Dermatology

Question 1

Endogenous causes of eczema

Answer 1

atopic 
seborrheic
discoid 
pomphylx 
varicose

Question 2

Exogenous causes of eczema

Answer 2

allergic contact dermatitis
irritant contact dermatitis
photosensitive

Question 3

What can flares of eczema be associated with?

Answer 3

infections/viral illness
environment = cold air
pets
teething 
stress

Question 4

Commonest type of eczema

Answer 4

atopic

Question 5

Atopy

Answer 5

overactive immune response to environmental stimuli

Question 6

atopic eczema usually starts where?

Answer 6

face/neck - cheeks

Question 7

Older children pattern of atopic eczema

Answer 7

flexural pattern

Question 8

atopic eczema due to what?

Answer 8

abnormality in filaggrin expression

Question 9

What is seborrheic dermatitis associated with?

Answer 9

malassezia in yeast form

cradle cap

Question 10

treating seborrheic dermatitis

Answer 10

emollients
anti fungal creams
anti fungal shampoos
mild topical steroids

Question 11

pomphylx eczema

Answer 11

hand and foot

vesicles

Question 12

What is varicose eczema associated with?

Answer 12

oedema

venous insufficiency

Question 13

symptoms of suspected food allergy

Answer 13

immediate - lip swelling, itch
worsening of eczema later
GI, FTT, general severe itch

Question 14

2 ways to test for food allergy

Answer 14

blood test - IgE antibodies

skin prick testing

Question 15

treating eczema

Answer 15

emollients
topical steroids 
calcineurin inhibitors 
UVB therapy 
immunosuppression

Question 16

Name some very potent –> mild topical steroids

Answer 16

dermovate

hydrocortisone

Question 17

Treating impetigo

Answer 17

topical antibacterial - Fucidin

oral antibiotics - flucloxacillin

Question 18

What is molluscum contagiosum?

Answer 18

mulliscipox virus

pearly papules with umbilicated centre

Question 19

treating warts

Answer 19

cryotherapy

topical paints - salicylic acid

Question 20

associations with viral exanthems

Answer 20

viral illness

fever, malaise, headache

Question 21

name some viral exanthems

Answer 21

chicken pox
measles
rubells
erythema infectiosum - parvovirus B19 = slapped cheek

Question 22

Appearance of chicken pox

Answer 22

red papules
vesicles
trunk

Question 23

chicken pox incubation period

Answer 23

10-21 days

Question 24

cause of hand, foot and mouth

Answer 24

coxsackie virus A16

Question 25

Appearance of hand, foot and mouth

Answer 25

blisters on hands, feet and mouth

Question 26

Erythema nodosum causes

Answer 26

infections eg strep, URTI
IBD
sarcoidosis
drugs - OCP