WorksheetsDermato-Musculoskeletal Summative 1
Total questions: 69
Worksheet time: 35mins
This is not true regarding fingerprints :
it helps increase friction on the fingers and palmar region to better grasp objects
it is caused by the thickening and thinning of the reticular dermis
it is caused by protruding papillary dermis
it is formed before birth
Which are the correct steps for wound healing :
inflamation - bleeding - remodeling - proliferation
bleeding - inflamation - remodeling - proliferation
bleeding - inflamation - proliferation - remodeling
proliferation - bleeding - inflamation - remodeling
The actual nail plate is comparable to which structure on the skin?
dermis
stratum corneum
stratum basale
apocrine sweat glands
Which cell is found in the stratum basale?
Langerhans cell
dead keratinized cells
Meisner corpuscle
melanocytes
What is the characteristic trait of an apocrine sweat gland
can be found in the palms
release secretions by dying
can only be found in the armpits and boobs
release secretions by forming and releasing secretory vesicles
Which of these are false:
Increased collagen cross-linking causes it to be more brittle and rigid
Hyaluronic acid is a glycosaminoglycan
Collagen is coded by several different genes
Scurvy is caused by abnormal synthesis of elastin
What is Epidermolytic Hyperkeratosis
a disease where scaling, hyperkeratosis, and blistering occurs
skin blistering disease
disruption of hydroxylation for collagen formation
decrease in keratin production
Melanogenesis is triggered by alpha-MSH
True
False
Vitamin D is made in the skin and will be converted into pro-vitamin D3
True
False
Which of these is influenced by aging?
increased proliferation of keratinocytes
increased melanin production because more melanocytes present
lower fibroblast number and growth factor response
increased collagen I production
There are 3 phases of hair growth. Name them in order!
catagen - anagen - telogen
anagen - telogen - catagen
anagen - catagen - telogen
there are only 2 phases
People with albinism have defective tyrosinase, an oxidating agent that controls melanin production. Which layer of the skin does this affect?
stratum basale
stratum lucidum
stratum corneum
dermis
Which structure directly contributes to the goosebumps phenomenon
arrector pili muscle
hair follicle
papillary dermis
skeletal muscle
Which one is not true regarding how the skin helps to maintain homeostasis and normal functioning of our bodies :
thermoregulation by constricting and dilating blood vessels
keratinization which protects against abrasions
sebaceous glands to reduce transepidermal water loss
melanin production to increase heat retention
The skin can interact with various organs in the body. Which of these interactions is false?
stimulation of receptors may cause a change in respiratory rates
vitamin D is produced in the skin to aid bone matrix growth
sweat glands play an important role in triggering sexual activity
antigen-presenting cells in the skin can initiate immune response towards potentially harmful microbe
What is the life period of S. Scabiei?
10-20 days
20-40 days
30-60 days
40-80 days
What is the medical term for head lice?
Tinea capitis
Pediculus capitis
Pediculus corporis
phtirus pubis
What is the medical term for head lice?
Tinea capitis
Pediculus capitis
Pediculus corporis
phtirus pubis
What areas does Phitirus pubis invade besides the pubic area?
buttocks
toes
palms
eyelashes
When does skin inflammation appear after being infected by S. Scabiei
1-2 weeks
3-4 weeks
4-8 weeks
5-7 weeks
What is the metamorphosis of fly?
egg-larva-pupae-adult
egg-pupae-larvae-adult
larvae-egg-pupae-adult
egg-larva-adult-pupae
What does TRPM8 mediate?
inflammatory pain
orofacial pain
visceral pain
CRGP+ neurons transmit signals for pain stimuli while Mrgpra3+ neurons transmit signals for itch stimuli
True
False
“Conversion of mechanical stimuli into nerve impulses” refers to which part of the nociceptive pathway?
Transduction
Transmission
Transmission Modulation
Perception
Erosion is a raised lesion while plaque is a depressed lesion
True
False
What secondary lesion is shown in the picture?
atrophy
scar
keloid
erosion
What is the medical term for red lesions?
hypopigmentation
hyperpigmentation
erythema
what is a discrete lesion?
restricted to one side only
covering most of the body surface
separated by normal skin from other similar lesions
involving both sides of the body to a similar extent, usually due to endogenous causes
Stretch marks are what kind of lesion?
lichenification
telangiectasia
atrophy
plaques
the lesion in the intertriginous area. What is the proper vehiculum?
ointment
cream
oral
IV
Among these are indications of giving oral vehiculum...
spread of lesion
good prognosis after topical antibiotics
lesion is small
the patient is willing to use topical antibiotics
What is the best vehiculum for the condition above? for topical, symptomatic use...
powder
gel
cream
herbal medicine
Drug in form of ointment contains water as the solvent
True
False
In tinea corporis we must apply topical drugs on the periphery of lesion thereby blocking fungal growth
True
False
What organ does the normal flora not colonize in healthy patients?
