CD2

Question 1

Second line in gout prophylaxis

Answer 1

Febuxostat

Question 2

Gene associated with reactive artritis

Answer 2

HLA-B27

Question 3

How much to aspirate joint in septic arthritis

Answer 3

To dryness

Question 4

What test measures lacrimal gland function?

Answer 4

Schirmer test

Question 5

Serious complication of Sjogrens syndrome

Answer 5

Lymphoma

Question 6

What are Gottron lesions and what do they indicate?

Answer 6

Scaly red patches on skin and joints indicating dermatomyositis

Question 7

What to screen for on polymyositis or dermatomyositis

Answer 7

Underlying malignancy

Question 8

First line in polymyositis or dermatomyositis

Answer 8

Steroids

Question 9

What triggers guttate psoriasis?

Answer 9

Throat infection

Question 10

What is plantopalmar psoriasis?

Answer 10

Painful pustules on palms and soles

Question 11

Score for psoriasis severity

Answer 11

PASI

Question 12

What test should be done in pemphigus?

Answer 12

Tests for underlying cancer

Question 13

Bullous pemphigoid treatment

Answer 13

Topical steroids
Oral steroids
Oral abx
Immunosuppressants

Question 14

Pemphigus treatment

Answer 14

Oral antibiotics or steroids and immunosuppressants

Question 15

Bowen’s disease presentation

Answer 15

well defined, persistent, inflamed, scaly patches, usually on the legs

Question 16

Bowen’s disease treatment

Answer 16

Some patients choose not to be treated. If patients do want treatment, this is usually with cryotherapy or topical chemotherapy

Question 17

Keratoacanthoma definition

Answer 17

lesion similar to an SCC that grows quickly over a few weeks then spontaneously resolves

Question 18

Keratoacanthoma management

Answer 18

First line treatment is usually excision. Other options include curettage and cautery, radiotherapy and cryotherapy

Question 19

Keratoacanthoma presentation

Answer 19

a rapidly growing lesion that heals to form a nodule with a crater and a keratin plug usually on sun exposed sites

Question 20

Keratoacanthoma investigation

Answer 20

Biopsy to exclude SCC

Question 21

Junctional naevi presentation

Answer 21

Flat and brown

Question 22

Compound melanocytic naevi presentation

Answer 22

Raised and dark

Question 23

Intradermal naevi presentation

Answer 23

Raised and flesh coloured

Question 24

Vitiligo treatment

Answer 24

Not all patients want treatment but some are very keen. Treatments include topical or systemic steroids, phototherapy, and immunosuppressants

Question 25

What is pityriasis?

Answer 25

Self limiting fungal skin infection

Question 26

Causes of erythroderma

Answer 26

eczema or psoriasis flare (40%,25%), haematological malignancy (15%), drugs (10%) or in 10% of cases the cause is unknown

Question 27

Driving in Parkinson’s

Answer 27

Inform DVLA

May be restrictions

Question 28

Driving after TIA

Answer 28

patients aren’t able to drive cars for 1 month or HGVs for 1 year after a TIA