DERMATOLOGY POSTING (groups 7, 8, 9) MCQ PRETEST (T/F) 1.

Annular lesions a) acne vulgaris b) tinea corporis c) urticaria d) erythema multiforme e) bowen disease

2. Blisters a) pemphigus valguris b) erythema multiforme c) fixed drug eruption d) impetigo e) vitiligo

3. Permanent scarring a) lichen planus b) psoriasis c)acne vulgaris d) urticaria e) pityriasis rosea

. !nfectious origin a) lichen planus

b) seborrhoeic "eratitis c) melanoma d) hairy leu"opla"ia of tongue e) bacillary angiomatosis

#. Premalignant lesion a) arsenic "eratosis b) seborrheic "eratosis c) Bowen$s disease d) naevus sebaceous e) actinic "eratosis

%. Aggravated by sun a) dermatomyositis b) scleroderma c) psoriasis d) sub& '() e) pityriasis rosea

*. +hronic relapsing a) seborrheic dermatitis b) pityriasis rosea c) lichen striatus d) telogen effluvium e) erythema marginatum

,. -opical steroids is useful in rx of a) dermatitis artefacta b) perioral dermatitis c) inflammatory acne vulgaris d) rosacea e) hypertrophic scars

.. -ransmitted sexually/ a) granuloma inguinale b) erythroplasia of 0ueyrat c) pearly papules of penis d) lichen sclerosis e) fordyce spots

11. 'erology 2seful/ a) latent syphillis b) herpes simplex of penis c) trichomoniasis d) inguinale e) gonorrhea

POST TEST (T/F) 1. +urrently available serological tests are useful for the following '-3s/ a. syphilis b. gomnorrhoea c. chlamydial cervicitis d. genital herpes e. genital warts

2. +ommon contact allergens include a. 4ic"el b. 5ragrance c. -itanium d. Para6phenylenediamine e. 7inc oxide

3. -he following are causes of generali8ed exfoliative dermatitis a. psoriasis b. Atopic dermatitis c. 3rug eruption d. 'e8ary syndrome e. Pemphigus vulgaris

. A flexural pre6dilection is seen in/ a. Pityriasis rosea b. 'eborrhoeic dermatitis c. Bullous pemphigoid d. )rythema multiforme e. Atopic dermatitis

#. 3ifferential diagnosis of acne vulgaris a. 9osacea b. Pityrosporum folliculitis

c.

Pityriasis rosea

d. (upus vulgaris e. Peri6oral dermatitis

%. Pityriasis rosea a. :ost commonly occurs in infants b. :aybe mista"en for guttate psoriasis c. -ypically lasts for between % to , months d. ;ften causes prolonged post6inflammatory hypo6pigmentation e. 'hould be treated with prednisolone

*. 3iffuse alopecia occurs in all these conditions a. hypothyroidism b. 5olate deficiency c. '() d. )rythroderma e. (ichen planus

,. Pruritis may be a presenting symptom of/ a. scabies b. telogen effluvium c. leprosy d. polycythemia rubra vera e. basal cell carcinoma

.. -he following are associated with underlying malignancy/

a. 3ematomyositis
b. 'ystemic sclerosis c. +utaneous vasculitis d. erythema marginatum e. granuloma annulare

11. Systemic steroids can/may/are used in:

a. Pemphigus vulgaris b. Toxic epidermal necrolysis c. )pidermolysis bullosa dystrophia d. )rythema nodosum e. Dermatomyositis 11. Acne vulgaris a. 9esponds to tetracycline b. Pustules when cultured< often grow '. aureus c. Acne cysts may be treated with intralesional steroids d. -opical clindamycin reduces scars e. :ay occur in children as young as 11 years old 12. -he nails may be affected in a. Psoriasis b. (ichen planus c. Alopecial areata d. telogen effluvium e )rythema multiforme 13. -he following principles should be "ept in mind while prescribing topical dermatological therapy a. -he more severe the s"in reactions< the milder the local therapy as oral therapy is needed b. -he morphological stage of the disease determines the choice of the vehicle c. -he choice of vehicle is determined by the site of the s"in lesions d. Atopic dermatitis in children is more severe and therefore more potent steroids are needed e. ;nly a thin layer on direct contact with the s"in is important for penetration 1 . 'have biopsy is the surgery of choice a. when melanoma is suspected b. when "eratoacanthoma needs to be differentiated from '++ c. to remove exophytic epidermal growth d. to diagnose panniculitis e. when an inflammatory lesion is suspected 1#. Psoriasis a. 'trep infection is a provo"ing agent b. :ay first appear after parturition c. 4ail dystrophy is uncommin ! psoariatic arthritis of the arthritis mutilans ytype d. generali8ed psutular psoriasis may be precipitated by hypocalcemia e. s"in lesions precede arthritis in the ma=ority of cases

OSCE

spo! "#$g%os#s &#!' o%( "#))(r(%!#$*

1. Annular lesions / pale center< red periphery over the upper bac" 3dx / tinea corporis< urticaria< granuloma annulare 2. >rouped vesicles?papules somewhat pearly with umbilicated center 3dx/ :olluscum contagiosum< P()@A< herpes< lymphangiosum 3. Aoney6coloured crust over the nasolabial fold of a "id 3dx/ !mpetigo . Acute exanthem eruption with herald patch 3dx/ Pityriasis 9osea< fixed drug eruption< sec syphilis #. 'caly lesions on scalp with patchy hair loss 3dx/ tinea capitis< seb dermatatitis %. 'ilvery white pla0ues on both "nees 3dx/ psoriasis< lichen planus *. Blac" nodules on face with pearly rolled up edges. +entral umbilicated 3dx/ B++ ,. erythema and scaliness of web spaces of fingers 3dx/ -inea< scabies< candidiasis .. well defined margins of hair loss. 4o erythema< no vellus hair< no scarring 3x/ alopecia areata 11. blac"ish pigmentation and destruction and necrosis of the thumb nails 3x/ acral lentiginous melanoma