Dermatology

Question 1

How do you assess a lesion?

Answer 1

Asymmetry
Irregular Borders
Colours
Diameter >6mm
Evolution of the lesion (history of change).

Question 2

Treatment of atopic eczema?

Answer 2

Emollient - put everywhere to repair skin barrier.

May require a short course of steroids - start hydrocortisone.

Question 3

What are two causes of Eczema Herpeticum?

Answer 3

HSV or VZV.

Question 4

How does E.H present?

Answer 4

Painful widespread vesicular rash with systemic symptoms - fever, lethargy, irritability, lymphadenopathy and reduced intake.

Question 5

Treated of Eczema Herpeticum?

Answer 5

Aciclovir

Question 6

What action should be taken if a pregnant lady does not have immunity to chickenpox but has been exposed?

Answer 6

Varicella zoster immunoglobulins

Preventing congenital varicella syndrome of the foetus.

Question 7

What would indicate a candidal infection?

Answer 7

Satellite lesions

Also check the tongue.

Question 8

How is non-bullous impetigo treated?

Answer 8

Topical fusidic acid

Oral flucloxacillin

Question 9

What is a complication of Bullous Impetigo?

Answer 9

Staphylococcal scalded skin syndrome

Question 10

What is a positive Nikolsky Sign?

Answer 10

When a gentle rub of the skin causes it to peel away.

Positive in SSSS.