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B > Derm/Breast > Flashcards

Derm/Breast Flashcards

(70 cards)

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1
Q

Atypical melanocytes spreading on the basal epidermis layer from a biopsy taken from forehead of some damaged sun exposed skin

A

Lentigo maligna

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2
Q

Melanoma on the soles of feet

A

Acral lentigna

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3
Q

S-100 stain

A

Melanoma

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4
Q

Test to determine hormone receptor status for breast cancer

A

Immunoperoxidase

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5
Q

Everted edge with ulceration

A

SCC

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6
Q

Pearly white edges with telangiectasia

A

BCC

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7
Q

Cottage cheese exudate

A

Sebaceous cyst

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8
Q

Linear deposition of IgG and C3 on basement membrane

A

Bullous pemphigoid

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9
Q

Nikolsky’s sign

A

Pemphigus vulgaris

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10
Q

Lump on scalp with punctum

Painless and attached to skin

A

Sebaceous cyst

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11
Q

Soft, compressible, non-tender, lobulated mass on the arm

A

Lipoma

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12
Q

Lump with black core

A

Keratoacanthoma (molluscus sebaceum)

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13
Q

Neck lump + halitosis + regurgitation

A

Pharyngeal pouch

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14
Q

Neck lump with brilliant transillumination

A

Cystic hygroma

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15
Q

Scaly, erythematous nipple

A

Paget’s disease

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16
Q

Grey-green nipple discharge

A

Mamamry duct ectasia

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17
Q

Linear calcification

A

DCIS

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18
Q

Target lesions, annular blistering rash

A

Erythema multiforme

Associated with herpes simplex, SLE, IBD, mycoplasma and strep infections

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19
Q

Blood-stained nipple discharge

A

Intraductal papilloma

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20
Q

Leaf-like appearance

A

Phyllodes tumour

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21
Q

Rapidly enlarging solid breast lump

A

Fibroadenoma

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22
Q

Mid-cycle breast tenderness

A

Fibrocystic changes

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23
Q

Indian file

A

Infiltrating lobular carcinoma

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24
Q

Stellate appearance

A

Ductal carcinoma

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25
E cadherin
Ductal carcinoma of the breast
26
Like fibroadenoma but in older female
Phyllodes tumour
27
Tense blisters
Pemphigoid
28
Deroofed blisters with tender underlying skin
Pemphigus
29
Itchy papules between fingers and toes
Scabies
30
Painful tender rash over shins
Erythema nodosum Associated with sarcoidosis, TB, Hodgkin's lymphoma, EBV, IBD and strep infections
31
Venous ulcer → SCC
Marjolin's ulcer
32
Rolled edge
BCC
33
Skin plaque in TB
Lupus vulgaris
34
Reticular leg rash in elderly woman
Erythema ab igne
35
Hx flushing + cross-shaped facial rash
Rosacea
36
Blistering skin/mucosal rash + conjunctivitis post infection
Stevens-Johnson syndrome
37
Slit-like retraction of the nipple
Duct ectasia
38
Violaceous lesions
Kaposi's sarcoma
39
Oral lesions in vit K deficiency
Perifollicular haemorrhage
40
Oral lesions in vit B12 deficiency
Atrophic glossitis
41
Lump Extensor surface, Firm and painless Hx of Rheumatoid Arthritis
Rheumatoid Nodule
42
Lump on a scar, solid and itchy
Keloid
43
Lump Firm, not fixed Infection/infiltrative process
Lymph node
44
Herniation of tendon sheath Transilluminates Dorsum of foot/hand
Ganglion
45
Stone in salivary gland Pain worsened by eating Swollen, tender, red
Sialolithiasis
46
Displaces the earlobe Facial pain -> compression of CNVII
Parotid tumour
47
Cholesterol crystals on FNA Anterior triangle (often 2/3 along sternocleidomastoid) Slow growing lump Young patient
Branchial Cyst
48
Mobile side-to-side, not up and down lump Anterior triangle Firm or soft Pulsatile
Carotid body aneurysm
49
Tumour of preganglionic cells Pressure causes dizziness Pulsatile, bruit Mobile side-to-side, not up and down lump
Carotid body tumour
50
Lump with uneven borders Slightly fluctuant Not fixed to skin/deep structures
Lipoma
51
FLAWS Painful lymph nodes after alcohol
Lymphoma
52
Posterior triangle Regurgitation, difficulty swallowing Gurgling, bad breath Older patient
Pharyngeal Pouch
53
Baby, Collection of lymphatics Transilluminates Soft & fluctuant
Cystic Hygroma
54
Rubbery lump | Tingling on pressure
Neurofibroma
55
Large skin abscess | Made up of several boils
Carbuncle
56
Infection of hair follicle | AKA a boil
Furuncle
57
Low-grade tumour from hair follicle Skin coloured with black central core
Keratoacanthoma
58
“Breast mouse”, Benign, hard, smooth, mobile
Fibroadenoma
59
“Fibrocystic changes” Multiple cysts and nodules Oestrogen-induced hyperplasia
Fibroadenosis
60
First month of breastfeeding Large hot, painful lump Skin commensals
Acute Mastitis
61
First month of breastfeeding Large hot, painful lump Skin commensals Inability to sleep Continuous pain
Breast Abscess
62
Painful, erythematous Sub-areolar mass Abscess and inflammation >90% smokers
Periductal Mastitis
63
Peri-areolar mass Dilatation and blockage Inflammation and fibrosis White/cheesy discharge Age 50-60
Duct Ectasia
64
Pain same time each month Associated with menstrual cycle
Cyclical breast pain
65
Irregular, hard lump, tethered Nipple inversion, puckering Bloody discharge Ulceration, swelling Peau d’orange
Invasive Carcinoma
66
Itchiness and discharge from nipple No palpable lump
DCIS Ductal carcinoma in situ
67
Increase in size of breast Tear-drop appearance Appearance of fibroadenoma
Phyllodes Tumour
68
Itchy, erythematous, scaley Erosion + nipple discharge
Paget’s disease of the nipple
69
White, low viscosity liquid (MILK!) Galactorrhoea and no pregnancy
Prolactinoma
70
Trauma to breast Overlying bruising Hard, irregular lump
Fat necrosis

B (13 decks)

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