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Derm/Breast Flashcards

1
Q

Atypical melanocytes spreading on the basal epidermis layer from a biopsy taken from forehead of some damaged sun exposed skin

A

Lentigo maligna

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2
Q

Melanoma on the soles of feet

A

Acral lentigna

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3
Q

S-100 stain

A

Melanoma

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4
Q

Test to determine hormone receptor status for breast cancer

A

Immunoperoxidase

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5
Q

Everted edge with ulceration

A

SCC

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6
Q

Pearly white edges with telangiectasia

A

BCC

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7
Q

Cottage cheese exudate

A

Sebaceous cyst

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8
Q

Linear deposition of IgG and C3 on basement membrane

A

Bullous pemphigoid

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9
Q

Nikolsky’s sign

A

Pemphigus vulgaris

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10
Q

Lump on scalp with punctum

Painless and attached to skin

A

Sebaceous cyst

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11
Q

Soft, compressible, non-tender, lobulated mass on the arm

A

Lipoma

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12
Q

Lump with black core

A

Keratoacanthoma (molluscus sebaceum)

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13
Q

Neck lump + halitosis + regurgitation

A

Pharyngeal pouch

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14
Q

Neck lump with brilliant transillumination

A

Cystic hygroma

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15
Q

Scaly, erythematous nipple

A

Paget’s disease

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16
Q

Grey-green nipple discharge

A

Mamamry duct ectasia

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17
Q

Linear calcification

A

DCIS

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18
Q

Target lesions, annular blistering rash

A

Erythema multiforme

Associated with herpes simplex, SLE, IBD, mycoplasma and strep infections

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19
Q

Blood-stained nipple discharge

A

Intraductal papilloma

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20
Q

Leaf-like appearance

A

Phyllodes tumour

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21
Q

Rapidly enlarging solid breast lump

A

Fibroadenoma

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22
Q

Mid-cycle breast tenderness

A

Fibrocystic changes

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23
Q

Indian file

A

Infiltrating lobular carcinoma

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24
Q

Stellate appearance

A

Ductal carcinoma

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25
Q

E cadherin

A

Ductal carcinoma of the breast

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26
Q

Like fibroadenoma but in older female

A

Phyllodes tumour

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27
Q

Tense blisters

A

Pemphigoid

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28
Q

Deroofed blisters with tender underlying skin

A

Pemphigus

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29
Q

Itchy papules between fingers and toes

30
Q

Painful tender rash over shins

A

Erythema nodosum

Associated with sarcoidosis, TB, Hodgkin’s lymphoma, EBV, IBD and strep infections

31
Q

Venous ulcer → SCC

A

Marjolin’s ulcer

32
Q

Rolled edge

33
Q

Skin plaque in TB

A

Lupus vulgaris

34
Q

Reticular leg rash in elderly woman

A

Erythema ab igne

35
Q

Hx flushing + cross-shaped facial rash

36
Q

Blistering skin/mucosal rash + conjunctivitis post infection

A

Stevens-Johnson syndrome

37
Q

Slit-like retraction of the nipple

A

Duct ectasia

38
Q

Violaceous lesions

A

Kaposi’s sarcoma

39
Q

Oral lesions in vit K deficiency

A

Perifollicular haemorrhage

40
Q

Oral lesions in vit B12 deficiency

A

Atrophic glossitis

41
Q

Lump

Extensor surface,
Firm and painless

Hx of Rheumatoid Arthritis

A

Rheumatoid Nodule

42
Q

Lump on a scar, solid and itchy

43
Q

Lump
Firm, not fixed
Infection/infiltrative process

A

Lymph node

44
Q

Herniation of tendon sheath

Transilluminates

Dorsum of foot/hand

45
Q

Stone in salivary gland
Pain worsened by eating
Swollen, tender, red

A

Sialolithiasis

46
Q

Displaces the earlobe

Facial pain -> compression of CNVII

A

Parotid tumour

47
Q

Cholesterol crystals on FNA

Anterior triangle (often 2/3 along sternocleidomastoid)

Slow growing lump

Young patient

A

Branchial Cyst

48
Q

Mobile side-to-side, not up and down lump

Anterior triangle

Firm or soft

Pulsatile

A

Carotid body aneurysm

49
Q

Tumour of preganglionic cells

Pressure causes dizziness

Pulsatile, bruit

Mobile side-to-side, not up and down lump

A

Carotid body tumour

50
Q

Lump with uneven borders

Slightly fluctuant

Not fixed to skin/deep structures

51
Q

FLAWS

Painful lymph nodes after alcohol

52
Q

Posterior triangle
Regurgitation, difficulty swallowing
Gurgling, bad breath
Older patient

A

Pharyngeal Pouch

53
Q

Baby,
Collection of lymphatics
Transilluminates
Soft & fluctuant

A

Cystic Hygroma

54
Q

Rubbery lump

Tingling on pressure

A

Neurofibroma

55
Q

Large skin abscess

Made up of several boils

56
Q

Infection of hair follicle

AKA a boil

57
Q

Low-grade tumour from hair follicle

Skin coloured with black central core

A

Keratoacanthoma

58
Q

“Breast mouse”,

Benign, hard, smooth, mobile

A

Fibroadenoma

59
Q

“Fibrocystic changes”

Multiple cysts and nodules

Oestrogen-induced hyperplasia

A

Fibroadenosis

60
Q

First month of breastfeeding

Large hot, painful lump

Skin commensals

A

Acute Mastitis

61
Q

First month of breastfeeding

Large hot, painful lump

Skin commensals

Inability to sleep

Continuous pain

A

Breast Abscess

62
Q

Painful, erythematous

Sub-areolar mass

Abscess and inflammation

> 90% smokers

A

Periductal Mastitis

63
Q

Peri-areolar mass

Dilatation and blockage

Inflammation and fibrosis

White/cheesy discharge

Age 50-60

A

Duct Ectasia

64
Q

Pain same time each month

Associated with menstrual cycle

A

Cyclical breast pain

65
Q

Irregular, hard lump, tethered

Nipple inversion, puckering

Bloody discharge

Ulceration, swelling

Peau d’orange

A

Invasive Carcinoma

66
Q

Itchiness and discharge from nipple

No palpable lump

A

DCIS

Ductal carcinoma in situ

67
Q

Increase in size of breast

Tear-drop appearance

Appearance of fibroadenoma

A

Phyllodes Tumour

68
Q

Itchy, erythematous, scaley

Erosion + nipple discharge

A

Paget’s disease of the nipple

69
Q

White, low viscosity liquid (MILK!)

Galactorrhoea and no pregnancy

A

Prolactinoma

70
Q

Trauma to breast

Overlying bruising

Hard, irregular lump

A

Fat necrosis

B (13 decks)

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