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Flashcards in DERMATOLOGY MCQ Deck (9)
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1
Q
  1. Which clinical presentation is most consistent with measles?

a. Fever, upper respiratory tract symptoms, rash that starts on face, enlarged tender occipital lymph nodes
b. Fever, upper respiratory tract symptoms, conjunctivitis, rash that starts on the face
c. Itchy rash between webs of fingers and wrists
d. Fever, upper respiratory tract symptoms, vesicular rash that starts on the body
e. Honey coloured crusting and weepy lesions, lesions are itchy

A

Fever, upper respiratory tract symptoms, conjunctivitis, rash that starts on the face

Response Feedback:
o Rubella - tender occipital lymph nodes
o Chickenpox - vesicular rash starting on body
o Impetigo - honey crust
o Scabies - itchy rash particularly in webs of fingers

2
Q
  1. A 6 year old boy is diagnosed as having scabies. What do you tell the parents about treatment?
    a. There is no treatment
    b. Bathe in hot water to kill mites
    c. The whole household should be treated
    d. If other members in the household are itchy they should be treated
    e. Use topical steroids to alleviate itch
A

The whole household should be treated
Response Feedback:
Steroids may relieve but do not treat underlying cause. Bathing in hot water will not kill mites. Household members should be treated simultaneously even in symptomless (as may have asymptomatic carriage). Topical treatments are available for scabies.

3
Q
  • Rubella
    o Chickenpox
    o Impetigo
    o Scabies
A

Rubella - tender occipital lymph nodes
o Chickenpox - vesicular rash starting on body
o Impetigo - honey crust
o Scabies - itchy rash particularly in webs of fingers

4
Q
  1. What does the ABCDE acronym stand for?
    a. Animal exposure, border irregularity, colour - redness, drug trigger, evolution
    b. Asymmetry, border - irregularity, colour - multiple, diameter >4mm, evolution
    c. Atrophy, break in epithelium, character of lesion, diameter >10mm, exacerbated by sun exposure
    d. Atopy, border - well defined, colour - blue, drug trigger, evaluation
    e. Associated symptoms, blue discolouration, cancer features, dryness, evolution
A

Asymmetry, border - irregularity, colour - multiple, diameter >4mm, evolution

5
Q
  1. What are the atopic diseases associated with eczema?
    a. Asthma, allergic rhinitis
    b. Impetigo, herpes
    c. Food intolerances
    d. Scabies, crabs
    e. Psoriasis, Hashimoto’s
A

a. Asthma, allergic rhinitis

6
Q
  1. Although rare, panadol can trigger Steven Johnson syndrome
A

T

7
Q
  1. This bruising rash typically appears on the face, body and arms (SJS)
A

F

  1. Although rare, panadol can trigger Steven Johnson syndrome
    True
  2. This bruising rash typically appears on the face, body and arms
    False

Response Feedback:
The bruises typically appear on the legs

8
Q
  1. Which burns would you refer for medical assessment?
A

Large blisters.
Signs of infection, such as oozing from the wound, increased pain, redness and swelling.
A burn or blister that doesn’t heal in several weeks.
New, unexplained symptoms.
Significant scarring.

Circumferential, large surface area affected with blistering, full thickness burns (white, dry, painless), chemical/electrical burns,

9
Q
  1. What are some risk factors for melanoma?
A

fair skin that burns and doesn’t tan, blue eyes, red hair, anglo-celtic ethnicity, significant sun exposure, family history, personal history, multiple dysplastic naevi (>100)