NOAH CAPUTO DERMATOLOGY SCHOOL
AGE SICK VISIT SHADOW HEALTH CARE
PLAN WITH COMPLETE SOLUTION EXAM
2026 UPDATED REVIEW PAPER 2026
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ Atopic Dermatitis (Eczema). Answer: -starts in childhood
-Flexor creases
-Assoc w/ IgE (asthma + allergies)
-Tx=Topical steroids, +/- antihistamines
-Mgmt:
Acute lesions=wet dressing, +/- Abx
Chronic lesions=Daily hydration
⩥ Contact Dermatitis. Answer: -Irritant/Allergic
-Tx=systemic steroids, taper, avoid offending agent
⩥ Lichen Simplex Chronicus. Answer: -Firm thick plaques (skin
thickening) from scratching
-Tx=topical steroids
,⩥ Lichen Planus. Answer: -Immune related
- 5Ps=Pruritic, Planar, Purple, Polygonal, Papules viouslaceous
-Tx=Topical Steroids, Antihistamines
⩥ Pityriasis rosea. Answer: - Human Herpesvirus 7
- Sx Progression: 1-Viral prodrome 2-Herald Patch 3-Christmas Tree
-Round oval salmon-colored maculopapular rash
- Tx = Self limiting
⩥ Psoriasis. Answer: - Chronic Inflammatory scaling condition
- Red plaques with thick silver/white scales
- Extensor Surfaces, scalp, nail pitting
-Tx: Topical Steroids, UV light, Retinoids, Immune agents
(methotrexate, cyclosporin A)
⩥ Psoriatic Arthritis. Answer: - Inflammatory arthritis seen in Pts w/
psoriasis.
- Stiffness relieved w/ activity
- HLA B27 Positive
- *sausage digits, Xray "pencil in cup" deformity*
- Tx: Systemic steroids, immune agents (methotrexate, cyclosporin A)
, ⩥ Fixed Drug Eruption. Answer: - Same place each time
- culprits = Abx, antiseptics, NSAIDs
- Tx: stop offending agent
⩥ Actinic Keratosis. Answer: - *pre-cancerous*
- Sandpaper skin lesion or edematous hyper-pigmented plaques
-Tx = observe, cryotherapy
⩥ Seborrheic Keratosis. Answer: - Benign Plaques "stuck on"
-Tx = observe, cryotherapy
⩥ Alopecia. Answer: - Androgenic Alopecia = male pattern baldness
- Alopecia Areata = unknown cause
- Assoc. w/ AI disease
- Relapse common
- May respond to steroids
⩥ Onychomycosis. Answer: - Fungal infx of nail
- Topical & systemic therapies (Terbinafine)
⩥ Paronychia. Answer: - Inflammation of nail fold, bartender finger!
- nail biters
AGE SICK VISIT SHADOW HEALTH CARE
PLAN WITH COMPLETE SOLUTION EXAM
2026 UPDATED REVIEW PAPER 2026
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ Atopic Dermatitis (Eczema). Answer: -starts in childhood
-Flexor creases
-Assoc w/ IgE (asthma + allergies)
-Tx=Topical steroids, +/- antihistamines
-Mgmt:
Acute lesions=wet dressing, +/- Abx
Chronic lesions=Daily hydration
⩥ Contact Dermatitis. Answer: -Irritant/Allergic
-Tx=systemic steroids, taper, avoid offending agent
⩥ Lichen Simplex Chronicus. Answer: -Firm thick plaques (skin
thickening) from scratching
-Tx=topical steroids
,⩥ Lichen Planus. Answer: -Immune related
- 5Ps=Pruritic, Planar, Purple, Polygonal, Papules viouslaceous
-Tx=Topical Steroids, Antihistamines
⩥ Pityriasis rosea. Answer: - Human Herpesvirus 7
- Sx Progression: 1-Viral prodrome 2-Herald Patch 3-Christmas Tree
-Round oval salmon-colored maculopapular rash
- Tx = Self limiting
⩥ Psoriasis. Answer: - Chronic Inflammatory scaling condition
- Red plaques with thick silver/white scales
- Extensor Surfaces, scalp, nail pitting
-Tx: Topical Steroids, UV light, Retinoids, Immune agents
(methotrexate, cyclosporin A)
⩥ Psoriatic Arthritis. Answer: - Inflammatory arthritis seen in Pts w/
psoriasis.
- Stiffness relieved w/ activity
- HLA B27 Positive
- *sausage digits, Xray "pencil in cup" deformity*
- Tx: Systemic steroids, immune agents (methotrexate, cyclosporin A)
, ⩥ Fixed Drug Eruption. Answer: - Same place each time
- culprits = Abx, antiseptics, NSAIDs
- Tx: stop offending agent
⩥ Actinic Keratosis. Answer: - *pre-cancerous*
- Sandpaper skin lesion or edematous hyper-pigmented plaques
-Tx = observe, cryotherapy
⩥ Seborrheic Keratosis. Answer: - Benign Plaques "stuck on"
-Tx = observe, cryotherapy
⩥ Alopecia. Answer: - Androgenic Alopecia = male pattern baldness
- Alopecia Areata = unknown cause
- Assoc. w/ AI disease
- Relapse common
- May respond to steroids
⩥ Onychomycosis. Answer: - Fungal infx of nail
- Topical & systemic therapies (Terbinafine)
⩥ Paronychia. Answer: - Inflammation of nail fold, bartender finger!
- nail biters
