Derm Flashcards

1
Q

guttate psoriasis is more common in

A

teenagers

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2
Q

what type of psoriasis is a derm emergency

A

pustular

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3
Q

what does this suggest

A

Necrobiosis lipoidica- diabetes

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4
Q

What rash can resemble tinea corporis

A

granuloma annulare (a delayed hypersensitivity reaction)

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5
Q

Plus gottron’s papules on knuckles and photosensitivity rash on back and chest

A

Dermatomyositis (an idiopathic inflammatory myopathy)

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6
Q

What is adult-onset dermatomyositis associated with

A

malignancy
myopathy (myositis)

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7
Q
A

erythema nodosum

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8
Q

Papule like an insect bite forms a bulla, followed by more bullae and a golden crust

A

bullous impetigo

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9
Q

what makes perioral dermatitis worse

A

steroids

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10
Q

does eczema or psoriasis koebnerise

A

psoriasis only

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11
Q

dark and warty skin in the axillae, groin and neck is what and associated with what

A

acanthosis nigricans
stomach ca

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12
Q
A

Pyoderma gangrenosum

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13
Q

pyoderma gangrenosum is associated with what

A

IBD
RA
Myeloid blood dyscrasias
Chronic active heptatitis
Wegner granulomatosis

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14
Q

Rx for pyoderma gangrenosum as well as steroids

A

ciclosporin

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15
Q

actinic keratosis can progress to

A

SCC

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16
Q

Lesion on hand is likely to be SCC or BCC?

A

SCC- no bcc on hand

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17
Q
A

Keratoacanthoma

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18
Q

What is Bowen’s disease

A

very slow growing, can occasionally progress to SCC

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19
Q
A

xeroderma pigmentosum

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20
Q

xeroderma pigmentosum inheritance

A

autosomal recessive

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21
Q

xeroderma pigmentosum features

A

highly sensitive to sunlight

premature skin ageing

prone to skin ca

Eye problems in 80%

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22
Q
A

seborrheic dermatitis

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23
Q

Seborrhoeic dermatitis has what complications commonly

A

Otitis externa and blepharitis

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24
Q

seb. dermatitis rx

A

keratolytics e.g salicylic acid

topical antifungals eg ketoconazole

topical steroids

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25
Q

possible SE of topical corticosteroids in patient with dark skin

A

hypopigmentation

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26
Q

Molluscum contagiosum with eyelid or ocular involvement and red eye requires

A

urgent ophthalmology review

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27
Q
A

Molluscum

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28
Q

Drugs that cause erythema nodosum

A

Penicillin
COCP
Sulphonamides

(Painful Coloured Shins)

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29
Q

Actinic keratosis rx

A

topical fluorouracil

30
Q

Initial psoriasis rx

A

potent corticosteroid plus vitamin D analogue (calcipotriol)

31
Q

What drugs may trigger psoriasis exacerbation

A

‘I need to check my psoriasis IN LAAB’

Infliximab
NSAIDs
Lithium
ACE inhibitors
Antimalarials (chloroquine and hydroxychloroquine)
Beta blockers

32
Q

Guttate psoriasis is what pathogen

A

strep

33
Q

SJS vs TEN vs erythema multiforme

A

SJS- high mucosal involvement and <10% body area

TEN- >30% body

EM- target lesions, acral distribution (on extremities), mucosal involvement if major

34
Q

Shingles Mx

A

oral antivirals should be commenced within 72 hours of onset of symptoms (famciclovir/valacyclovir) unless the patient is < 50 years and has a ‘mild’ truncal rash associated with mild pain and no underlying risk factors

35
Q
A

ptyriasis versicolour

36
Q

ptyriasis versicolour rx

A

topical antifungal

37
Q

blisters induced by minor trauma or friction, onset of symptoms is usually in infancy or early childhood

A

Epidermolysis bullosa - inherited

38
Q

extremely itchy

A

dermatitis herpetiformis

39
Q

dermatitis herpetiformis is related to what

A

coeliac

40
Q

pemphigus mx

A

steroids

41
Q

pemphigoid rx

A

topical or oral steroid
tetracycline abx

42
Q

first line for limited, localised impetigo

A

hydrogen peroxide 1% cream
(fuscidic acid second line)

43
Q

purple, pruritic, papular, polygonal rash on flexor surfaces. Wickham’s striae over surface. Oral involvement common

A

Lichen planus

44
Q

lichen sclerosis normally affects which area

A

genital

45
Q

what type of vascular birth mark does not self resolve

A

port wine stain/naevus flammeus (assoc Sturge-Weber-Syndrome.)

46
Q

Can BCCs be referred for routine excision

A

yes generally unless high risk areas (eyelid, nasal ala) - then urgent

47
Q

1–2 weeks after a streptococcal infection of the upper respiratory tract,

A

guttate psoriasis

48
Q

mildly itchy, herald patch first

A

ptyriasis rosea
(You can observe the longitudinal diameters of the oval lesions running parallel to the line of Langer)

49
Q

psoralen + ultraviolet A light (PUVA) therapy risks what complication

A

SCC

50
Q

Only one lichen has wickham’s striae- which?

A

planus

51
Q

small red patch which develops in the first month of life, increasing in size until around 9 months and becoming more vascular.

A

capillary haemangioma (Strawberry naevi )- resolves spontaneously

52
Q

lace like rash caused by heat exposure

A

erythema ab igne

53
Q

purplish, lace-patterned discolouration of the skin

A

livedo reticularis

54
Q

what is erythema chronicum migrans

A

the lyme disease rash

55
Q
A

pyogenic granuloma

56
Q
A

pyogenic granuloma

57
Q

rx fungal nail infection

A

if mild- topical treatment with amorolfine 5% nail lacquer

if lot of nails affected- PO terbinafine

58
Q

drugs causing erythema multiforme

A

PANCaCes

Penicillin
Allopurinol
NSAIDs
Carbamazepine
COCP

59
Q

Keloid scar mx

A

intralesional triamcinolone

60
Q

Acquired ichthyosis associated with what ca

A

Lymphoma

61
Q

acquired hypertrichois lanuginosa associated with what ca

A

GI and lung

62
Q

Dermatomyositis associated with what ca

A

Ovarian and lung cancer

63
Q

Erythema gyratum repens assoc with what ca

A

lung

64
Q

erythroderma assoc with what ca

A

lymphoma

65
Q

Migratory thrombophlebitis assoc with what ca

A

pancreatic

66
Q

Necrolytic migratory erythema assoc with what ca

A

glucagonoma

67
Q

Pyoderma gangrenosum (bullous and non-bullous forms) assoc with what ca

A

myeloproliferative disorders

68
Q

Sweet’s syndrome assoc with what ca

A

haematological

69
Q

Tylosis assoc with what ca

A

oesophageal

70
Q

+ IDA

A

Hereditary haemorrhagic telangiectasia

71
Q

Rose spots on abdomen

A

salmonella typhi infection
C. psittaci infection