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Step III
Step III - Derm 3
Question | Answer |
---|---|
Tx for Kaposi | HAART to raise CD count |
If initial tx for Kaposi fails then what is the next rx tx | Chemo w/ liposome adriamycin AND vinblastine |
What is the Koebner phenomenom | Injury to epidermis leaves psoriatic skin plaques |
What is the best initial tx for psoriasis | Emollients |
What can be used to slough up build up in psoriasis | Salicylic acid |
localized psoriasis tx | Steroids |
instead of coal tar and steroids for tx of psoriasis what else can be used | Vita D (calcipotriene) or Vita A (tazarotene) derivatives |
if > 30% of pt body is affected by psoriasis what tx can be used | UV light |
AE MTX | Liver fibrosis |
Severe, progressive, widespread psoriasis is tx using | MTX |
Name the immunomodulators in tx of psoriasis | Etanercept, alefacept, infliximab |
Red itchy plaques flexor surfaces, high IgE | Atopic dermatx |
Preventive tx for atopic dermatx | Avoid hot showers and scratching skin, wear cotton, use emollients (avoid drying the skin) |
Tx for Active atopic dermatx | Anti-histamines, steroids, tacrolimus, coal tar, phototx, anti-bx if impetigo |
Name fungus causing seborrheic dermatx | Pityrosporum ovale |
Venous incompetence of LE causing hemosiderin build up = | venous stasis dermatx |
Linear streaked vesicles a/w soap, metal, poison ivy, latex | Contact dermatx |
Most accurate test for contact dermatx | Patch testing |
Pruritic, herald patch, Christmas tree rash, salmon colored, spares palms and soles | Pityriasis rosea |
Tx for Pityriasis rosea | Self limiting (8wks); steroids if too itchy |
Moderate acne is tx using | Benzoyl peroxide + retinoic acid/adapalene/tazarotene |
Mild acne is tx using | Topical clinda/erythro/sulfacetamide + benzoyl peroxide OR topical retinoid |
Severe acne is tx with | PO clinda/minocycline/tetracycline/isotretinoin |
If melanoma is 1mm depth then what margin needed for excision | 1cm |
If melanoma is 1-4mm depth then what margin needed for excision | 2cm |
The strongest risk factor for malignancy in melanoma | shape |