SKIN - Cardio - Nephro

Question 1

Name the Endocrine Conditions causing Acathosis Nigricans

Answer 1

Type 2 DM
Cushing Syndrome
Hypothyrodism
Acromegaly
PCOs

Question 2

Name the Non Endocrine Conditions causing Acathosis Nigricans

Answer 2

GIT Cancer
Obesity
Prader willi Syndrome
Drugs induced like COCP and Nicotinic acid

Question 3

How does Acathosis Nigricans occur?

Answer 3

Insulin resistance causing proliferation of kertinocytes and dermal fibroblast through IGFR1

Question 4

Is Chondrodermatitis nodularis helicas painful condition? YES OR NO

Answer 4

YES

Question 5

Name the premalignant lesion of Skin

Answer 5

Actinic Keratoses
Bowen’s Disease

Question 6

How to treat Actinic Keratoses?

Answer 6

fluorouracil cream
Topical Diclofenac
Topical Imiquimod

Cryotherapy
Curettage and cautery

Question 7

How to treat fluorouracil cream induced inflammation of skin?

Answer 7

Topical Hydrocortisone

Question 8

What step to take if BCC is suspected?

Answer 8

Refer the patient

Question 9

How to treat Bowen disease?

Answer 9

Topical 5 fluorouracil
Cryotherapy
Excision

Question 10

Name the antibodies made in Bullous Pemphigoid

Answer 10

Antibodies against Hemidesomal proteins BP180 and BP230

Question 11

Important Statement of Bullous Pemphigoid

Answer 11

Blisters healed without scarring

Question 12

What does Skin Biopsy show in Bullous Pemphigoid

Answer 12

Immunoflourescence shows IGG and C3 at the dermoepidermal Junction

Question 13

What are the two important steps of Bullous Pemphigoid?

Answer 13

Always Refer for biopsy and confirmation
Give Oral Steriods is TOC

Question 14

What is Cherry Hemangioma?

Answer 14

Abnormal Proliferation of capillaries

Question 15

Does Cherry Hemangioma found in Mucous and Does it blanch?

Answer 15

NO

Question 16

How to treat cherry hemangioma?

Answer 16

No treatment is required

Question 17

What is Chrondrodermatitis Nodularis Helicis?

Answer 17

PAINFUL nodule development of the EAR

Question 18

What are the risk factors Chrondrodermatitis Nodularis Helicis?

Answer 18

Persistent pressure on Ear
Trauma
Cold

Question 19

Where does typically Chronic Plaque Psoriasis found?

Answer 19

Extensor Surfaces such as Knees and ELBOW

Question 20

Name the important sign seen in Chronic Plaque Psoriasis

Answer 20

Auspitz’s sign

Question 21

Name the medicine given in Dermatitis Herpetiformis

Answer 21

Dapsone and if fail, give oral steriods

Question 22

What is Dermatofibroma?

Answer 22

Abnormal growth of dermal dendritic histiocyte cells, often following a precipitating injury

Question 23

Important sign seen in Dermatofibroma

Answer 23

Overlying Skin dimples on pinching the lesion, typically seen in LIMB

Question 24

What is erythema Ab Igne?

Answer 24

Happens due to over exposed radiation shows red patches with hyperpigmentation and telangiectaisa

Question 25

What happens if erythema Ab Igne does not treat?

Answer 25

Can converts into SCC of Skin

Question 26

What is erythema multiforme major?

Answer 26

Severe form of erythema multiforme major with "MUCOSAL INVOLVEMENT"

Question 27

What is erythema nodosum?

Answer 27

Painful nodule happens resulted of inflammation of subcutenous fat

Question 28

Important lesion of erythema nodosum

Answer 28

Heals without scarring

Question 29

Name the causes of erythema nodosum HINT* DIMS-P

Answer 29

Drug Infection Malignancy Systemic disease Pregnancy

Question 30

What is Granuloma Annulare and where does it locate?

Answer 30

Hyperpigmented Papular lesion, which is centrally depressed, mostly seen dorsal surface of hands, feets and extensor surfaces of arms and legs

Question 31

What is special about Guttate Psoriasis?

Answer 31

Lesions happen after streptococcal infection 2-4 week before.

Question 32

Describe the lesion of Guttate Psoriasis?

