Derm

Question 1

Alopecia areata treatment

Answer 1

If there is evidence of hair growth consider watch and wait. If no hair growth and more than 50% hair loss high dose topical or intralesional cortocosteroids
Topical minoxidil
Dithramol. 
Contact immunotherapy
Wigs

Question 2

Heat erythema

Answer 2

Erythema ab ignea - due to infrared radiation exposure. Patchy discolouration in a reticular pattern. Risk of sxc transformation if cause not removed

Question 3

Psoriasis subtypes

Answer 3

Guttae
Pustular
Flexural
Plaque psoriasis

Question 4

Ulcerative colitis associated with which skin condition

Answer 4

Pyoderma gangrenosum

Question 5

Pregnant blistering rash umbilical and arms

Answer 5

Pwmphigoid gestationis

Question 6

Contact dermatitis types

Answer 6

Allergic

Irritant

Question 7

most common site of venous ulceration and treatment

Answer 7

medial maleolus, 4 layer compress wrap

Question 8

tombstone basal cells on histology?

Answer 8

pemphigus vulgaris

Question 9

herpes simplex folliculitis?

Answer 9

think HIV

Question 10

chronic enlarged blisters HSV?

Answer 10

think immunosupressed

Question 11

HSV inside eye?

Answer 11

dendritic ulcer/dendritic keratitis

Question 12

when is herpes zoster infectious from and how does it spread?

Answer 12

Infectious from 2 days before lesions until

they have crusted. spred through droplet infection

Question 13

Incubation period herpes zoster? Healing time normally?

Answer 13

11-20 days healing = heal within 7-10 days

Question 14

Ramsay Hunt Syndrome presentation/

Answer 14

facial palsy (lower motor neurone), ear pain, vesicular
rash in ext. auditory canal, hard palate, anterior 2/3
tongue

Question 15

vaccine against herpes age group?

Answer 15

age 60 +

Question 16

superficial cellulitis?

Answer 16

erysipelis

Question 17

Crusted scabies

Answer 17

Norwegian scabies very crusted, thousands of millions of mites

Question 18

common spaces you have scabies?

Answer 18

Web spaces
• Volar aspect of wrist
• Penile papules
• Areola

Question 19

most common childhood skin infection?

Answer 19

impetigo

Question 20

Exacerbates psoriasis

Answer 20

B blickers
Lithium
anti malarial
Oral corticosteroids withdrawal

Question 21

Treatment psoriasis

Answer 21

Vitamin d analogue 
Coal tar 
Corticosteroids 
Emollient 
Phototherapy
Retinoids
Anti tnf

Question 22

Koebner phenomenon

Answer 22

Rash around a site of damage

Question 23

treat pyoderma gangrenosum

Answer 23

oral pred