stuffs

Question 1

what is the difference between venous and arterial ulcers

Answer 1

venous - shallow edge like beach and around malleolus

arterial - high edges like cliffs

Question 2

slow growing lump or non healing ulcer. pearly/transulcent. painless

Answer 2

BSC

Question 3

visible airbnorising blood vessels

Answer 3

BSC

Question 4

central ulceration - rodent ulcer

Answer 4

BSC

Question 5

list precursors of SCC

Answer 5

bowers disease - females legs
viral lesions
actinic keraotsis - head/neck

Question 6

hyperkeratotic crusted lump/ulcer - grow fast

Answer 6

SCC

Question 7

1 defective copy of MRCI

2 defective copies

Answer 7

freckles

freckles and red hair

Question 8

actinic lentignes

Answer 8

liver/age spots

Question 9

congenital melaenytic naeivi

Answer 9

small 20 - have 10-15% risk of becoming malignant

Question 10

junctional naeuvous childhood

Answer 10

cluster of cells at DEJ

Question 11

adolescence/early adulthood compound

Answer 11

compound - groups of cells at dermis

Question 12

intra dermal adulthood

Answer 12

entirely dermal

Question 13

2 types of dysplastic naevi

Answer 13

sporadic - not inherited - risk of melanoma

familial - fh of melanoma - 100% risk, high penetrance

Question 14

halonaevi

Answer 14

peripheral halo of depigmentation - lymphocytes

Question 15

blue naevi

Answer 15

entirely dermal. mimic melanomas

Question 16

spitz naevous

Question 17

stuck on greasy appearance - greasy hyperkeratotic surface

Answer 17

seborrhoeac keratosis

Question 18

seborrhoeac keratosis erupitic appearance is known as what

Answer 18

lester treeless sign - indicates malignancy

Question 19

melanoma commonest type

Answer 19

superficial spreading melanoma - trunks of men legs of women

Question 20

macule with irregular border and colour. increase in size over years and forms a nodule

Answer 20

superficial spreading melanoma

Question 21

nodular melanoma

Answer 21

no surrounding pigmentation like superficial
older people
any part of body
more aggressive growth

Question 22

blue black or red skin ulcerated/bleeding

Answer 22

nodular melanoma

Question 23

latina malignant melanoma

Answer 23

invasive melanoma developed within a lentigo maligna

Question 24

melanoma survival

Answer 24

5 yr survival inset 100%

3mm 40%

Question 25

surgery excision of melanoma

Answer 25

1 cm lateral for every 1 mm depth

Question 26

nicosky positive | nicosky negative

Answer 26

phemphigous vulgaris | bullous phemohigoid

Question 27

macules, papules, pustules, erythema NO COMEDONES

Answer 27

rosacea

Question 28

koebenor phenomenon

Answer 28

psoriasis | new lesions arise at site if trauma

Question 29

psoriatic nails

Answer 29

oncholysis nail pitting subungla hyperkeratosis

Question 30

acne grading

Answer 30

mild - scattered pustules, papule and comedones mod - numerous papule, pustules and mild atrophic scarring severe - above, cysts, nodules and significant scarring

Question 31

what does paravirus B19 cause

Answer 31

slapped cheek syndrome

Question 32

what are the complications of B19

Answer 32

spontaneous abortion, anaemia, arthritis in wrists

Question 33

vector ticks

Answer 33

lyme disease

Question 34

virus of mouth scabby mouth firm fleshy nodule on hands of farmers

Answer 34

orf

Question 35

herpangigma

Answer 35

enterovirus blistering rash at the back of mouth

Question 36

vzv vaccination

Answer 36

in susceptible health care workers

Question 37

ramsay hunt syndrome also known as what | symptoms

Answer 37

otic herpes zoster | facial palsy, deafness, vertigo, tinnitus

Question 38

shingles vaccine

Answer 38

routine in over 70s

Question 39

itchy rash affecting finger webs, wrists, genital area

Answer 39

scabies

Question 40

chronic crusted scabies

Answer 40

norweignion scabies - highly infectious

Question 41

vagabonds disease

Answer 41

lice on body - pedicures corpons

Question 42

red moist skin with ragged peeling edge | pustule/papules/red margins

Answer 42

candida

Question 43

investigation for ringworm

Answer 43

clinical appearance woods light skin scraping nail/hair clipping

Question 44

SA infection of eczema

Answer 44

crusting. weeping

Question 45

HIV infection of eczema

Answer 45

monomorphic punched out lesions

Question 46

diagnostic criteria of eczema

Answer 46

itchy skin and 3 or more of: onset before 2 history of itch in flexures history of dry skin personal history of atopy or in 1st degree relative flexural distribution or on cheeks/forehead and outer limbs if

Question 47

ix for contact allergic derm

Answer 47

patch testing

Question 48

type 1 mediated by

Answer 48

IgE

Question 49

type 2 and 3 mediated by

Answer 49

IgG and IgM

Question 50

arthus reaction

Answer 50

type 3

Question 51

type 4

Answer 51

cell mediated Th1