dermatology (simplified)

Question 1

Eczema symptoms

Answer 1

itchy, dry inflammatory skin

Question 2

types of eczema

Answer 2

atopic (genetic barrier dysfunction)

seborrheoic

discoid

pomphylx

varicose

Question 3

what is the most common type of eczema?

Answer 3

atopic

Question 4

atopy

Answer 4

overactive immune response to environmental stimuli

Question 5

what causes atopic eczema

Answer 5

skin “barrier” defect
- abnormality in filaggrin expression
filaggrin proteins bind keratin filaments together

Question 6

what other 2 conditions are associated with eczema?

Answer 6

asthma

hay fever

Question 7

eczema in infants

Answer 7

face/ neck (cheeks commonly)

Question 8

eczema in older children

Answer 8

flexural pattern (hands, wrists, ankles etc)

Question 9

irritants and allergens can penetrate the skin in:

Answer 9

atopic eczema

irritants - soap, detergent, solvents, dirt
allergen - pollen, dust mite antigens, microbes

Question 10

childhood eczema flares can be associated with:

Answer 10

infection/virus

environment (cold air, hot)

pets

teething

stress

Question 11

allergic eczema

Answer 11

suspect food allergy

immediate reaction (type I): blood test for specific IgE antibodies (RAST), skin prick test

late reaction (type IV): dietary elimination for 6 - 8 weeks

Question 12

seborrheoic dermatitis is mainly on the

Answer 12

scalp and face

Question 13

how do you treat eczema?

Answer 13

emollients

topical steroids (hydrocortisone)

calcineurin inhibitors

UVB light therapy

immunosuppressive medication

Question 14

impetigo is usually from what bacteria?

Answer 14

staph aureus

Question 15

how do you treat impetigo

Answer 15

topical antibacterial (fucidin)

oral antibiotic (flucloaxcillin)

Question 16

molluscum contagiosum is usually from what virus?

Answer 16

molluscipox virus

Question 17

how do you treat molluscum contagiosum

Answer 17

self limiting

can take up to 24 months to clear

(5% Potassium Hydroxide)

Question 18

viral warts is associated with which virus?

Answer 18

HPV

Question 19

how do you treat viral warts

Answer 19

stimulate own immune system to respond

topical treatments such as salicylic acid and paring

cryotherapy

90 % resolve in 24 months

Question 20

what virus gives chicken pox?

Answer 20

varicella zoster virus

Question 21

what virus gives slapped cheek?

Answer 21

parvovirus

Question 22

hand foot and mouth is due to what virus?

Answer 22

enterovirus

Question 23

what is orofacial granulomatosis

Answer 23

lip swelling and fissuring

oral mucosal lesions: ulcers and tags, cobblestone appearance

crohn’s disease

Question 24

what skin disease is linked to coeliac disease?

Answer 24

dermatitis herpetiformis

Question 25

erythema nodosum causes

Answer 25

infections: streptococcus, upper respiratory tract 
inflammatory bowel disease
sarcoidosis
drugs – OCP, Sulphonamides, Penicillin
mycobacterial Infections
idiopathic

Question 26

Urticaria

Answer 26

associated with allergies/ angioedema

wheals and hives