Name: Ann Stone

Theme: Skin

OPTION LIST

A	Eczema	I	Basal Cell Papilloma
B	Lichen Planus	J	Bullous Disease
C	Psoriasis	K	Type III Hypersensivity reaction
D	Pityriasis Rosea	L	Pemphigus
E	Dermatitis herpetiformis	M	Mycosis fungoides
F	Erythema Multiforme	N
G	Malignant Melanoma	O
H	Basal Cell Carcinoma	P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. An 18 year old man presents to the GP with flaking scaly skin on his elbows and scalp. He also reports joint pain. Microscopically there is loss of the granular layer of the epidermis with clubbing of rete ridges.

2. At the start of term a medical student presents with a rash on his stomach and chest which is pink and scaly. Microscopically there is non-specific dermatitis pathology.

3. Whilst recovering from a bacterial infection a 22 year old lawyer develops a pleomorphic skin eruption with urticarial weals and sub epidermal bulla. It is later found that she had an epidermal sensitivity to the antibiotics she was previously prescribed.

4. A 70 year old Australian gentleman presents with a flat slowly growing black lesion which appears to be proliferating down the hair follicle. The lesion is asymmetrical with an irregular border.

5. A middle aged gentleman presents with an eruption of purple flat topped papules with mother of pearl sheen. The lesions are on the flexor surface of his wrist. On histology there is hyperkeratosis with basal cell degeneration.

ANSWERS

1. C

2. D

3. F

4. G

5. B