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Derma , Eye and Psychiatry Exam for FCPS with Dr. Sohrab
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Derma , Eye and Psychiatry Exam for FCPS with Dr. Sohrab
1
Personal infomations
2
True and false
3
multiple choice
Name
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Phone number
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Email
Melanocytes: a) are attached to the adjacent keratinocytes by desmosome b) synthesize melanin using tyrosine c) number vary between the American and the Bengali population d) derived from neural crest cells e) are functionally inactive in vitiligo
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Cells of epidermis include: a) keratinocytes b) melanocytes c) Langherhans cells d) mast cells e) Merkel cells
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Pruritus is the characteristic features of the following diseases a. secondary syphilis b. seborrheic dermatitis c. arsencosis d. leprosy e. Paget's disease
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Pruritus may be present in a) AIDS b) Addison's disease c) cutaneous leishmaniasis d) hyperthyroidism e) erythema induratum
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Generalized erythematous scaling may be associated with which of the following: A. Lymphoma B. Leukemia C. Psoriasis D. Atopic dermatitis E. Drug reaction
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Causes of urticaria include- A. helminthiasis B. herpes simplex virus C. heat D. candida E. viral hepatitis
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Subepidermal blisters are seen in: a) porphyria cutanea tarda b) pemphigus vulgaris c) bullous pemphigoid d) miliaria crystalline e) dermatitis herpetiformis
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
.Intra epidermal bullae are found in a) Pemphigus vulgaris b) Bullous pemphigoid c) Lichen plannus d) Darier's disease e) Epidermojysis bullosa simplex
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Drugs responsible for diffuse hyperpigmentation are a) clofazamine b) minocycline c) permethrine d) chlorambucil e) chloroquine
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
The following conditions lead to hyperpigmentation: a) Cushing's disease b) Carcinoid tumours c) Zollinger-Ellison syndrome d) Addison's disease e) Sheehan's syndrome
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
The complication (s) of scabies is/ are: a) eczematization b) bronchopneumonia c) acute glomerulonephritis d) nephrotic syndrome e) hepatitis
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Psoriasis may be aggravated by administration of a) beta-blocker b) penicillin c) anti-malarial d) lithium e) sulfonamide
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Erythema nodosum is: A. infectious B. a hypersensitivity reaction C. a self limiting condition D. due to thrombophiebitis E. a fungal lesion
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Pyoderma gangrenosum may be associated with: a) myelofibrosis b) HIV infection c) sarcoidosis d) polycythaemia rubra vera e) leishmaniasis
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Following skin reactions are the sign of internal malignancy: a. Pyoderma gangrenosum b. Generalized pruritus c. Dermatomyositis d. Erythema nodosum e. Superficial thrombophlebitis
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Hallucination is found in a) schizophrenia b) conversion disorder c) severe major depressive disorder d) personality disorder e) substance use disorder
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Followings are anxiety disorders: a. Post traumatic stress disorder b. Conversion disorder. c. Panic disorder without agoraphobia d. Somatization disorder e. Obsessive compulsive disorder
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Drugs that produce depressive illness after prolonged use include a) methyldopa b) phenothiazines c) amlodipine d) phenelzine e) interferon
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
The following features of depression include- a) Metabolic acidosis b) Prolonged prothrombin time c) Hyperglycemia d) Hyperbilirubinemia e) Low serum albumin
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Mania is characterized by a) pressured speech b) over activity c) grandiosity d) low mood e) Déjà vu experience
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Bad prognosis in Schizophrenia is associated with a) gradual onset b) good family support c) good response to medications d) drug noncompliance e) catatonia
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Following antipsychotic drugs are used for the treatment of schizophrenia: a) chlorpromazine b) clozapine, c) venlafaxine d) zuclopenthixole e) duloxetine
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Following drugs are used in the treatment of schizophrenia- a) Chlorpromazine b) Amitriptyline c) Clozapine d) Fluxetine e) Haloparidol
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Dementia like syndrome can be found in a) vitamin B12 deficiency b) thiamine deficiency c) Cushing's syndrome d) neurosyphilis e) Down's syndrome
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Clinical features of conversion disorder include a. loss of function of limbs b. headache c. anaesthesia d. urinary retention e. blindness
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
A 74-year-old woman develops tense, itchy blisters on her inner thighs and upper arms. Given the likely diagnosis, what will immunofluorescence of the skin biopsy demonstrate?
Loss of fibrinogen at the basement membrane
Granular IgG along the basement membrane
IgM crystallization at the dermal junctions
Linear IgA deposits at the dermoepidermal junction
IgG and C3 at the dermoepidermal junction
A 29-year-old man presents due to the development of 'hard skin' on his scalp. On examination he has a 9cm circular, white, hyperkeratotic lesion on the crown of his head. He has no past history of any skin or scalp disorder. Skin scrapings are reported as follows: No fungal elements seen What is the most likely diagnosis?
Psoriasis
Dissecting cellulitis
Kerion
Systemic lupus erythematous
Seborrhoeic dermatitis
A 40-year-old man complains of widespread pruritus for the past two weeks. The itching is particularly bad at night. He has no history of note and works in the local car factory. On examination he has noted to have a number of linear erythematous lesions in between his fingers. What is the most likely diagnosis?
