Derm Presentations

Question 1

flexural pruritus, erythema, scaly, dry, papulovesicular crack below earlobe, atopy, lichenification

Answer 1

atopic eczema

Question 2

what type of rash is nappy rash

Answer 2

contact irritant dermatitis

Question 3

oval discs of eczema

Answer 3

discoid eczema

Question 4

sharply demarcated scaly reversible erythematous plaques at hairline/extensor surfaces, nail pitting/oncholysis/dystrophy/subungal hyperkeratosis, small joint swelling/tenderness

Answer 4

psoriasis

Question 5

psoriasis on soles of feet

Answer 5

Palmoplantar pustular

Question 6

acute, widespread red pustules, PMH of eczema

Answer 6

Erythroderma

Question 7

recent antibiotic treatment, acute widespread, itchy

Answer 7

guttate psoriasis

Question 8

itchy shiny flat violet/pink pustules/plaques/papules on wrists/shins/ankles, nail ridges, white lacey pattern on buccal mucosa

Answer 8

lichen planus

Question 9

Wickham’s striae

Answer 9

white lacey pattern on buccal mucosa

Question 10

elderly, initially itchy plaque/pustule, widespread/localised large erythematous bullae, no scar

Answer 10

BULLUS PEMPHIGOID

Question 11

Nikolsky’s sign

Answer 11

top skin layers rub away when rubbed

Question 12

middle age, scalp/face/axilla/groin/trunk +- mucosa, vesicles/bullae, mild - severe

Answer 12

pemphigus vulgaris

Question 13

+ve Nikolsky’s sign

Answer 13

pemphigus vulgaris

Question 14

-ve Nikolsky’s sign

Answer 14

bullus pemphigoid

Question 15

itchy symmetrical lesions on extensor sufaces

Answer 15

dermatitis herpetiformis

Question 16

tight mitten hands due to fusion of skin

Answer 16

epidermolysis bullosa

Question 17

oily skin, blackhead, pustule, papule, erythema, cyst, scar, ice-pick, sebaceous gland site

Answer 17

acne vulgaris

Question 18

central face/chin/forehead erythema/pustule/papule

Answer 18

rosacea

Question 19

periungual fibromata & longitudinal nail ridging, tooth enamel pitting, skin shagreen patches & ash-leaf depigmented macules, hamartomas (heart, lung, kidney), facial angiofibromas, cortical tubers (infantile seizures)

Answer 19

tuberous sclerosis

Question 20

asymptomatic café au lait macules (>5 genetic), +- learning difficulty, neurofibroma, plexiform neurone, axillary/inguinal freckles, optic glioma

Answer 20

neurofibromatosis

Question 21

champagne flute shape legs, lymphitis, thicker skin, scaling

Answer 21

lymphoedema

Question 22

ulcer at gaiter area / above medial malleolus

Answer 22

venous ulcer

Question 23

ulcer at proximal / foot, punched out, deep, cold, swinging leg out bed

Answer 23

arterial ulcer

Question 24

pain, sudden onset, purpuric rash/pustules, necrotic

Answer 24

vasculitis

Question 25

blister, skin fragility, hyperpigmentation, hypertrichosis, sunburn easily

Answer 25

PCT porphyria

Question 26

sunburn easily, itch, tingle, red, swelling

Answer 26

porphyria erythropeotic protoporphyria

Question 27

naevus >6mm, varying pigment, asymmetry, architectural & cellular atypia

Answer 27

dysplastic naevus

Question 28

non-pigmented mole in children

Answer 28

spitz naevi

Question 29

horn cyst, seborrhoeic wart, papilloma, well defined, stars in the sky sign

Answer 29

seborrhoeic keratosis

Question 30

years till discharge/ itch/ bleeding, painless, pearly colour, central rodent ulcer on ear

Answer 30

BCC

Question 31

scaly non-pigmented erythematous plaque, female, leg

Answer 31

Bowen's disease

Question 32

sun exposed skin crusted multiple lesions

Answer 32

actinic keratosis

Question 33

fast growing lump/ulcer on sun exposed site

Answer 33

ssc

Question 34

new/changing pigmented bleeding mole

Answer 34

melanoma

Question 35

crusty face, children

Answer 35

impetigo

Question 36

young woman, fever, arthralgia, diffuse erythema, sore throat, cervical lymphadenopathy, petechial haemorrhages on soft palate

Answer 36

rubella

Question 37

fleshy firm 1-2mm pearly nodules, self limiting after months

Answer 37

molluscum contagiosum

Question 38

blistering rash, back of mouth

Answer 38

herpangina virus

Question 39

blister on back of mouth, hands, feet, buttocks, normally children

Answer 39

hand, foot & mouth virus

Question 40

firm fleshy nodule on hands, work with sheep

Answer 40

orf virus

Question 41

mild fever, maculopapular rash, headache, arthralgia, myalgia, conjunctivitis

Answer 41

zika virus

Question 42

child with macular -> papular -> vesicular lesions in centripetal pattern, also fever & itch

Answer 42

chickenpox varicella

Question 43

tingling/ severe neuralgic pain -> erythema -> vesicles in dermatomal pattern in elderly patient

Answer 43

shingles zoster

Question 44

erythema raised border sudden onset on face of child

Answer 44

erythema infectiosum

Question 45

itchy fingers, wrists & genitals, red, breaks in epidermis

Answer 45

scabies

Question 46

erythema migrans, later; heart block, nerve palsy, arthritis

Answer 46

lyme disease