Dermatology and Wounds solved MCQs

a. There is > 90% body surface involvement

B. It is more common in males

c. The most common cause is drug reaction

d. High output cardiac failure is a recognised sequelae

e. Splenomegaly is associated in about 15%

a. Itch

B. Target lesions

c. No cross sensitivity with cefotaxime

d. Complete resolution in 2-3 weeks, without sequelae

e. Arthralgia

a. Punctate rash on neck and truck

B. Perioral erythema

c. Geographic tongue

d. Resolution without desquamation

e. Only occurs in association with streptococcal pharyngitis

a. Panniculitis

B. Vasculitis

c. Serum sickness

d. Erythroderma

e. Type 2 hypersensitivity

a. Kawasaki disease

B. Syphilis

c. Acromegaly

d. Pernicious anaemia

e. None of the above

a. Anaphylaxis

B. Sense of impending doom

c. Fitting

d. Arrythmia

e. Depressed level of consciousness

a. Steristrips

B. Staples

c. Histoacryl

d. Antibiotics for puncture wounds

e. All of the above

a. Lower limb lacerations in the elderly

B. Broad based flap lacerations

c. Long flap lacerations

d. Haematoma beneath a flap laceration

e. All of the above are associated with poor wound healing

a. Pseudomonas Aeruginosa

B. Staphylococcus Aureus

c. Streptococcus Viridans

d. Capnocytophaga Caniniosus

e. Pasturella Multocida

a. You should give 250U TIG, 0.5mL of ADT, commence oral antibiotic and refer back to the GP for further care – complete ADT vaccinations

B. There is a strong risk that cellulitis due to pasturella multocida will develop in the next week

c. ADT is contraindicated if she is either haemophilliac or pregnant

d. You should give 250U TIG, 0.5mL of ADT 3 x in the next 3 months, 20U/kg RIG once and 0.1mL HDCV 5 times in the next month

e. Her risk of contracting rabies would not be reduced if she had cleaned the initial wound thoroughly straight after the injury occurred

a. secondary syphilis

B. erythema multiforme

c. gonococcus

d. meningococcus

e. herpes simplex

a. Skin lesions of meningococcus

B. Herpes vesicular lesions

c. Secondary syphilis

d. Urticaria

e. EBV

a. less than 30% of the skin must be blistered to make this diagnosis

B. classically there are target lesions, especially on the periphery

c. there tends to be associated fever and arthralgia

d. it settles within 7-10 days if left untreated

e. steroids orally quicken the recovery

a. penicillin

B. trimethoprim

c. carbamazepine

d. cimetidine

e. piroxicam

a. molluscum contagiosum

B. hand, foot and mouth disease

c. eczema herpeticum

d. allergic contact dermatitis

e. bites

a. it is most commonly seen in infants

B. it is toxin mediatied

c. there is no mucosal invovement

d. it tends to be less severe than toxic epidermal necrolysis

e. the focus for infection may be non cutaneous

a. toxic shock syndrome

B. scarlet fever

c. streptococcal toxic shock syndrome

d. staphylococcal scalded skin syndrome

e. all of the above

a. urticaria

B. eczema

c. scabies

d. bites

e. scarlet fever

a. the erythema appears very early after the prodrome begins

B. the rash does not blanche

c. there is circumoral pallor

d. there is often pharyngotonsillitis

e. there is a strawberry tongue

a. cervical LN

B. peripheral changes. Eg erythema and oedema

c. bilateral non purulent conjunctivitis

d. polymorphous rash

e. pustular tonsillitis

a. meningococcus

B. vasculitis

c. SLE, rheumatoid arthritis

d. Clotting disorders

e. Henoch schonlein purpura

a. sarcoid

B. crohns disease

c. leukemia

d. salmonella

e. hep B

a. IBD

B. Rheumatoid arthritis

c. Leukemia

d. salmonella

e. myeloma

a. the prognosis of pemphigoid is better

B. pemphigous lesions are intra dermal where as the lesions in pemphigoid are subdermal

c. mucosa is more often involved in pemhigous

d. clinically the two can be usually differentiated with a good examination

e. they are both autoimmune disorders

a. staph aureus

B. e coli

c. pneumococcus

d. strep pyogenes

e. meningococcus