dermatology Flashcards

1
Q

what nail changes are seen in psoriasis

A

oncholysis

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2
Q

what is acanthosis nigricans associated with

A

hyperinsulinaemia states
e.g. PCOS

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3
Q

what is oncholysis

A

separation of the nail form the nail bed

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4
Q

management of seborrhoeic dermatitis

A

topical ketoconazole

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5
Q

what to give patient who has rosacea but with prominent flushing

A

topical brimonidine

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6
Q

newborn with flat purple lesion on cheek what is most likely diagnosis

A

port wine stain

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7
Q

where do pyogenic granulomas occur

A

at site of minor trauma e.g. splinter

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8
Q

where do amelanotic melanomas occur

A

on sole of foot

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9
Q

where are keloid scars most common

A

sternum

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10
Q

how to treat tinea versicolor

A

anti fungal - ketoconazole

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11
Q

what is alopecia areata

A

autoimmune condition caused localised well demarcated patches of hair loss

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12
Q

what is vitiligo

A

loss of melanocytes

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13
Q

conditions associated with vitiligo

A
  • T1DM
  • Addison disease
  • pernicious anaemia
  • alopecia areata
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14
Q

where are sebaceous cysts most commonly located

A

on the scalp

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15
Q

what is a precursor of pityriasis rosacea

A

viral upper respiratory tract infection

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16
Q

what does the rash look like in pityriasis rosacea

A

oval, scaly patches running parallel to the line of Langer

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17
Q

where does lichen sclerosis affect

A

genitalia of elderly women

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18
Q

management of lichen sclerosis

A

topical steroids and emollients

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19
Q

what is the rash like in erythema multiform

A

giant non itchy target lesions

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20
Q

what is rash like in erythema nodosum

A

nodular

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21
Q

management of pityriasis rosacea

A

self limiting

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22
Q

rash in impetigo

A

golden crusted skin lesions all around the mouth

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23
Q

what rash is associated with hot water bottles

A

erythema ab igne

24
Q

what initial investigation to do if someone has erythema nodosum

A

tuberculosis
sarcoidosis

25
itchy scaly rash on palm of hands is
lichen Planus
26
management of lichen planus
potent steroid - betamethasone
27
management of a dermatophyte nail infection
topical terbinafine
28
what is the diagnosis of shingles
clinical
29
diagnosis of 'golden crusted skin lesion found around the mouth'
impetigo
30
management of impetigo
topical fusidic acid - 1st line
31
what rash follows a streptococcal infection
guttate psoriasis
32
management of keloid scar
intralesion corticosteroid injection
33
where is venous ulceration typically seen
above medial malleolus
34
history of loss of libido, impotence and red crusted lesions around anus is suggest of
zinc deficiency
35
cause of spider naevi
liver disease pregnancy combined oral contraceptive pill
36
pink or pearl coloured papule with central umbilication =
molluscs contagiosum
37
management of excess sweating
topical aluminium chloride
38
management of facial hirtuism
topical eflornithine
39
most common dermatosis in pregnancy is
atopic eruption of pregnancy
40
what bacteria contributes to the development of acne
propionibacterium acnes
41
what is associated with seborrhoeic dermatitis
HIV
42
side effect of lamotrigine
Steven Johnson syndrome
43
hair loss associated with chemotherapy is called
anagen effluvium
44
causative organism in pityriasis versicolor
malassezia
45
well-circumscribed annular erythematous plaques with an advanced scaly border and central clearing =
tinea corporis (ring worm)
46
what leg lesion is found in UC and crohns
pyoderma gangrenosum
47
small lesion with number of tiny blood vessels radiating from the middle when pressed down on them they go white and they refill from the centre =
spider naevi
48
spider naevi are associated with
liver failure
49
pressure on lesion and it goes white them refills from the edge =
telangiectasia
50
sore throat, headache, fever, lymphadenopathy, sandpaper like rash, tongue looks red and bumpy =
Scarlett fever
51
management of rosacea
metronidazole
52
what is erythroderma
dermatological emergency when there is widespread erythema >90% of skin surface A: dermatitis, psoriasis, pityriasis rubra pilaris
53
is urticarial rash itchy
yes
54
sudden eruption of seborrheic keratosis is called what and what is this a sign of
called Leser-Trelat sign paraneoplastic process associated with gastric or colorectal adenocarcinoma
55
blisters on dorsal of hands that rupture easily to form erosions blisters can heal to leave scars and cause hyperpigmentation and hypertrichosis (especially at top of cheek) =
porphyria cutanea tarda
56
management of porphyria cutanea tarda
avoid sunlight phlebotomy (reduce iron levels) anti malarial - chloroquine
57
pregnant women with widespread rash with peri umbilical sparing
polymorphic eruption of pregnancy