DERMATOLOGY Flashcards

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1
Q

WHAT IS THE FIRST LINE TREATMENT FOR HYPERHIDROSIS?

A

Topical aluminium chloride

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2
Q

WHAT TWO OPTIONS ARE USED AS SECOND LINE AGENTS FOR HYPERHIDROSIS?

A

Botulinum toxin injections and topical glycopyrrolate (an antimuscarinic agent) can be used in secondary care for the management of hyperhidrosis

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3
Q

Dermatitis herpetiformis is a cutaneous manifestation of ?

A

coeliac disease

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4
Q

Dermatitis herpetiformis is characterised by (NAME 3)?

A
  1. INTENSELY ITCHY
  2. PAPULOVESICULAR RASH
  3. BLISTER FILLED WITH WATERY FLUID
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5
Q

Discoid lupus erythematosus PRESENTS AS?

A

painful red, inflamed coin-shaped patches which progress to leave scarring

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6
Q

DISCOID LUPUS ERYTHEMATOSUS ARE COMMONLY SEEN ON WHICH AREAS?

A

sun-exposed areas such as the scalp, cheeks and ears and rarely affect the lower limbs.

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7
Q

ERYTHEMA NODOSUM PRESENTS AS? IS A RESULT OF?

A

tender red nodules
inflammation of the adipose cells

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8
Q

ERYTHEMA NODOSUM IS ASSOCIATED WITH (name 3)?

A

EN is associated with several conditions including inflammatory bowel disease (ulcerative colitis and Crohn’s), sarcoidosis and certain malignancies (e.g. leukaemia and lymphoma).

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9
Q

Pityriasis alba LOOKS LIKE? COMMONLY OCCURS ON WHO AND WHERE

A

Pityriasis alba is a type of low-grade eczema that mainly affects children. It consists of characteristic white lesions with a fine-scale, that commonly occur on the face, neck and upper arms, which subside to leave a hypopigmented area.

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10
Q

The most common medications associated with the development of erythema nodosum are…

A

penicillins, sulfonamides (such as sulfasalazine), and the combined oral contraceptive pill.

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11
Q

The dimple sign is often diagnostic of…

A

dermatofibroma.

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12
Q

Seborrhoeic dermatitis in adults is a chronic dermatitis thought to be caused by an inflammatory reaction related to a proliferation of a normal skin inhabitant, a … called …

A

FUNGUS
Malassezia furfur

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13
Q

NAME TWO CONDITIONS ASSOCIATED WITH SEBORRHEIC DERMATITIS

A

HIV
Parkinson’s disease

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14
Q

Spider naevi fill from the …, telangiectasia from the …

A

Spider naevi fill from the centre, telangiectasia from the edge

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15
Q

CAPILLARY HAEMANGIOMAS ARE/ARE NOT PRESENT AT BIRTH

A

CAPPILARY HAEMANGIOMA appear as a small red patch which develops in the first month of life, increasing in size until around 9 months and becoming more vascular. They are not present at birth and regress spontaneously. Parents should be reassured that no treatment is needed and there is no sinister cause. The other answers by contrast do not develop and worsen over time but are present at birth.

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16
Q

PYODERMA GANGRENOSUM IS ASSOCIATED WITH?

A

IBD, RA, SLE, GPA, PBC, MYELOPROLIFERATIVE DISORDERS

17
Q

PYODERMA GANGRNOSUM DOES/DOES NOT ULCERATE?

A

DOES

18
Q

Granuloma annulare ARE COMMONLY FOUND ON…

A

on the dorsal surfaces of the hands and feet, and on the extensor aspects of the arms and legs

19
Q

ALOPECIA AREATA CAUSES WHAT PATTERN OF HAIR LOSS?

A

localised, well demarcated patches

20
Q

SWEETS SYNDROME IS ALSO KNOWN AS … AND HAS A STRONG ASSOCIATION WITH …

A

Sweet’s syndrome is also known as acute febrile neutrophilic dermatosis has a strong association with acute myeloid leukaemia

21
Q

WHAT IS THE AGREED UPON STANDARD OF CARE FOR HERPES ZOSTER INFECTION?

A

antivirals within 72 hours for the majority of patients, unless the patient is < 50 years and has a ‘mild’ truncal rash associated with mild pain and no underlying risk factors

22
Q

…: brown ‘waxy/warty’ lesions, usually on the trunk - may be confused for melanoma
…: dry, crusty, usually pinkish lesions on areas of high sun exposure e.g. top of the head, may be confused for a bcc

A

seborrhoeic keratosis: brown ‘waxy/warty’ lesions, usually on the trunk - may be confused for melanoma
Actinic keratosis - dry, crusty, usually pinkish lesions on areas of high sun exposure e.g. top of the head, may be confused for a bcc

23
Q

Dermatitis herpetiformis is an autoimmune blistering skin disorder associated with …

A

Dermatitis herpetiformis is an autoimmune blistering skin disorder associated with coeliac disease

24
Q

Blisters/bullae
no mucosal involvement: …
mucosal involvement: …

A

Blisters/bullae
no mucosal involvement: bullous pemphigoid
mucosal involvement: pemphigus vulgaris

+
Pemphigus vulgari-S- Superficial, epidermis only, easy to burst.
Bullous pemphigoi-D- Deep, tethered within dermis, difficult to burst.

25
Q

Patients on ciclosporin and other immunosuppressants have a much higher risk of….

A

Patients on ciclosporin and other immunosuppressants have a much higher risk of squamous cell carcinoma.

26
Q

Secondary to the human papilloma virus
Firm, hyperkeratotic lesions
Pinpoint petechiae centrally within the lesions
May coalesce with surrounding warts to form mosaic warts

A

Verruca

27
Q

More commonly called Athlete’s foot
Affected skin is moist, flaky and itchy

A

Tinea pedis

28
Q

May be acquired or congenital
Describes a thickening of the skin of the palms and soles
Acquired causes include reactive arthritis

A

Keratoderma

29
Q

Affects people who sweat excessively
Patients may complain of damp and excessively smelly feet
Usually caused by Corynebacterium
Heel and forefoot may become white with clusters of punched-out pits

A

Pitted keratolysis

30
Q

Crops of sterile pustules affecting the palms and soles
The skin is thickened, red. Scaly and may crack
More common in smokers

A

Palmoplantar pustulosis

31
Q

Affects children. More common in atopic patients with a history of eczema
Soles become shiny and hard. Cracks may develop causing pain
Worse during the summer

A

Juvenile plantar dermatosis

32
Q

Erythema multiforme is a … that is most commonly triggered by …

A

Erythema multiforme is a hypersensitivity reaction that is most commonly triggered by infections

33
Q

Otitis externa and blepharitis are common complications of …

A

Otitis externa and blepharitis are common complications of seborrhoeic dermatitis

34
Q

GIVE 5 CAUSES OF SCARRING ALOPECIA?

A

trauma, burns
radiotherapy
lichen planus
discoid lupus
tinea capitis*