OST 526 - Integumentary
System 1999 Version
Please be aware that new material HAS
been added to the study questions. New material HAS BEEN identified
by a line drawn at the end of each set of study questions with
the new material inserted below the line.
Last updated: July 12, 1999
Terry Hagan, Ed.D., Coordinator
- click here to send me notes or questions.
WEB Resources
Terminology
The Language of Dermatology by the University of Washington
Dermatology
Internet Service
University Hospital, Erlangen, Germany, Department of Dermatology
- Excellent source for information on a wide variety of lesions.
This is a very sophistacated site and well worth the time spent
getting familiar with how it works. You could take a whole course
in dermatology on this site alone.
Department
of Dermatology - University of Iowa College of Medicine
Another excellent site to use in learning the basics. Spend some
time with this one and you will be happy you did. Explore the
lectures, cases, and slides. This site is also an excellent basic
course in Dermatology all by itself. If you are really into it
you might want to explore the links to other sites.
Arthur
C. Huntley M.D., Matrix Dermatology Resources
This is an outstanding site full of instructional material designed
for students at UC, Davis as well as residents in dermatology
and practitioners in the field. One of the best on the WEB so
far!
Dermatology in the Cinema-
Skin in the movies
Just for the fun of it!
Study Guide:
Now hear this! All, I say again,
ALL of your test questions will be taken from the following list
of study questions. If you master the material under each objective,
you will ACE the final. If you prepare for each lecture you will
be in a great position to ask the author of your test questions
for clarification on items that are not clear to you.
Sometimes I get questions submitted
during the course. If that happens, I will add study questions
that will direct you to the appropriate study materials. I will
identify these late additions by drawing a line at the end of
the current study questions for each objective and putting any
new material below that line. No line, no new material.
It is recommended that you
form study groups and split up the objectives among the group
members. Teaching others what you have learned is a great way
to master a topic.
If you have questions about
this approach, please
e-mail Dr. Hagan.
Objective One:
To demonstrate an ability to define the basic terms used in dermatology.
Know the definitions of :
- Macule/Patch
- Papule
- Plaque
- Nodule/tumor
- Vesicle/bulla
- Pustule
- Wheal
- Scale
- Crust
- Erosion
- Ulcer
- Excoriation
- Fissure
- Lichenification
- Atrophy
- Scar
Source:
The above definitions can be found on the "INDEX" Page
at the University of Washington
Take
the quiz on this page for value added education - when asked for
your code type "1234"
Objective Two: To
demonstrate a basic understanding of acne and Rosaccea
Dr. Rinek
Acne is a major dermatologic issue in the practice of primary
care here are some things you should know about acne for the Test
(and for your future practice!):
- What is the definition of Acne Vulgaris?
- What are open comedones commonly called?
- What are closed comedones commonly called?
- What are the primary triggering Factors in Acne Vulgaris?
- What are the cutaneous manifestations of Acne Vulgaris in
mild cases?
- What are the cutaneous manifestations of Acne Vulgaris in
moderate to severe cases?
- What drug is recommended for treating Grade I acne?
- What drug is recommended for treating Grade II acne?
- What drug/s are recommended for treating Grade III acne?
- Under what conditions would a dermatologist consider the
use of Retinoic Acid?
Sources: Lecture by Dr. Rinek
Web Site: ACNE
Objective Three:
To demonstrate a basic understanding of thermal injuries
Dr. Hayes
- How would you control the pain for a patient with a major
burn injury?
- How do you estimate resuscitation fluid requirements for
victims of burn injuries?
- How do you determine who should be treated in a burn unit
or burn center?
- What is the rule of nines and how do you use it to estimate
total body surface area burned?
- What is the initial fluid of choice for resuscitation of
burn victims?
- What is the appropriate method of rewarding a frostbitten
extremity?
- What is the topical antibiotic generally preferred in the
management of burn injuries?
- What are some effective topical antimicrobial agents for
the treatment of burns?
- What are the characteristics of first, second and third degree
burns?
- What are the favorable prognostic signs of frostbite injury?
- What are the principles used in the treatment of a patient
with frostbite?
- What are the characteristics of the pathophysiology of frostbite?
Sources: Lecture, Dr. Hayes
Course Pack: Dr. Hayes' notes
Objective Four: To
demonstrate a basic understanding of contact dematitis.
Dr. Miller
- What are the two main causes of contact Dermatitis?
- What are the mechanisms by which irritants such as acids
or alkalis damage the skin?
- A cement worker who has an eruption that looks a little like
a burn is probably having a reaction to what irritant? (Hint:
Highly alkaline calcium oxide)
- What is Allergic Contact Dermatitis?
- What is the roll of Langerhan's cells in Allergic Contact
Dermatitis?
- Identify the commonly implicated substances in Allergic Contact
Dermatitis.
- How does photoallergic and phototoxic contact dermatitis
develop?
- What are the symptoms of Contact Dermatitis?
- What is the course of Contact Dermatitis once the cause is
removed?
- In a puzzling dermatitis, what should you first suspect as
the cause or aggravating factor?
