Introduction 1

Question 1

What are the adnexal structures?

Answer 1

Hair
Nails
Glands
Sensory structures

Question 2

3 main layers of the skin

Answer 2

Epidermins, dermins (strongest), hypodermis

Question 3

layers of epidermis

Answer 3

Come Lets Get Sun Burnt

Stratum Corneum
Stratum Lucidum
Stratum Granulsum
Stratum Spinosum
Stratum Basal

Question 4

WHere foes nail begin? What is the lunula?

Answer 4

Matrix, the lacunar (white moon shaped thing is the visable part that you can see)

Question 5

What are the 3 phases of hair cycle?

Answer 5

Anagen (growing), Catagen (stops growing), Telogen (resting phase)

Question 6

How does the skin make vit D?

Answer 6

UV light converts 7-dehydrocholesterol to cholecalciferol

Question 7

5 Ds of why skin disease is important

Answer 7

Depression
Death
Disability
Disfigurement
Discomfort

Question 8

What is pbotosensitivity

Answer 8

Allergy to the light!! Can be UVA, UVB or even visable light, so have to test to decide which one it is

Question 9

What is dermatitis artefacta

Answer 9

When you self inflict injury to your dermis - often funky shapes etc don’t know where it has come from.

Question 10

What is neurofibrimoatosis?

Answer 10

Lots of neurofibromas (lots of bubbly lups, looks a pit like a skin coloured aero chocolate bar)

Question 11

What is Bullous Pemphigoid

Answer 11

Automimmune disease, casues bleeding blisters.

Question 12

Small usually means how big?

Answer 12

under 5mm

Question 13

Flat small/large

Answer 13

Falt small = macule
Flat large = patch

Question 14

Raised small/large

Answer 14

Raised small = papule
Raised large = plaque

Question 15

Fluid/pus/loss of epidermis small/large

Answer 15

Fluid:
Small = vesicle
Large = bulla

Loss of epidermis:
Small = erosion
Large = ulcer

Pus:
Small = pustule
Large = Abscess

Question 16

What is a nodule?

Answer 16

More raised than it is wide

Question 17

What are eruptive xsnthoma a sign of?

Answer 17

Hyperlipidaemia (they’re small cottage cheese looking like blobs around)

Question 18

What is Acanthosis Nigricans?

Answer 18

Velvetty dark chocolate/darker skin, often armpits.

If gradual onset can be related to insulin issues

If sudden can be a malignant thing

Question 19

What is Pretibial myxoedema

Answer 19

A thyroid skin disease:
mucin deposits in the skin

Question 20

If suspect a bact. infection, what investigatino?

Answer 20

charcol bacterial swap: MC&S (Microscopy, Culture and Sensitivities)

Question 21

If viral infection what investigations?

Answer 21

Viral PCR. Swab bad fluid eg pop vesicle. If systemic then take a throat swab.

Question 22

Fungal infetion suspected ten what investigtions?

Answer 22

Skin scsrping, nail clipping or hair sample - tested for fungal cultures

Question 23

Inflamatory condition, how to take a biopsy?

Answer 23

Punch biopsy