Skin Table

Question 1

What is typical of psoriasis appearance?

Answer 1

Clearly defined red and scaly plaques

Question 2

Types of psoriasis

Answer 2

Chronic
Flexural
Palmo-plantar
Guttate
Pustular
Nail 
Scalp 
Erythrodermic

Question 3

Describe pustular psoriasis

Answer 3

Sterile pustules
Red tender patches
Multiple yellow pustules are seen

Question 4

Symptoms with pustular psoriasis

Answer 4

Fevers
Chills
Headaches
Rapid pules

Question 5

Rx pusular psoriasis?

Answer 5

Admit
Emollients
Steroid creams
Systemic AB

Question 6

Describe guttate psoriasis

Answer 6

Pink papules
Fine scale
Many of them

Question 7

What can guttate psoriasis be triggered by?

Answer 7

Infection

May follow streptococcal infection of throat

Question 8

Rx guttate psoriasis

Answer 8

AB for underlying infection
Coal tat
Topical steroids

Question 9

What can scalp psoriasis lead to

Answer 9

alopecia on affected areas

Question 10

which psoriasis is difficult to treat

Answer 10

nail

Question 11

Rx scalp psoriasis

Answer 11

coal tar shampoos

Antifungal shampoos

Question 12

Describe palmo-plantar psoriasis

Answer 12

Rash on soles of hands and feet

Skin appears thick and scaly and red with yellowish brown lesions on the edges

Question 13

Rx for psoriasis

Answer 13

Emolients
Soap substitutes 
Coal tar creams 
Vitamin D3 analogues 
Topical steroids 
Salicylic acid

Question 14

Describe erythrodermic psoriasis

Answer 14

Red Man’s Syndrome

>80% body surface areas is involved

Question 15

3 main types of skin cancer

Answer 15

Basal cell carcinoma
Squamous cell carcinoma
Melanoma

Question 16

What is SCC derived from

Answer 16

Keratinizing squamous cells

Question 17

Major features of glasgow scale skin cancer

Answer 17

Change in shape
Irregular borders
Irregular pigmentation

Question 18

Minor features of glasgow scale for skin cancer

Answer 18

Change in sensation
Oozing
Size >7mm
Inflammation

Question 19

What is the most aggressive of skin cancers

Answer 19

Melanoma

Question 20

Risk factors for melanoma

Answer 20

Uv radiation
Fair skin
FH

Question 21

ABCDE rules of skin cancer

Answer 21

Asymmetry 
Borders
Colour 
Diameter 
Evolution

Question 22

Appearance melanoma

Answer 22

Unusual looking freckle or mole

Question 23

2 types of HSV

Answer 23

HSV-1

HSV-2

Question 24

Where does HSV lie latent

Answer 24

Dorsal root ganglion

Question 25

Rx HSV

Answer 25

Aciclovir

Question 26

What are scabies

Answer 26

ectoparasites that burrow and reproduce in the skin

Question 27

O/E scabies

Answer 27

Pimple like rash Burrows Does not affect scalp

Question 28

Symptoms scabies

Answer 28

Intense, intense itching | Worse at night

Question 29

Rx scabies

Answer 29

Cream lyclear apply all over body and leave for 12 hours | Repeat 7 days after

Question 30

Who else should be considered for treatment in scabies/

Answer 30

All close contacts to patient

Question 31

Virus that causes warts?

Answer 31

HSV

Question 32

How are warts spread?

Answer 32

Direct contact

Question 33

Types of warts

Answer 33

Tupes | Plantar

Question 34

Rx warts?

Answer 34

Crycotherapy Salicylic acid Covering duct tape Surgical removal

Question 35

Which areas are commonly affected with flexural/inverse psoriasis

Answer 35

armpits inner elblow Groin Under breast

Question 36

Is metastatic BSC common

Answer 36

No rare

Question 37

Risk factors BSC

Answer 37

``` Age M Previous SC Sun damage Fair skin Genetic ```

Question 38

Investigations for skin cancers

Answer 38

Biopsy

Question 39

Rx skin cancer

Answer 39

Excision with rim of unaffected skin

Question 40

Appearance BSC

Answer 40

Slow growing plaque or nodule | Skin coloured, pink or pigmented

Question 41

What are cutaneous metastases commonly secondary to?

Answer 41

Melanoma Breast Colon Lung

Question 42

Which type of infection usually triggers guttate psoriasis

Answer 42

Streptococcal infection

Question 43

What are sebborrhoeic Keratoses

Answer 43

Benign skin lesions

Question 44

What is sign of leser-trelate

Answer 44

Skin disorder characterised by abrupts appearance of multiple seborrheoeic keratoses

Question 45

What is acne vulgaris

Answer 45

disease of pilo-sebacious unit

Question 46

where is acne common

Answer 46

Face Chest Back

Question 47

What is a comedone

Answer 47

Blocked follice

Question 48

Open and closed comedone different

Answer 48

open - blackhead | closed - whitehead

Question 49

When does acne peak

Answer 49

Adolescence

Question 50

What are the two types of herpes?

Answer 50

HSV-1 | HSV-2

Question 51

Where does HSV-1 affect?

Answer 51

Oral

Question 52

Where does HSV-2 affect?

Answer 52

Genitals

Question 53

What is the RX for HSV?

Answer 53

Aciclovir

Question 54

Where do Veruccas affect?

Answer 54

Feet

Question 55

What is impetigo?

Answer 55

Highly contagious acute bacterial infection

Question 56

What organism causes impetigo?

Answer 56

Staph aureus

Question 57

What is the appearance of impetigo?

Answer 57

Pustules and honey coloured crusted erosions | Mainly affects exposed areas

Question 58

Rx for impetigo

Answer 58

Topical antibiotics | Oral antibiotics if extensive

Question 59

What are boils/furuncles caused by?

Answer 59

Staph aureus infection of hair follicle

Question 60

What are carbuncles?

Answer 60

Multiple headed boils

Question 61

What causes cellulitis

Answer 61

Bacterial infection deep into the drmis and subcutaneous tissue

Question 62

Symptoms and appearance of cellulitis

Answer 62

Localised area of red painful swollen skin and systemic symptoms

Question 63

Name for flaccid blisters that rupture easily?

Answer 63

Pemphigus

Question 64

Name for intact epidermis blisters that are tense and intact

Answer 64

Pemphigoid

Question 65

What is defined as atopic eczema

Answer 65

Chronic itchy skin in last 12 months plus 3 of following: History of flexural involvement History of generally dry skin History of other atopic disease History in 1st degree relative if under 4yrs

Question 66

Symptoms of eczema

Answer 66

``` Itch Redness Flaking Cracked Sore Papules Scaling ```

Question 67

Where does eczema usually start in babies

Answer 67

Face

Question 68

What is cradle cap a nickname for?

Answer 68

Serorrhoeic dermatitis

Question 69

Describe O/E of discoid eczema

Answer 69

Circular plaque of eczema | Individual plaques are well circumscribed

Question 70

What is actinic keratosis thought to be an early form of?

Answer 70

SCC

Question 71

Rx for acne

Answer 71

Retinoids/Roaccutane Benzyl peroxide Salicylic acid