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FINAL YEAR SOLVED
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PAPERS
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DERMATOLOGY ( SOLVED UQS )
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1-2012
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Answer :-
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j)toxic epidermolytic necrolysis.

k)baseline to look for infections

skin snip or skin biopsy.
Serum bicarbonate
Blood gulucose
Blood urea
 Cancer screening

l)discontinuation of above drugs.

Transfer to ICU r burnt unit.
Supportive treatment with monitoring of electrolytes and
infections.
Regular sterile dressings.
IV immunoglobulins.

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2-2011-Annual

Answer
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j)atopic eczema.
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k)Management:investigations to conform and to find allergens.
Prick test and IGE and specific IGE tests and Swabs in suspected
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secondary infections
General measures: Explanation, reassurance and encouragement
Avoidance of contact with irritants
Regular use of greasy emollients
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Specific measures: regular use of emollients (moisturisers) and

the least possible use of topical corticosteroids. These topical
treatments can be used with a variety of types of bandaging such
as 'wet wraps', tar and ichthammol paste bandages. Allergen
avoidance may have a role.
Pimicrolimus cream and tecrolimus ointment as second line.
Phototherapy as third line.
Systemic treatment includes cyclosporine methotrexate.oral
sterods azathioprine if necessary.

3-2011 - Supplementary

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ANSWER
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a)Scabies.sarcoptes scabiei
b)1. atopic eczema 2. urticaria.
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Treatment:
Two applications one week apart of an aqueous solution of either
permethrin or malathion to the whole body, excluding the head

All the skin below the neck should be treated, including the
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genitalia, palms and soles, and under the nails. Treat the
head and neck regions in infants (up to age 2 years).

All close contacts should be treated at the same time.

Reapply scabicide to the hands if they are washed during

the treatment period.
 Patients should be warned that the pruritus may persist for
up to 4 weeks after successful treatment. Adjunct treatment
with crotamiton cream, an emollient or a mild topical steroid
is helpful.

A patient information leaflet about therapy helps improve

compliance.

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4-2010 ANNUAL

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Answer
j)atopic eczema.
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k)Specific IGE levels to antigens in serum.

l)No risk.
m) emollients (moisturisers) and the least possible use of
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topical corticosteroids
Pimicrolimus cream and tecrolimus ointment as second line.

n) cyclosporine methotrexate.oral sterods azathioprine

 LI
5- 2010-SUPPLEMETARY

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ANSWER
i)steven Johnson syndrome.
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j)Drugs penicillin. Allopurinol NSAIDS etc.

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. Viral infections.hsv etc.

Bacterial infections mycoplasma .
malignancy.
k)toxic epidermal necrolysis.

6. 2009 suply
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Enlist management of scabies.

7. 2008 ann
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Ans :
a)SLE
b)malar rash.
Discoid rsh.
Livido raticularis.
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c)1.photoprotection.:
avoidance of sun exposure.
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Topical sun blocks.

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Sun screens.
2.Phototherapy.
3.Antihistamines.
Treatment of underlying disease.
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8. 2008 suply

Ans :
a)acne vulgaris.
b)schoulders upper chest and back.
Isotretinoin.
Oestrogen containing oral contraceptives.
Antiandrogen cyproteron acetate.

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Antibiotics

9. 2007 annual A
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Ans :
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i)Psoriasis.
j)Auspitz sign.
k)Steps:
sterilize the area over the lesion
Take a glass slide and scrap over the lesion.
Firstly silvery white scales are removed and a thin membrane is
seen and after removal of membrane we see a Pinpoint bleeding
spot.
l) classical agents:methotrexate and hydroxiuria.

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Standard immunosuppressives:cyclosporine.
Newer biological therapies
Oral retinoids.

10.
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Ans :scleroderma.
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k)tortuous dilatation of capillary loops in the nail fold bed.

Dysphagia
Pulmonaru hypertension.
l)ANA , antibodies to topoisomerase 1 and anticentromere
antibodies.
 11.

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Table 23-3. Classification of
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eczema
Endogenous Exogenous
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Atopic eczema Contact eczema
irritant
Discoid eczema Contact eczema
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allergic
Hand eczema Photosensitive
eczema
Seborrhoeic eczema Lichen
simplex/nodular
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prurigo
Venous
('gravitational')
eczema
Asteatotic eczema