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4th Year Dermatology > Classic Presentations > Flashcards

Classic Presentations Flashcards

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Dermatology Board Prep flashcards
1
Q

Patient presents with red, itchy rash covering the chest, back and face that turns into itchy, fluid-filled blisters and lasts for 4-7 days and is accompanied by a fever

A

Chickenpox

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2
Q

Elderly patient presents with itchy rash in a dermatomal pattern accompanied by fever and neuropathic pain

A

Shingles

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3
Q

A child presents with extensive ulceration around the mouth, fever and pain

A

Primary gingivostomatotis

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4
Q

A patient with eczema presents with monomorphic, punched out lesions accompanied by itch and fever

A

Eczema herpeticum

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5
Q

Patient suddenly develops red papules on the back of the feet/hands, trunk and face in symmetrical distribution. Papules then evolve to plaques and then target lesions (dusky red centre, a paler area around this, and then a dark red ring round the edge).

A

Erythema Multiforme

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6
Q

Small clusters of waxy-looking, round papules appear in the armpit, behind the knees and the groin

A

Molluscum Contagiosum

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7
Q

Child presents with sudden fever, sore throat, headache and loss of appetite. Within 2 days, grayish lumps form in the mouth and develop into vesicles, then ulcers which last 1-7 days.

A

Herpangina

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8
Q

A child has nonspecific flu-like symptoms and, several days later, a“slapped-cheek” appearance and a symmetric, maculopapular rash on the arms, legs and trunk which lasts 5 to 10 days.

A

Erythema Infectiosum

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9
Q

A firm, fleshy nodule appears on the hand of a farmer

A

Orf

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10
Q

Patient presents with unilateral red, hot, swollen leg and systemic symptoms (eg fever, chills and rigors)

A

Cellulitis

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11
Q

Child presents with itchy, honey-yellow crusting and blisters around the mouth

A

Impetigo

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12
Q

Baby presents with fever, irritability and widespread redness of the skin. Within 24-48 hours fluid-filled blisters form. These rupture and result in blistering skin rash that resembles a burn

A

Staphylococcal scalded skin syndrome

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13
Q

Patient presents with single, painless ulcer on genitles

A

Syphilis

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14
Q

Patient presents with a red, ring-like rash and then a flu-like illness with low-grade fever, chills, fatigue and joint pain

A

Lyme disease

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15
Q

Patient presents with what looks like cellulitis but they are in extreme pain

A

Necrotizing fasciitis

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16
Q

Patient presents with an itchy, red, ring shaped rash with a healed centre

A

Tinea/ringworm

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17
Q

Patient presents with rash and white scaly spots in the skin folds

A

Candida

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18
Q

Eldery patient presents with itch affecting the trunk and limbs, and grey irregular tracks in the web spaces between the fingers, on the palms and wrists

A

Scabies

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19
Q

Older patient presents with a slow growing, pearly nodule on the face with central depression and telangiectasia

A

BCC

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20
Q

Older patient presents with a crusty lump on the face that has been growing bigger over the past few weeks and is painful

A

SCC

21
Q

Older patient presents with a scaly, red patch on the leg with an irregular border

A

Bowen’s disease

22
Q

Older patient presents with a rapidly growing brown lump on their face that has irregular boarders and bleeds

A

Melenoma

23
Q

Parents bring their teenager in, who has epilepsy and behavioural problems. They believe the teenager may also be developing acne, but you recognise it as facial angiofibromas. You also find that the child has ash leaf macules on their skin, enamal pitting in their teeth and longitdinal ridging in the nails

A

Tuberous Sclerosis

24
Q

Patient presents with fragile skin and digit fusion

A

Epidermolysis bullosa

25
Q

Patient presents with café au lait macules, axillary/inguinal freckling and neurofibromas

A

NF1

26
Q

A patient has a genetic 2000-fold risk of skin cancer before age 20

A

Xeroderma pigmentosum

27
Q

Patient presents with well-delineated red, scaly plaques on their elbows, knees, scalp and lower back. Auspitz sign is +ve. Their nails have pitting, onycholysis, dystrophy and subungal hyperkeratosis.