Polyurethane dermatitis
Fibreglass exposure
Cimex lectularius infestation (Bed-bugs)
Scabies
Langerhans cell histiocytosis
A 34-year-old man presents to dermatology clinic with an itchy rash on his palms. He has also noticed the rash around the site of a recent scar on his forearm. Examination reveals papules with a white-lace pattern on the surface. Some isolated white streaks are also noted on the mucous membranes of the mouth. What is the diagnosis?
Lichen planus
Scabies
Lichen sclerosus
Morphea
Pityriasis rosea
A 59-year-old patient presents to dermatology outpatients clinic with a three-month history of discolouration of the skin on his back. On examination, there are patchy areas of mild hypopigmentation covering large areas of the back. You suspect a diagnosis of pityriasis versicolor. What is the likely causative organism?
Epidermophyton
Histoplasma capsulatum
Micosporum
Trichophyton
Malassezia
A 48-year-old Jewish woman presents with mouth ulcers over a number of months. She has now developed painful blisters on her back which, after trying to pop the lesions with a needle, appear to be spreading. She is usually fit and well and takes no medications. She works in a primary school and denies using over the counter medications recently. On examination, she has mucosal blistering and widespread flaccid vesicles and bullae, which are painful to palpation. She is afebrile. Biopsy of the lesions demonstrates acantholysis. What is the most likely diagnosis?
Bullous pemphigoid
Contact dermatitis
Herpes simplex virus
Pemphigus vulgaris
Stevens-Johnson syndrome
A 27-year-old man attends his GP complaining of a rash. On closer inspection, there are extensive pink umbilicated lesions visible on his trunk and around his wrists. Some of these are itchy. Observations are all within normal limits. The GP requests an HIV test which comes back as positiveWhat is the most likely diagnosis?
Scabies
Herpes zoster (shingles)
Kaposi's sarcoma
Molluscum contagiosum
Prurigo nodularis
A 33-year-old man was admitted to the dermatology department with pruritic lesions on the limbs, and lower back skin for 3 months. The patient had no gastrointestinal symptoms. On physical examination, there were small vesicles and papules which were seen symmetrically distributed on the extensor surface of the limbs, particularly over his elbows, buttocks and lower back. What is the method of diagnosing this condition?
Dermoscopy
Endoscopy
Fungal scraping
Skin biopsy
Skin swab
A 62-year-old male is referred to dermatology with a lesion over his shin. On examination shiny, painless areas of yellow skin over the shin are found with abundant telangiectasia. What is the most likely diagnosis?
Pretibial myxoedema
Necrobiosis lipoidica diabeticorum
Erythema nodosum
Pyoderma gangrenosum
Syphilis
A 43-year-old man comes for review. A few months ago he developed redness around his nose and cheeks. This is worse after drinking alcohol. He is concerned as one of his work colleagues asked him if he had a drink problem despite him drinking 14 units per week. On examination he has erythema as described above with some pustules on the nose and telangiectasia on the cheeks. What is the most likely diagnosis?
Acne rosacea
Alcohol-related skin changes
Systemic lupus erythematosus
Seborrhoeic dermatitis
Mitral stenosis
A 67-year-old man with a history of Parkinson's disease presents due to the development of an itchy, red rash on his neck, behind his ears and around the nasolabial folds. He had a similar flare up last winter but did not seek medical attention. What is the most likely diagnosis?
Levodopa associated dermatitis
Seborrhoeic dermatitis
Flexural psoriasis
Acne rosacea
Fixed drug reaction to ropinirole
A 38-year-old man is reviewed by his general practitioner. He reports difficulties in maintaining positive relationships with colleagues. On further questioning, it becomes clear that the man has a very strict value system and moral code. He is inflexible with respect to different beliefs and work practices and this inflexibility makes it difficult to form relationships with colleagues, collaborate or delegate. What type of personality disorder best describes this patient?
Antisocial personality disorder
Borderline personality disorder
Narcissistic personality disorder
Obsessive-compulsive personality disorder
Paranoid personality disorder
A 25-year-old woman presents with an inability to use her right arm, for 3 days. The patient has been living with her mother for the past 5 days after being a victim of domestic abuse from her husband. She is unable to move her right arm from her shoulder to her fingers. She denies any trauma. The patient admits to feeling very stressed currently. Examination shows normal tone and reflexes but 0/5 power in all muscle groups of the right upper limb. When the affected arm is held above the patient's face and released, the arm misses the face and falls at the patient's side. What is the likely diagnosis?
Post traumatic stress disorder (PTSD)
Somatisation disorder
Conversion disorder
Spinal cord lesion
Acute stress disorder
A 14-year-old boy is brought for review. He is normally fit and well and hasn't seen a doctor for over five years. His mother has been increasingly concerned about his behaviour in the past few weeks. She describes him staying up late at night, talking quickly and being very irritable. Yesterday he told his mother he was planning to 'take-over' the school assembly and give 'constructive criticism' to his teachers in front of the other pupils. He feels many of his teachers are 'underperforming' and need to be 'retaught' their subjects by him. He admits to trying cannabis once around six months ago and has drank alcohol 'a few times' in the past year, the last time being two weeks ago. Prior to his deterioration a few weeks ago his mother describes him as a happy, well-adjusted, sociable young man. Which one of the following is the most likely diagnosis?
