DESCRIBING SKIN LESIONS AND RASHES

Question 1

When describing a skin lesion, what is a macule?

Answer 1

A flat non-palpable lesion (skin discolouration)

Question 2

When describing a skin lesion, what is a patch?

Answer 2

A flat non-palpable lesion that is larger than 1 cm (if smaller than 1 cm then it is called a macule)

Question 3

When describing a skin lesion, what is a papule?

Answer 3

A small raised lesion of less than 0.5 cm

Question 4

When describing a skin lesion, what is a nodule?

Answer 4

A large raised lesion of more than 0.5 cm.

Question 5

When describing a skin lesion, what is a plaque?

Answer 5

Elevated or sunken, flat lesion. Classic of psoriasis.

Question 6

When describing a skin lesion, what is a vesicle?

Answer 6

Small fluid-filled lesion of less than 0.5 cm.

Question 7

When describing a skin lesion, what is a bulla?

Answer 7

A large fluid filled lesion of more than 0.5 cm.

Question 8

When describing a skin lesion, what is a pustule?

Answer 8

A pus filled lesion.

Question 9

When describing a skin lesion, what is an erosion?

Answer 9

An area of skin from which the epidermis alone is lost

Question 10

When describing a skin lesion, what is an ulcer?

Answer 10

An area of skin from which the epidermis and part of the dermis is lost

Question 11

What does atrophy with regard to skin lesions?

Answer 11

Thinning of the skin due to partial loss of one or more of the tissue layers of the skin.

Question 12

When describing the surface characteristics of a skin lesions, what does scaley mean?

Answer 12

There are white flakes of keratin

Question 13

When describing the surface characteristics of skin lesions, what does warty mean?

Answer 13

Rough / papillomatous surface

Question 14

When describing the surface characteristics of skin lesions, what does crusty mean?

Answer 14

That there is dried exudate

Question 15

With reference to a skin lesion, what does excoriation mean?

Answer 15

Superficial ulceration secondary to scratching by the patient.

Question 16

With reference to a skin lesion, what does lichenification mean?

Answer 16

Flat surfaced epidermal thickening

Question 17

With reference to a skin lesion, what does umbilicated mean?

Answer 17

That there is a dimple in the lesion, much like a belly button.

Question 18

How would you describe the shape of this lesion?

Answer 18

Annular

Question 19

How would you describe the shape of this lesion?

Answer 19

Linear

Question 20

How would you describe the shape of this lesion?

Answer 20

Serpiginous

Question 21

How would you describe the shape of this lesion?

Answer 21

Discoid

Question 22

How would you describe the shape of this lesion?

Answer 22

Target

Question 23

How would you describe the shape of this lesion?

Answer 23

Arcuate

Question 24

How would you describe the shape of this lesion?

Answer 24

Reticulate

Question 25

Describe the following skin lesion.

Answer 25

Macule of hyperpigmentation Localised Unknown location Well defined border No surface characteristics

Question 26

Describe the following skin lesion.

Answer 26

Red Nodule Unknown location Well defined border No surface characteristics

Question 27

Describe the following skin lesion.

Answer 27

Papule Localised Perinasal No surface characteristics

Question 28

Describe the following skin lesion.

Answer 28

Fluid filled Bulla Forearm Well defined edge

Question 29

Describe the following skin lesions.

Answer 29

Fluid filled vesicles Circular with some fusion Clustered Unknown location

Question 30

Describe the following skin lesions.

Answer 30

Plaques Scaley Well defined border Clustered with some fusion Unknown location

Question 31

Describe the following skin lesion.

Answer 31

Erosion Erythematous Unknown location Erosion has a well defined border, however, underlying erythematous rash is not so well defined.

Question 32

What do we call this?

Answer 32

Telangiectasia

Question 33

Describe the following skin lesion.

Answer 33

Pustules Surrounded by small areas of erythematous skin, which is poorly defined. Clustered Unknown location

Question 34

Describe the following skin lesion.

Answer 34

Ulcer Dorsal side of the foot (classic location for arterial ulcer) Up to a cm deep Well defined border Surrounded by area of exudate (appears slightly infected)