A

Psoriasis

28
Q

A patient presents with symmetrical psoriasis on the extensors (elbow, knee), scalp, sacrum, hands, feet, trunk, nails. The plaques are sharply demarcated, scaly and erythematous

A

Chronic plaque psoriasis (psoriasis vulgaris)

29
Q

Following a strep throat/URT infection, a patient presents with multiple small, salmon pink bumps on the trunk and limbs (looks like a shower of red, scaly teardrops that have fallen down on the body)

A

Guttate psoriasis

30
Q

A patient presents with psoriasis confined to the palms and soles of feet

A

Palmoplantar pustular psoriasis

31
Q

A patient presents with a patches of depigmented skin

A

Vitiligo

32
Q

A 40 year old woman presents with papules, pustules and erythema (but no comedones) on her nose, cheeks and forehead. She also reports facial flushing exacerbated by sudden change in temperature, alcohol & spicy food. On examination you note telangectasia and rhinophyma

A

Rosacea

33
Q

A middle aged patient presents with itchy, violaceous (pink/ purple) flat-topped shiny papules on the volar wrists/ forearms, shins and ankles. On examination you find nail ridges and wickham’s striae in the mouth. The gums are also inflammed and peeling and there are white streaks, ulcers and diffuse redness in the mouth

A

Lichen planus

34
Q

An elderly patient presents with large tense bullae on the skin that began as itchy erythematous plaques and papules. When they burst they leave non-scarring errosions. Nikolsky sign is negative (a positive sign is when the top layers of the skin slip away from the lower layers when slightly rubbed)

A
35
Q

A middle aged patient presents with flaccid vesicles/bullae that rupture to leave raw areas. Nikolsky’s sign is +ve. Both the skin and the mucosa is involved

A

Pemphigus vulgaris

36
Q

A patient presents with a blistering, itchy skin rash on knees, elbows, back and buttocks. DIF shows deposits of IgA in dermal papillae

A

Dermatitis herpetiformis

37
Q

A child presents with generalized dry skin in a flexural distribution

A

Eczema/atopic dermatitis

38
Q

A patient presents with scattered, roundish patches of eczema

A

Discoid eczema

39
Q

A patient presents with scaly dry skin on the face, scalp and centre of the chest

A

Seborrhoeic dermatitis

40
Q

A patient presents with hand/foot eczema characterised by vesicles or bullae

A

Pompholyx eczema

41
Q

A patient presents with localised area of chronic, lichenified eczema/dermatitis due to scratching/rubbing

A

Lichen simplex

42
Q

A patient presents with a sunburn like reaction on sun exposed areas

A

Photosensitive dermatitis

43
Q

An elderly patient presents with itchy red, blistered and crusted plaques on the lower legs. Their legs also have numerous varicose veins and are ‘champagne bottle’ shaped

A

Stasis dermatitis

44
Q

A patient presents with a leg ulcer that is relatively painless. On examination their legs are also swollen and have varicose veins and a ‘champagne bottle’ shape

A

Venous ulcer

45
Q

A patient presents with a painful leg ulcer. The pain is worse at night on and leg elevation. On examination the patient’s legs are pale and cold with reduced pulses. The patient has a PMH of intermittent claudication

A

Arterial ulcer

46
Q

An insulin dependant diabetic presents with tender, yellowish-brown patches on the lower legs that have delevoped slowly

A

Necrobiosis lipoidica

47
Q

A patient with an autoimmune condition (rheumatoid, IBD etc) presents with a purple hued, very painful, rapidly enlarging ulcer

A

Pyoderma gangrenosum

48
Q

A young patient attends clinic for regular nosebleeds. On their skin you notice red dots on their fingertip pads, lips and the lining of their nose

A

Hereditary haemorrhagic telangiectasia

4th Year Dermatology (3 decks)

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