Dermatology Flashcards

1
Q

Treatment for keloid scars?

A

Intra-lesional steorids

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2
Q

Most likely organism for fungal nail infection

A

Trichophytom rubrum

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3
Q

Management of fungal nail infection

A

If limited involvement- topical treatment with amorolfine
More extensive involvement give oral terbinafine

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4
Q

Management of athelets foot

A

Topical imidazole, undectonate or terbinafine first line

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5
Q

First line for rosacea?

A

Topical ivermectin

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6
Q

Drugs exacerbating plaque psoriasis

A

Truma
Alcohol
Beta blockers, lithium, antimalarials, NSAIDs, ACEI, infliximab
Withdrawl of steroids

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7
Q

First line oral abx in acne?

A

Tetracyclines

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8
Q

What is hidradentitis suppurativa?

A

Chronic, painful inflammatory skin disorder charatersied by development of inflammatory nodules, pustules, sinus tracts and scars in intertriginous areas

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9
Q

What is erythema ab igne?

A

Disorder caused by over exposure to infrared
Reticulated, erythematous patches with hyperpigmentation and telangiectasia
IF not treated risk of SCC

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10
Q

What is pityriasis versicolor

A

Superfiical fungal infection caused by malassezia furfur

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11
Q

What is dermatitis herpetiformis

A

Autoimmune blistering skin disoreder associated with coeliac
Caused by depisoition of IgA in the dermis

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12
Q

What are salmon patches?

A

Vascular birthmarks which usually self resolve

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13
Q

What are the causes of erythema nodosum?

A

Infection, systemic disease, malignancy, drugs, pregnancy

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14
Q

Most common bacteria in acne vulgaris?

A

Propionibacterium acnes

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15
Q

Lichen planus features

A

itchy, papular rash most common on the palms, soles, genitalia and flexor surfaces of arms
rash often polygonal in shape, with a ‘white-lines’ pattern on the surface (Wickham’s striae)
Koebner phenomenon may be seen (new skin lesions appearing at the site of trauma)
oral involvement in around 50% of patients: typically a white-lace pattern on the buccal mucosa
nails: thinning of nail plate, longitudinal ridging

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16
Q

What is pyogenic granuloma?

A

Overgrowth of blood vessels
Red nodules
Usually follows trauma
Can occur in crohns

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17
Q

What is keratocanthoma?

A

Dome-shaped erythematous lesions that develop over a period of days and grow rapidly
Contain a central pit of keratin
Then they begin to necrose and slough off

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18
Q

What can acne roseacea complication?

A

Blephatitis, keratitis and conjunctivitids

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19
Q

Causes of acanthosis nigricans?

A

type 2 diabetes mellitus
gastrointestinal cancer
obesity
polycystic ovarian syndrome
acromegaly
Cushing’s disease
hypothyroidism
familial
Prader-Willi syndrome
drugs
combined oral contraceptive pill
nicotinic acid

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20
Q

Appearance of types of melanomas

A

Superficial- Growing mole.
Noduar- Red or black lump or lump which bleeds or oozes
Lentigo- Growing mole but rarer. Slow growing
Acral lentiginous- Subungual pigementation or on palms or feet

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21
Q

What are dermoid cysts

A

Embryological remenants and may be lined by hair and squamous epithelium

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22
Q

First line lichen planus?

A

Topical steroids

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23
Q

Treatment of scalp psoriasis?

A

Topical potent corticosteroid

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24
Q

What is treatment for eczema herpeticum?

A

IV antivirals

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25
Q

Most accurate method for assessing the extent of burn?

A

Lund and Browder chart

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26
Q

What size does a lipoma need to be to US it?

A

More than 5cm

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27
Q

What is hereditary haemorrhagic telagnectasia

A

Autosomal dominant condition characterised by multiple telangiectasia over the skin and mucuous membranes

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28
Q

What are psoriatic nail changes?

A

Affect both fingers and toes and dont relect severity of psoriasis but associated with psoriatic arthritis

29
Q

What is onycholysis?

A

Seperation of the nail from the nail bed

30
Q

Appearance of superficial epidermal burns?

A

Red and painful, dry, no blisters

31
Q

Appearance of superficial dermal burns

A

Pale pink, painful, blistered, slow capillary refill

32
Q

Appearance of deep dermal burns

A

White but may have patches of non blanching erythema
Reduced sensation, painful to deep pressure

33
Q

Appearance of full thickness burns?

