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89 Cards in this Set
- Front
- Back
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Compound Melanocytic Nevus
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Infantile Hemangioma
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Interdermal Melanocytic Nevus
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Junctional Melanocytic Nevus
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Seborrheic Keratosis
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Skin Tag
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Solar Lentigo
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Rash-Erythema-Multiforme
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Rash-Fixed-Drug-Eruption
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Rash-Morbilliform
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Rash-SJS-TEN
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Rash-Urticaria
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4 layers of Epidermis from in to out ?
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1) Basal layer 2)Stratum spinosum 3)Granular layer 4) Stratum Corneum
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What are the two tineas that can't be treated topically?
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1) Capitis 2) Onychomycosis (Unguium)
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What are the cellular components in Epidermis(3) ?
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1) Keratinocytes 2)Melanocytes 3)Langerhan cells
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What are the three genera of fungal infections?
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1) Microsporum 2) Trichophyton 3) Epidermophyton
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What are 2 layers of dermis in to out?
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1) Reticular 2)Papillary
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What are 3 adnexal structures of skin ?
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1) Sweat glands 2)Hair 3)Nails
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What are the 4 compoments released during early phase of hypersensitivity reaction?
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1) Vasoactive amines 2)Proteases 3)Prostaglandins 4)Leukotriens (LTB4)
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What are the cellular components in Dermis (3) ?
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1)Fibroblasts 2)Macrophage 3)Dermal dendritic cells
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Systematic treatment for Psoriasis?
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Acitretin (oral)
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Mostly in teens, mass of all types of acne, usually treated with roids
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Acne conglobata
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Most severe acne, explosive onset, with systemic symptoms - fever etc..., usually more neck
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Acne fulminans
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Acne from repetitive physical trauma
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Acne mechanica
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What type of herpies has short growth cycle, cytolytic, infect neurons?
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Alpha
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What is growing phase of hair called?
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Anagen
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Painful, shallow ulcers, trauma may precipitate, no fever, nodes not enlarged
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Aphthous Stomatitis
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What is a blood infection?
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Bacteremia
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Carcinoma that is pearly papule, has telangiectasia
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Basal Cell Carcinoma
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What type of herpies has long growth cycle, cytomegalic, infect glands and lymph?
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Beta
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Fluid filled, >1 cm dia.
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Bulla
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Yeast infection caused by oportunistic flora, usually in mouth, milkly lesions/discharge
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Candidiasis
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Anaerobic spore forming bacilli ?
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Clostridiums
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Red papule, enlarging lesion, multply in macrophages
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Cutaneous Leishmaniasis
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What is released during late phase of hypersensitivity reaction?
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Cytokines
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Why are anaerobes sensitive to oxygen?
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Due to lack of SOD (superoxide dismutase)
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What kind of streptococci is: PYR positive, varied hemolysis, Esculin hydrolyzation, Bile tolerant
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E. faecalis
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Fever, joint pain, raised plaque like rash with dusky centers, erythematous (target lesion), by nonspecific viral infection
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Erythema Multiforme
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hard, dark, plaque covering ulcer, tissue necrosis
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Eschar
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truma related to scratching or rubbing
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Excoriation
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"Slap" red cheeks, lace like rash, supresses RBC production, profound anemia in fetus causes highoutput heart failure, Usually in spring time
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Fifth Disease (Exanthem Infectiosum)
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What type of herpies has variable growth cycle, infects lymphoid?
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Gamma
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Flu like symptoms, rash evolves to pruritic, confluent 2mm papules,
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Gloves and Sock syndrome
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Dark urine, bright red sputum, Complement/Fc receptor mediated inflammation, noncollagenous protein in kidney targeted, type II
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Goodpasture's syndrome
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More common in summer, Vesciles on hands and feet, red spot rash, painful ulcers in oral cavity
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Hand-Foot-Mouth Syndrome (Usually Coxsackie virus A16)
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Fever, Oral ulcers, painful adenopathy,
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HSV 1 (herpes simplex gingivostomatitis)
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Golden crusts, caused by staph.,
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Impetigo
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What is last resort drug for acne and side effect?
