Dermatology Conditions Management

Question 1

Acne - Management (3/4/0)

Answer 1

conservative 1) avoid overwashing 2) don’t pick 3) healthy diet medical 1) TOP retinoid (mild) 2) TOP benzoyl peroxide (moderate) 3) PO retinoid (severe) 4) antiandrogens (e.g. combined oral contraceptive) (female hormone related)

Question 2

Eczema - Management (3/3/1)

Answer 2

conservative 1) avoid triggers 2) emollients (moisturiser, e.g. E45) 3) bath soap substitutes medical 1) TOP corticosteroid (1st) 2) TOP calcineurin inhibitor (e.g. tacrolimus) (2nd) 3) antihistamines surgery 1) UV light therapy

Question 3

Psoriasis - Management (2/4/1)

Answer 3

conservative 1) avoid triggers 2) emollients (moisturiser, e.g. E45) medical 1) TOP corticosteroids (mild) 2) TOP vitamin D analogue (mild) 3) methotrexate (moderate—>severe) 4) anti-TNF biological agents (refractory, severe) surgery 1) UV light therapy (moderate)

Question 4

Basal Cell Carcinoma - Management (0/0/2)

Answer 4

surgery 1) cryotherapy (superficial) 2) wide border excision (+ histology to ensure clear tumour margin)

Question 5

Squamous Cell Carcinoma - Management (0/1/1)

Answer 5

medical 1) radiotherapy (non-resectable) surgery 1) wide border excision (+ histology to ensure clear tumour border margins)

Question 6

Melanoma - Management (0/2/2)

Answer 6

medical 1) chemotherapy (iplimunab) (metastatic) 2) radiotherapy (non-resectable) surgery 1) wide border excision (+ histology to ensure clear tumour margins) 2) lymph node excision (metastatic)