Yr 4 Exams

Question 1

Neurodermatitis

Answer 1

Rubbing skin in sleep due to stress

Young women

Question 2

Keratolysis exfoliativa

Answer 2

Chronic blistering condition of palms and soles
Associated with hyperhidrosis
No intervention needed

Question 3

Rash seen with penicillin

Answer 3

Morbilliform rash

Question 4

Rash seen with doxycycline

Answer 4

Photosensitivity

Question 5

Describe rash in Reiter’s syndrome

Answer 5

Keratoderma blennorrhagicum

Blisters starting on soles of feet and extending up the legs

Question 6

Describe skin lesions in diabetics

Answer 6

Leg ulcers

Necrobiosis lipoidica - waxy yellow pretibial lesion

Question 7

Rash in HH6

Answer 7

Roseola infantum - fever + generalised maculopapular

Question 8

Rash in parvovirus B19

Answer 8

Slapped cheek

Spreads to rest of body = lacy appearance

Question 9

Rash in rubella

Answer 9

fever + generalised maculopapular + lymphadenopathy

Question 10

Rash in measles

Answer 10

Starts behind ears

Question 11

Symptoms/complications of measles other than the rash

Answer 11

CCC - coryzal, cough, conjunctivitis
Koplik spots
Subacute sclerosing panencephalitis (years later)

Question 12

Symptoms in Kawasaki disease

Answer 12

CRASH AND BURN 
Conjunctivitis
Rash
Adenopathy (cervical LN) 
Strawberry tongue
Hands and feet - desquamation 
Burn - fever >5 days

Question 13

Management of Kawasaki

Answer 13

ECHO before treatment
If coronary aneurysm:
Aspirin
IV Ig

Question 14

Rash in coxsackie A16

Answer 14

Hand foot and mouth

Question 15

What is chondrodermatitis nodularis

Answer 15

Painful nodule on helix of ear

Excise because differential for SCC