Dermatology

Question 1

How long should a single oral antibiotic therapy be used for in acne vulgaris?

Answer 1

No longer than 3 months

Question 2

Partial thickness (superficial dermal) burn?

Answer 2

Second degree
Painful, pink, blistered

Question 3

Full thickness burn?

Answer 3

Third degree
White, brown, black
No blister
No pain

Question 4

Partial thickness (deep dermal) burn?

Answer 4

Second degree
White, may have patched a non blanching erythema
Reduced sensation

Question 5

Superficial epidermal burn?

Answer 5

First degree
Red and painful

Question 6

Symptoms of acne vulgarism?

Answer 6

Open and closed condones, pustules and nodules

Question 7

Which bacteria contributes to development of acne?

Answer 7

Propiorubacterium acnes

Question 8

Diagnosis of ring worm?

Answer 8

Clinical

Question 9

Most effective treatment for prominent telangiectasia in acne rosacea?

Answer 9

Laser therapy

Question 10

Occular involvement in acne rosacea?

Answer 10

Blepharitis

Question 11

Management of acne rosacea?
1. Mild to moderate
2. Severe/resistant

Answer 11

1. Topical metronidazole
2. Oral tetracyclines

Question 12

Exacerbating factors in acne rosacea?

Answer 12

Sunlight
Pregnancy
Certain foods/drugs

Question 13

Most common cause of necrotising fascitis type 2?

Answer 13

Strep pyogenes

Question 14

Most common causative organism of cellulitis?

Answer 14

Strep pyogenes
Staph aureus

Question 15

Mild/mod cellulitis management?

Answer 15

Flucloxacillin
If penicillin allergic: erythromycin, clindamycin or doxycycline

Question 16

Severe cellulitis management?

Answer 16

Co-amox/ Cefouroxime/ Clindamycin/ Ceftriaxone

Question 17

Investiagtion in suspected superficial thrombophlebitis?

Answer 17

Patients with clinical signs of superficial thrombophlebitis affecting the proximal long saphenous vein should have an ultrasound scan to exclude concurrent DVT

Question 18

Management of superficial thrombophlebitis?

Answer 18

1. Anti-embolism stockings and can be considered for treatment with prophylactic doses of LMWH for up to 30 days or fondaparinux for 45 days
2. Oral NSAIDs for 8-12 days if LMWH is contraindicated

Question 19

Management of superficial thrombophlebitis at, or extending towards sapheno-femoral junction?

Answer 19

Considered for therapeutic anticoagulation for 6-12 weeks

Question 20

Eczema herpeticum?

Answer 20

Caused by HSV-1 and rarely cocksakie virus

Question 21

‘Beefy red’ tongue?

Answer 21

B12 deficiency

Question 22

Wickham’s striae?

Answer 22

White lines pattern on a surface - in Lichen planus

Question 23

First line treatment for acute urticaria?

Answer 23

Non-sedating antihistamine

Question 24

What type of lesion is lentigo maligna?

Answer 24

Melanoma in situ
Typically slow progression, but can at some point become lentigo malignant melanoma
refer to dermatology

Question 25

Management of acintic keratosis?

Answer 25

Fluorouracil cream
2-3 weeks course
Sometimes needs hydrocortisone as causes skin redness and inflammation

Question 26

Organism causing Erysipelas?

Answer 26

Strep pyogenes

Question 27

When is impetigo no longer contagious?

Answer 27

All lesions have crusted over or 48h after treatment starts