Hypomania
Cannabis-induced psychosis
Mania
Alcoholic hallucinosis
Asperger's syndrome
A 90-year-old woman with no past medical history presents with increasing forgetfulness. Her daughter is worried that over the last four weeks her mother has been forgetting her grandchildren's names and stories from her upbringing. The patient states that she has had a loss of appetite, sometimes forgetting if she has eaten, is not getting good quality sleep and is angry with her daughter for taking her to the doctors. She sometimes sees and hears her recently deceased husband. The mini-mental test score is 17/30 and the patient is not happy with this result. What is the most likely diagnosis in this case?
Alzheimer’s dementia
Depression
Frontotemporal lobe dementia
Lewy body dementia
Paraphrenia
A 36-year-old patient presents with nausea, headaches and palpitations. He has had multiple previous admissions with such symptoms over the past 2 years, each time no organic cause was found. What kind of disorder is this likely to represent?
Munchausen's syndrome
Hypochondrial disorder
Somatisation disorder
Conversion disorder
Dissociative disorder
A 19-year-old woman presents to the Emergency department having taken an overdose of 40x500mg paracetamol tablets and 400ml of vodka. She took the overdose because her boyfriend is going away for 2 weeks on a course and she fears abandonment. This is her 4th attendance with an overdose over the past 3 years. She is also known to the police after an episode of reckless driving / road rage. On arrival in the unit she is tearful and upset, and tells you she did it because her boyfriend is leaving her. Vital signs and general physical examination are normal apart from evidence of cutting her arms. She is given activated charcoal. Which of the following is the most likely diagnosis?
Bipolar disorder
Anti-social personality disorder
Borderline personality disorder
Endogenous depression
Drug induced psychosis
A 71-year-old with a history of type 2 diabetes mellitus and hypertension presents due to the sensation of light flashes in his right eye. These symptoms have been present for the past 2 days and seem to occur more at the peripheral part of vision. There is no redness or pain in the affected eye. Corrected visual acuity is measured as 6/9 in both eyes. What is the most likely diagnosis?
Change in shape of eye secondary to variations in blood sugar
Primary open angle glaucoma
Vitreous detachment
Normal phenomenon in diabetic retinopathy
Normal phenomenon in healthy eyes
A 65-year-old man presents with a sudden loss of vision in his right eye upon waking up this morning. He has no pain in his eye. Past medical history is notable for diabetes mellitus and hypertension. Fundoscopic examination of the left eye reveals no abnormalities. Fundoscopic examination of the right eye reveals multiple retinal haemorrhages. What is the most likely diagnosis?
Amaurosis fugax
Central retinal artery occlusion
Central retinal vein occlusion
Hypertensive retinopathy
Optic neuritis
A 52-year-old male is admitted to the acute medical admissions unit with a 1-day history of a left-sided headache, retro-orbital pain, and dull left-sided facial pain. He has a history of hypertension and migraine and takes ramipril 2.5mg. On examination, he has a partial ptosis and enophthalmos of the left eye. Pupil examination demonstrates anisocoria with miosis of the left eye. His visual acuity is 6/6 bilaterally and the remainder of neurological examination is normal with normal sweating bilaterally. What is the single most likely cause of these symptoms?
Carotid artery dissection
Cervical rib
Pancoast's tumour
Stroke
Syringomyelia
Which one of the following features is not characteristic of optic neuritis?
Eye pain worse on movement
Relative afferent pupillary defect
Poor discrimination of colours, 'red desaturation
Sudden onset of visual loss
Central scotoma
A 35-year-old man presents with visual problems. He has had very poor vision in the dark for a long time but is now worried as he is developing 'tunnel vision'. He states his grandfather had a similar problem and was registered blind in his 50's. What is the most likely diagnosis?
Vitelliform macular dystrophy
Primary open angle glaucoma
Leber's congenital amaurosis
Central serous retinopathy
Retinitis pigmentosa
A 68-year-old man with a history of type 2 diabetes mellitus presents with worsening eye sight. Mydriatic drops are applied and fundoscopy reveals pre-proliferative diabetic retinopathy. A referral to ophthalmology is made. Later in the evening whilst driving home he develops pain in his left eye associated with decreased visual acuity. What is the most likely diagnosis?
Keratitis secondary to mydriatic drops
Proliferative diabetic retinopathy
Acute angle closure glaucoma
Central retinal artery occlusion
Vitreous haemorrhage
A 64-year-old woman presents with a painful right eye which came on this evening. On examination, she is notably photophobic with a non-reactive oval pupil. Her visual acuity is 6/6 in both eyes. Her past medical history includes urinary incontinence for which she takes solifenacin. What is the most likely diagnosis?
Acute angle closure glaucoma
Anterior uveitis
Endophthalmitis
Posterior uveitis
Scleritis