Skin
Liver
Vaginal area
Small Intestine
A patient comes to the clinic with a yellowish crust in the mouth region. you noticed there are thin blisters forming in the peripheral with erythematous lesion and the patient complains of itching. the patient had a history of wounds in the lesion site. What is the most plausible diagnosis?
tetanus
cellulitis
foliculitis
non-bullous impetigo
What is the medium for the sample obtained through aspiration and injection in abscess lesions?
thioglycollate
physiological saline
Ziehl-Neelsen medium
Stuart medium
How to determine if the gram-positive sample obtained is Staphylococcus aureus?
it is positive under the coagulase test, forming a bubble
the bacteria looks red upon gram-staining microscopic examination
it is negative under catalase test, forming a bubble
it is resistant to methicillin
M. leprae can be cultured for diagnosis
True
False
What is?
microsporum canis
epidermophyton floccusum
trichophyton
candida albicans
Among the conditions of infection by subcutaneous mycoses are..
chromoblastomycosis
tinea corporis
pityriasis versicolor
piedra
10 day-old baby came to the clinic with multiple erythematous skin lesion with vesicles on the trunk, face, and cheek that progresses to the neck and scalp. Upon closer examination, you found a similar lesion on the oral cavity and dryness on the cornea. After vesicle fluid examination on the tzanck smear, you found multinucleated giant cells. What is the most plausible diagnosis?
Telangiectasia
Candidiasis
Herpes
Hodgkin’s lymphoma
You can transfer a sample of candida from skin scraping to 10% KOH medium before microscopic examination
True
False
Onychomycosis supporting examination can be done by nail scraping
True
False
Based on Kemenkes, what is the adequate intake calcium for 19-29 y.o woman?
1000
1200
1500
950
Osteoarthritis should be treated by eating more omega 6?
True
False
T score between -1.0 until 2.5 considered osteopenia
True
False
The result of photoprotective effect of the B-carotene will be seen in 3-4 weeks usage??
True
False
Which on is true regarding osetoarthirtis
Increase intake of omega 6 might help to cure OA
Leptin will decrease inflammation and cartilage degradation
DM cause slow glycation and decrease in end products accumulation
Omega 3 produces antli inflammatory substance : pf3 , ltb5. txa3
OA is not the most prevalent joint inflammation
Hypersensitivity type 1 include the formation of IGE
True
False
TH-17 in hypersensitivity type 4 cause inflammatory by activating macrophage
False
True
Pemphigus vulgaris is caused by hypersensitivity type II?
True
False
CHOOSE THE CORRECT ONE
Type 1 hypersensitivity cause autoimmune hemolytic anemia
Type 2 hypersensitivity occurs in myasthenia gravis
Type 2 hypersensitivity cause hypothyroidism
Type 4 hypersensitivity is usually caused by immune complex
Systemic lupus erythematous usually caused by hypersensitivity type II?
True
False
Hyperemia is associated with lewis triple response
True
False
An oblique fracture is parallel to the bony axis
True
False
Acute complications of fracture include?
Neurovascular injury
hemorrhage
fat embolism
compartment syndrome
delayed union
FGF2 stimulates the proliferation of endothelial cells
True
False
Endothelial tissue is part of the stable tissue
True
False
The following are the risk factors for Morbus Hansen EXCEPT
Age
Gender
Genetic Influences
Armadillo exposure
Poor living conditions
Which of the following is true regarding melanin?
Stress resistance has no correlation with melanin
When melanin is activated, it becomes pheomelanin (red pigment)
When melanin is blocked, it becomes eumelanin (black pigment)
the MCR1 gene plays a role in the production of melanin
Which of the following is a differential diagnosis for Morbus Hansen?
Vitiligo
Psoriasis
Pityriasis Versicolor
Tinea versicolor
There are no non-pharmacological treatments for Morbus Hansen
True
False
Morbus Hansen is caused by which bacterium?
M. Tuberculosis
M. Avium
M. Bovis
M. Leprae
Which of the following is commonly referred to as “dandruff”?
Atopic dermatitis
Dyshidrotic dermatitis
Contact dermatitis
Seborrheic dermatitis
The morphologies of atopic dermatitis are Inflammation with Itchy, red, and swollen appearances with dry skin
True
False
Neuropathic itch is when
inflammation or skin damage causes the itch
there’s an abnormal tendency to scratch normal skin
associated with damaged neurons
mediators induce the itch, but in the absence of neural damage
Allergic contact dermatitis is mediated by which type of hypersensitivity?
Type I
Type II
Type III
Type IV
The patch test is an allergy diagnostic tool used by doctors to determine the substance that may cause an allergic reaction in a patient.
True
False
