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56 Cards in this Set
- Front
- Back
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HPV type in common warts
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HPV 2,4
"2 common 4 U" |
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HPV type in plantar warts
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HPV type 1
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HPV type in flat warts
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HPV 3
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HPV in Butcher's warts
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HPV 7
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HPV in genital warts
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HPV 6,11
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HHV type for varicella
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HHV 3.
-Immune status to varicella doe snot correlate with declining CD4 counts |
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Kaposi's varicelliform eruption
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association of atopic dermatitis with HSV infection
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Fetus is most at risk when from onset of maternal varicella?
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5d before to 2 d after delivery
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Conditions associated with KA's
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-Muir Torre (sebaceous neoplasms, GI malignancies (colon adenocancer), KA's
-Gryzbowski (generalized eruptive KA's) -Ferguson Smith (multiple KA's appear suddenly and do not inolute |
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Multiple Dermatofirbromas associated with?
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SLE,
CML, organ transplant |
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Tumors associated with nevus sebaceous
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-trichoblastomas
-syringocystadenoma papilliferum -BCC |
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Nevus sebaceous of Jadassohn Syndrome
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Triad of linear nevus sebaceous, seizures, MR
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What cytokines incude Th1 (cytotoxic) response?
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IL-12 and IFN-gamma
IFN-gamma can suppress TH2 and TH17 responses |
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Th2 cells are primarily induced by?
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IL-4
Th2 cells secrete IL-4 and IL-10 |
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Macular or lichen amyloidosis is associated with what syndrome?
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Sipple syndrome, MEN IIA
AD, Ret mutation. Increased inc. of medullary thyroid ca, parathyroid hyperplasia and pheochromocytoma (AK or keratin derived amyloid) |
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Type of amyloid in primary systemic amyloidosis?
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AL
-30-40% will have cutaneous involvement, waxy papules on flexural regions, neck, central face, tongue, buccal mucosa |
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Type of amyloid in nodular amyloidosis?
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AL
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Name three conditions with AA amyloid deposition?
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Secondary amyloidosis
FMF Muckle-Wells syndrome |
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Endogenous ochronosis is AR and caused be a defect in homogentisic acid oxidae which prevents what from being degraded beyound homogentisic acid?
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Tyrosine and phenylalanine
homogentisic acid deposirs in cartilage, joints |
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Present in blue tattoos?
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Chromium
Cobalt |
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Present in yellow tattoos?
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Cadmium
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Present in red tattoos?
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Cinnabar
Mercury |
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Types of minocycline Pigmentation?
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I-Blue-black in scars, usually facial (Iron from drug-protein complexes)
II-Blue-gray, nl skin, anterior legs (Iron, FM-not from melanin) III-Muddy brown in sun exposed areas (melanin present) |
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Nerve to numb for majority of sole of foot?
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Posterior tibial
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Syndrome with knuckle pads, PPK, koilonychia, deafness?
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Bart Pumphrey
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Triad for xanthoma disseminatum?
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cutaneous xanthomas
MM xanthomas Diabetes insipidus |
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Live vaccines?
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BCG, Live Flu, MMR, Varicella, YF, Zoster
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HPV E7 protein deactivates what?
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Rb
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HPV E6 protein degrades what?
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p53
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Woman's lifetime risk of HPV?
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80%
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LS and A occurs most commonly in what locations?
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Neck, shoulders, wrists
can start as a plaque with follicular plugging |
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What med can cross-link TNF?
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InfliXamab
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Triad for Churg Strauss?
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Asthma
Eosinophilia Allergic rhinitis can have vasculitis, skin lesions in 55% majority of patients respond to prednisone alone leukotriene inhibitors can cause Churg Strauss |
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Recommended frequency of Tb screening for all patients on TNF inhibitors?
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Annually
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Irreversibly binds to all forms of TNFa?
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Infliximab
half life is 10 days, may take 2-6 months to wash out |
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Binds p40 subunit on Il-12 and Il-23?
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Ustekinumab
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Loss of what correlates with rituximab resistance?
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CD20
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ALK-1 is positive in most systemic or primary cutaneous anaplastic large cell lymphomas?
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Systemic
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Melanocytic marker that is a marker of normal differentiation?
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HMB-45
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What has increased staining in nephrogenic systemic fbirosis but not in morphea?
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CD34
also + in DFSP |
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Ber-EP4 is positive in what and negative in what?
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+ in BCC, - in SCC
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Normal kappa/lambda ratio?
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2/3 kappa: 1/3 lambda is normal ratio.
10 fold deviation suggests clonal b cell proliferation |
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Location for Borrelia pseudolymphoma?
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earlobes, nipples
Tx-penicillin |
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Patient with whitish fluorescing organism on woods lamp on eyelashes?
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Phthirus Pubis
Treat with vaseline |
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How to treat a pregnant patient with HIV and syphilis?
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desensitize with PCN, then treat
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Recessive inheritance, SCC's age 20-40 from flat warts?
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EDV
HPV 5,8 Rad therapy contraindicated EVER1 and EVER2 encode integral membrane proteins to ER, may have role in Zn homeostasis |
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Do sunscreens work in patients with PCT?
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Only physical blockers. Consider Soret band 400-410 nm
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Breasts with ulcers and surrounding telangiectasias. Ulcers tend to occur along scars from reduction mammoplasty? Ameboid or retiform purpura
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Diffuse Dermal angiomatosis of the Breast
Surrounding telangiectasias are areas of increased blood flow around ischemic areas. Increased HIF (Hypoxia inducible factor) causes increase in VEGF |
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Urine 3:1 Uro:Copro
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PCT
Could see preauricular sclerosis with PCT |
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Super High ANA in lupus patient, think what?
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Infection>Lupus Flare
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% of syphilis patients with positive RPR at presentation with chancre?
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50%
90% have postive treponemal test |
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Fevers q4-5 days with bone pain, considr what infection?
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B. quintana, trench fever
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B. henselae is transmitted from cat to cat by what vector?
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Flea
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How is cimetidine effective for warts?
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Cimetidine downregulates local CD8 response and therefore improves local CD4 response.
Imiquimod increased CD4 Effect as well, immune system shift. Decreased langerhans cells around warts as they trick immune system into cd8 response |
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Molluscum makes MC54L protein that binds what?
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MC54L protein binds IL-18 and inactivates it-->thereby inactivating the TH1 response
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Thick white plaques on toes and hands of patient iwth HIV and neuropathy, diagnosis and treatment?
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Crusted scabies
Treate with 3-6 weeks of Qweek permethrin Ivermectin 200 mcg/kg q 2 weeks |