Derm 1

Question 1

Mx of palmar psoriasis

Answer 1

emollients
2nd line corticosteroids

Question 2

Mx of hirsitusim

Answer 2

Eflornitihine

Question 3

Mx of alopecia

Answer 3

reganine and finasteride used for male pattern baldness
steroids used in alopecia areata

Question 4

Mx of acne rosacea

Answer 4

mild-to-moderate papules and/or pustules, prescribe topical ivermectin (an antihelmintic and insecticidal preparation) once daily for 8–12 weeks

Alternative topical preparations are metronidazole 0.75% applied twice daily or azelaic acid 15% applied twice daily

moderate-to-severe papules and/or pustules, prescribe a combination of topical ivermectin, depending on local prescribing guidelines, together with oral doxycycline 40 mg once daily as a modified-release preparation for 8–12 weeks.

If there is clinically inflamed phymatous disease, consider prescribing oral doxycycline 40 mg once daily as a modified-release preparation (off-label indication) for 6 weeks.

Question 5

acne vulgaris management mild to moderate

Answer 5

12 weeks
- A fixed combination of topical adapalene with topical benzoyl peroxide (0.1% or 0.3% adapalene with 2.5% benzoyl peroxide).

• A fixed combination of topical tretinoin with topical clindamycin (0.025% tretinoin with 1% clindamycin).
• A fixed combination of topical benzoyl peroxide with topical clindamycin (3% or 5% benzoyl peroxide with 1% clindamycin).

Question 6

moderate to severe acne vulgaris

Answer 6

A fixed combination of topical adapalene with topical benzoyl peroxide to be applied once daily in the evening.

A fixed combination of topical tretinoin with topical clindamycin to be applied once daily in the evening.

A fixed combination of topical adapalene with topical benzoyl peroxide to be applied once daily in the evening, together with either oral lymecycline 408 mg or oral doxycycline 100 mg once daily.

Topical azelaic acid (15% or 20%) applied twice daily, with either oral lymecycline 408 mg or oral doxycycline 100 mg once daily.

Question 7

cause of erysipelas
Mx

Answer 7

streptococcus pyogenes
flucloxacillin
clari/erythromycin/doxycycline

Question 8

erythema ab igne

Answer 8

due to hot water bottle

Question 9

when is oral isotretinoin is used
Side effects

Answer 9

• sever scarring
• no response to oral antibiotics
• severe anxiety

teratogenic
dry lips
hyperlipidaemia
nose bleeds

Question 10

tinea capitis

Answer 10

itchy patchy alopecia
pre pubertal boys and afro carribean children

Ix - woods lamp

Question 11

ticks

Answer 11

red macular papular ring with central clearing
Flu like symptoms
doxycycline/azithromycin/amoxicillin

Question 12

psoriasis Mx

Answer 12

topical steroids and vitamin D

Question 13

Mx of seborrheic dermatitis

Answer 13

hydrocortisone and miconalzole

Question 14

side effect of dianthrol

Answer 14

stains

Question 15

HSV1
HSV2

Answer 15

HSV1 perioral
HSV2 genital

Question 16

Pityriasis versicolor

Answer 16

Malsezzia Furfur
Mx selenium or imidiazole

Question 17

Tinea

Answer 17

Trichophyton Rubrum
terbinafine

Question 18

erysipelas v cellulitis

Answer 18

erysipelas - well defined + superficial
cellulitis - not well defined and deep

Question 19

sebborhoiec keratoses v age spots

Answer 19

SK not seen on hands or soles