SARAH MICHELLE - 200 QUESTIONS WITH VERIFIED ANSWERS. 2024
1. Inflammatory condition of the skin and mucous membranes.
-commonly seen with MG, ulcerative colitis, and vitiligo (My Uncle Vern)
-can be brought on by stress and infection
2. Where does lichen planus occur?: -flexor surfaces of the limbs
-mouth, genitals, skin
3. What does lichen planus look like?: -red/purple puritic
-on mucous membrane can be white lacy appearance
4. Lichen planus duration and treatment: -6 months; self limiting
-topical steroids (pink and inflamed)
5. Lichen Simplex Chronicus: -leathery skin from scratching
6. What can lead to lichen simplex chronicus: atopic dermatitis
7. Lichen Simplex Chronicus TX: -topical steroid
-antihistamine
-lotion for prevention
8. Lichen sclerosis: *think Slow down
-skin disease, white spots appear over time, most common genital and anal (vulva)
-always white in appearance
-most common in post menopausal women
-not contagious; result from overactive immune system
9. Lichen sclerosis tx: -strong topical steroids
-clobetasol
-they are miserable
10. Lichen sclerosis adverse effect: **all S
At high risk for squamous cell carcinoma
11.......................All lichens are puritic!
12. First-degree burn: -superficial; epidermis
-do not blister
-example: sunburn
-tx: aloe
13. Second degree burn: -A partial-thickness burn involving the epidermis and the dermis
-red and blistered ( do not pop)
-TX: silver sulfadiazine cream or abx cream
14. Third degree burn: -full thickness
-involves destruction of epidermis, dermis and subcutaneous layer
1/
,-emergency care
-airway assessment to rule out smoke inhalation
15. Fourth degree burn: -full thickness burn
-dermis, epidermis, may involve bone and muscle
-emergency care
-airway assessment to rule out smoke inhalation
16. Rule of 9's: -anyone under 14 is a child
Head and neck = 9%
Upper Ex (back and front each 4.5) = 9% each
Chest= 9%
Stomach/abd =9%
Upper back= 9%
Lower back= 9%
((((Front trunk =
18% Back trunk
= 18%)))
Genitals= 1%
Leg and foot= 18% each (9 front and 9 back)
**** remember front and back is its own %
17. Pediatric Rule of 9s: Head 9% for front and back
Legs - 6.7% for front and 6.7% for back (13.4%) Chest
18% front 18% back
Arms 9% per arm
18. Burns key point: refer any burns ivolving more than 10% of the total body surface area,
or burns that involve the face, hands, genitals, or feet should be referred to a burn
center.
19. Rubeola: -aka measles
-rubeola, measles, and koplik spots all have 1 L in the word
-think about the 3 c's: cough, congestion/coryza, conjunctivitis
2/
,-very contagious: airborne
-can lead to serious complications
-tx is symptomatic in nature
-koplik spots usually on MM in mouth near molars; white spots like sand, surrounded by
erythematous halo
20. Measles timeline: exposure
1 week later contagious
Day 10 sx start (3 C's and
fever) day 12-13 koplik spots
Day 15 fever subsided and rash appears
Day 22-24 rash resolves
21. Mumps virus: Swollen parotid glands
-spread with close contact
-fever, headache, malaise, and swelling of parotid glands
22. Rubella: -more mild version of measles compared to rubeola
-referred to as 3 day measles
-SX: pink rash, lymphadenopathy, mild sx
-TX: symptomatic----rest, hydration,motrin.tylenol
-HIGHLY contagious
23. Which population not to get rubella ?: PREGNANT women!!!
24. MMR vaccine: -live
-not given until 12 months
-2 doses
-not given in pregnancy or immunocompromised
-no pregnancy within 4 weeks of receiving vaccine
25. Roseola: -6th disease (think S and S)
*rose and blanche 60 and rash
*Rash appears, Six, blanche
-distinguishing factors: rose colored, blanchable papules AND high fever then rash
-ONLY ONE THAT BLANCHES
3/
, -contagious until rash appears
-tx: symptomatic
26. Fifth disease (erythema infectiosum): - parvovirus B19
-Mild flulike symptoms; "slapped-cheek" facial rash (slap with 5 fingers)
-lacy netlike appearance to the rash
-TX: symptomatic
-concern during pregnancy if exposed
27. Hand, foot, mouth disease: -vesicle formation/peeling
-*****characterized by rash/ulcers start in the mouth and THEN rash spread to hands and
feet
-Tx: symptomatic
28. How soon to treat herpes simplex?: 48-72 hours
29. HSV 1: painful vesiicles on an erythematous base around mouth
30. Chronic ulcerative stomatitis: -autoimmune
-mouth sores
-large in size and number
-weeks to months to resolve
-resistant to topical steroids---TX WITH:
HYDROXYCHLOROQUINE (plaquenil)
*cusp
31. Keratosis Pilaris: -skin condition in which white bumps appear on the upper arms,
thighs, and cheeks
-chicken skin
-TX: emollients
32. Impetigo: -honey crusted lesions
-bullous (no honey crust; bullae erupt) and non-bullous
-bullous TX: ora; abx; cephalexin, dicloxacilin, (MRSA=doxy)