- What information helps in making a diagnosis of contact dermatitis?
- When questioning is fruitless, what type of testing should
you conisder?
- Who should select the test concentrations and why?
- Are antihistamines effective in treating contact dermatitis?
- How would you treat a case of poison ivy that included a
severe facial inflamation?
- What are the uses of topical dermatologic therapy?
- What does the ivy plant look like?
- What are some of the conditions that can be caused by Irritant
Contact Dermatitis? (Hint: Alopecia, ulcerations, acne, and Millaria
are among these conditions)
- What is Quaternium 15?
- What is Neomycin Sulfate and in what products can it be found?
- What is the allergen in poison ivy and poison oak?
- What substance is used in the sterilizing of instruments
in a dental office?
- What substance is responsible for much of the contact dermatitis
caused by rubber gloves?
Sources: Lecture, Dr. Miller
Objective Five:
To demonstrate a basic understanding of dermal nevi and tumors.
Note: Dr. Lipkin was scheduled for
this lecture but will be unable to make it this year. We have
decided to use this opportunity to test a new electronic lecture
format. If you go to Dr.
Huntley's home page by clicking here
you will find a section designed for students. Your "lecture"
for Dermal Nevi and Tumors will be delivered this way. Please
go to the section titled "Dermatology for Students"
click on that and then read through the sections titled "Benign
Tumors of the Skin", "Skin Tumor Atlas" and "Melonoma
Tutorial." Your test questions will be taken from this material.
I highly recommend that you look through the rest of the material
on this WEB site. Dr. Huntley has done a superb job of making
the complicated simple and of exposing you to very valuable material.
Let me know what you think.
What are the characteristics (including relation to cancer)
of:
- Acquired Melanocytic Nevi
- junctional nevi
Intradermal nevi
compound nevi
- Halo nevus
- Blue nevi
- Congenital melanocytic nevi
- Giant Hairy Nevi
- Dermatofibroma
- Seborrheic keratosis
Capillary Hemangioma of Infancy
- Cherry Hemangiomas
- Pyogenic Granuloma
Actinic Karatosis
- Venous Lake
- Malignant melanoma
Basal cell carcinoma
Squamous cell carcinoma
When should you biopsy a pigmented lesion?
Sources: Arthur
C. Huntley M.D., electronic lecture from his Matrix home page
Objective six: To
demonstrate a basic understanding of viral infections of the skin.
Dr. Patterson
- Know how to diagnose the following:
· Condyloma lata
· Skin tags secondary to fissures
· Condyloma accuminata
· Molluscum contagiosum
· Herpes simplex virus (HSV)
· Acyclovir-resistant HSV
· Human papilloma virus (HPV)
· Variola virus
· Vaccinia virus
· Varicella Zoster virus (VZV)
- What is the therapy of choice for Herpes Simplex Virus?
- What is the therapy of choice for an Acyclovir-resistant
virus?
- For a difinitive diferential diagnosis of Herpes Simplex
or Varicella Zoster what test would you order?
- How would you diagnose Orf Virus?
- What is the mechanism that results in a virus becoming acyclovir-resistant?
- When providing care for an immunocompromised patient who
needs Acyclovir, how would you administer the drug?
- What is HSV Keratoconjunctivitis?
Sources: Lecture, Dr. Patterson, July 7, 1998, at 8:00am
Coursepack: Dr. Patterson's notes
Objective Seven:
To demonstrate a basic understanding of vesiculobullous disease.
Dr. Piro
What are the characteristics of:
- herpes zoster
- chicken pox
- herpes simplex
- bullous pemphigoid
- bullous erythema multiforme
- rhus dermatitis
- varicella
- pemphigus vulgaris
- psoriasis
Sources: Lecture: Dr. Piro
Objective Eight:
To demonstrate a basic understanding of papulosquamous Eruptions.
Dr. Piro
- What are the characteristics of seborrheic dermatitis
- What are the known papulosquamous diseases?
- What is psoriasis and where how do people get it?
- What is Lichen Planus?
- How would you go about identification of syphilis?
- What is Tinea?
- What is Treponemal Disease?
- What is Pityriasis Rosea?
- What Seborrheic Dermatitis?
Sources: Lecture by Dr. Piro
Objective Nine:
To demonstrate a basic understanding of the pharmacologic principles
of dermatology.
Dr. Thornburg
- Why should you avoid the application of high-potency fluorinated
corticosteroids to the face?
- What are some of the unique features of dermatopharmacology?
- What is a necessary characteristic of a drug suitable for
formulation into a transdermal delivery system?
- List the major variables that determine pharmacologic response.
- When is the use of isotretinoin contraindicated?
- How does topically applied hydrocortisone work?
- How much topical corticosteroid is needed to cover the whole
body with a cream? How much with ointment?
- What are the pharmacological actions and characteristics
of the following drugs?
- Benzoyl peroxide
- Tretinoin (Retin A)
- Selenium Sulfide (selsun)
- p-aminobenzoic acid
- Minoxidil
- List the factors that should be considered in drug selection.
- What are the two types of photosensitivity?