A

White/brown/black
No blisters
No pain

34
Q

First line cream for actinic keratoses

A

Fluorouracil cream

35
Q

What is lichen sclerosus

A

Inflammatory condition that usually affects the genitalia and is more common in elderly females
Leads to atrophy of the epidermis with white plques forming

36
Q

Features of lichen sclerosus

A

White patches that may scar
Itching
May result in pain during intercourse or urination

37
Q

What are stress ulcers in burns patients referred to as?

A

Curlings ulcers and may cause haematemesis

38
Q

Causes of pyodermic gangrensoum

A

Idiopathic
IBD
Rheumatolgical
Haematological
Granulomatosis with polyangiitis
Primary biliary cirrhosis

39
Q

What is erythema multiforme?

A

Hypersensitivity reaction that is most commonly triggered buy infection
Erythema multiforme mjor has mucosal involvement

40
Q

What is pemphigoid gestationis

A

Pruitic blistering lesions

41
Q

What is pellagra?

A

Nicotinic acid deficinecy
3Ds
Dermatitis, diarrohea and dementia

42
Q

Most significant complication of PUVA therapy?

A

SCC

43
Q

Causes of hypertrichosis (androgen independent hair growth)

A

Drugs
Congenital hypertrichosis langinosa, congenital hypertichosis terminalis
Porphyria cutanea tarda
Anorexia nervosa

44
Q

What is pompholyx?

A

Type of eczema affecting both hands and feet

45
Q

Antibodies in dermatitis herpetiformis

A

Anti-tissue transglutaminse antibody

46
Q

Most effective treatment for prominent telangiectasia in rocasea

A

Laser therapy

47
Q

Features of zinc deficinecy?

A

acrodermatitis: red, crusted lesions. acral distribution, peri-orificial, perianal
alopecia
short stature
hypogonadism
hepatosplenomegaly
geophagia (ingesting clay/soil)
cognitive impairment

48
Q

Features of a keratocanthoma?

A

Look like a volcano or crater
Initally a smooth dome shpaed papule but rapidly grow to become a crater filled with keratin

49
Q

What is pomphyoloyx eczema?

A

Eczema which affects the hands and feet

50
Q

What is erythema multiforme most commonly caused by?

A

Infections

51
Q

What is calciptrol?

A

Vitamin D analogue that reduces epidermal prolieration. Used in psoriasis treatment

52
Q

List of triggers for worsening episodes of psoriasis?

A

BLANQ
Beta blockers
Lithium
Alcohol/Aces
NSAIDs
Quinine

53
Q

When should adults and chilren be given IV fluids for a burn?

A

Adults- Cover more than 15% BSA
Children-10%

54
Q

First line for facial hirsutism?

A

Topical eflornithine

55
Q

What is Bowens disease?

A

Precanerous form of scc

56
Q

First line for verucca?

A

Salicyclic acid

57
Q

First line for head lice?

A

Malathion

58
Q

What is pretibial myoxderma?

A

Symmetrical, erythematous lesions seen in Graves disease. Shiny, orange peel skin

59
Q

Appearance of pityriasis rosacea?

A

Herald patch followed 1-2 weeks later by multiple erythematous, slightly raised oval lesions with a fine scale confined to the outer aspects of the lesions.

May follow a characteristic distribution with the longitudinal diameters of the oval lesions running parallel to the line of Langer. This may produce a ‘fir-tree’ appearance

60
Q

What is porphyria cutanea tarda?

A

most common hepatic porphyria. It is due to an inherited defect in uroporphyrinogen decarboxylase or caused by hepatocyte damage e.g. alcohol, hepatitis C, oestrogen.

61
Q

What us Sebrrhieic dermatitis in adults associated with?

A

HIV
Parkinson’s

62
Q

Treatment of adrenaline induced ischaemia?

A

Phentolamine

63
Q

If in doubt for skin give what abx?

A

Flucloxacillin

64
Q

Steroid memory aid?

A

HEBD
Mild- Hydrocorisone
Moderate- Eumovate
Potenent- Betnovte
Very potent- Dermovate

65
Q

First line for psoriasis?

A

Potent topical corticosteroid OD and topical vitamin D OD applied at different times
And emollient

66
Q

Who is usually affected in flexural psoriasis?

A

Old people

67
Q

What is erythema migrans found in?

A

Lyme disease

68
Q

What is pemphigoid gestationis

A

Pruitic blistering lesions