Fungus and Friends
I'm on Fire
Is it Cancer?
The Ick
Let's Treat
100
What is Tinea Corporis? (Ringworm)
How would you diagnose? Treat?
100
A 19-year-old college student presents with a truncal rash. A single larger, oval, scaly lesion appeared on her back 10 days ago, followed by a crop of smaller plaques in a "Christmas tree" pattern. What is the diagnosis?
What is Pityriasis Rosea?
What causes this? How do you treat? What color does if fluoresce?
100
An older adult with a history of cumulative sun exposure presents with a rough, scaly, hyperkeratotic papule on the hand that feels like sandpaper when palpated. What is the diagnosis?
What is Actinic Keratosis?
100
A family presents with severe, intractable nocturnal pruritus. Physical exam shows small erythematous papules and subtle, grayish, linear burrows located in the interdigital web spaces. What is the diagnosis?
What is Scabies?
How would you diagnose if unsure?
How would you treat/educate?
100
This class/potency level of topical corticosteroids (e.g., Hydrocortisone 1%) should be used on the face and intertriginous areas to avoid skin atrophy and striae.
200
This intertriginous rash in the groin or axilla fluoresces a characteristic coral-red under a Wood's light examination.
What is Erythrasma?
200
A patient presents with well-demarcated erythematous plaques covered in silvery scales on the extensor surfaces of the elbows and knees. Pinpoint bleeding occurs when a scale is removed. What is this sign?
What is the Auspitz sign?
200
A 65-year-old patient presents with the observed lesion. What is the diagnosis?
What is Basal Cell Carcinoma?
How would you biopsy this?
200
This parasite causes intense scalp pruritus, and its eggs (nits) are found firmly cemented to the hair shafts near the base.
What is Pediculosis Capitis?
200
This oral retinoid used for severe acne requires strict adherence to the iPLEDGE program due to its severe teratogenic risks.
What is Isotretinoin? (Accutane)
What are requirements for females? Males?
What additional education do you give?
300
This developed after a patient self-treated and put a ste
roid cream on their face for a scaly area.
What is Perioral dermatitis?
How is this treated?
300
This condition presents as a violaceous, polygonal, pruritic papule, often featuring a fine network of white lines on the surface known as Wickham's striae.
What is Lichen Planus?
300
This rapidly growing, tender, volcano-like nodule has a central keratinous plug. It is considered a well-differentiated variant of squamous cell carcinoma. What is it?
What is a Keratoacanthoma?
What is the risk?
How would you treat?
300
This disorder can be treated with Aluminum Hydroxide
What is hyperhidrosis
What would be your next treatment of choice?
300
Name two classes of drugs that may cause Steven Johnson Syndrome.
NSAIDs, Sulfonamides, Anticonvulsants, Penicillins, doxycycline, tetracyclines, cough and cold medications
- Abacavir
- Acetominophen
- Allopurinol
- Antibiotics
- Anticonvulsants
- Antifungals
- Antivirals
- Atenolol
- Azathioprine
- Beta-lactam antibiotics
- Captopril
- Carbamazepine
- Cephalosporins
- Clomipramine
- Dapsone
- Diltiazem
- Gold salts
- Ibuprofen
- Imidazole antifungals, eg ketoconazole, itraconazole, fluconazole
- Isoniazid
- Lamotrigine
- Mexiletine
- Minocycline
- Naproxen
- Nevirapine (non-nucleoside reverse-transcriptase inhibitor)
- Nonsteroidal anti-inflammatory drugs (NSAIDs) (oxicam type mainly)
- Paracetamol
- Penicillins
- Phenobarbitone
- Phenytoin
- Sulfasalazine
- Sulfonamides
- Trimethoprim
- Valproic acid
- Vemurafenib
- Mycoplasma infection, herbals, XRT etc
400
This painful hand infection occurs around the nail fold, often due to minor trauma or nail-biting.
What is paronychia?
How would you treat?
Differential?
400
A 36-year old female is here to see you for this condition that has been present for years but bothers her. She has tried first line therapies but is not better and asks what the next step to treat this. What have you already treated with and what will you try next?
What is rosacea.
First line: topical metronidazole
400
One of your continuity OB patients complains of a new bump on her skin at her visit. She would like to know what this is and treat it.
What is a pyogenic granuloma (not infectious or granulomatous)
Treatment?
400
It is winter in Duluth and your patient complains of itchy bumps on their arms. 
What is keratosis pilaris?
How to treat?
400
This major hemolytic side effect must be monitored when prescribing dapsone for dermatologic conditions.
What is g6pd deficiency-induced hemolysis (or hemolysis)?
500
The dermatologic manifestation of well circumscribed oval or round bald patches with characteristic black dot and exclamation poi
nt hairs also visualized.
Alopecia Areata
How do you treat? Additional conditions that cause hair loss and how do you differentiate?
500
This sign involves the dislodgement of the epidermis by lateral pressure on the skin, seen in pemphigus vulgaris.
500
A new 56-year old male presents to clinic with complaints of a rash, weight loss and night sweats. You astutely diagnosis this by appearance and order a lab test.
What is an HIV test.
This is Kaposi Sarcoma
500
Your patient went on vacation in Costa Rica and came back with this souvenir.
What is leishmaniasis, caused by bite of sandfly transmitting Leshmania parasite
500
A new patient comes to see you with this facial finding and asks you how to take the medicine you prescribe.
What is seborrheic dermatitis.