Dermatology

Question 1

basic eczema treatment?

Answer 1

Dermol 500 for washing
Emollient - Diprobase
Topical Steroid - Eumovate (avoid Dermovate if unnecessary as it is very potent)

give anthistamines if itch present

Question 2

treatment for eczema herpeticum

Answer 2

Oral flucloxacillin
Oral Acyclovir - to treat the HSV
stop topical steroid

Question 3

treatment of infected eczema?

Answer 3

oral flucloxacillin
topical emollient
topical steroid

Question 4

contact dermatitis treatment

Answer 4

dermol 500 as soap substitute
dermovate ointment
gloves, patch test

Question 5

vitiligo treatment?

Answer 5

sunscreen
topical steroid
topical tacrolimus
phototherapy
cosmetic camouflage

Question 6

Acne treatment?

Answer 6

12 week course of:
2x topical agents e.g. topical adapalene and topical benzoyl peroxide
OR
1x topical and 1x oral e.g oral lymecycline/doxycycline

Question 7

basal cell carcinoma presentation?
treatment?

Answer 7

• shiny pearly nodule, surface telangiectasia
• superficial BCC presents as red scaly plaque, sometimes rolled borders
• surgical excision

Question 8

Melanoma presentation investigation and treatment?

Answer 8

ABCDE rule
biopsy
excision with narrow margins then wide excision

Question 9

Squamous cell carcinoma risk factors? treatment?

Answer 9

• sunlight, immunosuppression
  surgery + radiotherapy

Question 10

Actinic Keratoses presentation?
treatment?

Answer 10

scaly lesions in sun exposed areas
very low risk of transformation to SCC (persisting besides treatment, become nodular or hyperkeratotic)

• cryotherapy
• topical treatments (5-fluoruracil and diclofenac)

Question 11

bullous pemphigoid presentation
investigations?
management?

Answer 11

• may stat as itchy rash, then blisters develop
• skin biopsy for histology and immunofluorescence
• emollient (diprobase)
• steroid (elecon cream)
• systemic therapy if severe - Prednisolone 1st line

Question 12

tinea capitis treatment?

Answer 12

ORAL antifungals - terbanafine or griseofulvin

Question 13

tinea corporis ivestigations and treatment?

Answer 13

• skin scrapings and microscopy
• topical antifungal

Question 14

Mosaic wart treatment?

Answer 14

• topical sialicylic acid
• intralesional bleomycin injections

Question 15

Paronychia treatment?

Answer 15

• incision and drainage w local anaesthesia
• oral antibiotics

Question 16

in which conditions are patients more likely to get a rash if they use amoxicillin?

Answer 16

ALL
CLL
infectious mononucleosis

Question 17

Rosacea treatment?

Answer 17

for flushing = topical brimonidine

papules/pustules = topical metronidazole/azalaic acid/ivermectin

inflamed phymatous disease = doxycycline`

Question 18

how does acne fulminans present?

Answer 18

fever
athralgia, myalgia
hepatospleenomegaly
osteolytic bone lesions