Dermatology

Question 1

Risk factors for malignant melanoma

Answer 1

UV exposure
Skin type 1 (always burns, never tans)
History of multiple/atypical moles
Family history
Old age >80 years old
Previous melanoma

Question 2

What is ABCDE for malignant melanoma

Answer 2

Asymmetry
Border irregularity
Colour variation
Diameter >6mm
Evolution - changing in size, elevation and colour

Question 3

Features of a basal cell carcinoma

Answer 3

Pearly rolled edge
Central ulcer
Telangiectasia on surface

Question 4

Treatment for basal cell carcinoma

Answer 4

Surgical excision

Mohs micrographic surgery

Question 5

Define Bowen’s disease

Answer 5

Squamous cell carcinoma in situ
Pre-malignant
Well-defined slowly enlarging red scaly plaque

Question 6

Treatment of eczema

Answer 6

1. Remove allergents
   Emollients
2. Topical corticosteroids
3. Phototherapy (UV therapy)
4. Systemic treatments

Question 7

Name some steroid sparing agents (calcineurin inhibitors)

Answer 7

Tacrolimus

Pimecrolimus

Question 8

Explain the step up/step down approach for corticosteroids

Answer 8

HEBDO

Hydrocortisone
Eumovate
Betnovate
Dermovate
Oral