derm

Question 1

pigmented lesion on her foot. You decide to use a scoring system to help decide whether she needs to be referred urgently to a dermatologist.

Answer 1

Weighted 7-point checklist

Question 2

pigmented lesion, penile shaft

Answer 2

fordyce spot

Question 3

chronic itching occurring in those aged over 65 years and is often caused by dry skin

Answer 3

Willan’s itch

Question 4

elderly, chronic itching

Answer 4

ateotic eczema

Question 5

MOST common variant of basal cell carcinoma subtypes?

Answer 5

Nodular

Question 6

Prevention of infantile eczema

Answer 6

Breast-feed for at least three months

Question 7

thickened skin under breast afyter tick bite

Answer 7

Localised scleroderma

Question 8

impetigo school exclusion

Answer 8

until crusts have dried or 48 hours after abx

Question 9

foot - bacterial skin infection associated with hyperhidrosis and malodour

Answer 9

pitted keratolysi

Question 10

Which SINGLE ONE of the following has a higher INCIDENCE in people with psoriasis?

Answer 10

Venous thromboembolism

Question 11

A 45-year-old man attends the surgery complaining of intensely itchy hands for the last three months

Answer 11

Pompholyx

Question 12

The following nutritional deficiency is associated with chronic spontaneous urticaria in children.

Answer 12

Iron

Question 13

unsuitable as a leave-on emollient

Answer 13

Aqueous cream

Question 14

o distinguish between allergic and irritant contact dermatitis

Answer 14

Patch testing

Question 15

proportion of simple hand warts persisting beyond six months of first-line treatment

Answer 15

0.3

Question 16

itchy eruption, violaceous colour in palms and are translucent

Answer 16

Lichen planus

Question 17

licensed for moderate-to-severe hirsutism.

Answer 17

Dianette

Question 18

skin disease associated with coeliac disease

Answer 18

Dermatitis herpetiformis

Question 19

genetic syndromes associated with an increased risk of developing malignant melanoma

Answer 19

Xeroderma pigmentosum

Question 20

most common cause of generalised pruritus in patients with underlying systemic disease

Answer 20

iron-deficiency anaemia,

Question 21

pink eruptions with christmas tree pattern - diagnosis and mgt

Answer 21

pityriasis rosea - conservative (self limiting)

Question 22

hyperpigmented macules affecting both sides of the face

Answer 22

Melasma

Question 23

condition predisposes to squamous cell carcinoma

Answer 23

Actinic keratosis

Question 24

eczema, steorids not worked, but on face, next step?

Answer 24

Pimecrolimus 1% (Elidel)/tacrolimus

Question 25

facial rash worse on warm environment and after spicy food, diagnosis and treatment?

Answer 25

rosacea, Metronidazole gel

Question 26

lyme disease lesion

Answer 26

erythema migrans

Question 27

bowens disease lesion treatment

Answer 27

5-fluorouracil cream

Question 28

ringworm term? Treatment?

Answer 28

tinea corporis, antifungal cream BD 2-4 weeks

Question 29

plaque psoriasis treatment

Answer 29

Short-term intermittent use of a potent corticosteroid applied once daily plus vitamin D, or a vitamin D analogue

Question 30

weighted seven-point checklist includes

Answer 30

Major features (two points each): Change in size Irregular shape Irregular colour Minor features (one point each): Inflammation Altered sensation Largest diameter 7 mm or more Oozing of lesion

Question 31

questionnaire that is used to specifically assess the impact of having skin disease on a patient's quality of life

Answer 31

DLQI

Question 32

dry skin with cracked apperance (eczema carquele) - associated with

Answer 32

Hypothyroidism

Question 33

areas of white plaques on the glans of the penile shaft

Answer 33

Lichen sclerosus

Question 34

ermatological signs is associated with polycystic ovary syndrome (PCOS)

Answer 34

Acanthosis nigricans

Question 35

most common underlying disease for nail disease

Answer 35

psoriasis

Question 36

circular lesion, body, felt unwell before

Answer 36

pytriasis rosacea

Question 37

For patients with thick scaling of the scalp, initial treatment

Answer 37

potent topical steroids

Question 38

sudden white patches apperaing on face, usually children

Answer 38

pytriasis alba

Question 39

mostly seen in children, developed new "mole", pigmented and grows rapidly, next step?

Answer 39

Spitz naevus, usually benign but urgent referral needed as they closely resemble melanoma

Question 40

blistering eczema hands or soles, diagnosis? Mgt?

Answer 40

Pompholyx, potent steroids

Question 41

most common skin malignancy in South Asian and African communities

Answer 41

Squamous cell carcinoma

Question 42

nail dystrophy, next step?

Answer 42

Mycological confirmation should precede treatment

Question 43

MOST likely to improve acne

Answer 43

Ultraviolet light

Question 44

investigations should be performed before starting isotretinoin

Answer 44

lft, lipids'

Question 45

tinea capitis, management

Answer 45

refer to secondary care

Question 46

tinea capitis, complication

Answer 46

kerion, an abscess caused by the fungal infection

Question 47

appropriate topical preventative regime for the areas which usually flare up, after each exacerbation has been brought under control

Answer 47

Two consecutive days weekly betamethasone valerate 0.1% (weekend regime)

Question 48

multiple boils in armpit, diagnosis? Management?

Answer 48

hidradinitis suprativa, doxycycline

Question 49

chronic venous disease including venous eczema, dilated veins and brown skin discolouration

Answer 49

Haemosiderin deposition

Question 50

INCIDENCE in people with psoriasis

Answer 50

Venous thromboembolism

Question 51

lesion associated with diabetes

Answer 51

granuloma annulare, small firm bumps on arms/hands

Question 52

appropriate blood test to discuss with patient with vitiligo

Answer 52

Thyroid function

Question 53

What is the recommended WEEKLY QUANTITY (in grams) of emollient for an adult with widespread dermatitis?

Answer 53

500

Question 54

treatment that has influenza like illness as side effect

Answer 54

Imiquimod

Question 55

which SINGLE body area would it be MOST appropriate to consider the use of tacrolimus 0.03% ointment as an alternative to topical steroids

Answer 55

Face

Question 56

Which SINGLE option is especially useful in management of acne for people with darker skin?

Answer 56

Azelaic acid

Question 57

very potent steroid - proprietary

Answer 57

Dermovate

Question 58

Papulopustular rosacea can respond well to (x3, and what is the first line)

Answer 58

metronidazole, azelaic acid and ivermectin - ivermectin first line but contraindicated to pregnancy and breastfeeding

Question 59

fixed drug reuption common cause

Answer 59

NSAIDS