Dermatology FINAL, FNP 1 Exam Questions with
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Terms in this set (78)
herald patch
(a well-defined salmon pink oval shaped plaque)
How does pityriasis rosea Crops of smaller papules w/a similar appearance
typically present? follow w/in a few days or weeks
"Christmas tree" pattern rash - rash along body's
cleavage lines
What areas of the body do trunk & proximal extremities (typically spares the face,
you usually find pityriasis palms and soles)
rosea?
What organism is thought herpesvirus
to be the causative agent
of pityriasis rosea?
secondary syphilis: syphilis is often accompanied by
What is an important
systemic symptoms (H/A, lymphadenopathy, etc) and
differential diagnosis for
is found in areas where pityriasis is not - palms, soles,
PITYRIASIS ROSEA?
mucus membranes
What age group is most age 10 - 40 yrs
commonly affected by
pityriasis rosea?
, Acute
Is pityriasis rosea an acute
or chronic condition?
self-limiting, typically resolves within 6 weeks
typically none needed
What are some treatment 1. Antihistamines (for pruritis)
options for pityriasis 2. Moisturizing Lotions/creams (for dry skin)
rosea? 3. UV light therapy (hastens healing)
4. E-mycin 500 mg BID
What symptoms are none - its usu asymptomatic
associated with pityriasis
rosea? sometimes there is PRURITIS
ACTINIC KERATOSIS fits precancerous epidermal growths
into what category of skin
lesions?
rough, scaly, scaling plaques and papules, red or
brown in color
How does ACTINIC Looks like a cornflake pressed into skin, looks like u
KERATOSIS present? could scratch it off
Common location?
found on sun exposed skin (FACE, NECK, BACK OF
HANDS, FOREARMS, EAR, UPPER CHEST& BACK,
BALD HEADS/SCALPS)
What is the pathogenesis UV rays from sun damage keratinocytes
of ACTINIC KERATOSIS?
fair skin, older age, geographic location near the sun,
What are some risk factors
outdoor occupations/hobbies, history of multiple
for ACTINIC KERATOSIS?
sunburns
What type of cancer does squamous cell carcinoma
ACTINIC KERATOSIS most
often turn into (although
not that frequently)?
, When should you biopsy when the skin becomes indurated and thick, or when
ACTINIC KERATOSIS the lesions are not responding to treatment
lesions?
U never know which AK lesion will be cancerous -
TREAT!!!
PHARMACOLOGIC OPTIONS:
1. 5 flourouracil (Efudex) 5% topical cream BID for 2-4
weeks (exfoliates the lesions)
What are the treatment
2. diclofenac (NSAID topical gel)
options for ACTINIC
3. imiquimod (topical cream)
KERATOSIS?
4. retin A micro (topical exfoliation)
TISSUE DESTRUCTION:
1. cryotherapy (liquid nitrogen)
2. chemical peel
3. Laser resurfacing (med quality)
Does ACTINIC Slowly --
KERATOSIS develop
slowly or quicklY? often develops over a period of many years
Correct Answers | Guaranteed Success
Save
Terms in this set (78)
herald patch
(a well-defined salmon pink oval shaped plaque)
How does pityriasis rosea Crops of smaller papules w/a similar appearance
typically present? follow w/in a few days or weeks
"Christmas tree" pattern rash - rash along body's
cleavage lines
What areas of the body do trunk & proximal extremities (typically spares the face,
you usually find pityriasis palms and soles)
rosea?
What organism is thought herpesvirus
to be the causative agent
of pityriasis rosea?
secondary syphilis: syphilis is often accompanied by
What is an important
systemic symptoms (H/A, lymphadenopathy, etc) and
differential diagnosis for
is found in areas where pityriasis is not - palms, soles,
PITYRIASIS ROSEA?
mucus membranes
What age group is most age 10 - 40 yrs
commonly affected by
pityriasis rosea?
, Acute
Is pityriasis rosea an acute
or chronic condition?
self-limiting, typically resolves within 6 weeks
typically none needed
What are some treatment 1. Antihistamines (for pruritis)
options for pityriasis 2. Moisturizing Lotions/creams (for dry skin)
rosea? 3. UV light therapy (hastens healing)
4. E-mycin 500 mg BID
What symptoms are none - its usu asymptomatic
associated with pityriasis
rosea? sometimes there is PRURITIS
ACTINIC KERATOSIS fits precancerous epidermal growths
into what category of skin
lesions?
rough, scaly, scaling plaques and papules, red or
brown in color
How does ACTINIC Looks like a cornflake pressed into skin, looks like u
KERATOSIS present? could scratch it off
Common location?
found on sun exposed skin (FACE, NECK, BACK OF
HANDS, FOREARMS, EAR, UPPER CHEST& BACK,
BALD HEADS/SCALPS)
What is the pathogenesis UV rays from sun damage keratinocytes
of ACTINIC KERATOSIS?
fair skin, older age, geographic location near the sun,
What are some risk factors
outdoor occupations/hobbies, history of multiple
for ACTINIC KERATOSIS?
sunburns
What type of cancer does squamous cell carcinoma
ACTINIC KERATOSIS most
often turn into (although
not that frequently)?
, When should you biopsy when the skin becomes indurated and thick, or when
ACTINIC KERATOSIS the lesions are not responding to treatment
lesions?
U never know which AK lesion will be cancerous -
TREAT!!!
PHARMACOLOGIC OPTIONS:
1. 5 flourouracil (Efudex) 5% topical cream BID for 2-4
weeks (exfoliates the lesions)
What are the treatment
2. diclofenac (NSAID topical gel)
options for ACTINIC
3. imiquimod (topical cream)
KERATOSIS?
4. retin A micro (topical exfoliation)
TISSUE DESTRUCTION:
1. cryotherapy (liquid nitrogen)
2. chemical peel
3. Laser resurfacing (med quality)
Does ACTINIC Slowly --
KERATOSIS develop
slowly or quicklY? often develops over a period of many years
