Yr5 passmed

Question 1

flushing in rosacea mx

Answer 1

brimodine gel

Question 2

moa brimodine

Answer 2

alpha 2 adrenergic agonist

vasoconstricts vesels
reduction in aqeuos humour produced by cicliary body and increases uveosacral outflow in the longterm

Question 3

exclamation mark’hairs

Answer 3

a characteristic feature of alopecia areata, a type of hair loss that occurs when the immune system attacks hair follicles.
They are short, fragile hairs that are narrower at the base than the tip, giving them the appearance of an exclamation point

Question 4

how do beta blockers work to reduce strawberry naevus

Answer 4

By blocking the beta adrenergic receptors, propranolol can make blood vessels narrower, reducing the amount of blood flowing through them. This is particularly effective in haemangiomas, by reducing the colour and making them softer.

Question 5

why cant you use topical and oral antibiotics together

Answer 5

promotes antibiotic resistance

Question 6

Before commencing terbinafine, it is important to check

Answer 6

LFT as hepatotoxicity

Question 7

difference between dermatophyte and non-dermatophyte

Answer 7

Dermatophyte infections
These infections are caused by a group of fungi that can invade the skin, hair, and nails. Symptoms include rashes, scaling, and itching. Dermatophytes are the most common cause of nail infections, accounting for about 90% of cases. The most common dermatophyte is Trichophyton rubrum. Dermatophyte infections are usually treated with topical or oral preparations.
Non-dermatophyte infections
These infections are caused by fungi that are found in soil, decaying plant debris, or plant disease. Non-dermatophyte infections can also affect the skin and nails, but they are more common in patients with other diseases that affect the nails, in the elderly, and in immunocompromised patients. Non-dermatophyte infections require specific diagnostic criteria to differentiate them from contamination. One recommended treatment for non-dermatophyte nail infections is oral itraconazole

Question 8

Erythema ab igne is what

Answer 8

over exposure to infared radiation
reticulated erythematous patches with hyperpigementation and telangiectasia

people next to fires or hot water bottles

risk is if it does not go away can cuse squamous cell skin cancer

Question 9

first line for pyoderma

Answer 9

oral pred

Question 10

plaque psoriasis mx

what is combined with steriod

Answer 10

a potent corticosteroid applied once daily plus vitamin D analogue(calcipotriol) applied once daily
should be applied separately, one in the morning and the other in the evening)

Question 11

Pyoderma gangrenosum is associated not only with IBD and RA but also with

Answer 11

myeloproliferative disorders and AML

Question 12

The image provided likely shows macerated, scaling skin between the toes, which is characteristic of this condition. Topical miconazole is an antifungal medication that is effective against dermatophyte

Answer 12

atheltes foot

also terbinaine

Question 13

3 stages of treating urticara

Answer 13

non-sedating antihistamines (e.g. loratadine or cetirizine) are first-line
NICE Clinical Knowledge Summaries suggest continuing these for up to 6 weeks following an episode of acute urticaria CKS
a sedating antihistamine (e.g. chlorphenamine) may be considered for night-time use (in addition to day-time non-sedating antihistamine) for troublesome sleep symptoms CKS
prednisolone is used for severe or resistant episodes

Question 14

why do you get oedema after a burn

Answer 14

hypoalbuminaemia

Question 15

lipodermatosclerosis

Answer 15

which describes hard and tight skin, and hyperpigmentation due to haemosiderin deposition