Dermatology buzzwords

Question 1

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

Answer 1

Guttate psoriasis

Question 2

What is the most common malignancy associated with acanthosis nigricans?

Answer 2

gastrointestinal adenocarcinoma

Question 3

What may be considered to treat acute urticaria for night symptoms?

Answer 3

In acute urticaria a sedating antihistamine (e.g. chlorphenamine) may be considered for night-time use for troublesome sleep symptoms

Question 4

What is the first-line treatment for Seborrhoeic dermatitis?

Answer 4

Seborrhoeic dermatitis - first-line treatment is topical ketoconazole

Question 5

Permethrin

Answer 5

Permethrin is the treatment of choice for scabies

Question 6

Persistent mouth ulcer

Answer 6

Squamous cell carcinoma

Question 7

Rosasea with severe papules and/or pustules treatment?

Answer 7

a combination of topical ivermectin + oral doxycycline is first-line for patients

Question 8

What exacerbates plaque psorasis

Answer 8

Beta blockers

Question 9

Chronic Plaque psorasis treatment?

Answer 9

Topical potent corticosteroid + vitamin D analogue is first-line

(Topical betamethasone applied once daily + topical calcipotriol applied once daily)

Question 10

Keloid scars

Answer 10

• more common in young, black, male adults

Question 11

Pityriasis versicolor causative organism?

Answer 11

Malassezia furfur

Question 12

itchy white spots typically seen on the vulva of elderly women

Answer 12

Lichen sclerosus

Question 13

Treatment of Ramsay Hunt syndrome

Answer 13

oral aciclovir and corticosteroids

Question 14

carcinoid syndrome

Answer 14

abdominal pain, diarrhoea and flushing

Question 15

triad of encephalopathy, jaundice and coagulopathy

Answer 15

Liver failure

Question 16

maintain remission in patients with Crohn’s

Answer 16

Azathioprine or mercaptopurine is used first-line

Question 17

pityriasis rosea

Answer 17

The rash from pityriasis rosea to resolve in 6-12 weeks

Question 18

nose, cheeks and forehead
flushing, erythema, telangiectasia → papules and pustules

Answer 18

acne rosacea.

Question 19

moderate-severe acne treatment

Answer 19

topical adapalene with topical benzoyl peroxide
topical tretinoin with topical clindamycin
topical adapalene with topical benzoyl peroxide + either oral lymecycline or oral doxycycline
topical azelaic acid + either oral lymecycline or oral doxycycline

Question 20

pain at rest for greater than 2 weeks, often at night, not helped by analgesia

Answer 20

Critical Limb ischaemia

Question 21

itchy, papular rash which most commonly occurs on the palms, soles, genitalia and flexor surfaces of the arms.

Answer 21

Lichen Plantus

Question 22

Mild to moderate acne?

Answer 22

a 12-week course of topical combination therapy should be tried first-line:

a fixed combination of topical adapalene with topical benzoyl peroxide

a fixed combination of topical tretinoin with topical clindamycin

a fixed combination of topical benzoyl peroxide with topical clindamycin

topical benzoyl peroxide may be used as monotherapy if these options are contraindicated or the person wishes to avoid using a topical retinoid or an antibiotic

Question 23

Moderate to severe acne?

Answer 23

a 12-week course of one of the following options:
a fixed combination of topical adapalene with topical benzoyl peroxide
a fixed combination of topical tretinoin with topical clindamycin
a fixed combination of topical adapalene with topical benzoyl peroxide + either oral lymecycline or oral doxycycline
a topical azelaic acid + either oral lymecycline or oral doxycycline