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Dermatology Medical Jeopardy • Anatomy: structure as physiology is to_________? • function • Five functions of the integument • Temperature preservation, water preservation, sense organ (pain, pressure, hot, cold and touch, stores vitamin D (sunshine vitamin), stores fat, absorption, excretion of salt and excess water, • The abdominal/pelvic cavity is lined with this serous membrane • What is the peritoneum? • Three organs located in the thoracic cavity • Two lungs, one heart • This product of this gland is excreted via the hair follicle • What is sebum (from the sebaceous gland)? • Hemi paresis (partial or temporary paralysis) is characteristic of patients suffering this condition • What is “post-CVA”? (paresis=partial/temporary paralysis) • Non-organized DNA in the nucleus when not in chromosome/reproducing mode, is called this • What is chromatin? • The four phases of mitosis • Prophase metaphase, anaphase, telophase • ATP would most likely be found in these structures • Mitochondria • Cyanosis:blue as ___________: red • erythema • She won an Oscar for her role in Dream girls • Jennifer Hudson • He won an Oscar for portraying blues singer Ray Charles • Who is Jamie Fox? • It is a lesion that is flat with the surface of the skin like a freckle, not raised above the skin surface • What is a macule? • It is a raised, nipple-like lesion of the skin • What is a papule (or papilloma)? • It means a defect in the continuity of skin • What is an ulcer? • Patients most likely to suffer stomach ulcers • High stress, fast eating, type-A personality types and also alcoholics (ethanol burns right through the mucous protecting the stomach lining) • The most likely cause of skin ulcers • diabetes • The glands that cool you down (proper medical name only please) • What are suderiferous glands (sweat glands)? • Two attachments to the skin • Hair and nails • What hair and nails are made from • Both are made from a protein called keratin (which is indigestible if you eat either since you have no keratinase enzymes) • The type of lesion an infected zit really is to a dermatologist • A pustule • An example of the most common type of topical medication used for acne and what group of medications does it belong to? • Benzoyl peroxide and it is a type of astringent (chemical that dries out your skin i.e. removes oil from it so there is no sebum to clog up sebacceous glands causing a pimple) • Three typical diseases associated with DM (not just symptoms, but diseases and conditions!) • • • • • Retinopathy (sugar blindness) Nephropathy (kidney failure) PVD (loss of leg circulation) Cardiovascular disease Skin ulcerations/amputations of limbs • An example of a benign papular lesion caused by a virus • What is a verrucca (wart)? • A skin condition generally associated with children, is highly contagious and responds to penicillin • Impetigo (caused by streptococcus) • The three types of skin cancer • Basal cell, squamous cell and melanoma • The definitive method of deciding which type of CA on the skin one may have and who interprets the results • What is a biopsy (bx) done by a pathologist or oncologist? • Why babies need sunlamps • Because their livers are not complete, they build up a chemical in the blood (called bilirubin) which accumulates in their blood discoloring their skin (yellow like jaundice) and the UV light blanches it so mothers don’t get scared of their yellow alien like babies • Where nerves and blood vessels are located in the skin • In the dermis and below, in the hypodermis; none in the epidermis at all • Name four layers of the epidermis • The germinating (growing layer) aka “basal layer” and the stratum corneum (protective, shedding dead layer on top). The spindle (spinous) and granular layer are in between them. • Doctors don’t call them blackheads but this…… • Comedones or comedoes; sebum clogged sebaceous glands before infection to become a pustule (pimple) • He was a Gladiator but is from “down under.” • Who is Russell Crowe? • It means “closer to your tail” • What is “caudal”? • The surface of your body that your umbilicus is located on • What is your ventral surface? • An infection of one’s brain • Encephalitis (menigitis is an infection of the membrane covering the brain) • An infection of the serous lining of your lungs and your heart (both names, both organs) • What is pleuritis and pericarditis? • The pigment in one’s skin that gives it shades of darkness • What is melanin? (tans in UV light) • A non contagious skin lesion which is maculopapular, even silvery/crusty, benign and • episodic • Psoriasis • Where psoriasis is usually located • Knees and elbows (dorsal surfaces of both or each) dorsal in on the front of the knees since legs on backwards A system of the body designed primarily for fighting infections and disposing of waste products for fighting diseases • What is the lymphatic system • A system to which the tonsils and thymus gland belong • What is the lymphatic system? • A system comprised of the specialized organs of the body which secrete their products called hormones directly into the blood • What is the endocrine gland system? • The tissue containing fat and larger blood vessels and larger nerves beneath the integument • What is the hypodermis aka subcutis aka fascia? • The type of glands sweat and sebacceous glands are • Exocrine; secrete their products directly