MICA dermatoology

Question 1

What are te3 main skin cancer

Answer 1

melanoma

basal cell carcinoma

Squamous cell carcinoma

Question 2

What question would you ask?

Answer 2

Change over time

breathlessnes

skin protection

growing

since when the lesion there

any other lesion

DO THEY burn

Family histroy (1st degree one)

previous skin lesions

Question 3

What do you look at different lesions?

Answer 3

ABCD
asymmetry

border

colour

Diameter 6mm

Question 4

WHat

Answer 4

naevus

Saquamous cell carcinoma

BCC

seborrheic keratosis (oily greasy surface, cornflake)

Question 5

What is it?

Answer 5

lentigo malignant

Question 6

what are the different types

Answer 6

amelanotic

acral

lentigo

nodular

Question 7

What is the difference between nodule and papule?

Answer 7

nodule and

Question 8

What is an ugly duckling sign

Answer 8

if someone has many naevi just look for the one that stands out

Question 9

What is the glasgow 7 point checklist

Answer 9

Major feature (2 points)

change in size

irregular

irregular color

MINOR (1 point)

diameer

inflamation

oozing

change in sensation

Question 10

What is the pathological

Answer 10

clark (thin ones) and breslow (invasive melanoma)

stage 0 in situ

stage 1 less than 2mm

stage 2 more than 2mm

stage 3 local lymphnodes

stage 4 distant metastasis

Question 11

What are melanoma treatments

Answer 11

inmmunotherapy

BRAF inihibitor

MEK inhibitor

Question 12

What are important questions for some BCC

Answer 12

immunosupression

trauma and smoking

different

Question 13

What are difference between an exision biopsy and wide surgical incision

Answer 13

wide local incision is much more

Question 14

What are the characteristics of a BCC

Answer 14

raised

nodular

telangectasia

pearly

central ulceration - rodent ulcer

Question 15

WHat are these

Answer 15

Actinic keratosis

Epidermal cycst (central punctum)

SCC

dermatofibroma (young middle aged trauma) (brown rim, firm, dimples)

Question 16

Where should the excision for the lesions?

BCC

Answer 16

BCC (trunk not immunocompromise(must be in contact with an MDT))- GP can remove

BUT if above trunk - routine referral

IF around the eyes, nasolabial fold and ear - urgent referral - 2 week wait

Question 17

What is this

Answer 17

morpheic BCC

Question 18

How do you distinguish SCC and BCC?

Answer 18

SCC are painful whereas BCC is not

SCC- scales if well demarcated

BCC can pick off the crust but in SCC you can not (if you do it bleeds and painfull)

Question 20

What is Bowen disease?

Answer 20

pre- SCC lesion

needs ot be removed

Question 21

What is this

Answer 21

Atopic dermatitis

Scabies

plauque Psoriasis

lichum

Question 22

Eczema

Answer 22

Emmolient (ointement better)

Steroid

Question 23

What are the different types of eczema

Answer 23

atopic

discoid

asteatotic eczema

gravitational (varicose, stasis)

Allergic

pompholyx

Question 24

Answer 24

dermatomysitis (muscle tendernis, swollen eyes)

Pomphylix

tinea corporis