Friday, January 10, 2014

Answer 15

15.  D is the correct answer.  Topical treatments can be used on lesions that are below the neck and not above.  These lesions tend to be less aggressive.  Eighty precent of the lesions are on the head and neck the most sun exposed areas.  BCNS or Gorlin's syndrome is a genetic disorder where there is hundreds of basal cell lesions on the body.  



Question 15

15.  Which of the following is not true regarding Basal Cell Carcinoma?

A.  80 percent involve the head and neck
B.  Basal Cell Nevus Syndrome or Gorlin's Syndrome patients may have hundreds of basal cell lesions throughout their body
C.  Erivedge is an oral chemotherapy agent approved for use
D.  Topical treatments can be used but for lesions that are above the neck

Answer 14

14.  Choice C is the correct answer.  Sarcoptes Scabei is the organism that causes scabies.  Pediculus Humanus is the parasite that causes Pediculus Capitis (Scalp Lice).  Phithirius Pubis is the parasite that causes pubic lice.  Borrelia burgdorferi is the bacteria that causes lyme disease.





Question 14

14.  Which of the following organisms are responsible for the rash listed below:


A.  Pediculus Humanus
B.  Phithirius Pubis
C.  Sarcoptes Scabei
D.  Borrelia burgdorferi 

Thursday, January 9, 2014

Answer 13

13.  Choice D is the correct answer.  This patient has Rosacea.  Metronidazole Gel, Topical Erythromycin, and Minocycline are accepted treatments.  Triamcinolone cream is best used for steroid response dermatoses.



Question 13

13.  Your patient is a 45 year old female with the rash in the photograph below.  She notes it is exacerbated by being in hot environments.  All of the following are accepted treatments for this condition except:


A.  Metronidazole Gel
B.  Topical Erythromycin
C.  Minocycline
D.  Triamcinolone Cream

Answer 12

12.  Choice A is the correct answer.  This is Bullous Pemphigoid.   It comes from an interaction of the autoantibody with bullous pemphigoid antigen on the surface of keratinocytes.  The bullous lesions come from molecules released from mast cells.  Prednisone and azathoprine have been shown to be helpful with this mechanism.  Tetracycline has also been shown to be helpful but the mechanism is unknown.  Acyclovir is not an accepted treatment regarding this.