59.2 📚 國考版醫垫國考 / PGY OSCE

59.2.0.1 📌 Cram Sheet

59.2.0.1.1 🔥 高 yield 8
  1. Primary lesion 8 çš® by size + 隆起 + 內容
  2. Macule < 1 cm flat / Patch ≥ 1 cm flat
  3. Papule < 1 cm raised / Plaque ≥ 1 cm raised
  4. Vesicle < 0.5 / Bulla ≥ 0.5
  5. KOH for fungus / Tzanck for HSV/VZV
  6. Wood’s lamp: tinea, vitiligo, erythrasma
  7. Punch biopsy standard
  8. Koebner phenomenon = trauma 處新生 (psoriasis, lichen planus, vitiligo)
59.2.0.1.2 🔢 必背
項目 æ•žå­—
Macule/Papule cutoff 1 cm
Vesicle/Bulla cutoff 0.5 cm
Punch biopsy size 4-6 mm
Erythrasma Wood’s 珊瑚箅
Tinea capitis Wood’s 綠 (Microsporum)

59.2.0.2 ⭐ 高 yield

59.2.0.2.1 Primary Lesion Quick Table
Lesion Size Type Example
Macule < 1 cm Flat color change Freckle
Patch ≥ 1 cm Flat Vitiligo
Papule < 1 cm Raised solid Acne
Plaque ≥ 1 cm Raised flat-top Psoriasis
Nodule Any size Deep raised Lipoma
Vesicle < 0.5 cm Fluid filled HSV
Bulla ≥ 0.5 cm Large fluid Pemphigoid
Pustule Any Pus filled Acne, folliculitis
59.2.0.2.2 Configuration
  • Annular = tinea, granuloma annulare, SCLE
  • Target = erythema multiforme
  • Linear = poison ivy, koebner
  • Herpetiform = HSV
  • Reticulate = livedo
59.2.0.2.3 Diagnostic Tests
  • KOH → fungus
  • Tzanck → HSV/VZV (multinucleated giant cells)
  • Wood’s lamp → tinea, vitiligo, erythrasma
  • Dermoscopy → pigmented lesions
  • Biopsy → punch standard

59.2.0.3 🎯 自我檢枬

  1. Macule vs patch cutoff? → 1 cm
  2. Vesicle vs bulla? → 0.5 cm
  3. Tzanck for? → HSV/VZV
  4. KOH for? → Fungus
  5. Erythrasma Wood’s? → 珊瑚箅
  6. Koebner phenomenon? → Trauma 處新生psoriasis, lichen planus, vitiligo
  7. Suspected melanoma biopsy? → Excisional

⚠ AI 草皿。