COMPREHENSIVE STUDY GUIDE FOR AANP
BOARD PREPARATION
©Rocky Mountain Spotted Fever Presentation - Rash on palms of hands
and soles of feet pops up after 3-5 days of initial treatment
©Lyme Disease Presentation - Bulls eye rash
©Lyme Disease Alternative Name - Erythema migrans
©Lyme Disease Treatment for over 8 years old - Doxycycline
©Lyme Disease Treatment for less than 8 years old - Amoxicillin
©Aphthous Stomatitis vs Herpes - Aphthous Stomatitis: kanker sore
inside the mouth; Herpes: painful clustered vesicles located outside the
mouth
©Herpes Treatment - Antivirals with 48-72 hours, Valtrex or Acyclovir
©Impetigo Causes - Staph aureus & strep pyogenies
,©Impetigo Presentation - Honey crusted lesions
©Types of Impetigo Treatment - Bullous: PO antibiotics; Nonbullous:
mupirocin ointment
©Pityriasis Rosea Presentation - Christmas tree like pattern rash, Herald
Patch
©Pityriasis Rosea Treatment - Self limiting
©Rubeola Presentation - Cough, congestion, conjunctivitis (3 C's). 3-5
days after the 3 C's a rash appears (measles, rubella, Koplik spots)
©Rubeola Prevention - MMR vaccine after 12 months old (live vaccine)
©Mumps Presentation - Parotid gland swelling
©Sialolithiasis Definition - Salivary gland stone, Mass under chin when
eating
©Actinic Keratosis Presentation - Dry pink lesions on a sun exposed
area
,©Actinic Keratosis Treatment - 5FU cream (topical chemo) and use
liquid nitrogen (cryotherapy)
©Actinic Keratosis Complication - If left untreated, it can develop into
squamous cell carcinoma
©Squamous Cell Carcinoma Presentation - Slow growing scaly
ulcerated, bleeds easily
©Next Step if Squamous Cell CA is Suspected - Refer to dermatology
©ABCDEs of Melanoma - asymmetry, border, color, diameter >6 mm,
evolving
©Seborrheic Keratosis Lesions - No- they are benign
©Most Common Type of Skin Cancer - Basal cell carcinoma
©Basal Cell Carcinoma Presentation - Shiny, waxy, pearly; May see
telangiectasia with this
©Next Step if Basal Cell Carcinoma is Seen - Refer to derm
, ©Atopic Dermatitis Alternative Name - Eczema
©Eczema (Atopic Dermatitis) Presentation - Pruitic, itch scratch cycle.
Located on flexor surfaces (like back of knees, axilla, elbows)
©Eczema, atopic dermatitis - treatment - Topical corticosteroids
©3A's - Asthma, allergies, atopic dermatitis
©Plaque Psoriasis presentation - Silvery scales, itches
©Auspitz sign, psoriasis - Pinpoint bleeding after a scale is removed
©Koebner phenomenon - New psoriatic plaques form over areas of skin
trauma.
©Plaque psoriasis treatment - Topical steroids
©Contact dermatitis treatment - Avoid offending agents, corticosteroids
©Shingles presentation - Severe, piercing, burning, stabbing nerve pain
along a dermatome. Vesicular rash in same area appears a few days after