Derm

Question 1

What are topical steroids, in order of potency?

Answer 1

Hydrocortisone
Eumovate
Betnovate
Dermovate

(HEBD = “help every budding dermatologist”)

Question 2

What virus is responsible for causing hand foot and mouth disease?

Answer 2

Coxsackie virus

Question 3

Parvovirus B19 causes which childhood infection?

Answer 3

Slapped cheek syndrome

Question 4

What is pityriasis rosea?

Answer 4

Self limiting rash
Tends to affect young adults
Caused by herpes HHV7
Starts as herald patch on trunk with scaly patches parallel to line of Langer (fir tree appearance)

Question 5

What is the treatment for lichen planus?

Answer 5

Potent topical steroids

Question 6

What is the management for fungal nails?

Answer 6

If asymptomatic do not need treating.
If one nail: topical amorolfine
If >2 nails confirmed with clippings: oral terbinafine

Question 7

What is the difference between bullous pemphigoid, pemphigus vulgaris, and pemphigoid?

Answer 7

Pemphigoid vulgariS is superficial, flaccid blisters which rupture easily, affects mucosa

Pemphigoid avoids the mucosa, is tense blisters which are deport than in vulgaris

Bullous pemphigoid is deeper, tense blisters

Question 8

What is the first line treatment recommended for plaque psoriasis?

Answer 8

Topical steroid + vitamin D analogue for 4 weeks (apply separately, one in AM and one in EVE)

(Scalp, face and flexures are more prone to steroid atrophy so should be used for max 2weeks per month)