Derm Quiz

True/false

1. Venous ulcers are more common on the lateral malleolus

2. Venous ulcers have a necrotic base
3. Arterial ulcers are worse in bed at night
4. Neuropathic ulcers are painful
5. Dermatomyositis muscle involvement comes after cutaneous signs
6. (A SCC arising from an area of Bowens disease is most likely to metastasise)
7. Erythroderma is inflammatory skin disorder affecting >90% of skin

MCQs:- Identify the following pathologies

A:- Pyoderma gangrenosum

B:- Vasculitic ulcer
C: Arterial ulcer
D: Marjolins ulcer

2. Which disease is most likely associated with intractable vasculitic ulcers

A: Diabetes
B: SLE
C: Rheumatoid arthritis
D: Leprosy
3.Which is the most likely malignancy in a long-standing ulcer
A: SCC
B : BCC
C: Malignant melanoma
D: Viral wart

4.Compression stockings contraindicated below which ABPI:-

A: 1
B: 0.9
C: 0.8
D: 0.7

5.The following is showing:-

A: Vasculitic ulcer
B:- Pyoderma gangrenosum
C: Arterial ulcer
D: Venous ulcer

6. Which of these is NOT classically associated with pyoderma gangrenosum

A: IBD
B: Myeloma
C: Diabetes
D: Rheumatoid arthritis

7.Venous ulcer with low

A: Arterial Ulcer
B: Venous Ulcer
C: Pyoderma gangrenosum
D: Neuropathic ulcer

8.

A: Neuropathic ulcer
B: Marjolins ulcer
C: Arterial ulcer
D: Pyoderma gangrenosum

9.

A: Necrobiosis Lipoidica
B: Pyoderma gangrenosum
C: Erythema Multiforme
D: Erythema Nodosum

10. Erythema Nodosum is NOTassociated with:

A: OCP
B: Sarcoid
C: Vasculitis
D: Streptococcal infection

11. Acanthosis Nigracans is associated with

A: Diabetes
B: Stomach cancer
C: Vasculitis
D: Obesity

12
A:- Psoriasis
B: dermatomyositis
C: SLE
D: Dermatitis

13. Dermatomyositis is NOT associated with

A: Malignancy
B: Papules on the volar aspect of the IP joints
C: Photosensitive rash
D: Periorbital purple rash

14. Which of the following has the worst prognosis?

15. Which is most common in Caucasians?
16. Which most common in Orientals?

A: Lentigo Maligna Melanoma

B: Nodular melanoma
C: Acral lentiginous melanoma
D: Superficial spreading melanoma

17. Which does NOT predict poorer prognosis in melanoma

A: Ulceration
B: Nodule
C: Amelanosis
D: Female sex

18. When would you consider sentinel lymph node biopsy

A: >1mm depth
B: >2mm depth
C: >3mm depth
D: Melanoma of any depth

19. How would you initially stage a melanoma

A: Excision biopsy
B: Shave biopsy
C: Punch Biopsy
D: Sentinal node biopsy

20. What clearance do you require for excision of melanoma in situ

A: 0.5cm
B: 1cm
C: 2cm
D: 3cm

21. What do the following pictures show?

A: SCC
B: BCC
C: Bowens disease
D: Seb K

22.
A: SCC
B: BCC
C: Bowens disease
D: Seb K

23. Intra-epidermal SCC treatment options:-

A: Surgical excision
B: Steroids
C: Cyrotherapy
D: Emollient

24. What does the following picture show?

A: BCC
B: Pustule
C: Molluscum contagiosum
D: Herpes infection

25. Which of these are first line for scabies infestation

A: Topical Steroids
B: Antihistamine
C: Permethrin
D: Malathione