Dermatology AANP Exam Questions and Answers
(Sarah Michelle NP)
Herpes - -1) Antivirals within 48-72 hours
2) Erythema base
3) Vesicular
-Chronic Ulcerative Stomatitis - -1) Bigger then a canker sore.
2) Autoimmune
3) Weeks -> months to resolve
4) Resistent to topical steroids
5) Treat with hydroxychloroquine
-Keratosis Pilaris (chicken skin) - -1) TX= emollients and moisturizers
May disappear after childhood
-Impetigo - -"Honey Crusted Lesions"
1) Common in children
2) Bullous (Doxycycline) vs non bullous (more common, mupriocin)
-Tick Bites - -1) Lyme disease
2) Rocky Mountain
-Lyme Disease - -Erythema Migrans
1) "bulls eye lesion"
2) Amoxicillin if pregnant
-Rocky Mountain Spotted Fever - -1) Tx always doxyclycine
Key words
1) North Carolina
2) Rash on palms/soles of feet
-Measles (Rubeola) - -Koplik's Spots
-Mumps - -Parotid Gland Swelling
-Actinic Keratosis - -Leads to squamous cell carcinoma
1) dry, scaly lesions
2) High sun areas
3) pink, yellow, brown, tan
Tx with cryo or 5-FU topical
-Squamous Cell Carcinoma - -Dx by biopsy
1) ulceration, red, bleeds easily
, 2) From actinic keratosis
-Neurofibromatosis - -May be indicated by more then 6 cafe-au-lait spots
otherwise benign
-Intertrigo - -rash in skin folds
1) Tx limit moisture, or anti-fungal such as "azole" drugs
-Malignant Melanoma - -Asymmetry
Border irregularity
Color variation
Diameter greater then 6 mm
Evolution
May present under the finger nail (condition may also be linked to endocarditis.
-Seborherric keratosis - -"Pasted on"
1) often in the elderly
2) Benign
-Basal Cell Carcinoma - -1) Telangiectasias
2) Shiny, waxy, pearly
3) Biopsy and refer to derm
-Atopic Dermatitis (Eczema) - -1) Pruritic on flexer surfaces (elbows, knees)
2) Itch and then rash
3) Tx: emollients and topical steroids
remember the three A's
-Nummular Eczema - -round coinlike lesions likely on hand
papular or crusty/scaly patches
TX: high potency steroids
-Plaque Psoriasis - -1) Thick silvery scales
2) May have
-Auspitz sign ( pinpoint bleeding)
-Koeber phenomenon (trauma leading to plaque)
3) Tx: Topical steroids, emollients, and coal tar
-Contact Dermatitis - -1) Tx: topical steroids
2) Caused by skin irritant
3) Localized /linear
-Head lice - -1) most common in peds
2) pruritis of scalp
3) contagious
(Sarah Michelle NP)
Herpes - -1) Antivirals within 48-72 hours
2) Erythema base
3) Vesicular
-Chronic Ulcerative Stomatitis - -1) Bigger then a canker sore.
2) Autoimmune
3) Weeks -> months to resolve
4) Resistent to topical steroids
5) Treat with hydroxychloroquine
-Keratosis Pilaris (chicken skin) - -1) TX= emollients and moisturizers
May disappear after childhood
-Impetigo - -"Honey Crusted Lesions"
1) Common in children
2) Bullous (Doxycycline) vs non bullous (more common, mupriocin)
-Tick Bites - -1) Lyme disease
2) Rocky Mountain
-Lyme Disease - -Erythema Migrans
1) "bulls eye lesion"
2) Amoxicillin if pregnant
-Rocky Mountain Spotted Fever - -1) Tx always doxyclycine
Key words
1) North Carolina
2) Rash on palms/soles of feet
-Measles (Rubeola) - -Koplik's Spots
-Mumps - -Parotid Gland Swelling
-Actinic Keratosis - -Leads to squamous cell carcinoma
1) dry, scaly lesions
2) High sun areas
3) pink, yellow, brown, tan
Tx with cryo or 5-FU topical
-Squamous Cell Carcinoma - -Dx by biopsy
1) ulceration, red, bleeds easily
, 2) From actinic keratosis
-Neurofibromatosis - -May be indicated by more then 6 cafe-au-lait spots
otherwise benign
-Intertrigo - -rash in skin folds
1) Tx limit moisture, or anti-fungal such as "azole" drugs
-Malignant Melanoma - -Asymmetry
Border irregularity
Color variation
Diameter greater then 6 mm
Evolution
May present under the finger nail (condition may also be linked to endocarditis.
-Seborherric keratosis - -"Pasted on"
1) often in the elderly
2) Benign
-Basal Cell Carcinoma - -1) Telangiectasias
2) Shiny, waxy, pearly
3) Biopsy and refer to derm
-Atopic Dermatitis (Eczema) - -1) Pruritic on flexer surfaces (elbows, knees)
2) Itch and then rash
3) Tx: emollients and topical steroids
remember the three A's
-Nummular Eczema - -round coinlike lesions likely on hand
papular or crusty/scaly patches
TX: high potency steroids
-Plaque Psoriasis - -1) Thick silvery scales
2) May have
-Auspitz sign ( pinpoint bleeding)
-Koeber phenomenon (trauma leading to plaque)
3) Tx: Topical steroids, emollients, and coal tar
-Contact Dermatitis - -1) Tx: topical steroids
2) Caused by skin irritant
3) Localized /linear
-Head lice - -1) most common in peds
2) pruritis of scalp
3) contagious
