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AMC MCQ > Dermatology by Dr Cintia > Flashcards

Dermatology by Dr Cintia Flashcards

1
Q

Precancerous skin lesions

A
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2
Q

Melanoma INVESTIGATION BEST

A

Surveillance:
- First 2 years: e/3m
- Next 2 years: e/6m
- After: e/1y
- 1st Deg Rel: Skin check
e/1y

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3
Q

Melanoma TREATMENT

A

Excision margin:
- In situ: 0.5cm
- <1mm: 1cm
- 1-4mm: 1-2cm
>4mm: 2cm
If eye: Refer to plastic surgery

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4
Q

NODULAR MELANOMA

A
  • a type of skin cancer that can mimic benign conditions, including blood blisters and acne
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5
Q

ACRAL LENTIGINOUS MELANOMA

A

appears on the palms of the hands, the soles of the feet, or under the nails

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6
Q

LENTIGO MELANOMA

A
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7
Q

DESMOPLASTIC MELANOMA

A
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8
Q

Squamous Cell Carcinoma TREATMENT

A

Surgery with 3-5mm margin

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9
Q

BOWEN DISEASE BEST INVESTIGATION

A

Shave or Punch Biopsy

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10
Q

BOWEN DISEASE TREATMENT

A

Fluorouracil, Imiquimod

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11
Q

KERATOACANTHOMA

A
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12
Q

Basal Cell Carcinoma BEST INVESTIGATION

A

Biopsy

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13
Q

Basal Cell Carcinoma TREATMENT

A

Mohs Surgery with 3-4mm excision

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14
Q

Gas gangrene (Clostridial myonecrosis)

A
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15
Q

Shingles

A
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16
Q

Molluscus contagiosum TREATMENT

A

No tx needed.
Resolvesin 3-6m
No school exclusion necessary
Avoid sharing towels/baths

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17
Q

Impetigo TREATMENT

A
  1. Topical mupirocin 2% OR
  2. cefalexin if widespread or large areas.
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18
Q

Staphylococcal scalded skin syndrome

A
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19
Q

Dermatophyte infections

A
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20
Q

Tinea CLINICAL FEATURES

A

Ringworm

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21
Q

Tinea TREATMENT

A
  1. Oral Griseofulvin/Terbinafine
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22
Q

Scabies CLINICAL FEATURES

A

Common in nursing homes

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23
Q

Scabies TREATMENT

A

1.Permethrin.

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24
Q

Lice

A
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25
Q

Cutaneous larva migran

A
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26
Q

PAPULAR URTICARIA

A
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27
Q

CERCARIAL DERMATITIS Erythrasma

A
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28
Q

Dermatitis CLINICAL FEATURES

A

Itchy, rash

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29
Q

Dermatitis TREATMENT

A
  1. Topical steroids & Moisturiser
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30
Q

Dermatitis Herpetiformes CLINICAL FEATURES

A

Assoc w/ Celiac Dx in elbows, knees, lumbosacral area

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31
Q

Dermatitis Herpetiformes BEST INVESTIGATION

A

Skin biopsy

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32
Q

Dermatitis Herpetiformes TREATMENT

A
  1. Dapsone.
  2. Gluten free diet
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33
Q

Atopic Dermatitis CLINICAL FEATURES

A

Kids in face, cubital, popliteal

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34
Q

Atopic Dermatitis TREATMENT

A
  1. Topical Steroids & Moisturiser
  2. Severe: Immunosuppressants - Infected: Swab then mupirocin/Dicloxacillin
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35
Q

Contact Dermatitis

A
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36
Q

Seborrheic Dermatitis CLINICAL FEATURES

A

Dandruff

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37
Q

Seborrheic Dermatitis

A
  1. Dandruff Shampoo
  2. Ketoconazole
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38
Q