Answer 32

Tear drop PAPULES on the trunk and limbs

Question 33

Does Guttate Psoriasis need treatment?

Answer 33

Mostly resolve without treatment within 2-3 months and if needed, add topical treatment if lesions are symptomatic

Question 34

What is keratoacanthoma? and in which age is it seen mostly?

Answer 34

Benign Epithelial Tumor Seen in Elderly patient

Question 35

Name the conditions shows koebner phenomenon HINT* 6 conditions

Answer 35

Lichen Planus and Lichen Sclerosus Vitiligo and warts Psoriasis and molluscum contagiosum

Question 36

Name the pattern seen in oral in lichen planus

Answer 36

White lace pattern

Question 37

Name the drugs causing Lichenoid drug eruptions

Answer 37

Gold Quinine Thiazides

Question 38

How to treat lichen planus?

Answer 38

Potent Topical Steriods

Question 39

How to treat oral lichen planus?

Answer 39

Benzydamine mouth wash Or spray

Question 40

How to treat EXTENSIVE lichen planus?

Answer 40

Oral steriods Or Immunosuppression

Question 41

Describe lesion of lichen sclerosus

Answer 41

Atrophy of the epidermis with white plaques forming

Question 42

How to dx the lichen sclerosus?

Answer 42

Mostly clinically, however if atypical lesions are present, Biopsy

Question 43

How to t/m the lichen sclerosus?

Answer 43

Topical steriods and emollients

Question 44

Name the cancer may occur if there is lichen sclerosus?

Answer 44

Vulval cancer

Question 45

Name the types of Melanoma Hint* LANS

Answer 45

lentigo Maligna Acral Lengtiginous Nodular Superficial Spreading

Question 46

What is major Dx criteria of Melanoma?

Answer 46

Change in Size, color and shape

Question 47

What is minor Dx criteria of Melanoma?

Answer 47

Diameter Inflammation Oozing or Bleeding Altered sensation

Question 48

What type of bx should be carried out in melanoma?

Answer 48

"Excision Biopsy"

Question 49

Name the areas where molluscum contagiosum not seen

Answer 49

Palms of the hands and soles of the feet

Question 50

How to manage molluscum contagiosum?

Answer 50

Reassurance to patient Avoid using patients towel, clothing and bath as disease is contagious No scratching of lesion

Question 51

Name the circumstances when molluscum contagiosum's patient should be referred

Answer 51

1. HIV 2. Lesions involve eyelid margins or ocular lesions 3. Adults with anogenital lesions

Question 52

are lesions of pemphigus vulgaris painful?

Answer 52

Yes, they are but not itchy

Question 53

What does bx of pemphigus vulgaris reveal?

Answer 53

Acantholysis

Question 54

How to manage pemphigus vulgaris?

Answer 54

Oral steriods Immunosuppressants

Question 55

To which part of skin in pemphigus vulgaris, antibodies made?

Answer 55

Desmogledin 3

Question 56

How to manage Pityriasis rosacea?

Answer 56

Self Limiting condition, so it does not need treatment.

Question 57

Name the bug causing Pityriasis versicolor

Answer 57

Malassezia Furfur also know Pityrosporum ovale

Question 58

How to treat Pityriasis versicolor?

Answer 58

Topical antifungal such as ketoconazole shampoo It still persists, give oral itraconazole

Question 59

What is Pompholyx?

Answer 59

Small itchy blisters and Eczema involves hands and feet

Question 60

How to treat Pompholyx?

Answer 60

Cool Compressor Emollients Topical steriods

Question 61

Name the types of Psoriasis

Answer 61

Plaque Pustular Guttate Flexural

Question 62

How does Plaque Psoriasis present?

Answer 62

Well demarcated red scaly patches involves extensor surfaces, sacrum and scalp

Question 63

Name the type of psoriasis in which skin is smooth

Answer 63

Flexural

Question 64

Name the complications associated with psoriasis

Answer 64

Psoriatic arthropathy Increase risk of metabolic syndrome, cardiovascular disease and venous thromboembolism Psychological distress

Question 65

Name the factor drugs increase the chances of psoriasis

Answer 65

BB Antimalarials NSAIDs ACEi Infliximab Withdrawal of systematic steriods

Question 66

Name the factor Non-drugs increase the chances of psoriasis

Answer 66

Trauma Alcohol Strept Infection