- List the advantages of transdermal drug delivery over conventional
therapy.
- What are some of the regional variations in drug penetration?
(Hint: scrotum, face and scalp very permeable; forearm least
permeable)
Sources: Lecture, Dr. Thornburg, June 30, 1998 at 9:00am
Coursepack: Dr. Thornburg's notes
Objective Ten: To demonstrate
a basic understanding of the dermatological manifestations of
infectious diseases.
Dr. Gulick
Know how to diagnose the following:
primary syphilis
chancroid
lymphogranuloma venereum
herpes genitalis
condyloma acuminatum
herpes simplex
condyloma lata
Lyme disease
leptospirosis
tuberculosis
listeria monocytogenes
streptococcus pneumonia
haemophilus influenza
neisseria meningitidis
staphylococcus aureus
herpes zoster
cytomegalovirus
epstein barr virus
coxsackie virus
bacillary angiomatosis
mycobacterium tuberculosis
mycobacterium avium intracellulare
mycobacterium marinum
What skin manifestation is unique to HIV disease?
Which diseases produce a positive Tzank prep?
What does the presence of erythema chronicum migrans indicate?
What are the characteristics of Reiter's syndrome?
What organism is the likely cause of bacterial meningitis and
diffuse petechial lesions?
What would cause multinucleated giant cells found in vesicles
presenting in a dermatomal pattern?
What virus has been implicated in causing oral hairy leukoplakia?
Sources: Lecture, Dr. Gulick, Tuesday, July 21, 1998 at
8:00am
Coursepack: Dr. Gulick's notes
Objective Eleven:
To demonstrate a basic understanding of determatological emergencies
and appropriate treatments.
Dr. Hughes
- What do brown recluse spider bites look like and what are
the symptoms?
- What do black widow spider bites look like and what are the
symptoms?
- What do rattle snake bites look like and what are their symptoms?
- What is the first thing you should do in treating a rattle
snake bite?
- What do coral snake bites look like and what are their symptoms?
- What does a rash caused by penicillin look like in an infant?
- What does a rash caused by a brown recluse spider bite look
like in an infant?
- What does a rash caused by staphylococcus aureus look like
in an infant?
- What does a rash caused by flesh eating streptococcus look
like in an infant?
- What is anaphylaxis and how would you go about treating it?
- How do you figure the correct dose of epinephrine when treating
a child with an anaphylactic reaction to a bee sting?
- How can you tell if a coral snake bite is dangerous?
- When should anti-venom be used for snake bites?
- How would you treat a skin abscess?
- What is Erythema Multiforme?
- What is the Stevens-Johnson Syndrome?
- What is an Ana-kit?
- What is an Epi-Pen?
- What does the bite of a human with cellulitis look like?
- What does the rash you would see from meningococcemia look
like?
- What is the hallmark of anaphylaxis and what does it look
like?
- What is the best way of telling which kind of snake was responsible
for a bite?
- What does uticaria look like?
- What is the difference between a skin infection that requires
antibiotics and one that does not?
Sources: Lecture, Dr. Hughes, Tuesday, July 14, 1998, at
8:00am
Coursepack: Dr. Hughes' notes
Objective Twelve:
To demonstrate a basic understanding of fungi-related skin conditions.
Dr. Robinson-Dunn
- Which parts of the body does Trichophyton mentagrophytes
tend to attack?
- What is Black-dot ringworm?
- What are the definitions of tinea unguium, tinea barbac,
tinea corporis, tinea capitis and tinea versicolor?
- What does Tinea Capitis look like?
- What is the best way to do a laboratory identification of
dermatophytic fungi?
- How would you examine a nail specimen for the presence of
dermatophytic fungi?
- Which chemicals would you use to examine a piece of hair
or nail microscopically for the presence of fungal elements?
- What will a gram stain of a specimen containing Candida Albicans
show?
- What chemical solution would you use to disolve a speciman
in order to examine a piece of hair or nail microscopically for
the presence of fungal elements?
- What is the best way to identify dermatophytic fungi in the
lab?
- What is sporothrix schenckii?
- How would you identify Epidermophyton floccosum under the
microscope?
- What is onychomycosis?
Sources: Lecture, Dr. Robinson-Dunn
Coursepack: Dr. Ronbinson-Dunn's notes
Objective Thirteen:
To demonstrate a basic understanding of pediatric dermatological
issues.
Dr. Worthington
Be able to identify the following conditions:
- sturge weber
- nummular eczema
- seborrheic dermatitis
- strep pharyngitis
- varicella zoster
- herpes zoster
- erythema toxicum neonatorum
- staphylococcal skin infection
- neonatal herpes
- roseola infantum
- acrocyanosis of the newborn
- rubella
- rubeola
- axillary freckling
- exanthematous rash
- labial adhesions
- tinea corporis
What are the best methods of diagnosing:
Sources: Lecture Dr. Worhthington, Friday, June 26, 8:00am
Coursepack: Dr. Worthington's notes
Please remember to evaluate
the course and let us know how you liked this course and the methods
used. Thanks!!!
Feedback
- E-Mail
Dr. Hagan