DERMATOLOGY

Question 1

Examination

Answer 1

DESCRIBING LESIONS
Size
Configuration: shape (discrete (separate (mole)), confluent
(merging (urticaria)), linear (excoriations), discoid (coin),
target (erythema multiform), annular (ring-like (tinea
corpis)) border (well/poorly defined)
Colour: erythematous, purpuric, hyperpigmented,
hypopigmented, depigmentation.

Question 2

History

Answer 2

HPC: SQITARS
Sun exposure and protection
PMHx: transplants, skin problems
DHx: immunosuppressants, allergies
SHx: occupation
FHx: skin cancer, skin problems
Psoriasis: joints, scalp, nails, alcohol, beta-blockers, lithium,
NSAIDs, ACE-I

Question 3

Eczema

Answer 3

Eczema – IgE serum. Emollients, topical steroids, UV
radiation, immunosuppressants (ciclosporin, antihistamines
with azathioprine). Eczema herpeticum = IV acyclovir

Question 4

SJS/TENS/ECZEMA HERPETICUM

Question 5

Psoriasis

Answer 5

Psoriasis – emollients, corticosteroid plus vitamin D
analogue, dithranol, coal tar preparation, phototherapy,
methotrexate, ciclosporin

Question 6

Acne, infective

Answer 6

Acne – topical retinoids, benzoyl peroxide, topical antibiotic,
oral antibiotic (doxycycline), COCP, oral isotretinoin

Question 7

urticaria

Answer 7

chlorpheramine

Question 8

Impetigo

Answer 8

Impetigo – hydrogen peroxide 1% cream, topical fusidic acid,
oral flucloxacillin. Off school until lesions crusted over and
healed or 48h after abx

Question 9

pityriasis versicolour

Answer 9

Pityriasis versicolour – ketoconazole shampoo