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Practice test questions Derm
Terms in this set (14)
Which type of hair lost results in a mixture of normal and miniaturized hairs?
Androgenetic alopecia / pattern hair lost type
what determines (1) and drives(2) shortening of anagen growth phase?
1. A 20 year old male presents with thinning hair and thinks that he might be balding. He states that his father is bald and lost all of his hair by the time he was 25. You're are considering medication for this patient and want to give one that may increase the duration of the anagen phase. What should you prescribe ?
2. If patient prefers to take pills, what other medication can you consider?
1. topical Minoxidil
2. oral finasteride (requires 12 months to assess efficacy)
High yield **
Disease: Androgenetic alopecia
A 25 year old comes into the dermatology clinic for follow up for surgical recommendations in regards to his hair lost. He claims he wants a treatment that does not lead to scarring in his head. Which surgical treatment should you consider?
Follicular unit extraction ( NOT follicular unit transplantation)
30 year old comes presents with localized hair loss. Patient only has a medical history of Graves' disease During your examination, you note no inflammation, and a sharply demarcated,solitary patch of hair loss. You also note some exclamation mark hairs within the patch of missing hair. What is your suspected diagnosis?
30 year old comes presents with localized hair loss. Patient only has a medical history of Graves' disease During your examination, you note no inflammation, and a sharply demarcated,solitary patch of hair loss. You also note some exclamation mark hairs within the patch of missing hair. Patient asks if there is a cure. What is your response and what treatment are available?
There really is no cure available.
topical steroids, intralesional triamcinolone, systemic steroids, oral or topical PUVA. all options not really that good.
26 year old female noticed gradual hair shedding post childbirth 3 months ago. She has never had this problem before and thought that it may be just stress. She also states that she decided to no longer take her Low-Ogestrel medications. Which of the following is true about her diagnosis?(choose all of the following)
a. The disease is associated with line formations on the nail
b. Exclamation hairs are commonly present
c. Recommended treatment is finasteride
d. Symptoms may be reversed by removing triggering event
e. Disease leads to complete baldness
A(Beau lines) & D;
Not B. Only found on alopecia areata
Not C as only treatment is regrowth of hair.
Not E. Disease does NOT lead to complete baldness
Disease: Telogen effluvium
Patient reports of rapid, diffuse, extensive hair loss after chemo and radiation therapy. What treatment is available for this condition?
scalp hypothermia. ( vasoconstriction, decreased follicle metabolism, decreased drug uptake from chemo)
Disease: anagen effluvium
50 year old with medical history of Diabetes mellitus type I complains of severe pain and swelling of his left pointer finger. He claims that he recently sustained a small laceration near the top of his nail 10 days ago. Upon examination, you notice swelling and abscess formation near the nail fold. What does the patient have and what bacteria is responsible for this?
a. paronychia; P. aeruginosa
b. paronychia; Staph aureus
c. felon; P. aeruginosa
d. felon; staph aureus
D. Most likely Felon due to presence of abscess and severe pain.
Bacteria: MSSA ( Methicillin sensitive staph aureus) or possibly strep ( GAS)
70 year old male complains of partial detachment of his nail after being outside doing yard-work. He states that he figured it would heal on its own but noticed discoloration after a few days. You examine his finger and notice a green-brown discoloration. What bacteria do you suspect is causing the discoloration?
b. Staph aureus
c. P. aeruginosa
d. Trichophyton rubrum
60 year old presents to the clinic for follow up for foot pain. Upon examination, you noticed yellow discoloration of all of his nails with complete involvement. You suggested also getting it treated so you took nail clippings and sent it to the lab for KOH testing. Findings reveal multiple septate hyphae. What medication do you prescribe the patient?
a. topical ciclopirox, efinaconazole, and tavaborole
b. topical tavaboreole and po terbinafine
c. po terbinafine and itraconazole
d. po terbinafine and efinaconazole
25 year old presents with pain, erythema, and edema at the nail fold of his left great toe. You diagnose with ingrown toenail. What would you recommend to the patient?
a. Suggest avoid wearing tight socks
b. Suggest avoid improper trimming
c. Suggest avoid wetting of the feet.
d. Suggest use of topical steroid for relief
36 year old presents with widespread rash all over his body. He has medical history of seizures and gout. He notes starting new medications. The rash are pruritic and are described as erythematous macules and papules. All of the following may have possibly caused the rash EXCEPT:
c. gold sodium thiomalate
e. none of the above
Who is most likely to NOT receive treatment for onychomycosis?
a. patient who has HIV
b. patient receiving chemotherapy+radiation
c. diabetic patient with renal deficiency and edema
e. patient with cellulitis of his knee
f. none of the above
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