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MRCP Part 2 > Dermatology > Flashcards

Dermatology Flashcards

(64 cards)

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1
Q

Skin Biopsy finding in Pemphigus Vulgaris

A

IgG and C3 deposits seen in upper part of dermis

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2
Q

Skin Biopsy finding in Dermatitis Herpetiformis

A

Deposition of IgA in the dermis

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3
Q

Management of Herpes Zoster in Immunocompetent

A

Oral Aciclovir - given within 1-3 days of onset

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4
Q

Management of Herpes Zoster in Immunocompromised

A

Always use Oral Aciclovir

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5
Q

Ophthalmologic Shingles

A

Always use Oral Aciclovir + Urgent Ophthalmology Referral

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6
Q

What is Calciphylaxis

A

In CKD - buildup of calcium in small blood vessels of fat tissues and skin

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7
Q

Frequent Epistaxis + Microcytic Anemia + Lips show Blood Spots

A

Osler-Weber-Rendu Syndrome or Hereditary hemorrhagic telangiectasia

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8
Q

Antibiotic Known for causing photosensitive rash

A

Doxycycline

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9
Q

Yellow Nail Syndrome Respiratory features

A

Bronchiectasis
pleural effusion
chronic sinusitis

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10
Q

Alopecia + Painless Oral Aphthous Ulcers seen in

A

Secondary Syphillis

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11
Q

What is Morphea scleroderma

A

Thickened patches of skin with no sweating or hair in the patch may have history of infection or trauma

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12
Q

Acropatchy Seen in

A

Graves Disease

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13
Q

Leukonychia seen in

A

Hypoalbuminemia - Chronic Liver Disease

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14
Q

what happens in exfoliative dermatitis

A

Seen after IV vancomycin
Results in desquamation followed by pigmentation

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15
Q

Neurofibromatosis type 1 diagnostic criteria

A
  • Six or more café-au-lait macules > 5 mm (prepubertal) or > 15 mm (post-pubertal)
  • Two or more neurofibromas of any type or one plexiform
  • Freckling in the axillary or inguinal regions
  • Optic glioma
  • Two or more Lisch nodules on the iris
  • Sphenoid dysplasia
  • A first-degree relative with type 1 NF.
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16
Q

Lichen Planus Management

A

Topical Dermovate
Topical Tacrolimus

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17
Q

Slow growing sking changes which have happend in over years + from underdeveloped country

A

Lupus Vulgaris - Mycobaterium

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18
Q

IBD patient with worsening skin ulcer in site of injury or insect bite

A

Pyoderma Gangrenosum

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19
Q

Examples of Neutrophilic Dermatosis

A
  • Pyoderma Gangrenosum
  • Sweet Syndrome
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20
Q

Inital DOC for Cellulitis

A

Flucloxacillin

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21
Q

Cellulitis medication if patient is allergic to Flucloxacillin

A

Clarithromycin
Doxycycline

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22
Q

Causes of Scarring Alopecia

A
  • Lichen planus
  • Discoid lupus erythematosus
  • Tinea capitis
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23
Q

Causes of Non-Scarring Alopecia

A
  • Male-pattern baldness
  • iron and zinc deficiency
  • Alopecia areata
  • Telogen effluvium
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24
Q

Seasonal Circular Erythematous Lesions in body

A

Erythema annulare centrifugum

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25
Inital Management of Seborrhoic Dermatitis
Selenium Sulphide
26
Widespread, Tense Bullous Lesions on Arms and Legs
Bullous Pemphigoid
27
Bullous Pemphigoid management
Mild Disease - Topical Steroids Severe Disease - Oral Steroids
28
Mildly Elevated urine cortisol + Mild increased morning cortisol level + Alcoholic
Pseudo- Cushings
29
Most common antibiotic causing phototoxic drug reaction
Ciprofloxacin
30
HLA Associated with Erythema Nodosum
HLA B27
31
Significant Sun Exposure and Lesion near nose white individuals
Basal Cell Carcinoma
32
Non Pruritic mauclar rash assocaited with burning sensation
Erythema Multiforme
33
Nikolsky Sign +ve Affects Mucosa Blistering Lesion
Pemphigus Vulgaris
34
HPV Virus responsible for Peiungual SCC
HPV 16
35
Psudoxanthoma Elasticum C/F
- Axillary Skin Changes - Angenoid Streaks in Retina - GI bleeding
36
Woods Light Reveal Yellow-Green or Blue-White Lesions
Vitiligo
37
Guttate Psoriasis Management
UVB Narrow Band
38
Pityriasis Versicolor - Malazzesia Furfur Management
Topical Ketoconazole
39
Pregnant women with small swelling non itching but bleed profusely
Pyogenic Granuloma
40
Photophobia + Nystagmus + Very Pale Skin
Albinism
41
Management of Extensive Keloid Scar
Intralesional Triamcinolone
42
Hidradenitis suppurativa Locations
Groin, Axillae and peri anal swelling
43
Management of Hidradenitis suppurativa
Oral Tetracycline - Doxycycline for 12 weeks
44
Most appropriate way to manage BCC
Excision
45
Young + Recurrent Infection + Peripheral Neuropathy + depigmentation of face + Large Granules on Neutrophil
Chediak Higashi syndrome
46
Cancer associated with Erythema Gyratum Reapens
Squamous Cell Carcinoma
47
Appearance of rash on site of surgery or injury (koebner phenomenon) seen in
- Lichen Planus - Psoriasis - Vitiligo
48
Patient with anxiety and stress came with rash which is worse after itching
Lichen Simplex et Chronicus
49
Lupus Pernio C/F and Management
red to purplish, indurated plaques and nodules, particularly on the nose Mx - Corticosteroids
50
Oculocutaneous Albinism Type 1
White skin White hair White eyelashes Translucent Irises
51
Oculocutaneous Albinism Type 3
Red hair and reddish brown skin
52
Pemphigus Vulgaris Intial steroid dose
0.5-1mg/kg prednisolone
53
Management of Herpetic Whitlow
Aciclovir 400mg 5 times per day
54
Vancomycin - Red man Syndrome Management
Chlorpheniramine + Emollient Dressing
55
Nephrogenic Systemic Fibrosis
Tightening of Skin + Recent Contrast MRI + CKD + Hard/Woody Skin
56
Severe Abdominal Pain + X-ray abdomen shows obstruction + On ACE Inhibitors
Angio-Edema of Bowel
57
Pressure Ulcer Management
Alginate Based Dressing of Ulcer
58
Steven Johnson Syndrome - Management of Oral Ulcers
Chlorhexidine Mouth Wash
59
Nail Pitting Commonly seen in
- Psoriasis - Eczema
60
Breastfeeding Prednisolone Safe Dose
Dose of less than or equal to 40 mg
61
Most Common Disease associated with Erythema Granulosum Annulare
Type 2 Diabetes Mellitus
62
Myxoid Cyst C/F
On Fingers produces Jelly like substances + Slow Growing
63
Psoriasis Monoclonal Antibodies approved
- Etanercept - Ustekinumab - Adalimumab
64

MRCP Part 2 (12 decks)

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