Main (Hand tumors, Hand Infections)

Question 1

HPV type 1,2, and 4 are associated with which type of hand lesion

Answer 1

Warts

Question 2

List 4 treatment options for warts

Answer 2

1. topical salicylates
2. electrocautery
3. pulse dye laser
4. intra-lesional bleomycin
5. cryotherapy
6. surgical excision

Question 3

Actinic keratoses is has the risk to transform into which type of malignancy

Answer 3

Squamous cell carcinoma

Question 4

Name 3 conservative treatment options for AK of the hand

Answer 4

1. electrodesication and curretage
2. cryotherapy
3. 5-FU
4. Immiquimod
5. Diclofenac
6. Topical aminolevulinic acid

Question 5

A patient presents to your clinic with the following lesion. what is your most likely diagnosis?

Question 6

A patient undergoes silver nitrate application for treatment of pyogenic granuloma. They return with worsening of the lesion. What is the next step in managing this lesion

Answer 6

1. Surgical excision
   with
2. Biopsy

Question 7

Squamous cell carcinome represent which percentage of malignant skin lesions in the hand?

Answer 7

75%

Source: Hand tumors part 1

Question 8

List 2 clinical features that you would see in a patient with subungeal melanoma

Answer 8

1. Melanonychia stiata
2. Pigmented streaking of the nail plate

Question 9

Patient presents with an in-situ melanocytic lesion of the finger. What would be your recommended margins?

Answer 9

0.5cm margins

Source: Hand tumors 1

Question 10

What is the most common location of upper extremity ganglion cysts

Answer 10

Dorsal wrist (70%) over the SL ligament

Question 11

Name 3 conservative management options for ganglion cysts

Answer 11

1. Aspiration
2. Injection of hyaluronidase
3. Injection of betamethasone

Question 12

4 raisons pourquoi l’hyperglycémie favorise les infections

Answer 12

-Dysfonction des lymphocytes
-Diminue le chimiotaxisme
-Diminue la phagocytose
-Diminue l’activité batéricide intracellulaire