Dermatology

Question 1

keloid treatment

Answer 1

intra-lesional steroids e.g. triamcinolone

Question 2

Acne rosacea treatment:

Answer 2

Topical metronidazole

Oral tetracylcine

Question 3

Acne tx

Answer 3

topical benzoyl peroxide/ retinoid
Add topical abx
Oral abx
COCP
Oral isotretinoin

Question 4

Antibiotic for acne in pregnancy

Answer 4

Erythromycin

Question 5

Why is minocycline no longer used in acne?

Answer 5

skin pigmentation

Question 6

Gram negative folliculitis in acne - treatment?

Answer 6

High dose trimethoprim

Question 7

Bullous pemphigoid

Answer 7

no mucosal involvement
autoimmune
antibodies against hemidesmosomal proteins BP180 and BP230
elderly
Skin biopsy
Steroids 2 years
No scarring

Question 8

Pemphigus vulgaris

Answer 8

Oral lesions
Autoimmune
Ass w myasthenia gravis
Long term

Question 9

Gene mutation in eczema

Answer 9

Fillagrin

Question 10

Mildest steroid

Answer 10

Hydrocortisone

Question 11

Strongest steroids

Answer 11

Dermovate - clobetasol propionate

Question 12

Finger tip units: hands

Answer 12

1 each

Question 13

Finger tip unit: back + bum

Answer 13

7

Question 14

Finger tip units: face and neck

Answer 14

2.5

Question 15

Psoriases increases the risk of…

Answer 15

metabolic syndrome, IBD, non melanoma cancers, CVD, VTE

Question 16

Management of psoriasis in GP

Answer 16

Potent corticosteroid + vit D analogue
Increase vit D - BD
Increase steroid alone or coal tar

Question 17

Management of psoriasis: specialist

Answer 17

Short acting dithranol
UVB
PUVA
Methotrexate
Ciclosporin
Biologics

Question 18

Ciclosporin indications

Answer 18

following organ transplantation
RA
psoriasis (has a direct effect on keratinocytes as well as modulating T cell function)
UC
pure red cell aplasia

Question 19

Ciclosporin SEs

Answer 19

Increases things:
fluid, BP, K+, hair, gums, glucose, lipids
Toxic to - liver, kidneys
Non myelotoxic

Question 20

Psoriasis patient - when would you need same day referral?

Answer 20

Erythoderma or generalised pustular psoriasis

Question 21

Guttate psoriasis

Answer 21

Triggered by strep throat infection

Question 22

Scabies treatment

Answer 22

Permethrin 0.5%

Question 23

Seborrhoeic dermatitis

Answer 23

Fungus Malassezia furfur
otitis externa, blepharitis
Ass w HIV, PD
Zinc pyrithione
ketoconazole

Question 24

Actinic Keratosis management

Answer 24

fluorouracil cream, topical diclofenac, topical imiquimod

Question 25

Treatment impetigo

Answer 25

Hydrogen peroxide 1% cream

Then fusidic acid