Derma + Eye + psyche Exam for FCPS part 1 With Dr Sohrab

Regarding dermis -- a) Only collagen present other than cells b) Fibroblast predominant c) Less vascular than dermis d) Thickness varies 1 mm to 4 mm e) Deeper layer is called reticular dermis

Function of skin -- a) Conversion of T4 to T3 b) Conversion 25 (OH) Cholicaliferol to 1,25 Dihydroxycholicalciferol (DHC) c) Promoting sexual and psychosocial behaviors d) Conversion of Vit E e) Production of Vitamin A

Function of Langerhans's cell -- a) Phagocytosis b) Cellular movement c) Antigen presentation d) Temp presentation e) Vitamin D synthesis

Causes of pruritus - a) Psoriasis b) Lichen plannus c) Ureamia d) Liver disease e) Secondary syphilis

Hypopigmentation is associated with-- a) Vitiligo b) Oculocutaneous albuminism c) Leprosy d) Hypopitutarism e) Lentigos

The followings are premalignant conditions -- a) Actinic keratosis b) Arsenical keratosis c) Warts d) Nervous sebaceous e) Leukoplakia

Immunofluorescence dye is used for the diagnosis of a) Lichen planus b) Rubella c) SLE d) Contact dermatitis e) Autoimmune bullous disorder

Vitiligo a disorder of hypopigmentation -- a) Is associated pernicious anaemia b) Occurs in asymmetric distribution c) Involves repigementation of hair follicles d) Involves skin around orifices e) Is due to autoimmune destruction of melanocytes

Dermatitis herpetiformis [FCPS-Medicine-July-2013] a) Is associated with coeliac discase b) Usually occurs on flexor aspect of the forearm c) Is an itchy blistering lesion d) Is due to lymphocyte infiltration of the dermis e) Is confirmed by duodenal biopsy

Causes of generalized pigmentation are a) Phenylketonuria b) Hypopituitarism c) Nelson's syndrome d) CRF e) Cushing's disease

Psoriasis commonly affected in -- a) Around the umbilicus b) Extensor surface of limb c) Nails d) Teeth e) Sacrum

Defensive cells of skin are a) Langerhans cells b) Macrophage c) Mast cell d) Merkel cell e) Keratinocyte

Primary skin lesion a) Vesicle b) Ulcer c) Macule d) Cast e) Bullous

Skin disease with joint involvement- a) Psoriasis b) Syphilis c) Arsenicosis d) Atopic dermatitis e) SLE

Dermatological signs of internal malignancy include a) Dermatomyositis b) Acanthosis nigricans c) Generalized pruritus d) Superficial thrombophlebitis e) Erythema multiforme

What are the secondary skin lesion? a) Weal b) Sinus c) Crust d) Scale e) Plaque

Investigations for autoimmune bullous disorder a) Direct immunofluroscence b) indirect immunofluroscence c) HLA d) Histopathology e) Angiotensin

Regarding dementia -- a) Reversible b) Small vessel and parkinson most common cause c) Disturbance of personality or memory dysfunction d) Focal brain lesion should be included before diagnosis e) Vitamin deficiency can be a cause

Neuropsychiatric disorder -- a) Depression is a major caused of suicide b) Acute schizophrenia has poor prognosis c) In MRI, ventricles are compressed in schizophrenia d) Acute schizophrenia may be precipitated by cannabis e) Children of affected parent have 10% risk of developing the illness

Dissociative conversion disorder a) Gait disturbance b) Limb function – not affected c) Aphonia d) Sensory loss e) Epileptics seizures

Physical consequences of anorexia nervosa a) Sinus bradycardia b) Renal calculi c) Diarrhea d) Amenorrhea e) ST depression

Hallucination may be found in a) Schizophrenia b) Depressive disorder c) Conversion disorder d) Mania e) Delirium

Examples of anxiety disorder -- a) Hypochondriasis b) Post-traumatic stress disorder c) Dissociative disorder d) Phobictive without agoraphobia e) Premature ejaculation

Mental state examination is a) Appearance & behavior b) Language c) Thoughts d) Sexual behavior e) Insight

Factors affecting major depressive illness a) High society b) Family history of suicide c) Female sex d) Genetic c) Hormonal