Dermatology

Question 1

Commonest type eczema in children

Answer 1

Atopic

Question 2

What is atopy

Answer 2

Overactive immune response to environmental stimuli

Question 3

Triad of atopy

Answer 3

Hayfever
Asthma
Eczema

Question 4

Typical places for atopic eczema in infancy

Answer 4

Face (cheeks)

Neck

Question 5

Typical places for atopic eczema in older children

Answer 5

Flexural patterns

Question 6

Symptoms of atopic eczema

Answer 6

Dry skin
Inflames skin
Itchy skin

Question 7

Ix for atopic eczema

Answer 7

Clinical Dx
Atopy history
FH atopy

Question 8

Rx for atopic eczema

Answer 8

Emollients
Lotions
Creams
Ointments

Topical steroids

Calcineurin inhibitors
UBV light therapy
Immunosuppressive medication

Question 9

Unit for atopic eczema Rx

Answer 9

2 fingertip units

Question 10

Pathology of seborrheic dermatitis

Answer 10

Associated with proliferation of various species of skin commensal Malassezia in yeast form

Question 11

Where does seborrheic dermatitis typically affect

Answer 11

Scalp

Face

Question 12

What is seborrheic dermatitis associated with

Answer 12

Cradle cap

Question 13

Rx for seborrheic dermatitis

Answer 13

Usually resolves by 12 months 
Emollients
Anti-fungal creams 
Anti-fungal shampoos 
Mild steroiss

Question 14

Appearance of discoid eczema

Answer 14

Scattered annular/circular patches itchy eczema

Question 15

Is discoid eczema endogenous or exogensou

Answer 15

Endogenous

Question 16

Where does pomphylix eczema typically affect

Answer 16

Hands

Feet

Question 17

Typical appearance of Pomphylix eczema

Answer 17

Typically hands and feet
Vesicles
Intensely itchy

Question 18

is venous eczema common or rare in children

Answer 18

Rarer in children

Question 19

What is varicose eczema associated with

Answer 19

Oedema
Varicose veins
Chronic leg swelling

Question 20

Rx for varicose eczema

Answer 20

Emollients
Topical steroids
Compression stockings

Question 21

Is allergic eczema endogenous or exogenous

Answer 21

Exogenous

Question 22

Ix for allergic eczema

Answer 22

Patch testing

Question 23

Rx for allergic eczema

Answer 23

Emollients:
Lotions
Creams
Ointments
(fragrance free)

Topical steroids:
2 fingertip units

UBV light therapy

Question 24

What is irritant eczema

Answer 24

Eczema caused by repeated contact with something e.g water, soaps

Question 25

What is a common cause of irritant eczema

Answer 25

Hand washing

Question 26

Rx for irritant eczema

Answer 26

Avoid irritant!! Emollients/lotions/creams/ointments Topical steroids Oral steroids UBV light therapy

Question 27

Symptoms to suspect immediate food allergy

Answer 27

Lip swelling Facial redness/itching Anaphylactoid symptoms

Question 28

What is impetigo

Answer 28

Common acute superficial bacterial skin infection

Question 29

Organism typical for impetigo

Answer 29

Staph aureus

Question 30

Appearance of impetigo

Answer 30

Pustule Honey coloured crusted erosions Cornflake stuck on appearance

Question 31

Rx impetigo

Answer 31

Topical antibacterials | Oral Abx

Question 32

Organism molluscum contagious

Answer 32

Molluscipox virus

Question 33

Appearance molluscum contagiousum

Answer 33

Pearly papules | Umbilicated centre

Question 34

Rx for molluscum contagiousum

Answer 34

Can take up to 24 months to clear Self-limiting Reassurance

Question 35

Which virus causes warts

Answer 35

HPV

Question 36

What are warts

Answer 36

Common benign skin lesions

Question 37

What is a wart on the sole of the foot called

Answer 37

Verruca

Question 38

Rx for wart

Answer 38

``` Crycotherapy Topical paints (salicylic acid) ```

Question 39

Is chicken pox contagious

Answer 39

yes highly

Question 40

Virus in chicken prox

Answer 40

Primary infection with Varicella Zoster Virus

Question 41

Appearance of chicken pox

Answer 41

``` Red papules (small bumps) progressing to vesicles (blisters) Often on trunk ``` Itchy Associated viral symptoms

Question 42

Rx for chicken pox

Answer 42

Often self limiting | Infection control

Question 43

Rare complications of chicken pox

Answer 43

Pneumonia | Encephalitis

Question 44

What is 2ndry infection with varicella zoster virus called

Answer 44

Shingles

Question 45

Clinical features of shingles

Answer 45

Vesicular rash in one dermatomal distribution | VERY painful

Question 46

Where does varicella zoster virus reside

Answer 46

In the dorsal root ganglion

Question 47

Colloquial name for parovirus

Answer 47

Sapped cheek syndrome

Question 48

What does the parovirus target

Answer 48

Red cells in the marrow

Question 49

Clinical features of parovirus

Answer 49

``` Erythematous rash cheeks Lace rash (trunk and limbs) ```

Question 50

Rx for parovirus

Answer 50

Usually self limiting mild illness

Question 51

Rare complications of parovirus infection

Answer 51

``` Aplastic crisis if haemolytic disorder Risk to pregnant women: Spontaneous abortion Intrauterine death Hydrops fetalis ```

Question 52

Infective agent in slapped cheek syndrome/erythema infectiousum

Answer 52

Parovirus B19

Question 53

Common organism to cause foot an mouth disease

Answer 53

Enterovirus: | Usually Coxsackie virus A16

Question 54

Clinical features of foot and mouth disease

Answer 54

Blisters on hands, feet, and mouth | Vira symptoms

Question 55

2nd most common virus to cause foot and mouth

Answer 55

Enterovirus 71

Question 56

Rx for foot and mouth

Answer 56

Self-limiting | Supportive Rx