Stasis Dermatitis

A
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39
Q

Discoid Dermatitis

A
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40
Q

ASTEATOTIC DERMATITIS

A
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41
Q

GENITAL DERMATITIS

A
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42
Q

Wound treatment

A
43
Q

Wound Healing

A
44
Q

SUNBURN

A
45
Q

Solar keratose

A
46
Q

SEBORRHOEIC KERATOSES

A
47
Q

LENTIGINES

A
48
Q

MELANOCYTIC NAEVI DYSPLASTIC

A
49
Q

NAEVI TREATMENT

A

Surgery with 2mm margin

50
Q

Acneiform Eruptions

A
51
Q

Acne vulgaris

A
52
Q

Rosacea

A
53
Q

Lichen planus

A
54
Q

Pityriasis rosea

A
55
Q

Psoriasis CLINICAL FEATURES

A

Cause: Autoimmune, lithium, ACE inhs

56
Q

Psoriasis TREATMENT

A
  1. Tar
  2. Steroids
  3. Calcipotriol
57
Q

FLUSHING-BLUSHING

A
58
Q

Autoimmune blistering diseases

A
59
Q

Porphyrias

A
60
Q

Ichthyosis

A
61
Q

Vitiligo

A
62
Q

Neurocutaneous syndromes

A
63
Q

Pityriasis alba

A
64
Q

ALERGIC REACTIONS MULTI-SYSTEMIC CLINICAL FEATURES

A

ACUTE ANAPHTLAXIS - ANAPHYLACTIC REACTION

65
Q

ALERGIC REACTIONS LOCALISED CLINICAL FEATURES

A

ANGIOEDEMA - URTICARIA

66
Q

exanthematic

A

DRAFT: morbilliform; most common

67
Q

urticarial phototoxic eruption lichenoid

A
68
Q

cutaneous vasculitis fixed drug eruption

A
69
Q

Stevens-Johnson syndrome toxic

A
70
Q

epidermal necrolysis (TEN)

A
71
Q

drug rash with eosinophilia and systemic symptoms (DRESS) acute

A
72
Q

generalised exanthematous pustulosis (AGEP)

A
73
Q

Androgenetic Alopecia TREATMENT

A
  1. Topical steroids for 12w
  2. Intradermal Steroid (Triamcinolone)
  3. Minoxidil
74
Q

Hirsutism CLINICAL FEATURES

A

Cause: Valproate, phenytoin, minoxidil, steroids, danazol

75
Q

Hirsutism TREATMENT

A
  1. Shave
  2. Laser
  3. Spironolactone
76
Q

NAILS DISORDERS

A
77
Q

ONYCHOMYCOSIS

A
78
Q

INGROWN TOENAILS

A
79
Q

PARONYCHIA

A
80
Q

ONYCHOLYSIS

A
81
Q

Brittle nails

A
82
Q

Koilonychia

A
83
Q

Aphthous stomatitis

A
84
Q

Photodermatoses

A
85
Q

Erythema nodosum

A
86
Q

Erythema multiforme

A
87
Q

Erysipelas CLINICAL FEATURES

A

Upper dermis and lymphatics, non-purulent

88
Q

Cellulitis CLINICAL FEATURES

A

Deeper dermis, SC fat, purulent/non purulent

89
Q

Cellulitis TREATMENT

A

IV Flucloxacillin

90
Q

Hemangiomas TREATMENT

A

-If in eyes, nose, ears, trachea->Laser Qx or refer
-Other parts: Observe/Reassure (self-resolve by 7yo.
-Propranolol can be used

91
Q

Acne CLINICAL FEATURES

A
  • Non-inflamm: Comedones
  • Inflamm: Pustules/Papules
  • Severe: Scarring
92
Q

Acne TREATMENT

A

-Mild: Benzoyl peroxide + Topical retinoin
-Mod: Non inflamm (Benzoyl peroxide + Retinoin. Inflamm (Benzoyl peroxide+Doxicycline, if pregnant Erythromycin)
-Severe: Isoretinoin (Oral). In females add OCPs

93
Q

Allergies CLINICAL FEATURES

A

Just local symptoms

94
Q

Allergies TREATMENT

A
  1. Strop triggers
  2. Emollients
  3. Oral promethazine
  4. Steroids
95
Q

Anaphylaxis CLINICAL FEATURES

A

Respiratory problems

96
Q

Anaphylaxis TREATMENT

A
  1. Adrenaline IM: (All 1:1000)
    - <6m: 0.10 mg
    - 6m-6y: 0.15mg
    - 6-12y: 0.3mg
    - >12y: 0.5mg
97
Q

Vitamin D deficiency CLINICAL FEATURES

A

Children: Rickets (Bowlegs, rachitic rosary, soft skull).
Adults: HypoCa (Tetany, prox myopathy, frontal bossing)

98
Q

DERMATOLOGY CLINICAL FEATURES

A

Night blindness, scaly skin, bitot spots (foamy appearance on conjunctiva), corneal degeneration

99
Q

Vitamin B3 deficiency CLINICAL FEATURES

A

3 Ds (Dermatitis, Diarrhoea, Dementia).

100
Q

Vitamin B3 deficiency TREATMENT

A

Resolves in 3-6m
No school exclusion necessary
Avoid sharing towels/baths

101
Q

Alopecia - SCARRING

A
102
Q

Alopecia - TELOGEN EFFLUVIUM ANAGEN EFFLUVIUM

A
103
Q

Alopecia - TRICHOTILLOMANIA HIRSUTIES-

A

AMC MCQ (55 decks)

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