Dermatology

Question 2

Aim for a…break in between courses of topical corticosteroids in patients with psoriasis

Answer 2

Aim for a 4 week break in between courses of topical corticosteroids in patients with psoriasis

Question 3

whihc medication is known to exacerbate plaque psoriasis?

Answer 3

Beta-blockers are known to exacerbate plaque psoriasis

Question 4

management of bowen’s disease

Answer 4

topical 5-fluorouracil
* typically used twice daily for 4 weeks
* often results in significant inflammation/erythema. Topical steroids are often given to control this

cryotherapy
excision

Question 5

what is bowen’s disease
its features

Answer 5

Question 6

The following factors may exacerbate psoriasis:

Answer 6

• trauma
• alcohol
• drugs: beta blockers, lithium, antimalarials (chloroquine and hydroxychloroquine), NSAIDs and ACE inhibitors, infliximab
  withdrawal of systemic steroids

Streptococcal infection may trigger guttate psoriasis.

Question 7

Eczema herpeticum definition

Answer 7

Eczema herpeticum describes a severe primary infection of the skin by herpes simplex virus 1 or 2.

Question 8

Eczema herpeticum presentation and description of the rash

Answer 8

It is more commonly seen in children with atopic eczema and often presents as a rapidly progressing painful rash.

On examination, monomorphic punched-out erosions (circular, depressed, ulcerated lesions) usually 1-3 mm in diameter are typically seen.

Question 9

eczema herpeticum management

Answer 9

As it is potentially life-threatening children should be admitted for IV aciclovir.

Question 10

scabies features

Answer 10

Question 11

scabies management and patient advice

Answer 11

Question 12

crusted scabies presentation and management

Answer 12

Question 13

The following factors predispose to the development of pressure ulcers:

Answer 13

Pressure ulcers develop in patients who are unable to move parts of their body due to illness, paralysis or advancing age. They typically develop over bony prominences such as the sacrum or heel.

The following factors predispose to the development of pressure ulcers:
* malnourishment
* incontinence: urinary and faecal
* lack of mobility
* pain (leads to a reduction in mobility)

Question 14

score is widely used to screen for patients who are at risk of developing pressure areas

Answer 14

Question 15

management of pressure ulcers

Answer 15

Question 16

Acute onset of tear-drop scaly papules on trunk and limbs →

Answer 16

Acute onset of tear-drop scaly papules on trunk and limbs → ?guttate psoriasis

Question 17

single most important prognostic factor in melanoma

Answer 17

Melanoma: the invasion depth of the tumour is the single most important prognostic factor

Question 18

A non-healing painless ulcer associated with a chronic scar is indicative of

Answer 18

A non-healing painless ulcer associated with a chronic scar is indicative of squamous cell carcinoma (SCC)

Question 19

Which one of the following complications is most associated with psoralen + ultraviolet A light (PUVA) therapy?

Answer 19

squamous cell carcinoma