oxford book

Question 1

if there is a patient with a high probability of asthma, what should you try prescribing?

Answer 1

trial of inhaled beclometasone 200mcg for 6 weeks - if response is poor, investigate further

Question 2

what should you prescribe if you have a patient wtih high probability of asthma but SIGNIFICANT airflow obstruction?

Answer 2

oral prednisolone 30 mg for 2 weeks

Question 3

a patient comes in with a history that suggests intermediate probability of asthma, what should you do?

Answer 3

spirometry testing

Question 4

what are some features that suggest a high probability of asthma?

Answer 4

recurrent, episode asthma symptoms (>1 of wheeze, SOB, chest tightness, cough), diurnal variability, duble exp wheeze, atopic history

Question 5

what is an intermediate probabilty of asthma?

Answer 5

some features of asthma with a poor treatment response

Question 6

flat area of altered colour <10 mm =

Answer 6

macule

Question 7

flat area of altered colour >10 mm =

Answer 7

patch

Question 8

palpable raised scaling lesion >5 mm =

Answer 8

plaque

Question 9

solid raised lesion < 5 mm =

Answer 9

papule

Question 10

solid raised lesion > 5mm with deeper component =

Answer 10

nodule

Question 11

Raised clear fluid filled lesion <5mm in diameter =

Answer 11

vesicle

Question 12

Raised clear fluid filled lesion >5mm in diameter

Answer 12

bullae

Question 13

management of sebaceous cyst

Answer 13

excision - whole cyst wall must be excised

Question 14

Skin coloured nodule with central punctum, regular border, symmetrical, mobile, overlying telangiectasia.

Answer 14

sebaceous cyst

Question 15

how to confirm diagnosis of lipoma?

Answer 15

ultrasound - plus or minus biopsy

Question 16

what is bowens disease?

Answer 16

SCC in situ

Question 17

how to treat actinic keratotis?

Answer 17

• topic 5-FU OD for 4 weeks
• 3% diclofenec gel BD for 2-3 months
• cryotherapy
• curretage and cautery

Question 18

Treatment of bowens disease

Answer 18

• cryotherapy
• superficial skin surgery
• topical 5-FU
• Photodynamic therapy

Question 19

cause of seborheic dermatitis?

Answer 19

malassezia

Question 20

treatment of seborheic dermatitis?

Answer 20

ketoconazole shampoo/creams, keratolytics/steroids

Question 21

guttate psoriasis may follow…

Answer 21

streptococcal throat infection

Question 22

treatment of localized psoriasis?

Answer 22

vit D analogues, corticosteroids, dithranol

Question 23

treatment of extensive psoriasis?

Answer 23

phototherapy

Question 24

treatment of extensive SEVERE psoriasis with systemic involvment:

Answer 24

methotrexate

biologics (TNF alpha)

Question 25

treatment of an inflammatory acneiform eruption of psoriasis?

Answer 25

- topical antibiotics - oral antibiotics - oral isotretinoin if resistant

Question 26

treatment of cellulitis

Answer 26

flucloxacillin (+ - clindamycin)

Question 27

treatment of shingles

Answer 27

- oral acyclovir/valclovir - analgesia - antibiotics for secondary infection

Question 28

treatment of meningococcal meningitits?

Answer 28

- call for ambulance | - IM benzypenicillin (or IV cefotaxime)