-non-bullos TX: mupirocin/bactroban
33. Impetiago causes: -streptology and staphaureus
34. Pityriasis Rosea: -Presents with a herald patch, Christmas-tree pattern.
-TX: goes away on own; can last weeks or months
4/
1. Inflammatory condition of the skin and mucous membranes.
-commonly seen with MG, ulcerative colitis, and vitiligo (My Uncle Vern)
-can be brought on by stress and infection
2. Where does lichen planus occur?: -flexor surfaces of the limbs
-mouth, genitals, skin
3. What does lichen planus look like?: -red/purple puritic
-on mucous membrane can be white lacy appearance
4. Lichen planus duration and treatment: -6 months; self limiting
-topical steroids (pink and inflamed)
5. Lichen Simplex Chronicus: -leathery skin from scratching
6. What can lead to lichen simplex chronicus: atopic dermatitis
7. Lichen Simplex Chronicus TX: -topical steroid
-antihistamine
-lotion for prevention
8. Lichen sclerosis: *think Slow down
-skin disease, white spots appear over time, most common genital and anal (vulva)
-always white in appearance
-most common in post menopausal women
-not contagious; result from overactive immune system
9. Lichen sclerosis tx: -strong topical steroids
-clobetasol
-they are miserable
10. Lichen sclerosis adverse effect: **all S
At high risk for squamous cell carcinoma
11.......................All lichens are puritic!
12. First-degree burn: -superficial; epidermis
-do not blister
-example: sunburn
-tx: aloe
13. Second degree burn: -A partial-thickness burn involving the epidermis and the dermis
-red and blistered ( do not pop)
-TX: silver sulfadiazine cream or abx cream
14. Third degree burn: -full thickness
-involves destruction of epidermis, dermis and subcutaneous layer
1/
,-emergency care
-airway assessment to rule out smoke inhalation
15. Fourth degree burn: -full thickness burn
-dermis, epidermis, may involve bone and muscle
-emergency care
-airway assessment to rule out smoke inhalation
16. Rule of 9's: -anyone under 14 is a child
Head and neck = 9%
Upper Ex (back and front each 4.5) = 9% each
Chest= 9%
Stomach/abd =9%
Upper back= 9%
Lower back= 9%
((((Front trunk =
18% Back trunk
= 18%)))
Genitals= 1%
Leg and foot= 18% each (9 front and 9 back)
**** remember front and back is its own %
17. Pediatric Rule of 9s: Head 9% for front and back
Legs - 6.7% for front and 6.7% for back (13.4%) Chest
18% front 18% back
Arms 9% per arm
18. Burns key point: refer any burns ivolving more than 10% of the total body surface area,
or burns that involve the face, hands, genitals, or feet should be referred to a burn
center.
19. Rubeola: -aka measles
-rubeola, measles, and koplik spots all have 1 L in the word
-think about the 3 c's: cough, congestion/coryza, conjunctivitis
2/
,-very contagious: airborne
-can lead to serious complications
-tx is symptomatic in nature
-koplik spots usually on MM in mouth near molars; white spots like sand, surrounded by
erythematous halo
20. Measles timeline: exposure
1 week later contagious
Day 10 sx start (3 C's and
fever) day 12-13 koplik spots
Day 15 fever subsided and rash appears
Day 22-24 rash resolves
21. Mumps virus: Swollen parotid glands
-spread with close contact
-fever, headache, malaise, and swelling of parotid glands
22. Rubella: -more mild version of measles compared to rubeola
-referred to as 3 day measles
-SX: pink rash, lymphadenopathy, mild sx
-TX: symptomatic----rest, hydration,motrin.tylenol
-HIGHLY contagious
23. Which population not to get rubella ?: PREGNANT women!!!
24. MMR vaccine: -live
-not given until 12 months
-2 doses
-not given in pregnancy or immunocompromised
-no pregnancy within 4 weeks of receiving vaccine
25. Roseola: -6th disease (think S and S)
*rose and blanche 60 and rash
*Rash appears, Six, blanche
-distinguishing factors: rose colored, blanchable papules AND high fever then rash
-ONLY ONE THAT BLANCHES
3/
, -contagious until rash appears
-tx: symptomatic
26. Fifth disease (erythema infectiosum): - parvovirus B19
-Mild flulike symptoms; "slapped-cheek" facial rash (slap with 5 fingers)
-lacy netlike appearance to the rash
-TX: symptomatic
-concern during pregnancy if exposed
27. Hand, foot, mouth disease: -vesicle formation/peeling
-*****characterized by rash/ulcers start in the mouth and THEN rash spread to hands and
feet
-Tx: symptomatic
28. How soon to treat herpes simplex?: 48-72 hours
29. HSV 1: painful vesiicles on an erythematous base around mouth
30. Chronic ulcerative stomatitis: -autoimmune
-mouth sores
-large in size and number
-weeks to months to resolve
-resistant to topical steroids---TX WITH:
HYDROXYCHLOROQUINE (plaquenil)
*cusp
31. Keratosis Pilaris: -skin condition in which white bumps appear on the upper arms,
thighs, and cheeks
-chicken skin
-TX: emollients
32. Impetigo: -honey crusted lesions
-bullous (no honey crust; bullae erupt) and non-bullous
-bullous TX: ora; abx; cephalexin, dicloxacilin, (MRSA=doxy)
-non-bullos TX: mupirocin/bactroban
33. Impetiago causes: -streptology and staphaureus
34. Pityriasis Rosea: -Presents with a herald patch, Christmas-tree pattern.
-TX: goes away on own; can last weeks or months
4/
