| 1. |
All of the following statements about erythroderma are true EXCEPT |
| 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% |
| Answer» C. The most common cause is drug reaction | |
| 2. |
The feature you would NOT expect to find in a case of erythema multiforme after cefaclor use is |
| A. | Itch |
| B. | Target lesions |
| C. | No cross sensitivity with cefotaxime |
| D. | Complete resolution in 2-3 weeks, without sequelae |
| E. | Arthralgia |
| Answer» A. Itch | |
| 3. |
Which of the following features is consistent with scarlet fever |
| 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 |
| Answer» A. Punctate rash on neck and truck | |
| 4. |
Erythema Nodosum is an example of |
| A. | Panniculitis |
| B. | Vasculitis |
| C. | Serum sickness |
| D. | Erythroderma |
| E. | Type 2 hypersensitivity |
| Answer» A. Panniculitis | |
| 5. |
Geographic tongue is caused by |
| A. | Kawasaki disease |
| B. | Syphilis |
| C. | Acromegaly |
| D. | Pernicious anaemia |
| E. | None of the above |
| Answer» E. None of the above | |
| 6. |
The toxic reaction you would least expect with bupivocaive is |
| A. | Anaphylaxis |
| B. | Sense of impending doom |
| C. | Fitting |
| D. | Arrythmia |
| E. | Depressed level of consciousness |
| Answer» A. Anaphylaxis | |
| 7. |
Which of the following is associated with a lower incidence of wound infection (given adequately cleaned wounds) |
| A. | Steristrips |
| B. | Staples |
| C. | Histoacryl |
| D. | Antibiotics for puncture wounds |
| E. | All of the above |
| Answer» E. All of the above | |
| 8. |
Which of the following is not associated with poor wound healing |
| 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 |
| Answer» B. Broad based flap lacerations | |
| 9. |
If a patient presents with DIC after dog bite the likely organism would be |
| A. | Pseudomonas Aeruginosa |
| B. | Staphylococcus Aureus |
| C. | Streptococcus Viridans |
| D. | Capnocytophaga Caniniosus |
| E. | Pasturella Multocida |
| Answer» D. Capnocytophaga Caniniosus | |
| 10. |
A backpacker returns from Thailand claiming to have been bitten by a dog in Bangkok the week before. There is a healing wound with scab on the right forearm ulnar aspect of the extensor surface. She cannot remember her vaccination status. Which statement is most correct |
| 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 |
| Answer» 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 | |
| 11. |
Which rash is not characteristically found on the hands? |
| A. | secondary syphilis |
| B. | erythema multiforme |
| C. | gonococcus |
| D. | meningococcus |
| E. | herpes simplex |
| Answer» E. herpes simplex | |
| 12. |
In what dermatological condition is a Tsanck smear used to aid diagnosis? |
| A. | Skin lesions of meningococcus |
| B. | Herpes vesicular lesions |
| C. | Secondary syphilis |
| D. | Urticaria |
| E. | EBV |
| Answer» B. Herpes vesicular lesions | |
| 13. |
Which is not true of erythema multiforme? |
| 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 |
| Answer» E. steroids orally quicken the recovery | |
| 14. |
Which drug is not likely to cause toxic epidermal necrolysis? |
| A. | penicillin |
| B. | trimethoprim |
| C. | carbamazepine |
| D. | cimetidine |
| E. | piroxicam |
| Answer» D. cimetidine | |
| 15. |
Which is not a possible cause of a blistered patient? |
| A. | molluscum contagiosum |
| B. | hand, foot and mouth disease |
| C. | eczema herpeticum |
| D. | allergic contact dermatitis |
| E. | bites |
| Answer» A. molluscum contagiosum | |
| 16. |
Which is NOT TRUE of staphylococcal scalded skin syndrome? |
| 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 |
| Answer» C. there is no mucosal invovement | |
| 17. |
Which infectious erythema is purely caused by toxin alone and not from the infectious process as well? |
| A. | toxic shock syndrome |
| B. | scarlet fever |
| C. | streptococcal toxic shock syndrome |
| D. | staphylococcal scalded skin syndrome |
| E. | all of the above |
| Answer» A. toxic shock syndrome | |
| 18. |
Which rash is not usually itchy? |
| A. | urticaria |
| B. | eczema |
| C. | scabies |
| D. | bites |
| E. | scarlet fever |
| Answer» E. scarlet fever | |
| 19. |
Which is not true of 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 |
| Answer» B. the rash does not blanche | |
| 20. |
Which is not one of the five criteria other then fever required to make the diagnosis of Kawasakis disease? |
| A. | cervical LN |
| B. | peripheral changes. Eg erythema and oedema |
| C. | bilateral non purulent conjunctivitis |
| D. | polymorphous rash |
| E. | pustular tonsillitis |
| Answer» E. pustular tonsillitis | |
| 21. |
Which dose not tend to produce palpable purpura? |
| A. | meningococcus |
| B. | vasculitis |
| C. | SLE, rheumatoid arthritis |
| D. | Clotting disorders |
| E. | Henoch schonlein purpura |
| Answer» D. Clotting disorders | |
| 22. |
Which is not associated with erythema nodosum? |
| A. | sarcoid |
| B. | crohns disease |
| C. | leukemia |
| D. | salmonella |
| E. | hep B |
| Answer» E. hep B | |
| 23. |
Which is not associated with pyoderma gangrenosum? |
| A. | IBD |
| B. | Rheumatoid arthritis |
| C. | Leukemia |
| D. | salmonella |
| E. | myeloma |
| Answer» D. salmonella | |
| 24. |
Which is NOT TRUE of pemphigus and pemphigoid? |
| 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 |
| Answer» D. clinically the two can be usually differentiated with a good examination | |
| 25. |
Which is the usual causative organism in toxic shock syndrome? |
| A. | staph aureus |
| B. | e coli |
| C. | pneumococcus |
| D. | strep pyogenes |
| E. | meningococcus |
| Answer» A. staph aureus | |
We're developing a website for study materials for students.
We would love to hear your answers to some of the questions.
