Random Derm

Question 1

What is a normal ABPI?

Answer 1

0.9 - 1.2

According to NICE CKS:
ABPI > 1.3: This may indicate stiff or calcified arteries, which are often seen in diabetes or chronic kidney disease. Further investigation is usually recommended.

ABPI 1.0 - 1.3: This is considered normal and suggests no significant arterial disease.

ABPI 0.9 - 1.0: This range is also generally considered normal, though it may indicate borderline PAD in some cases.

ABPI 0.8 - 0.9: This suggests mild PAD.

ABPI 0.5 - 0.8: This indicates moderate PAD. Patients may experience symptoms such as claudication.

ABPI < 0.5: This is indicative of severe PAD, which may present with critical limb ischemia and requires urgent medical attention.

Question 2

Molluscum contagiosum on eye?

Answer 2

Ugent referral to ophthalmologist

Question 3

What type of hypersensivitivy is scabies itch?

Answer 3

Type IV hypersensitivity

Question 4

Drug reaction with mucosal involvement think what?

Answer 4

SJS

Question 5

What is hair thinning from stress called?

Answer 5

Telogen effluvium

Question 6

In what condition does the lesion dimple when pinched?

Answer 6

Dermatofibroma

Question 7

What are 2 of the main complication of seborrhoea dermatitis

Answer 7

Otitis externa and blepharirtis

Question 8

What type of ulcer after severe burns?

Answer 8

Curlings ulcer

Question 9

Buzzword = White Lace

Answer 9

Lichen plants

Question 10

1st line Rx of scalp psoerrias

Answer 10

Topical steroid

Question 11

1st line treatment in capillary haemangiomas

Answer 11

Propranolo

Question 12

What is mycosis fungoides?

Answer 12

A rare type of T cell lymphoma that presents like psoriasis / eczema

Lesions tend to be different colours whereas psoriasis more homogenous

Question 13

Tear Drop papules buzzword?

Answer 13

Guttate psoriasis

Question 14

What can be used for facial hirsutism?

Answer 14

Topical eflornithine (not in pregnancy)h

Question 15

What is the scoring system for hirsutissm

Answer 15

Ferrimen-Gallwey

Score >15 = moderate to severe

Question 16

What is thickened skin in arm pit / groin called?

Answer 16

Acanthosis Nigricans

Question 17

What cancer is associated with acanthosis nigricans

Answer 17

Gastric adenocarcinoma

Question 18

What malignancy is assoc with pityriasis rotunda?

Answer 18

Multiple myeloma

Question 19

How does a keratoacanthoma present and manamagent ?

Answer 19

Raised red lesions with central keratin filled crater

Needs URGENT referral to Derm ? SCC

Question 20

What medication can cause spider naevi?

Answer 20

COCP

Question 21

Intensly white itchy lesions on vulva of older ladies?

Answer 21

Lichen Scleorsis

Rx = topical steroids and emollients

Question 22

Management of pyoderma gangrenosum?

Answer 22

Shin ulcer assoc with IBD/connective tissue disorders

Oral steroids

Question 23

1st line Rx of hyperhidrosis ?

Answer 23

Topical aluminium chloride

Question 24

What can happen after transthoracic sympathectomy?

Answer 24

Compensatory sweating

Question 25

Does pregnancy cause erythema nodosum?

Answer 25

Yes Also caused by drugs:: COCP, Sulfasalazine, Penicillins

Question 26

Management of shingles

Answer 26

NICE makes recommendations on when to use antivirals in practice, they recommend antivirals within 72 hours for the majority of patients, unless the patient is < 50 years and has a 'mild' truncal rash associated with mild pain and no underlying risk factors one of the benefits of prescribing antivirals is a reduced incidence of post-herpetic neuralgia, particularly in older people aciclovir, famciclovir, or valaciclovir are recommended

Question 27

Management of alopecia?

Answer 27

Topical steroids and refer derm Hair will regrow in 50% of patients by 1 year, and in 80-90% eventually. Careful explanation is therefore sufficient in many patients. Other treatment options include: topical or intralesional corticosteroids topical minoxidil phototherapy dithranol contact immunotherapy wigs

Question 28

Rx of Pityriasis Versicolor?

Answer 28

Topical ketoconazole

Question 29

Wood light demonstrates green / yellow immunofluorecne?

Answer 29

Pityriasis versicolor

Question 30

Rash after starting allopurinol for gout?

Answer 30

Ertythema multiforme

Question 31

1st line Rx of flexural psoriasis ?

Answer 31

Topical steiord

Question 32

Herald patch followed by rash elsewhere?

Answer 32

Pityriasis Rosea Rash can be 'FIR TREE APPEARANCE'

Question 33

What can precipitate pompholyx eczema

Answer 33

Humidty / Summertime It is a type of vesicular hand dermatitis Rx = cool compreses, emollient and steroid

Question 34

Purplish lace pattern of the skin

Answer 34

Livido reticolaris

Question 34

Drugs that causes erythema multiform

Answer 34

Allopurinol Carbamazepine COCP Penicillin Sulfasalzine