Dermatology – Exam Review Set 4

What this deck covers

Dermatology – Exam Review Set 4 in 50 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. Red on one side only
2. Blisters he made himself
3. Spots at three weeks old
4. White spots, and a grandmother
5. Itchy, and back every few weeks
6. Thinning where her hand reaches
7. The sibling who looks fine
8. Never needed a haircut
9. Breaking at the ends, not the root
10. A year on, still bare
11. One pale patch since infancy
12. Darker over the summer
13. A cream bought at the market
14. Darker, and now bristly
15. Spots on the palms too
16. Everywhere but the trunk
17. One side only, for weeks
18. A stripe down one thigh
19. New ones while old ones fade
20. A new rash on day five
21. A mark on her arm since birth
22. Softer when the arm goes up
23. The lump and the falling count
24. It bleeds every time it is knocked
25. Seven small ones, all over
26. Scaly shins, soft creases
27. Two uncles with the same skin
28. What the membrane hides
29. Thick soles in three generations
30. Firm cheeks, and a well baby
31. Six weeks on, still spreading
32. Rings on him and his brother
33. Back again after each course
34. Boots in a sealed bag
35. Sent home over one ring
36. Where they came from matters
37. A fortnight is not a trial
38. They went red before they went
39. Forty of them, and rising
40. Four sessions and some scars
41. One tube a month, used sparingly
42. The expensive nightly ritual
43. Where to put the punch
44. An hour each way, twice a week
45. Six months, one small tube
46. Moderate on paper
47. She stopped going to things
48. They said it was catching
49. Three spots, and no photographs
50. Straight edges, overnight

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: A vascular malformation on the midline, The palatal lesions need removal, No action is needed, That this is alopecia areata, Coincidental vitiligo, Scabies, Pityriasis lichenoides, An infantile haemangioma in its involuting phase, That the skin will be normal, Bacterial folliculitis, Oral antibiotics for a bacterial infection, That cryotherapy is first line here, A course of oral antiviral treatment, From the centre of the lesion.

Clinical pearls from this deck

• Half red, half pale, straight down the middle, gone when you pick him up. It is the vasomotor system finding its feet, not a diagnosis.
• Blisters exactly where his mouth reaches, there since birth, on normal skin. He made them himself before he was born.
• No comedones, three weeks old, and it goes on its own. The acne her brother had arrives later and brings blackheads with it.
• The same little cyst has three names depending on where it sits: nose, midline palate, gum ridge. All of them go on their own.
• Itchy crops on palms and soles that keep coming back after the scabies was treated. The scabicide is not failing; this is what follows it.
• A bald patch with stubble in it was not shed, it was broken. Look at which hand she writes with.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all dermatology case decks · pediatric reference values.