Breast/Derm

Question 1

Atypical melanocytes spreading on the basal epidermis layer from a biopsy taken from forehead of some damaged sun exposed skin

Answer 1

Lentigo maligna

Question 2

Test to determine hormone receptor status for breast cancer

Answer 2

Immunoperoxidase

Question 3

S-100 stain

Answer 3

Melanoma

Question 4

Melanoma on the soles of feet

Answer 4

Acral lentigna

Question 5

Everted edge with ulceration

Answer 5

SCC

Question 6

Pearly white edges with telangiectasia

Answer 6

BCC

Question 7

Cottage cheese exudate

Answer 7

Sebaceous cyst

Question 8

Linear deposition of IgG and C3 on basement membrane

Answer 8

Bullous pemphigoid

Question 9

Nikolsky’s sign

Answer 9

Pemphigus vulgaris

Question 10

Lump on scalp with punctum

Answer 10

Sebaceous cyst

Question 11

Soft, compressible, non-tender, lobulated mass on the arm

Answer 11

Lipoma

Question 12

Lump with black core

Answer 12

Keratoacanthoma (molluscus sebaceum)

Question 13

Neck lump + halitosis + regurgitation

Answer 13

Pharyngeal pouch

Question 14

Neck lump with brilliant transilluminance

Answer 14

Cystic hygroma

Question 15

Scaly, erythematous nipple

Answer 15

Paget’s disease

Question 16

E cadherin

Answer 16

Ductal carcinoma of the breast

Question 17

Stellate appearance

Answer 17

Ductal carcinoma

Question 18

Indian file

Answer 18

Infiltrating lobular carcinoma

Question 19

Mid-cycle breast tenderness

Answer 19

Fibrocystic changes

Question 20

Rapidly enlarging solid breast lump

Answer 20

Fibroadenoma

Question 21

Like fibroadneoma but in older female

Answer 21

Phyllodes tumour

Question 22

Bloodstained nipple discharge

Answer 22

Intraductal papilloma

Question 23

Grey-green nipple discharge

Answer 23

Mamamry duct ectasia

Question 24

Target lesions, annular blistering rash

Answer 24

Erythema multiforme

Associated with herpes simplex, SLE, IBD, mycoplasma and strep infections

Question 25

Leaf-like appearance

Answer 25

Phyllodes tumour

Question 26

Linear calcification

Answer 26

DCIS

Question 27

Tense blisters

Answer 27

Pemphigoid

Question 28

Deroofed blisters with tender underlying skin

Answer 28

Pemphigus

Question 29

Itchy papules between fingers and toes

Answer 29

Scabies

Question 30

Painful tender rash over shins

Answer 30

Erythema nodosum Associated with sarcoidosis, TB, Hodgkin's lymphoma, EBV, IBD and strep infections

Question 31

Venous ulcer → SCC

Answer 31

Marjolin's ulcer

Question 32

Rolled edge

Answer 32

BCC

Question 33

Skin plaque in TB

Answer 33

Lupus vulgaris

Question 34

Reticular leg rash in elderly woman

Answer 34

Erythema ab igne

Question 35

Hx flushing + cross-shaped facial rash

Answer 35

Rosacea

Question 36

Blistering skin/mucosal rash + conjunctivitis post infection

Answer 36

Stevens-Johnson syndrome

Question 37

Slit-like retraction of the nipple

Answer 37

Duct ectasia

Question 38

Violaceous lesions

Answer 38

Kaposi's sarcoma

Question 39

Oral lesions in vit K deficiency

Answer 39

Perifollicular haemorrhage

Question 40

Oral lesions in vit B12 deficiency

Answer 40

Atrophic glossitis