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Isotertinoin, Teratogenic
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high fever >5 days, oral mucosal changes, cervical node (1) enlargement, swollen extremities, rash that starts to peel around nails, conjunctival injection, main concern aneurysms
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Kawasaki Disease
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Change in color of skin, flat, not palpable
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Macule
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Characterized by: Cough, coryza, conjuctivities, Koplik spots, fever for 3-5 days
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Measles (Rubeola)
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Tiny purple spot (petechiae) (don't blanch with pressure), fever, normal WBC, hypotension, DIC
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Meningococcemia (Neisseria meningitidis)
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Usually raised, FIRM lesion, <1cm
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Nodule
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Superficial, palpable, raised lesion, distinct boarders, >1cm
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Papule
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What are the strains of lice called?
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Pediculosis / Pthirus
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Which type of lice effect eyebrows?
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Pediculosis pubis
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What fungus looks like spaghetti and meatballs in micropscopy?
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Pityriasis versicolor (P Versicolor)
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Solid, raised, flat topped lesion, >1cm, plateau like
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Plaque
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106F fever, child looks good, suboccipital lymph enlargement, Febrile seizure, salmon rash
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Roseola Infantum (Exanthem Subitum), HHV 6
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Blueberry muffins, Deafness, VSD, cataracts, Cognitive delay, Posterior auricular adenopathy
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Rubella
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What kind of streptococci is: B-hemolytic, Bacitracin sensitive, Hippurate hydrolyzation, Hippurate hydrolyzation, CAMP test positive
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S. agalactiae
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What is most important staphylococci?
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S. aureous
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What kind of streptococci is: a-hemolytic, Optochin resistant, Lysed by bile
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S. pneuomoniae
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What kind of streptococci is: B-hemolytic, Bacitracin sensitive, Pyrrolidonyl arylamidase positive (PYR)
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S. pyogenes (GAS)
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If see burrows and itching in skin what does it point to?
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Scabies
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Skin lesion that is "stuck-on" and "greasy", darker, common and hereditary
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Seborrheic Keratosis
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What is a systemic infection?
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Septicemia
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Trans by skin trauma or inhalation, frequent in garders, chronic cutaneous infections
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Sporotrichosis
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Carcinoma with scaling plaque
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Squamous cell carcinoma
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Skin painful to touch, signs of peeling, sunburn like
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Staphylococal scalded skin syndrome
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Bunch of grapes, Gram +, able to grow in high salt, on skin and mucous membranes
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Staphylococcus
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Acne: Lesions are all at same stage of development, mainly on trunk and shoulders
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Steroid acne
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Lack of rhinorrhea, Lack of conjunctivitis, lack of cough, Painful nodes, strawberry tongue, halitosis
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Streptococcal (Scarlet Fever)
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Grows in chains, Catalase NEGATIVE, Gram +,
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Streptococci
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What is the most common cause of Tinea in adults, except capitis?
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T Rubrum (Tricophyton Rubrum), Capitis = T. Tonsurans
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permanently dilatated superficial blood vessels
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Telangiectasia
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What type of reaction is urticaria?
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Type 1
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What type of reaction is fixed drug eruption?
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Type 2
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What type of reaction is Morbilliform?
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Type 4
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What type of reaction is Erythema multiforme?
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Type 4
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Rash spreads rapidly over trunck, Vesicles, drying lesion, pruritic rash, >500 lesions
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Varicella (Chicken pox)
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Fluid filled, <1 cm dia.
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Vesicle
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What kind of streptococci is: a-hemolytic, Optochin resistant, NOT lysed in bile
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Viridans S.
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Hyperpigmented skin, fever, hepatosplenomegaly, pancytopenia
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Visceral Leishmania
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Upper dermis adema, hive
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Wheal
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How does one diagnose Tineas and Pityriasis versicolor ?
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With Potassium Hydroxide (KOH)
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What does KOH show for Candidiasis ?
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Yeast and Pseudohyphae
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Type 2, antibody autoimmune that stimulates TSH receptor without hormone,
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Graves disease
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Type 2, antibody autoimmune that inhibits receptor without hormone,
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Myaethenia Gravis
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