questions Flashcards

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1
Q

duration of break between courses of topical corticosteroids in patients with psoriasis?

A

4 week break

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2
Q

managenment of mild symptoms of acne rosacea?

A

topical metronidazole

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3
Q

where is venous ulcers most commonly seen?

A

above medial malleolus

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4
Q

first line for hyperhidrosis

A

topical aluminium chloride

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5
Q

commonest skin disorder found in pregnancy?

A

polymorphic erruption in pregnanacy (presents as eczematous itchy red rash)

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6
Q

what is pityriasis versicolor?

A

superficial cutaneous fungal infection caused by malassezia furfur

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7
Q

peri-orbital & nasolabial scaly rash asociated with dandruff … classical hx of

A

sehorrhoeic dermatitis

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8
Q

management of venous ulcers

A

compression bandages

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9
Q

medication known to exacerbate plaque psoriasis

A

beta blockers

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10
Q

what may topical corticosteroids cause in patients with darker skin?

A

patchy depigmentation

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11
Q

red or black lump, oozes/bleeds on sun exposed skin

A

nodular melanoma

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12
Q

autoimmune condition caused by sub-epidermal blistering of the skin
- itchy, tense blisters typically around flexures

A

bullous pemphigoid

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13
Q

skin biopsy findings in bullous pemphigoid

A

immunofluroescence shows IgG & C3 at the dermoepidermal junction

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14
Q

typical herald patch develops and after a few days a more generalised fir-tree rash appears

A

pityriasis rosea

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15
Q

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

rach in polyagonal shape with white lines pattern on the surface

A

lichen planus

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16
Q

all the P characteristics of Lichen planus?

A
  • purple
  • pruritic
  • papular
  • polygonal rash on flexor surfaces
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17
Q

description of lesion of vascular birthmarks?

A

port wine stain

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18
Q

what is the intense pruritus assoc with scabies due to?

A

delayed type IV hypersensitivoty reaction to mites/eggs which occurs about 30 days after initial infection

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19
Q

itchy white spots typically seen on the vulva of elderly women

A

lichen sclerosus

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20
Q

what skin condition is parkinson’s disease associated with?

A

seborrhoeic dermatitis

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21
Q

describe seborrhoeic dermatitis?

A

eczematous lesions on the sebum rich areas such as scalp, periorbital and auricular and nasolabial folds

22
Q

what condition exhibits Koebners phenomenon and what is this?

A

this is when lesions are seen at the site of injuries

Molluscum contagiosum

23
Q

cutaneous signs seen in Tuberous sclerosis (3)

A
  • periungal fibroma
  • adenoma sebaceum
  • ash leaf spots
24
Q

CXR findings in sarcoidosis

A

bilateral hilar lymphadenopathy

25
Q

derm finding in sarcoidosis

A

Nodules are almost red/brown & firm, typically on the nose

26
Q

what is pyoderma gangrenosum ?

A

ulcer with violaceous/purple undermined edges… can be caused by underlying haematological malignancies * inflammatory conditions such as IBD & RA

27
Q

benign causes of Acathosis nigricans

A
  • obesity
  • polycystic ovarian syndrome
  • cushing’s syndrome
  • DM
28
Q

if a patient presents with a purpuric rash what test should you do?

A

urine diptick - to look for haematuria & proteinuria to exclude renal vasculitis

29
Q

name of flat lesions

A

macules

30
Q

name of: ‘superficial loss of the epidermis which heals without scarring;

A

erosions

31
Q

4 possible causes of erythrodermic eczema

A
  • withdrawal of systemic steroids
  • secondary infection with bacteria (Staph or strep) or viruses (HSV or VZV)
  • psychological stress
  • development of contact dermititis
32
Q

management of actinic keratoses?

A

5% 5-fluorouracil cream (efudix)

33
Q

name 4 features of high risk BCC

A
  • Lesions involving the eyelid margins, ear & lip
  • Perineural invasion on histology
  • Recurrent lesion
  • Lesions in immunosuppressed patients
34
Q

Melanoma risk factors

A
  • UV A radiation
  • > 100 melanocytic naevi
  • immunosuppression
  • family hx of melanoma in 1st degree relative
35
Q

what condition is periungal fibromas found it?

A

tuberous sclerosis - mutations in TSC1 & TSC2 gene

36
Q

what can Pyoderma gangrenosum ulcers be caused by?

A

underlying haematological malginancies & inflammatory conditions therefore do a FBC

37
Q

paraneoplastic presentation of acanthosis nigricans?

A

Gastric cancer (therefore investigate with upper Gi endoscopy)

38
Q

investigation of choice for erythema nodosum and why?

A

ASOT titre as a possible underlying cause is strep through infection

39
Q

causes of erythema nodosum

A

inflammatory bowel disease, TB, Sarcoidosis, viral illness, oral contraceptives and NSAIDs

and strep throat infection

40
Q

medication known to exacerbate plaque psoriasis

A

beta blockers

41
Q

positive Nikolsky’s sign

A

epidermis separates with mild lateral pressure

42
Q

drugs known to induce TEN

A
  • phenytoin
  • allopurinol
  • carbmazepine
  • NSAIds
  • penicillins
43
Q

life threatening condition secondary to drug reaction whereby the skin develops a scalded appearance over an extensive are

A

Toxic epidermal necrolysis

44
Q

describe a verruca/plantar wart

A

small painful growth. small, firm, hyperkeratotic growth with tiny overlying black dots

45
Q

treatment for verrua?

A

topical salicylic acid

46
Q

1st line trx for actinic keratosis

A

diclofenac

47
Q

skin condition associated with coeliac disease?

A

dermatitis herpetiformis (caused by deposition fo IgA in the dermis)

48
Q

mild/moderate and severe/resistant trx to acne rosacea?

A

topical metronidazole

oral tetracycline

49
Q

subtype of eczema characterised by an intensely pruritic rash on palms & soles

A

pompholyx eczema

50
Q

what is impetigo?

A

superficial bacterial skin infection caused by staph aureus or stapy pyogenes

51
Q

management of impetigo

A

hydrogen peroxide is systemically unwell

topical fusidic acid