hands and soles of feet pops up after 3-5 days of initial
treatment
◍ Presentation of Lyme Disease . Answer: Bulls eye rash
◍ Lyme disease is also known as... . Answer: Erythema migrans
◍ Treatment for Lyme disease over 8 years old . Answer: Doxycycline
◍ Treatment for Lyme disease less than 8 years old . Answer:
Amoxicillin
◍ Aphthous Stomatitis vs herpes . Answer: Aphthous Stomatits: kanker
sore inside the mouth
Herpes: painful clustered vesicles located outside the mouth
◍ Treatment for herpes . Answer: Antivirals with 48-72 hours
,Valtrex or Acyclovir
◍ Impetigo - 2 causes of bacteria . Answer: Staph aureus & strep
pyogenies
◍ Impetigo presentation . Answer: Honey crusted lesions
◍ 2 types of Impetigo treatment . Answer: Bullous: PO antibiotics
Nonbollous: mupirocin ointment
◍ Pityriasis Rosea presentation . Answer: Christmas tree like pattern
rash
Herald Patch
◍ pityoriasis rosea treatment . Answer: Self limiting
◍ Rubeola presentation . Answer: Cough, congestion, conjunctivitis (3
C's).
3-5 days after the 3 C's a rash appears ( measles, rubella, Koplik spots)
◍ Rubeola prevention . Answer: MMR vaccine after 12 months old
( live vaccine)
,◍ Mumps presentation . Answer: Parotid gland swelling
◍ Sialolithiasis: what is it! . Answer: Salivary gland stone
Mass under chin when eating
◍ actinic keratosis presentation . Answer: Dry pink lesions on a sun
exposed area
◍ actinic keratosis treatment . Answer: 5FU cream (topical chemo) and
use liquid nitrogen (cryotherapy)
◍ If actinic keratosis is left untreated, what can it develop into? .
Answer: squamous cell carcinoma
◍ sqamous cell carcinoma presentation . Answer: Slow growing scaly
ulcerated, bleeds easily
◍ if squamous cell CA is suspected and a visible lesion is present, the
next step should be . Answer: Refer to dermatology
◍ ABCDEs of melanoma . Answer: asymmetry, border, color, diameter
>6 mm, evolving
, ◍ seborrheic keratosis: do lesions need to be removed . Answer: No-
they are benign
◍ most common type of skin cancer . Answer: basal cell carcinoma
◍ basal cell carcinoma presentation . Answer: Shiny, waxy, pearly
May see telangiectasia with this
◍ basal cell carcinoma : what should we do if we see this . Answer:
Refer to derm
◍ Another name for atopic dermatitis . Answer: Eczema
◍ eczema (atopic dermatitis) presentation . Answer: Pruitic, itch scratch
cycle. Located on flexor surfaces (like back of knees, axilla, elbows) .
◍ Eczema, atopic dermatitis - treatment . Answer: Topical
corticosteroids
◍ 3A's . Answer: Asthma, allergies, atopic dermatitis
◍ Plaque Psoriasis presentation . Answer: Silvery scales, itches