on a body surface (the skin) while endocrine glands secrete their products (hormones) directly into the blood! • A five step regimen for treating acne • Washing the face and shampooing often • Using astringents like benzoyl peroxide to dry out your sebum on the skin • Antibiotics and/or vitamin A creams (Retin-A) • Reducing the use of oils and cosmetics on skin • UV light (dries out one’s skin but beware of CA!) • Accutane Rx • Grow up and leave your teen yrs and those hormones behind • Chris Angel is better known by his stage and TV show name • What is Mindfreak? • To what type of entertainment does Guiding Light belong? • Soap Opera (TV serial drama) • A common fungal infection of the feet and groin (crotch) • What is tinea (tinea pedis is athletes foot and tinea inguinalis is jock itch) • Five signs that a mole is possibly cancerous • Changes in color and polychromatic • Changes in size (broader than an eraser) at 6mm • Asymmetrical • Migrates from one site to another • Irregular borders • Change in texture • The races most likely to develop basal and squamous cell carcinoma • Fair-skinned • Most likely race to develop melanoma • Dark skinned people • A tinea characterized by its circular pattern on the skin and is highly contagious • Ringworm; not a worm but a fungus,(tinea) very contagious to the scalp and others • Five senses you can feel from your integument • Hot, cold, deep pressure, pain, light touch • The three greatest risks to a patient suffering major burns to their integument • Infection, dehydration and excruciating pain( put them into a coma, float them in a sterile saline bath at body temp. and start antibiotics) then do skin grafting • It is a type of fungus which grows between the toes and in the vagina • (medical name only) • What is candida (yeast)? • Candida vaginalis and candida interdigitalis • The Allen Brothers were famous for founding this • Houston • Your patient is yellow in their integument. This is called________and might be a sign of _____________. • Jaundice…..liver disease • Where is connective tissue found in the integument? • In the hypodermis (fascia) aka subcutis, which also has one’s fat (adipose tissue). The layer for liposuction is here! • The tissue in the body with the most mitochondria is this • Muscle tissue • You meet someone who is a myohistologist? What is their specialty? • They study muscle tissue • Three conditions necessary for tinea to proliferate • What is warmth, moisture and darkness (the only plant that is killed by sunlight is fungi/yeast/molds/mushrooms, because they were growing before the sun formed). • A device for visualizing the inner lining of the uterus • What is a hysterscope? • This famous doctor assisted Sherlock Holmes in his mystery adventures • Dr. Watson • You might have to split your nose to sever a body in this plane • What is the sagital plane? • The device for looking into your eyes • What is an opthalmoscope? • Treatment for an abscess (abbreviation, please) • What is an I&D? • You call it a blister, the doctor calls it this • What is a vesicle? (A bleb or bulla if it’s larger) • Four ways to administer medication • IV, PO, IM, TD, and inhalation and topically on the skin or mucous membranes • Intravenous, po is by mouth, intramuscular, transdermally, etc. • The difference between serous and mucous fluids • Serous is watery, mucous is thick • This is an erythematous, maculopapular patch of lesion for which we have no known cause and is episodic, may be pruritic • Eczema • The universal anti-pruritic • Cortisone • Two common anti-tinea medications • Lotrimin and Lamisil • You get a something on your skin. It causes itches and your skin becomes red. Name the condition and describe both symptoms just described in medical terms • Contact dermatitis, with pruritis (itching) and erythema (redness) • This patch of flaking, erythematous lesion usually follows the hairline of the face • What is seborrhea? (possibly an allergy to your own sebum) • Many women have this transient form of DM • Gestational DM only during the last trimester, their blood glucose rises, hopefully temporarily, from the baby laying on their pancreas causing ischemia • Ketonuria is a warning sign of this disease • DM diabetics convert some of their excess sugar to acetone (nail polish remover) • This virus is contagious from body fluids even when you are not having a visible, painful attack of it • What is genital herpes? (human papiloma virus) • The founder of the Nobel Peace Prize ironically made his fortune from this invention • Inventing dynamite and selling it very profitably to both sides in WW I • It means “drinks a lot of fluids) • Polydipsia • Medical name for an alcoholic • Dipsomaniac • Diaper rash, jock itch and vaginitis are all caused by this type of organism • Tinea (candida AKA yeast if it’s in the vagina and between the toes) The Tinea group includes fungi, yeast, molds, lichens, algae, mushrooms. All are primitive non photosynthetic, non chloroform containing plants that are killed by dryness and sunlight and anitfungal meds • Even boiling water won’t kill these seeds • Spores! Fungi are hard to kill, they just go to “sleep” (become dormant) and wait for their next opportunity to infect you. • Kids in day care centers contract this common highly contagious skin disorder • What is impetigo? • Lance Armstrong is usually the first person to see this sign when he races • THE END lol