Qs Flashcards

1
Q

A 34 year old woman has a recurrent itchy rash that has typical features of urticaria. She is a firefighter and says that she does not want any treatments that may affect her level of alertness.

Which is the most appropriate treatment to control her symptoms? 
A. Oral chlorphenamine maleate  
B. Oral loratadine 
C. Oral prednisolone 
D. Topical aqueous cream 
E. Topical hydrocortisone
A

B. oral loratadine

  • nonssedating antihistamine
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2
Q

An 84 year old woman presents to her GP with a red scaly patch on her left shin which is asymptomatic and measures 3 cm in diameter. She has red hair and has never used sun cream.

What is the most likely diagnosis? 
A. Basal cell carcinoma 
B. Discoid eczema 
C. Bowen's disease  
D. Lentigo maligna melanoma  
E. Pyogenic granuloma
A

C. Bowen’s disease

  • squamous cell carcinoma in situ

slow-growing scaly erythematous

on areas on sun exposure

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3
Q

20 year old medical student with history of atopy develops red dry hands
what is the diagnosis? what causes this?

A

contact dermatitis

type 4 hypersensitivity

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4
Q

exclamation mark hairs indicate what?

A

alopecia areata

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