Skin

Question 1

What is the first line treatment for mild/moderate Acne Vulgaris?

Answer 1

Topical retinoid (e.g. tretinoin) + topical clindamycin (if inflammation) +/- topical benzoyl peroxide

Question 2

What is the first line treatment for homone-related Acne Vulgaris in non-pregnant females?

Answer 2

COCP

Question 3

What steroids are in the steroid ladder for management of eczema?

Answer 3

Mild: Hydrocortisone 0.5%, 1% and 2.5%
Moderate: Eumovate (clobetasone butyrate 0.05%)
Potent: Betnovate (betamethasone 0.1%)
Very potent: Dermovate (clobetasol propionate 0.05%)

Question 4

What is the most common form of psoriasis in adults?

Answer 4

Plaque psoriasis - thickened erythematous plaques with silver scales on extensor surfaces and scalp usually

Question 5

Which form of psoriasis may be triggered by a streptococcal throat infection and usually resolves after 3-4 months?

Answer 5

Guttate psoriasis

Question 6

What are the 2 forms of psoriasis that are medical emergencies and require hospital admission?

Answer 6

Pustular psoriasis

Erythrodermic psoriasis

Question 7

What is Auspitz sign?

Answer 7

Small points of bleeding when (psoriatic) plaques are scraped off

Question 8

Whilst potent topical steroids may be used in the short term to treat a flare of psoriasis, what treatment option may be tried as a mainstay in long-term control of psoriasis (apart from emollients)?

Answer 8

Topical Vitamin D analogues, usually calcipotriol

can be used in combination with steroid

Question 9

The classic ‘rodent ulcer’ that has an indurated edge and ulcerated centre is seen in which form of skin cancer?

Answer 9

Basal cell carcinoma

Question 10

What is the typical description of a BCC lesion?

Answer 10

A pearly nodule with a raised, red, edge. Often on the face.

Question 11

What potentially malignant skin cancer can solar keratoses/actinic keratosis turn into?

Answer 11

Squamous cell carcinoma

also carry increased risk for melanoma but more commonly associated with SCC

Question 12

At what point is a melanoma considered invasive?

Answer 12

When it invades the underlying dermis from the epidermis

Question 13

What is the most aggressive subtype of malignant melanoma?

Answer 13

Nodular melanoma

Question 14

What is the most common subtype of malignant melanoma?

Answer 14

Superficial spreading melanoma

Question 15

The Breslow thickess of a lesion is a prognostic indicator for which type of skin cancer?

Answer 15

Melanoma

Question 16

An ulcer on the medial ankle/calf that has irregular borders and is mostly painless is most likely to be what type of ulcer?

Answer 16

Venous ulcer

Question 17

An ulcer on the foot and lateral lower leg that is described as ‘punched out’ and painful is most likely to be what type of ulcer?

Answer 17

Arterial ulcer

Question 18

Dermatitis herpetiformis should prompt screening investigations for which GI condition?

Answer 18

Coeliac disease

Question 19

Inflammatory bowel disease is associated with which dermatological conditions?

Answer 19

Erythema nodosum

Pyoderma gangrenosum