225: Malignant Melanoma

Question 1

Criteria for diagnosis of atopic eczema?

Answer 1

itchy skin condition plus 3 of: history of involved skin creases

Question 2

corticoid steroids in strength order low to high…

Answer 2

hydrocortisone, clobetasone butyrate, betametasone furoate, clobetasol propionate

Question 3

topical immunomodulators

Answer 3

pimecrolimus, tacrolimus

Question 4

systemic immunosupressants

Answer 4

ciclosporin azathioprine

Question 5

What is Atopy

Answer 5

Inherited hypersensitivity to environmental allergens

Question 6

treatment for headlice

Answer 6

topical malathion or permethrin lotions

Question 7

acne treatment

Answer 7

oral antibiotics - tetracyclines or erythromycin hormonal - OCP isotretinoin topical - benzoyl peroxide, topical retinoids, topical antibiotics.

Question 8

cytokines cause hyper-excited state in skin.

Answer 8

erythroderma

Question 9

mast cell degranulation

Answer 9

urticaria

Question 10

treatmet of urticaria?

Answer 10

high dose antihistamines - chlorphenamine steroid - hydrocortisone fluid replacement if BP drops

Question 11

type IV ( cell mediated) reaction to a drug, large spread epithelial shedding

Answer 11

toxic epidermal necrolysis

Question 12

what is a nikolsy’s sign?

Answer 12

dislodged intact superficial epidermis ( by a sheer force)

Question 13

a form of toxic epidermal necrolysis in which cell death causes the epidermis to separate from the dermis. fever sore throat and fatigue

Answer 13

stevens johnson syndrome

Question 14

treatment for cellulitis

Answer 14

flucloxacillin/ macrolide

Question 15

swelling in legs leads to rash (hard, woody, purplish)

Answer 15

gravitational eczema

Question 16

severe infection along fascial planes

Answer 16

necrotising fasciitis

Question 17

what is a non palpable (blanching) purpura a sign of/causd by?

Answer 17

capillary haemorrhage platelets have run out (thrombocytopenia), septicaemia, .

Question 18

causes of palpable purpura ( blanching)

Answer 18

immune complex deposition ( type III hypersensitivity) post infectinve drugs

Question 19

congenital blistering disorder

Answer 19

epidermolysis bullosa

Question 20

auto immune, intact blistering disorder

Answer 20

bullous pemphigoid

Question 21

autoimmune bursing blister disorder

Answer 21

pemphigus vulgaris

Question 22

autoimmune blistering disorder on extensor surfaces

Answer 22

dematitis herpetiformis

Question 23

infective blistering disorder

Answer 23

bullous impetigo

Question 24

vascular blistering disorder

Answer 24

lymphoedema or vasculitic ulcers

Question 25

blister treatment

Answer 25

iodine dressing if impetigo it needs antibiotics.

Question 26

rash associated with neurofibromatosis

Answer 26

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